Nevada / Carson Tahoe Regional Medical Center
CMS certification 290019 · Carson City, NV · 7 entries in CMS's price-transparency list
Carson Tahoe Regional Medical Center: charges and Medicare payments
Carson Tahoe Regional Medical Center reported 2,396 Medicare inpatient stays across 68 DRGs in 2024. Across them it charged 3.49 times what it was paid — among the lower ratios in Nevada, number 16 of 19 hospitals with at least 100 stays (state median 8.44×, national 4.15×). Its most frequent stay was DRG 871, Septicemia or Severe Sepsis without MV >96 Hours with MCC: 299 stays at an average charge of $61,379, 32% below the national average. It also billed 2,945 outpatient services, charging 6.1 times what Medicare paid.
- 1Medicare inpatient stays 2,396
- 2Charge ÷ paid, inpatient 3.49×
- 3Rank in NV (highest ratio = 1) 16 of 19
- 4CMS price-transparency actions 7
Inpatient stays
For the 68 DRGs that can be compared with the national average, Carson Tahoe Regional Medical Center charged more than the national average in 6 (9%). Payments follow Medicare's rates, so they usually vary far less than charges.
| DRG | Stays | Avg charge | vs US | Avg paid |
|---|---|---|---|---|
| 871 Septicemia or Severe Sepsis without MV >96 Hours with MCC | 299 | $61,379 | -32% | $18,536 |
| 291 Heart Failure and Shock with MCC | 177 | $40,938 | -27% | $12,107 |
| 193 Simple Pneumonia and Pleurisy with MCC | 137 | $40,110 | -33% | $12,447 |
| 189 Pulmonary Edema and Respiratory Failure | 99 | $44,994 | -22% | $11,745 |
| 177 Respiratory Infections and Inflammations with MCC | 87 | $52,215 | -26% | $15,704 |
| 280 Acute Myocardial Infarction, Discharged Alive with MCC | 68 | $51,146 | -33% | $14,929 |
| 641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 58 | $26,002 | -30% | $7,338 |
| 640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 56 | $47,725 | -21% | $12,635 |
| 481 Hip and Femur Procedures except Major Joint with CC | 48 | $59,256 | -41% | $19,440 |
| 682 Renal Failure with MCC | 48 | $52,415 | -21% | $14,936 |
| 872 Septicemia or Severe Sepsis without MV >96 Hours without MCC | 48 | $31,741 | -35% | $9,872 |
| 690 Kidney and Urinary Tract Infections without MCC | 47 | $29,596 | -22% | $7,555 |
| 392 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 46 | $31,012 | -23% | $7,627 |
| 065 Intracranial Hemorrhage or Cerebral Infarction with CC or... | 45 | $41,044 | -26% | $10,342 |
| 309 Cardiac Arrhythmia and Conduction Disorders with CC | 43 | $30,206 | -16% | $6,969 |
| 274 Percutaneous and Other Intracardiac Procedures without MCC | 42 | $91,674 | -42% | $30,113 |
| 308 Cardiac Arrhythmia and Conduction Disorders with MCC | 41 | $42,102 | -26% | $11,449 |
| 378 Gastrointestinal Hemorrhage with CC | 41 | $55,396 | +14% | $9,195 |
| 853 Infectious and Parasitic Diseases with O.R. Procedures with... | 40 | $149,942 | -35% | $48,648 |
| 322 Percutaneous Cardiovascular Procedures with Intraluminal... | 37 | $103,059 | -10% | $17,085 |
| 603 Cellulitis without MCC | 35 | $31,456 | -16% | $8,292 |
| 689 Kidney and Urinary Tract Infections with MCC | 35 | $32,595 | -36% | $10,953 |
| 683 Renal Failure with CC | 34 | $33,678 | -17% | $8,563 |
| 064 Intracranial Hemorrhage or Cerebral Infarction with MCC | 31 | $82,009 | -18% | $18,711 |
| 175 Pulmonary Embolism with MCC or Acute Cor Pulmonale | 29 | $45,527 | -30% | $13,494 |
| 281 Acute Myocardial Infarction, Discharged Alive with CC | 29 | $32,189 | -36% | $8,608 |
| 321 Percutaneous Cardiovascular Procedures with Intraluminal... | 28 | $121,984 | -25% | $29,169 |
| 981 Extensive O.R. Procedures Unrelated To Principal Diagnosis... | 27 | $143,757 | -34% | $43,944 |
| 552 Medical Back Problems without MCC | 26 | $37,669 | -23% | $9,070 |
| 480 Hip and Femur Procedures except Major Joint with MCC | 25 | $78,287 | -44% | $27,573 |
| 312 Syncope and Collapse | 23 | $50,907 | +12% | $9,729 |
| 194 Simple Pneumonia and Pleurisy with CC | 22 | $34,345 | -11% | $7,702 |
| 287 Circulatory Disorders except AMI, with Cardiac... | 22 | $33,350 | -48% | $10,160 |
| 039 Extracranial Procedures without CC/MCC | 21 | $38,048 | -40% | $10,694 |
| 329 Major Small and Large Bowel Procedures with MCC | 21 | $118,021 | -45% | $42,217 |
| 377 Gastrointestinal Hemorrhage with MCC | 21 | $77,644 | -9% | $17,403 |
| 897 Alcohol, Drug Abuse or Dependence without Rehabilitation... | 21 | $32,663 | -12% | $8,093 |
| 637 Diabetes with MCC | 20 | $42,027 | -37% | $13,596 |
| 310 Cardiac Arrhythmia and Conduction Disorders without CC/MCC | 19 | $22,964 | -20% | $5,232 |
| 522 Hip Replacement with Principal Diagnosis of Hip Fracture... | 19 | $63,696 | -38% | $19,802 |
