Nevada / Northern Nevada Medical Center
CMS certification 290032 · Sparks, NV · 5 entries in CMS's price-transparency list
Northern Nevada Medical Center: charges and Medicare payments
Northern Nevada Medical Center reported 757 Medicare inpatient stays across 29 DRGs in 2024. Across them it charged 8.44 times what it was paid — mid-range in Nevada, number 10 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: 146 stays at an average charge of $155,730, 72% above the national average. It also billed 1,233 outpatient services, charging 11.02 times what Medicare paid.
- 1Medicare inpatient stays 757
- 2Charge ÷ paid, inpatient 8.44×
- 3Rank in NV (highest ratio = 1) 10 of 19
- 4CMS price-transparency actions 5
Inpatient stays
For the 29 DRGs that can be compared with the national average, Northern Nevada Medical Center charged more than the national average in 29 (100%). 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 | 146 | $155,730 | +72% | $18,262 |
| 291 Heart Failure and Shock with MCC | 62 | $110,863 | +97% | $13,768 |
| 193 Simple Pneumonia and Pleurisy with MCC | 46 | $82,753 | +38% | $12,091 |
| 853 Infectious and Parasitic Diseases with O.R. Procedures with... | 41 | $326,043 | +42% | $42,180 |
| 177 Respiratory Infections and Inflammations with MCC | 37 | $115,532 | +64% | $15,620 |
| 872 Septicemia or Severe Sepsis without MV >96 Hours without MCC | 32 | $90,950 | +85% | $10,187 |
| 189 Pulmonary Edema and Respiratory Failure | 28 | $92,069 | +60% | $11,816 |
| 274 Percutaneous and Other Intracardiac Procedures without MCC | 27 | $201,826 | +29% | $29,319 |
| 689 Kidney and Urinary Tract Infections with MCC | 24 | $99,099 | +93% | $10,650 |
| 280 Acute Myocardial Infarction, Discharged Alive with MCC | 22 | $146,098 | +93% | $14,410 |
| 682 Renal Failure with MCC | 20 | $155,918 | +136% | $14,122 |
| 522 Hip Replacement with Principal Diagnosis of Hip Fracture... | 18 | $206,914 | +102% | $19,377 |
| 392 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 17 | $78,179 | +95% | $8,359 |
| 470 Major Hip and Knee Joint Replacement or Reattachment of... | 17 | $185,562 | +99% | $17,737 |
| 640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 17 | $83,852 | +39% | $12,610 |
| 683 Renal Failure with CC | 17 | $72,526 | +78% | $8,426 |
| 330 Major Small and Large Bowel Procedures with CC | 16 | $186,380 | +57% | $21,636 |
| 377 Gastrointestinal Hemorrhage with MCC | 16 | $126,502 | +48% | $15,870 |
| 322 Percutaneous Cardiovascular Procedures with Intraluminal... | 15 | $212,707 | +86% | $17,177 |
| 329 Major Small and Large Bowel Procedures with MCC | 15 | $314,507 | +46% | $36,818 |
| 378 Gastrointestinal Hemorrhage with CC | 15 | $88,302 | +82% | $9,471 |
| 468 Revision of Hip or Knee Replacement without CC/MCC | 15 | $206,187 | +66% | $25,041 |
| 481 Hip and Femur Procedures except Major Joint with CC | 15 | $140,565 | +40% | $19,140 |
| 884 Organic Disturbances and Intellectual Disability | 15 | $142,727 | +129% | $14,653 |
| 266 Endovascular Cardiac Valve Replacement and Supplement... | 14 | $355,914 | +25% | $55,462 |
| 321 Percutaneous Cardiovascular Procedures with Intraluminal... | 13 | $345,510 | +111% | $27,141 |
| 389 Gastrointestinal Obstruction with CC | 13 | $78,854 | +103% | $7,861 |
| 281 Acute Myocardial Infarction, Discharged Alive with CC | 12 | $93,336 | +85% | $8,691 |
| 698 Other Kidney and Urinary Tract Diagnoses with MCC | 12 | $136,743 | +86% | $15,476 |
Outpatient services
Against the Nevada average
For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Northern Nevada Medical Center charged $155,730 on average, 16% less than the Nevada average of $185,667, and was paid $18,262 against a state average of $18,341. For Heart Failure and Shock with MCC (DRG 291), Northern Nevada Medical Center charged $110,863 on average, 8% more than the Nevada average of $102,646, and was paid $13,768 against a state average of $12,417. For Simple Pneumonia and Pleurisy with MCC (DRG 193), Northern Nevada Medical Center charged $82,753 on average, 25% less than the Nevada average of $110,082, and was paid $12,091 against a state average of $12,692. For Infectious and Parasitic Diseases with O.R. Procedures with MCC (DRG 853), Northern Nevada Medical Center charged $326,043 on average, 29% less than the Nevada average of $456,081, and was paid $42,180 against a state average of $46,474. For Level 2 Intraocular Procedures (outpatient APC 5492), its average charge of $47,307 was 20% below the state average of $59,480. For Level 5 Musculoskeletal Procedures (outpatient APC 5115), its average charge of $136,638 was 21% above the state average of $113,166. For Level 1 Laparoscopy and Related Services (outpatient APC 5361), its average charge of $81,238 was 18% above the state average of $68,593. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $48,252 was 23% above the state average of $39,164.
Price-transparency record
CMS's enforcement list records these actions for a hospital named Northern Nevada Medical Center in Sparks, NV, under the federal hospital price-transparency rule (45 CFR part 180), which requires hospitals to post their standard charges online:
- Warning Notice — 2021-09-29 (CMS case 692)
- CAP Request — 2022-07-27 (CMS case 692)
- Closure Notice — 2023-01-18 (CMS case 692)
- Met Requirements — 2025-05-09 (CMS case 4433)
- Met Requirements — 2025-06-05 (CMS case 4926)
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.