Saint Rose Dominican Hospitals - Siena Campus: charges and Medicare payments

Saint Rose Dominican Hospitals - Siena Campus reported 4,002 Medicare inpatient stays across 105 DRGs in 2024. Across them it charged 8.52 times what it was paid — mid-range in Nevada, number 9 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: 527 stays at an average charge of $141,633, 57% above the national average. It also billed 2,998 outpatient services, charging 12.23 times what Medicare paid.

1Medicare inpatient stays 4,002
2Charge ÷ paid, inpatient 8.52×
3Rank in NV (highest ratio = 1) 9 of 19
4CMS price-transparency actions 0

Average charge per stay at Saint Rose Dominican Hospitals - Siena Campus, its 10 most frequent DRGs, bars to scale. Source: CMS DY2024.

Inpatient stays

For the 105 DRGs that can be compared with the national average, Saint Rose Dominican Hospitals - Siena Campus charged more than the national average in 103 (98%). 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	527	$141,633	+57%	$16,500
291 Heart Failure and Shock with MCC	223	$95,744	+70%	$10,958
193 Simple Pneumonia and Pleurisy with MCC	163	$101,981	+71%	$11,252
280 Acute Myocardial Infarction, Discharged Alive with MCC	133	$121,354	+60%	$13,316
177 Respiratory Infections and Inflammations with MCC	117	$112,438	+59%	$13,862
682 Renal Failure with MCC	85	$93,256	+41%	$12,049
689 Kidney and Urinary Tract Infections with MCC	75	$83,481	+63%	$10,228
698 Other Kidney and Urinary Tract Diagnoses with MCC	73	$129,336	+76%	$14,535
690 Kidney and Urinary Tract Infections without MCC	70	$64,400	+70%	$7,338
683 Renal Failure with CC	69	$67,017	+65%	$8,661
872 Septicemia or Severe Sepsis without MV >96 Hours without MCC	68	$88,001	+79%	$10,687
189 Pulmonary Edema and Respiratory Failure	65	$77,202	+34%	$11,456
190 Chronic Obstructive Pulmonary Disease with MCC	63	$89,723	+77%	$13,030
481 Hip and Femur Procedures except Major Joint with CC	63	$145,922	+45%	$17,423
853 Infectious and Parasitic Diseases with O.R. Procedures with...	60	$385,320	+68%	$45,297
309 Cardiac Arrhythmia and Conduction Disorders with CC	59	$67,944	+88%	$7,087
065 Intracranial Hemorrhage or Cerebral Infarction with CC or...	58	$100,082	+80%	$9,296
470 Major Hip and Knee Joint Replacement or Reattachment of...	58	$144,222	+55%	$16,278
640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and...	58	$108,180	+79%	$11,221
378 Gastrointestinal Hemorrhage with CC	56	$84,114	+73%	$8,746
312 Syncope and Collapse	50	$79,598	+75%	$7,779
064 Intracranial Hemorrhage or Cerebral Infarction with MCC	49	$128,509	+29%	$17,121
322 Percutaneous Cardiovascular Procedures with Intraluminal...	47	$190,521	+66%	$16,635
377 Gastrointestinal Hemorrhage with MCC	45	$133,471	+56%	$16,561
308 Cardiac Arrhythmia and Conduction Disorders with MCC	43	$92,133	+63%	$11,143
392 Esophagitis, Gastroenteritis and Miscellaneous Digestive...	43	$67,139	+67%	$7,439
870 Septicemia or Severe Sepsis with MV >96 Hours	42	$452,591	+40%	$53,401
641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and...	40	$57,675	+56%	$7,119
394 Other Digestive System Diagnoses with CC	36	$81,334	+73%	$8,702
467 Revision of Hip or Knee Replacement with CC	35	$234,699	+49%	$30,158
552 Medical Back Problems without MCC	34	$68,183	+40%	$8,495
522 Hip Replacement with Principal Diagnosis of Hip Fracture...	33	$149,201	+46%	$18,921
699 Other Kidney and Urinary Tract Diagnoses with CC	33	$61,674	+30%	$8,721
812 Red Blood Cell Disorders without MCC	32	$71,159	+60%	$8,045
267 Endovascular Cardiac Valve Replacement and Supplement...	31	$293,593	+33%	$41,049
281 Acute Myocardial Infarction, Discharged Alive with CC	31	$81,275	+61%	$8,725
603 Cellulitis without MCC	31	$68,697	+84%	$7,920
314 Other Circulatory System Diagnoses with MCC	30	$125,793	+33%	$16,500
638 Diabetes with CC	30	$73,129	+75%	$8,209
389 Gastrointestinal Obstruction with CC	29	$60,404	+55%	$7,622
391 Esophagitis, Gastroenteritis and Miscellaneous Digestive...	29	$113,784	+86%	$11,214
321 Percutaneous Cardiovascular Procedures with Intraluminal...	28	$250,471	+53%	$26,510
330 Major Small and Large Bowel Procedures with CC	28	$188,674	+59%	$18,573
468 Revision of Hip or Knee Replacement without CC/MCC	28	$196,020	+58%	$23,013
208 Respiratory System Diagnosis with Ventilator Support <=96...	27	$212,566	+57%	$24,274
100 Seizures with MCC	26	$150,271	+59%	$16,802
242 Permanent Cardiac Pacemaker Implant with MCC	26	$239,484	+49%	$28,261
480 Hip and Femur Procedures except Major Joint with MCC	26	$203,366	+47%	$24,446
175 Pulmonary Embolism with MCC or Acute Cor Pulmonale	25	$114,666	+76%	$11,328
287 Circulatory Disorders except AMI, with Cardiac...	25	$113,863	+78%	$10,718
637 Diabetes with MCC	24	$112,074	+69%	$11,834
101 Seizures without MCC	23	$86,591	+78%	$7,607
243 Permanent Cardiac Pacemaker Implant with CC	22	$179,336	+61%	$21,438
313 Chest Pain	22	$77,196	+93%	$6,757
194 Simple Pneumonia and Pleurisy with CC	21	$68,380	+78%	$9,758
266 Endovascular Cardiac Valve Replacement and Supplement...	21	$331,493	+16%	$51,307
811 Red Blood Cell Disorders with MCC	21	$106,317	+56%	$12,029
393 Other Digestive System Diagnoses with MCC	20	$110,504	+44%	$19,793
981 Extensive O.R. Procedures Unrelated To Principal Diagnosis...	20	$325,825	+51%	$38,146
563 Fracture, Sprain, Strain and Dislocation except Femur, Hip,...	19	$61,645	+45%	$7,480

