Nevada / Sunrise Hospital and Medical Center

CMS certification 290003 · Las Vegas, NV · 5 entries in CMS's price-transparency list

Sunrise Hospital and Medical Center: charges and Medicare payments

Sunrise Hospital and Medical Center reported 4,766 Medicare inpatient stays across 141 DRGs in 2024. Across them it charged 13.46 times what it was paid — among the higher ratios in Nevada, number 5 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: 589 stays at an average charge of $235,434, 161% above the national average. It also billed 1,262 outpatient services, charging 17.31 times what Medicare paid.

1Medicare inpatient stays 4,766
2Charge ÷ paid, inpatient 13.46×
3Rank in NV (highest ratio = 1) 5 of 19
4CMS price-transparency actions 5

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

Inpatient stays

For the 141 DRGs that can be compared with the national average, Sunrise Hospital and Medical Center charged more than the national average in 141 (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	589	$235,434	+161%	$17,733
853 Infectious and Parasitic Diseases with O.R. Procedures with...	193	$654,975	+186%	$45,827
291 Heart Failure and Shock with MCC	169	$146,699	+160%	$11,628
872 Septicemia or Severe Sepsis without MV >96 Hours without MCC	111	$136,342	+178%	$9,763
208 Respiratory System Diagnosis with Ventilator Support <=96...	102	$315,761	+133%	$25,108
064 Intracranial Hemorrhage or Cerebral Infarction with MCC	92	$287,701	+188%	$16,921
682 Renal Failure with MCC	90	$175,211	+166%	$13,476
193 Simple Pneumonia and Pleurisy with MCC	87	$148,723	+149%	$12,183
189 Pulmonary Edema and Respiratory Failure	78	$134,698	+134%	$11,492
552 Medical Back Problems without MCC	75	$117,987	+142%	$9,459
280 Acute Myocardial Infarction, Discharged Alive with MCC	71	$200,240	+164%	$15,070
640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and...	70	$116,295	+93%	$12,006
392 Esophagitis, Gastroenteritis and Miscellaneous Digestive...	62	$96,877	+141%	$7,739
698 Other Kidney and Urinary Tract Diagnoses with MCC	59	$173,589	+136%	$14,651
683 Renal Failure with CC	57	$121,682	+199%	$9,330
870 Septicemia or Severe Sepsis with MV >96 Hours	56	$815,078	+152%	$52,915
641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and...	48	$100,395	+171%	$7,702
312 Syncope and Collapse	47	$106,105	+133%	$8,316
378 Gastrointestinal Hemorrhage with CC	47	$106,270	+119%	$9,603
025 Craniotomy and Endovascular Intracranial Procedures with MCC	46	$703,290	+204%	$39,419
377 Gastrointestinal Hemorrhage with MCC	46	$204,868	+140%	$16,180
481 Hip and Femur Procedures except Major Joint with CC	44	$200,449	+99%	$18,418
069 Transient Ischemia without Thrombolytic	42	$108,347	+115%	$8,037
082 Traumatic Stupor and Coma >1 Hour with MCC	42	$309,120	+168%	$20,403
101 Seizures without MCC	42	$90,461	+86%	$8,743
321 Percutaneous Cardiovascular Procedures with Intraluminal...	42	$446,947	+173%	$29,084
470 Major Hip and Knee Joint Replacement or Reattachment of...	41	$232,799	+150%	$19,946
065 Intracranial Hemorrhage or Cerebral Infarction with CC or...	39	$156,007	+180%	$9,147
699 Other Kidney and Urinary Tract Diagnoses with CC	39	$106,071	+123%	$9,532
885 Psychoses	38	$174,018	+295%	$12,716
322 Percutaneous Cardiovascular Procedures with Intraluminal...	37	$258,386	+126%	$18,005
267 Endovascular Cardiac Valve Replacement and Supplement...	36	$574,214	+160%	$51,644
100 Seizures with MCC	35	$193,833	+105%	$18,312
305 Hypertension without MCC	35	$93,871	+134%	$7,511
177 Respiratory Infections and Inflammations with MCC	33	$193,926	+175%	$17,326
086 Traumatic Stupor and Coma <1 Hour with CC	32	$134,073	+96%	$12,615
854 Infectious and Parasitic Diseases with O.R. Procedures with...	32	$456,584	+365%	$25,029
811 Red Blood Cell Disorders with MCC	31	$145,091	+113%	$13,063
309 Cardiac Arrhythmia and Conduction Disorders with CC	30	$99,659	+176%	$7,350
394 Other Digestive System Diagnoses with CC	30	$114,499	+143%	$9,156
444 Disorders of The Biliary Tract with MCC	30	$193,376	+132%	$15,309
638 Diabetes with CC	30	$109,559	+163%	$7,783
083 Traumatic Stupor and Coma >1 Hour with CC	29	$150,450	+105%	$12,867
163 Major Chest Procedures with MCC	29	$613,832	+192%	$37,320
314 Other Circulatory System Diagnoses with MCC	29	$229,758	+142%	$18,671
522 Hip Replacement with Principal Diagnosis of Hip Fracture...	29	$226,724	+122%	$20,173
981 Extensive O.R. Procedures Unrelated To Principal Diagnosis...	29	$460,059	+113%	$39,616
432 Cirrhosis and Alcoholic Hepatitis with MCC	28	$187,016	+95%	$17,059
690 Kidney and Urinary Tract Infections without MCC	28	$92,122	+144%	$7,526
884 Organic Disturbances and Intellectual Disability	28	$147,348	+136%	$13,624
023 Craniotomy with Major Device Implant or Acute Complex Cns...	27	$871,578	+210%	$48,264
057 Degenerative Nervous System Disorders without MCC	27	$106,173	+88%	$12,709
308 Cardiac Arrhythmia and Conduction Disorders with MCC	27	$145,868	+158%	$10,890
389 Gastrointestinal Obstruction with CC	27	$97,861	+151%	$7,702
551 Medical Back Problems with MCC	27	$181,848	+131%	$14,508
673 Other Kidney and Urinary Tract Procedures with MCC	26	$417,959	+141%	$34,652
313 Chest Pain	25	$101,992	+155%	$7,252
445 Disorders of The Biliary Tract with CC	25	$147,639	+154%	$10,515
812 Red Blood Cell Disorders without MCC	25	$73,596	+66%	$9,476
003 ECMO or Tracheostomy with MV >96 Hours or Principal...	24	$2,110,034	+100%	$178,652

