Nevada / Saint Mary's Regional Medical Center
CMS certification 290009 · Reno, NV · 2 entries in CMS's price-transparency list
Saint Mary's Regional Medical Center: charges and Medicare payments
Saint Mary's Regional Medical Center reported 1,296 Medicare inpatient stays across 42 DRGs in 2024. Across them it charged 3.2 times what it was paid — among the lower ratios in Nevada, number 19 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: 280 stays at an average charge of $47,725, 47% below the national average. It also billed 1,136 outpatient services, charging 8.38 times what Medicare paid.
- 1Medicare inpatient stays 1,296
- 2Charge ÷ paid, inpatient 3.2×
- 3Rank in NV (highest ratio = 1) 19 of 19
- 4CMS price-transparency actions 2
Inpatient stays
For the 42 DRGs that can be compared with the national average, Saint Mary's Regional Medical Center charged more than the national average in 1 (2%). 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 | 280 | $47,725 | -47% | $16,148 |
| 177 Respiratory Infections and Inflammations with MCC | 103 | $33,957 | -52% | $13,530 |
| 280 Acute Myocardial Infarction, Discharged Alive with MCC | 72 | $31,375 | -59% | $12,904 |
| 291 Heart Failure and Shock with MCC | 64 | $26,008 | -54% | $10,817 |
| 640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 46 | $27,402 | -55% | $10,972 |
| 189 Pulmonary Edema and Respiratory Failure | 45 | $25,229 | -56% | $10,517 |
| 853 Infectious and Parasitic Diseases with O.R. Procedures with... | 39 | $145,149 | -37% | $39,684 |
| 377 Gastrointestinal Hemorrhage with MCC | 38 | $55,985 | -34% | $14,976 |
| 064 Intracranial Hemorrhage or Cerebral Infarction with MCC | 32 | $43,728 | -56% | $16,115 |
| 391 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 32 | $26,364 | -57% | $11,217 |
| 321 Percutaneous Cardiovascular Procedures with Intraluminal... | 28 | $148,113 | -10% | $23,815 |
| 698 Other Kidney and Urinary Tract Diagnoses with MCC | 28 | $36,486 | -50% | $13,193 |
| 689 Kidney and Urinary Tract Infections with MCC | 27 | $25,103 | -51% | $9,854 |
| 252 Other Vascular Procedures with MCC | 26 | $96,404 | -44% | $28,007 |
| 308 Cardiac Arrhythmia and Conduction Disorders with MCC | 24 | $25,828 | -54% | $10,253 |
| 682 Renal Failure with MCC | 24 | $20,656 | -69% | $12,007 |
| 266 Endovascular Cardiac Valve Replacement and Supplement... | 23 | $216,377 | -24% | $53,452 |
| 274 Percutaneous and Other Intracardiac Procedures without MCC | 23 | $157,629 | +1% | $26,923 |
| 637 Diabetes with MCC | 22 | $21,171 | -68% | $11,996 |
| 329 Major Small and Large Bowel Procedures with MCC | 18 | $133,407 | -38% | $33,800 |
| 438 Disorders of Pancreas except Malignancy with MCC | 18 | $27,086 | -66% | $13,617 |
| 388 Gastrointestinal Obstruction with MCC | 17 | $25,125 | -63% | $12,532 |
| 281 Acute Myocardial Infarction, Discharged Alive with CC | 16 | $23,119 | -54% | $7,813 |
| 480 Hip and Femur Procedures except Major Joint with MCC | 16 | $90,301 | -35% | $22,673 |
| 551 Medical Back Problems with MCC | 16 | $28,207 | -64% | $13,411 |
| 190 Chronic Obstructive Pulmonary Disease with MCC | 15 | $27,464 | -46% | $9,468 |
| 193 Simple Pneumonia and Pleurisy with MCC | 15 | $31,087 | -48% | $11,236 |
| 602 Cellulitis with MCC | 15 | $33,981 | -44% | $12,149 |
| 242 Permanent Cardiac Pacemaker Implant with MCC | 14 | $109,234 | -32% | $28,558 |
| 309 Cardiac Arrhythmia and Conduction Disorders with CC | 14 | $21,812 | -40% | $6,807 |
| 659 Kidney and Ureter Procedures for Non-Neoplasm with MCC | 14 | $80,587 | -33% | $21,600 |
| 091 Other Disorders of Nervous System with MCC | 13 | $30,327 | -63% | $14,491 |
| 282 Acute Myocardial Infarction, Discharged Alive without CC/MCC | 13 | $19,842 | -54% | $6,296 |
| 432 Cirrhosis and Alcoholic Hepatitis with MCC | 13 | $40,105 | -58% | $16,144 |
| 552 Medical Back Problems without MCC | 13 | $24,769 | -49% | $8,129 |
| 069 Transient Ischemia without Thrombolytic | 12 | $23,450 | -54% | $6,952 |
| 286 Circulatory Disorders except AMI, with Cardiac... | 12 | $52,964 | -53% | $17,370 |
| 371 Major Gastrointestinal Disorders and Peritoneal Infections... | 12 | $26,247 | -67% | $13,669 |
| 312 Syncope and Collapse | 11 | $31,099 | -32% | $7,480 |
| 322 Percutaneous Cardiovascular Procedures with Intraluminal... | 11 | $108,129 | -6% | $16,055 |
| 641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 11 | $18,997 | -49% | $6,671 |
| 690 Kidney and Urinary Tract Infections without MCC | 11 | $15,493 | -59% | $7,011 |
Outpatient services
Against the Nevada average
For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Saint Mary's Regional Medical Center charged $47,725 on average, 74% less than the Nevada average of $185,667, and was paid $16,148 against a state average of $18,341. For Respiratory Infections and Inflammations with MCC (DRG 177), Saint Mary's Regional Medical Center charged $33,957 on average, 74% less than the Nevada average of $129,137, and was paid $13,530 against a state average of $15,429. For Acute Myocardial Infarction, Discharged Alive with MCC (DRG 280), Saint Mary's Regional Medical Center charged $31,375 on average, 77% less than the Nevada average of $134,748, and was paid $12,904 against a state average of $14,758. For Heart Failure and Shock with MCC (DRG 291), Saint Mary's Regional Medical Center charged $26,008 on average, 75% less than the Nevada average of $102,646, and was paid $10,817 against a state average of $12,417. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $13,758 was 65% below the state average of $39,164. For Level 1 Endovascular Procedures (outpatient APC 5191), its average charge of $17,209 was 67% below the state average of $52,257. For Level 2 Excision/ Biopsy/ Incision and Drainage (outpatient APC 5072), its average charge of $10,956 was 45% below the state average of $19,888. For Level 2 Upper GI Procedures (outpatient APC 5302), its average charge of $18,448 was 24% below the state average of $24,222.
Price-transparency record
CMS's enforcement list records these actions for a hospital named Saint Mary's Regional 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 — 2024-07-31 (CMS case 795)
- Met Requirements — 2025-07-21 (CMS case 5885)
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.