| 895 Alcohol, Drug Abuse or Dependence with Rehabilitation... | 19 | $35,049 | +2% | $14,829 |
| 441 Disorders of Liver except Malignancy, Cirrhosis or Alcoholic... | 18 | $71,166 | -17% | $17,280 |
| 330 Major Small and Large Bowel Procedures with CC | 17 | $84,270 | -29% | $22,235 |
| 460 Spinal Fusion except Cervical without MCC | 16 | $84,199 | -51% | $34,902 |
| 066 Intracranial Hemorrhage or Cerebral Infarction without... | 15 | $24,777 | -41% | $6,500 |
| 208 Respiratory System Diagnosis with Ventilator Support <=96... | 15 | $102,833 | -24% | $25,359 |
| 391 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 15 | $46,674 | -24% | $12,049 |
| 698 Other Kidney and Urinary Tract Diagnoses with MCC | 15 | $39,998 | -46% | $15,347 |
| 951 Other Factors Influencing Health Status | 15 | $19,669 | -23% | $5,487 |
| 219 Cardiac Valve and Other Major Cardiothoracic Procedures... | 14 | $178,797 | -55% | $71,699 |
| 286 Circulatory Disorders except AMI, with Cardiac... | 14 | $48,203 | -57% | $20,201 |
| 314 Other Circulatory System Diagnoses with MCC | 14 | $75,251 | -21% | $19,727 |
| 394 Other Digestive System Diagnoses with CC | 14 | $54,105 | +15% | $8,793 |
| 521 Hip Replacement with Principal Diagnosis of Hip Fracture... | 14 | $70,339 | -48% | $27,837 |
| 638 Diabetes with CC | 14 | $34,548 | -17% | $8,501 |
| 190 Chronic Obstructive Pulmonary Disease with MCC | 13 | $58,770 | +16% | $10,509 |
| 854 Infectious and Parasitic Diseases with O.R. Procedures with... | 13 | $48,048 | -51% | $18,922 |
| 243 Permanent Cardiac Pacemaker Implant with CC | 12 | $81,701 | -26% | $21,136 |
| 331 Major Small and Large Bowel Procedures without CC/MCC | 12 | $44,410 | -48% | $15,666 |
| 482 Hip and Femur Procedures except Major Joint without CC/MCC | 12 | $45,893 | -41% | $14,888 |
Showing the 60 most frequent of 68 DRGs.
Outpatient services
Against the Nevada average
For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Carson Tahoe Regional Medical Center charged $61,379 on average, 67% less than the Nevada average of $185,667, and was paid $18,536 against a state average of $18,341. For Heart Failure and Shock with MCC (DRG 291), Carson Tahoe Regional Medical Center charged $40,938 on average, 60% less than the Nevada average of $102,646, and was paid $12,107 against a state average of $12,417. For Simple Pneumonia and Pleurisy with MCC (DRG 193), Carson Tahoe Regional Medical Center charged $40,110 on average, 64% less than the Nevada average of $110,082, and was paid $12,447 against a state average of $12,692. For Pulmonary Edema and Respiratory Failure (DRG 189), Carson Tahoe Regional Medical Center charged $44,994 on average, 50% less than the Nevada average of $89,432, and was paid $11,745 against a state average of $11,924. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $20,688 was 47% below the state average of $39,164. For Level 2 Excision/ Biopsy/ Incision and Drainage (outpatient APC 5072), its average charge of $8,985 was 55% below the state average of $19,888. For Level 1 Endovascular Procedures (outpatient APC 5191), its average charge of $19,204 was 63% below the state average of $52,257. For Level 1 Laparoscopy and Related Services (outpatient APC 5361), its average charge of $28,179 was 59% below the state average of $68,593.
Price-transparency record
CMS's enforcement list records these actions for a hospital named Carson Tahoe Regional Medical Center in Carson City, NV, under the federal hospital price-transparency rule (45 CFR part 180), which requires hospitals to post their standard charges online:
- Warning Notice — 2021-08-25 (CMS case 307)
- Closure Notice — 2022-02-14 (CMS case 307)
- Warning Notice — 2024-11-19 (CMS case 2941)
- CAP Request — 2025-02-26 (CMS case 2941)
- Closure Notice — 2025-04-03 (CMS case 2941)
- Warning Notice — 2026-04-10 (CMS case 7438)
- Closure Notice — 2026-07-24 (CMS case 7438)
A warning notice or corrective-action request is not a finding of wrongdoing; "Met Requirements" and closure notices record that CMS's review ended. Matched to this hospital by exact name, city and state.
Charges are the hospital's list prices averaged over its 2024 Medicare cases; payments are what those cases actually brought in. Neither is what you will pay. For a planned procedure, ask the hospital for its price estimate or, if you are uninsured or self-paying, a good-faith estimate.
Sources: CMS Medicare Inpatient Hospitals — by Provider and Service / by Geography and Service, data year 2024; CMS Medicare Outpatient Hospitals — by Provider and Service / by Geography and Service, data year 2024; CMS Hospital Price Transparency Enforcement Activities and Outcomes, July 2026. Checked 2026-10-24. Methodology.