Nevada / Northern Nevada Sierra Medical Center
CMS certification 290061 · Reno, NV · 3 entries in CMS's price-transparency list
Northern Nevada Sierra Medical Center: charges and Medicare payments
Northern Nevada Sierra Medical Center reported 172 Medicare inpatient stays across 7 DRGs in 2024. Across them it charged 7.64 times what it was paid — mid-range in Nevada, number 12 of 19 hospitals with at least 100 stays (state median 8.44×, national 4.15×). Its most frequent stay was DRG 266, Endovascular Cardiac Valve Replacement and Supplement Procedures with MCC: 35 stays at an average charge of $358,857, 26% above the national average. It also billed 532 outpatient services, charging 11.96 times what Medicare paid.
- 1Medicare inpatient stays 172
- 2Charge ÷ paid, inpatient 7.64×
- 3Rank in NV (highest ratio = 1) 12 of 19
- 4CMS price-transparency actions 3
Inpatient stays
For the 7 DRGs that can be compared with the national average, Northern Nevada Sierra Medical Center charged more than the national average in 7 (100%). Payments follow Medicare's rates, so they usually vary far less than charges.
| DRG | Stays | Avg charge | vs US | Avg paid |
|---|---|---|---|---|
| 266 Endovascular Cardiac Valve Replacement and Supplement... | 35 | $358,857 | +26% | $47,800 |
| 274 Percutaneous and Other Intracardiac Procedures without MCC | 35 | $194,148 | +24% | $24,863 |
| 291 Heart Failure and Shock with MCC | 33 | $120,893 | +114% | $14,938 |
| 871 Septicemia or Severe Sepsis without MV >96 Hours with MCC | 33 | $131,409 | +46% | $19,284 |
| 177 Respiratory Infections and Inflammations with MCC | 12 | $122,846 | +74% | $15,995 |
| 193 Simple Pneumonia and Pleurisy with MCC | 12 | $106,245 | +78% | $12,987 |
| 640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 12 | $119,409 | +98% | $12,611 |
Outpatient services
Against the Nevada average
For Endovascular Cardiac Valve Replacement and Supplement Procedures with MCC (DRG 266), Northern Nevada Sierra Medical Center charged $358,857 on average, 10% less than the Nevada average of $400,496, and was paid $47,800 against a state average of $56,430. For Percutaneous and Other Intracardiac Procedures without MCC (DRG 274), Northern Nevada Sierra Medical Center charged $194,148 on average, 15% less than the Nevada average of $227,124, and was paid $24,863 against a state average of $29,631. For Heart Failure and Shock with MCC (DRG 291), Northern Nevada Sierra Medical Center charged $120,893 on average, 18% more than the Nevada average of $102,646, and was paid $14,938 against a state average of $12,417. For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Northern Nevada Sierra Medical Center charged $131,409 on average, 29% less than the Nevada average of $185,667, and was paid $19,284 against a state average of $18,341. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $39,725 was 1% above the state average of $39,164. For Level 5 Musculoskeletal Procedures (outpatient APC 5115), its average charge of $144,653 was 28% above the state average of $113,166. For Level 1 Endovascular Procedures (outpatient APC 5191), its average charge of $50,136 was 4% below the state average of $52,257. For Level 2 Upper GI Procedures (outpatient APC 5302), its average charge of $29,215 was 21% above the state average of $24,222.
Price-transparency record
CMS's enforcement list records these actions for a hospital named Northern Nevada Sierra Medical Center in Reno, NV, under the federal hospital price-transparency rule (45 CFR part 180), which requires hospitals to post their standard charges online:
- Met Requirements — 2025-06-03 (CMS case 4835)
- Warning Notice — 2026-05-27 (CMS case 7857)
- Closure Notice — 2026-06-26 (CMS case 7857)
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.