Showing the 60 most frequent of 105 DRGs.

Outpatient services

Service (APC)	Services	Avg charge	Medicare allowed
Comprehensive Observation Services	716	$44,303	$2,909
Level 5 Musculoskeletal Procedures	494	$116,429	$13,872
Level 1 Endovascular Procedures	306	$59,240	$3,448
Level 3 Endovascular Procedures	155	$134,715	$11,691
Level 1 Laparoscopy and Related Services	124	$73,988	$6,155
Level 4 Musculoskeletal Procedures	112	$80,552	$7,392
Level 6 Musculoskeletal Procedures	105	$132,379	$19,736
Level 4 Urology and Related Services	83	$44,130	$3,698
Level 4 Endovascular Procedures	76	$158,340	$17,055
Level 5 Urology and Related Services	71	$56,693	$5,377
Level 3 Vascular Procedures	66	$38,363	$3,397
Level 3 Pacemaker and Similar Procedures	59	$105,607	$11,422
Level 3 Urology and Related Services	59	$31,332	$2,156
Level 3 Musculoskeletal Procedures	56	$51,216	$3,367
Level 4 Vascular Procedures	48	$89,678	$5,692
Level 2 Upper GI Procedures	47	$27,501	$1,969
Level 2 Excision/ Biopsy/ Incision and Drainage	45	$26,275	$1,706
Level 3 Electrophysiologic Procedures	41	$243,426	$25,365
Level 3 Excision/ Biopsy/ Incision and Drainage	40	$37,938	$3,043
Level 2 Endovascular Procedures	35	$89,428	$5,982
Level 1 Abdominal/Peritoneal/Biliary and Related Procedures	33	$62,805	$3,705
Level 2 Musculoskeletal Procedures	27	$25,549	$1,721
Level 2 Laparoscopy and Related Services	25	$94,725	$11,012
Level 1 Breast/Lymphatic Surgery and Related Procedures	23	$43,959	$3,805
Level 2 Pacemaker and Similar Procedures	22	$90,955	$9,095

Against the Nevada average

For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Saint Rose Dominican Hospitals - Siena Campus charged $141,633 on average, 24% less than the Nevada average of $185,667, and was paid $16,500 against a state average of $18,341. For Heart Failure and Shock with MCC (DRG 291), Saint Rose Dominican Hospitals - Siena Campus charged $95,744 on average, 7% less than the Nevada average of $102,646, and was paid $10,958 against a state average of $12,417. For Simple Pneumonia and Pleurisy with MCC (DRG 193), Saint Rose Dominican Hospitals - Siena Campus charged $101,981 on average, 7% less than the Nevada average of $110,082, and was paid $11,252 against a state average of $12,692. For Acute Myocardial Infarction, Discharged Alive with MCC (DRG 280), Saint Rose Dominican Hospitals - Siena Campus charged $121,354 on average, 10% less than the Nevada average of $134,748, and was paid $13,316 against a state average of $14,758. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $44,303 was 13% above the state average of $39,164. For Level 5 Musculoskeletal Procedures (outpatient APC 5115), its average charge of $116,429 was 3% above the state average of $113,166. For Level 1 Endovascular Procedures (outpatient APC 5191), its average charge of $59,240 was 13% above the state average of $52,257. For Level 3 Endovascular Procedures (outpatient APC 5193), its average charge of $134,715 was 6% below the state average of $143,929.

Price-transparency record

No action in CMS's price-transparency enforcement list (July 2026) matches this hospital's exact name, city and state. That can mean CMS has not reviewed it, or that it is listed under a different name.

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.