Nevada / Spring Valley Hospital Medical Center

CMS certification 290046 · Las Vegas, NV · 5 entries in CMS's price-transparency list

Spring Valley Hospital Medical Center: charges and Medicare payments

Spring Valley Hospital Medical Center reported 1,998 Medicare inpatient stays across 72 DRGs in 2024. Across them it charged 13.32 times what it was paid — among the higher ratios in Nevada, number 6 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: 261 stays at an average charge of $271,051, 200% above the national average. It also billed 1,215 outpatient services, charging 16.7 times what Medicare paid.

1Medicare inpatient stays 1,998
2Charge ÷ paid, inpatient 13.32×
3Rank in NV (highest ratio = 1) 6 of 19
4CMS price-transparency actions 5

Average charge per stay at Spring Valley Hospital Medical Center, its 10 most frequent DRGs, bars to scale. Source: CMS DY2024.

Inpatient stays

For the 72 DRGs that can be compared with the national average, Spring Valley Hospital Medical Center charged more than the national average in 72 (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	261	$271,051	+200%	$19,073
291 Heart Failure and Shock with MCC	83	$147,811	+162%	$12,637
640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and...	66	$140,205	+133%	$12,403
193 Simple Pneumonia and Pleurisy with MCC	64	$188,873	+216%	$13,358
177 Respiratory Infections and Inflammations with MCC	61	$230,306	+226%	$16,638
064 Intracranial Hemorrhage or Cerebral Infarction with MCC	57	$419,156	+320%	$27,733
280 Acute Myocardial Infarction, Discharged Alive with MCC	57	$175,190	+131%	$15,845
698 Other Kidney and Urinary Tract Diagnoses with MCC	54	$254,332	+246%	$14,485
641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and...	40	$89,074	+140%	$7,603
682 Renal Failure with MCC	40	$259,590	+294%	$17,309
689 Kidney and Urinary Tract Infections with MCC	39	$141,002	+175%	$10,956
853 Infectious and Parasitic Diseases with O.R. Procedures with...	37	$562,938	+146%	$39,044
884 Organic Disturbances and Intellectual Disability	37	$175,993	+182%	$15,935
392 Esophagitis, Gastroenteritis and Miscellaneous Digestive...	36	$104,322	+160%	$8,051
870 Septicemia or Severe Sepsis with MV >96 Hours	36	$797,723	+147%	$63,016
690 Kidney and Urinary Tract Infections without MCC	34	$114,048	+202%	$8,689
872 Septicemia or Severe Sepsis without MV >96 Hours without MCC	34	$134,958	+175%	$11,153
065 Intracranial Hemorrhage or Cerebral Infarction with CC or...	33	$153,261	+175%	$10,097
683 Renal Failure with CC	33	$95,387	+134%	$8,777
377 Gastrointestinal Hemorrhage with MCC	30	$242,188	+184%	$17,097
470 Major Hip and Knee Joint Replacement or Reattachment of...	29	$240,018	+158%	$18,276
552 Medical Back Problems without MCC	29	$99,331	+103%	$9,013
312 Syncope and Collapse	26	$98,550	+116%	$8,638
267 Endovascular Cardiac Valve Replacement and Supplement...	25	$547,874	+148%	$39,776
308 Cardiac Arrhythmia and Conduction Disorders with MCC	24	$225,618	+298%	$11,339
309 Cardiac Arrhythmia and Conduction Disorders with CC	24	$96,190	+166%	$7,494
699 Other Kidney and Urinary Tract Diagnoses with CC	24	$90,450	+91%	$8,605
190 Chronic Obstructive Pulmonary Disease with MCC	22	$98,638	+95%	$10,136
393 Other Digestive System Diagnoses with MCC	22	$184,455	+140%	$15,879
643 Endocrine Disorders with MCC	22	$227,135	+207%	$14,961
638 Diabetes with CC	21	$126,875	+204%	$9,822
069 Transient Ischemia without Thrombolytic	20	$128,963	+156%	$7,605
208 Respiratory System Diagnosis with Ventilator Support <=96...	20	$353,486	+160%	$25,302
313 Chest Pain	20	$93,163	+133%	$7,293
391 Esophagitis, Gastroenteritis and Miscellaneous Digestive...	20	$201,343	+230%	$12,726
305 Hypertension without MCC	19	$100,585	+151%	$8,369
378 Gastrointestinal Hemorrhage with CC	19	$141,217	+191%	$9,594
314 Other Circulatory System Diagnoses with MCC	18	$235,539	+148%	$18,302
394 Other Digestive System Diagnoses with CC	18	$146,890	+212%	$8,861
637 Diabetes with MCC	18	$161,989	+144%	$13,339
917 Poisoning and Toxic Effects of Drugs with MCC	18	$157,039	+110%	$14,318
189 Pulmonary Edema and Respiratory Failure	17	$153,959	+167%	$11,293
235 Coronary Bypass without Cardiac Catheterization with MCC	17	$623,090	+113%	$54,178
233 Coronary Bypass with Cardiac Catheterization or Open...	16	$825,795	+114%	$78,608
321 Percutaneous Cardiovascular Procedures with Intraluminal...	16	$492,684	+201%	$25,138
329 Major Small and Large Bowel Procedures with MCC	16	$574,454	+167%	$42,987
371 Major Gastrointestinal Disorders and Peritoneal Infections...	15	$188,121	+140%	$16,184
602 Cellulitis with MCC	15	$174,337	+190%	$14,163
603 Cellulitis without MCC	15	$112,405	+201%	$8,799
813 Coagulation Disorders	15	$130,284	+63%	$14,879
286 Circulatory Disorders except AMI, with Cardiac...	14	$234,990	+109%	$21,374
330 Major Small and Large Bowel Procedures with CC	14	$298,518	+151%	$21,740
481 Hip and Femur Procedures except Major Joint with CC	14	$184,242	+83%	$18,997
563 Fracture, Sprain, Strain and Dislocation except Femur, Hip,...	14	$84,858	+99%	$7,899
673 Other Kidney and Urinary Tract Procedures with MCC	14	$726,708	+320%	$34,613
300 Peripheral Vascular Disorders with CC	13	$133,304	+170%	$11,548
460 Spinal Fusion except Cervical without MCC	13	$425,174	+150%	$38,129
551 Medical Back Problems with MCC	13	$204,596	+160%	$13,999
057 Degenerative Nervous System Disorders without MCC	12	$188,771	+233%	$12,081
074 Cranial and Peripheral Nerve Disorders without MCC	12	$207,033	+286%	$10,321

