Nevada / Northeastern Nevada Regional Hospital
CMS certification 290008 · Elko, NV · 2 entries in CMS's price-transparency list
Northeastern Nevada Regional Hospital: charges and Medicare payments
Northeastern Nevada Regional Hospital reported 292 Medicare inpatient stays across 13 DRGs in 2024. Across them it charged 3.56 times what it was paid — among the lower ratios in Nevada, number 15 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: 74 stays at an average charge of $68,535, 24% below the national average. It also billed 299 outpatient services, charging 8.99 times what Medicare paid.
- 1Medicare inpatient stays 292
- 2Charge ÷ paid, inpatient 3.56×
- 3Rank in NV (highest ratio = 1) 15 of 19
- 4CMS price-transparency actions 2
Inpatient stays
For the 13 DRGs that can be compared with the national average, Northeastern Nevada Regional Hospital charged more than the national average in 4 (31%). 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 | 74 | $68,535 | -24% | $21,136 |
| 190 Chronic Obstructive Pulmonary Disease with MCC | 48 | $52,225 | +3% | $11,806 |
| 291 Heart Failure and Shock with MCC | 29 | $48,187 | -15% | $13,285 |
| 193 Simple Pneumonia and Pleurisy with MCC | 21 | $48,181 | -19% | $15,112 |
| 177 Respiratory Infections and Inflammations with MCC | 20 | $56,812 | -20% | $17,787 |
| 280 Acute Myocardial Infarction, Discharged Alive with MCC | 17 | $69,121 | -9% | $16,895 |
| 872 Septicemia or Severe Sepsis without MV >96 Hours without MCC | 13 | $41,162 | -16% | $10,969 |
| 175 Pulmonary Embolism with MCC or Acute Cor Pulmonale | 12 | $45,965 | -29% | $16,247 |
| 682 Renal Failure with MCC | 12 | $43,635 | -34% | $15,942 |
| 683 Renal Failure with CC | 12 | $41,729 | +3% | $9,514 |
| 689 Kidney and Urinary Tract Infections with MCC | 12 | $43,465 | -15% | $12,485 |
| 641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 11 | $43,263 | +17% | $9,228 |
| 690 Kidney and Urinary Tract Infections without MCC | 11 | $42,908 | +13% | $8,545 |
Outpatient services
| Service (APC) | Services | Avg charge | Medicare allowed |
|---|---|---|---|
| Comprehensive Observation Services | 131 | $31,373 | $3,140 |
| Level 2 Musculoskeletal Procedures | 33 | $13,551 | $1,799 |
| Level 3 Musculoskeletal Procedures | 27 | $20,755 | $3,713 |
| Level 1 Nerve Procedures | 24 | $13,012 | $2,141 |
| Level 5 Musculoskeletal Procedures | 22 | $86,051 | $15,067 |
| Level 1 Endovascular Procedures | 18 | $31,227 | $3,445 |
| Level 1 Laparoscopy and Related Services | 17 | $35,412 | $6,308 |
| Level 4 Musculoskeletal Procedures | 15 | $41,720 | $8,205 |
| Level 1 Abdominal/Peritoneal/Biliary and Related Procedures | 12 | $29,629 | $3,968 |
Against the Nevada average
For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Northeastern Nevada Regional Hospital charged $68,535 on average, 63% less than the Nevada average of $185,667, and was paid $21,136 against a state average of $18,341. For Chronic Obstructive Pulmonary Disease with MCC (DRG 190), Northeastern Nevada Regional Hospital charged $52,225 on average, 41% less than the Nevada average of $87,885, and was paid $11,806 against a state average of $11,194. For Heart Failure and Shock with MCC (DRG 291), Northeastern Nevada Regional Hospital charged $48,187 on average, 53% less than the Nevada average of $102,646, and was paid $13,285 against a state average of $12,417. For Simple Pneumonia and Pleurisy with MCC (DRG 193), Northeastern Nevada Regional Hospital charged $48,181 on average, 56% less than the Nevada average of $110,082, and was paid $15,112 against a state average of $12,692. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $31,373 was 20% below the state average of $39,164. For Level 2 Musculoskeletal Procedures (outpatient APC 5112), its average charge of $13,551 was 36% below the state average of $21,302. For Level 3 Musculoskeletal Procedures (outpatient APC 5113), its average charge of $20,755 was 51% below the state average of $42,599. For Level 1 Nerve Procedures (outpatient APC 5431), its average charge of $13,012 was 47% below the state average of $24,464.
Price-transparency record
CMS's enforcement list records these actions for a hospital named Northeastern Nevada Regional Hospital in Elko, NV, under the federal hospital price-transparency rule (45 CFR part 180), which requires hospitals to post their standard charges online:
- Met Requirements — 2025-04-15 (CMS case 3819)
- Met Requirements — 2025-06-23 (CMS case 5273)
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.