Nevada / Summerlin Hospital Medical Center
CMS certification 290041 · Las Vegas, NV · 3 entries in CMS's price-transparency list
Summerlin Hospital Medical Center: charges and Medicare payments
Summerlin Hospital Medical Center reported 2,373 Medicare inpatient stays across 74 DRGs in 2024. Across them it charged 15.79 times what it was paid — among the higher ratios in Nevada, number 2 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: 309 stays at an average charge of $302,391, 235% above the national average. It also billed 1,777 outpatient services, charging 19.92 times what Medicare paid.
- 1Medicare inpatient stays 2,373
- 2Charge ÷ paid, inpatient 15.79×
- 3Rank in NV (highest ratio = 1) 2 of 19
- 4CMS price-transparency actions 3
Inpatient stays
For the 74 DRGs that can be compared with the national average, Summerlin Hospital Medical Center charged more than the national average in 74 (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 | 309 | $302,391 | +235% | $17,310 |
| 193 Simple Pneumonia and Pleurisy with MCC | 112 | $178,475 | +199% | $12,117 |
| 291 Heart Failure and Shock with MCC | 107 | $176,697 | +213% | $10,860 |
| 177 Respiratory Infections and Inflammations with MCC | 89 | $227,442 | +222% | $14,655 |
| 392 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 89 | $129,658 | +223% | $7,731 |
| 698 Other Kidney and Urinary Tract Diagnoses with MCC | 70 | $227,443 | +210% | $14,201 |
| 690 Kidney and Urinary Tract Infections without MCC | 67 | $123,412 | +226% | $7,095 |
| 689 Kidney and Urinary Tract Infections with MCC | 58 | $151,269 | +195% | $10,062 |
| 872 Septicemia or Severe Sepsis without MV >96 Hours without MCC | 55 | $138,499 | +182% | $9,775 |
| 312 Syncope and Collapse | 51 | $108,756 | +139% | $7,765 |
| 683 Renal Failure with CC | 50 | $119,979 | +195% | $8,747 |
| 640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 46 | $186,173 | +209% | $11,367 |
| 378 Gastrointestinal Hemorrhage with CC | 43 | $146,022 | +201% | $9,149 |
| 699 Other Kidney and Urinary Tract Diagnoses with CC | 43 | $128,107 | +170% | $9,059 |
| 641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 41 | $108,555 | +193% | $7,513 |
| 189 Pulmonary Edema and Respiratory Failure | 40 | $171,769 | +198% | $11,322 |
| 603 Cellulitis without MCC | 36 | $137,161 | +268% | $7,905 |
| 853 Infectious and Parasitic Diseases with O.R. Procedures with... | 36 | $741,890 | +224% | $48,651 |
| 280 Acute Myocardial Infarction, Discharged Alive with MCC | 35 | $266,625 | +252% | $14,508 |
| 309 Cardiac Arrhythmia and Conduction Disorders with CC | 34 | $105,040 | +191% | $6,851 |
| 313 Chest Pain | 33 | $109,852 | +175% | $6,881 |
| 308 Cardiac Arrhythmia and Conduction Disorders with MCC | 31 | $143,696 | +154% | $10,494 |
| 377 Gastrointestinal Hemorrhage with MCC | 30 | $215,666 | +153% | $14,914 |
| 175 Pulmonary Embolism with MCC or Acute Cor Pulmonale | 28 | $202,522 | +211% | $12,342 |
| 305 Hypertension without MCC | 28 | $104,254 | +160% | $7,101 |
| 682 Renal Failure with MCC | 28 | $264,656 | +301% | $14,320 |
| 391 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 26 | $166,782 | +173% | $10,865 |
| 884 Organic Disturbances and Intellectual Disability | 26 | $190,283 | +205% | $15,287 |
| 552 Medical Back Problems without MCC | 25 | $118,913 | +143% | $8,129 |
| 813 Coagulation Disorders | 25 | $245,308 | +206% | $12,517 |
| 194 Simple Pneumonia and Pleurisy with CC | 24 | $117,002 | +205% | $7,896 |
| 057 Degenerative Nervous System Disorders without MCC | 23 | $120,365 | +113% | $11,706 |
| 322 Percutaneous Cardiovascular Procedures with Intraluminal... | 23 | $339,520 | +196% | $16,030 |
| 389 Gastrointestinal Obstruction with CC | 23 | $89,914 | +131% | $6,987 |
| 522 Hip Replacement with Principal Diagnosis of Hip Fracture... | 21 | $280,180 | +174% | $18,508 |
| 812 Red Blood Cell Disorders without MCC | 21 | $110,564 | +149% | $8,247 |