Showing the 60 most frequent of 72 DRGs.

Outpatient services

Service (APC)	Services	Avg charge	Medicare allowed
Comprehensive Observation Services	346	$42,306	$2,871
Level 5 Musculoskeletal Procedures	208	$186,778	$13,614
Level 4 Musculoskeletal Procedures	78	$103,328	$7,445
Level 1 Endovascular Procedures	74	$75,459	$3,362
Level 6 Musculoskeletal Procedures	59	$191,006	$19,910
Level 3 Vascular Procedures	50	$60,891	$3,414
Level 5 Urology and Related Services	49	$87,994	$5,542
Level 4 Urology and Related Services	46	$76,331	$3,669
Level 1 Laparoscopy and Related Services	44	$111,809	$6,083
Level 3 Musculoskeletal Procedures	42	$65,906	$3,349
Level 4 Vascular Procedures	37	$90,674	$5,885
Level 4 Endovascular Procedures	36	$235,857	$18,736
Level 3 Endovascular Procedures	35	$157,789	$11,479
Level 2 Excision/ Biopsy/ Incision and Drainage	31	$24,895	$1,692
Level 2 Endovascular Procedures	27	$118,313	$5,946
Level 3 Urology and Related Services	16	$45,219	$2,182
Level 2 Musculoskeletal Procedures	14	$32,089	$1,539
Level 3 Excision/ Biopsy/ Incision and Drainage	12	$52,105	$3,043
Level 2 Laparoscopy and Related Services	11	$133,780	$11,013

Against the Nevada average

For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Spring Valley Hospital Medical Center charged $271,051 on average, 46% more than the Nevada average of $185,667, and was paid $19,073 against a state average of $18,341. For Heart Failure and Shock with MCC (DRG 291), Spring Valley Hospital Medical Center charged $147,811 on average, 44% more than the Nevada average of $102,646, and was paid $12,637 against a state average of $12,417. For Miscellaneous Disorders of Nutrition, Metabolism, Fluids and Electrolytes with MCC (DRG 640), Spring Valley Hospital Medical Center charged $140,205 on average, 34% more than the Nevada average of $104,410, and was paid $12,403 against a state average of $12,403. For Simple Pneumonia and Pleurisy with MCC (DRG 193), Spring Valley Hospital Medical Center charged $188,873 on average, 72% more than the Nevada average of $110,082, and was paid $13,358 against a state average of $12,692. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $42,306 was 8% above the state average of $39,164. For Level 5 Musculoskeletal Procedures (outpatient APC 5115), its average charge of $186,778 was 65% above the state average of $113,166. For Level 4 Musculoskeletal Procedures (outpatient APC 5114), its average charge of $103,328 was 53% above the state average of $67,748. For Level 1 Endovascular Procedures (outpatient APC 5191), its average charge of $75,459 was 44% above the state average of $52,257.

Price-transparency record

CMS's enforcement list records these actions for a hospital named Spring Valley Hospital Medical Center in Las Vegas, NV, under the federal hospital price-transparency rule (45 CFR part 180), which requires hospitals to post their standard charges online:

Warning Notice — 2023-01-19 (CMS case 1051)
Closure Notice — 2023-04-26 (CMS case 1051)
Met Requirements — 2025-04-14 (CMS case 3818)
Met Requirements — 2025-05-09 (CMS case 4446)
Met Requirements — 2025-06-09 (CMS case 4989)

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.