| 069 Transient Ischemia without Thrombolytic | 20 | $122,117 | +142% | $7,670 |
| 481 Hip and Femur Procedures except Major Joint with CC | 20 | $204,596 | +103% | $16,823 |
| 065 Intracranial Hemorrhage or Cerebral Infarction with CC or... | 19 | $150,976 | +171% | $9,190 |
| 329 Major Small and Large Bowel Procedures with MCC | 19 | $700,970 | +226% | $35,549 |
| 394 Other Digestive System Diagnoses with CC | 19 | $114,767 | +144% | $11,791 |
| 637 Diabetes with MCC | 19 | $165,462 | +149% | $11,556 |
| 202 Bronchitis and Asthma with CC/MCC | 18 | $139,424 | +202% | $7,985 |
| 287 Circulatory Disorders except AMI, with Cardiac... | 18 | $245,443 | +284% | $9,784 |
| 372 Major Gastrointestinal Disorders and Peritoneal Infections... | 18 | $148,901 | +214% | $10,446 |
| 536 Fractures of Hip and Pelvis without MCC | 18 | $95,249 | +153% | $6,740 |
| 563 Fracture, Sprain, Strain and Dislocation except Femur, Hip,... | 17 | $92,832 | +118% | $8,187 |
| 064 Intracranial Hemorrhage or Cerebral Infarction with MCC | 15 | $270,887 | +171% | $17,072 |
| 149 Dysequilibrium | 15 | $113,326 | +155% | $7,145 |
| 480 Hip and Femur Procedures except Major Joint with MCC | 15 | $333,005 | +140% | $24,126 |
| 638 Diabetes with CC | 15 | $119,053 | +186% | $8,283 |
| 270 Other Major Cardiovascular Procedures with MCC | 14 | $468,898 | +81% | $43,022 |
| 371 Major Gastrointestinal Disorders and Peritoneal Infections... | 14 | $213,635 | +172% | $14,683 |
| 386 Inflammatory Bowel Disease with CC | 14 | $118,881 | +145% | $8,807 |
| 660 Kidney and Ureter Procedures for Non-Neoplasm with CC | 14 | $155,803 | +131% | $12,554 |
| 694 Urinary Stones without MCC | 14 | $88,172 | +114% | $7,704 |
| 811 Red Blood Cell Disorders with MCC | 14 | $146,017 | +114% | $12,524 |
| 418 Laparoscopic Cholecystectomy without C.D.E. with CC | 13 | $283,356 | +204% | $16,024 |
| 074 Cranial and Peripheral Nerve Disorders without MCC | 12 | $169,956 | +217% | $9,315 |
| 208 Respiratory System Diagnosis with Ventilator Support <=96... | 12 | $430,961 | +218% | $21,773 |
Showing the 60 most frequent of 74 DRGs.
Outpatient services
Against the Nevada average
For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Summerlin Hospital Medical Center charged $302,391 on average, 63% more than the Nevada average of $185,667, and was paid $17,310 against a state average of $18,341. For Simple Pneumonia and Pleurisy with MCC (DRG 193), Summerlin Hospital Medical Center charged $178,475 on average, 62% more than the Nevada average of $110,082, and was paid $12,117 against a state average of $12,692. For Heart Failure and Shock with MCC (DRG 291), Summerlin Hospital Medical Center charged $176,697 on average, 72% more than the Nevada average of $102,646, and was paid $10,860 against a state average of $12,417. For Respiratory Infections and Inflammations with MCC (DRG 177), Summerlin Hospital Medical Center charged $227,442 on average, 76% more than the Nevada average of $129,137, and was paid $14,655 against a state average of $15,429. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $58,658 was 50% above the state average of $39,164. For Level 1 Endovascular Procedures (outpatient APC 5191), its average charge of $67,765 was 30% above the state average of $52,257. For Level 2 Excision/ Biopsy/ Incision and Drainage (outpatient APC 5072), its average charge of $26,083 was 31% above the state average of $19,888. For Level 3 Urology and Related Services (outpatient APC 5373), its average charge of $47,097 was 44% above the state average of $32,725.
Price-transparency record
CMS's enforcement list records these actions for a hospital named Summerlin 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:
- Met Requirements — 2023-10-18 (CMS case 1052)
- Met Requirements — 2025-04-21 (CMS case 3930)
- Met Requirements — 2025-05-12 (CMS case 4429)
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.