Showing the 60 most frequent of 141 DRGs.

Outpatient services

Service (APC)	Services	Avg charge	Medicare allowed
Comprehensive Observation Services	235	$56,800	$2,853
Level 2 Intraocular Procedures	109	$83,552	$4,297
Level 3 Electrophysiologic Procedures	90	$352,440	$25,102
Level 5 Urology and Related Services	78	$73,148	$5,375
Level 1 Endovascular Procedures	65	$84,790	$3,380
Level 4 Urology and Related Services	64	$50,143	$3,734
Level 3 Endovascular Procedures	58	$165,979	$11,078
Level 2 Excision/ Biopsy/ Incision and Drainage	55	$28,461	$1,711
Level 1 Laparoscopy and Related Services	47	$95,426	$5,776
Level 3 Pacemaker and Similar Procedures	42	$104,624	$11,189
Level 1 Abdominal/Peritoneal/Biliary and Related Procedures	39	$54,264	$3,588
Level 3 Vascular Procedures	38	$53,501	$3,414
Level 3 Urology and Related Services	38	$34,035	$2,181
Level 4 Musculoskeletal Procedures	35	$90,085	$7,494
Level 1 Breast/Lymphatic Surgery and Related Procedures	30	$57,873	$4,082
Level 2 Musculoskeletal Procedures	27	$22,415	$1,721
Level 2 Breast/Lymphatic Surgery and Related Procedures	26	$90,311	$6,984
Level 3 Intraocular Procedures	22	$126,135	$5,141
Level 5 Musculoskeletal Procedures	19	$157,316	$13,416
Level 4 Endovascular Procedures	19	$266,629	$18,736
Level 3 Musculoskeletal Procedures	18	$47,406	$3,467
Level 2 Pacemaker and Similar Procedures	18	$109,002	$8,821
Level 3 Excision/ Biopsy/ Incision and Drainage	17	$51,823	$2,779
Level 8 Urology and Related Services	17	$200,654	$21,548
Level 4 Vascular Procedures	16	$113,465	$5,333

Against the Nevada average

For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Sunrise Hospital and Medical Center charged $235,434 on average, 27% more than the Nevada average of $185,667, and was paid $17,733 against a state average of $18,341. For Infectious and Parasitic Diseases with O.R. Procedures with MCC (DRG 853), Sunrise Hospital and Medical Center charged $654,975 on average, 44% more than the Nevada average of $456,081, and was paid $45,827 against a state average of $46,474. For Heart Failure and Shock with MCC (DRG 291), Sunrise Hospital and Medical Center charged $146,699 on average, 43% more than the Nevada average of $102,646, and was paid $11,628 against a state average of $12,417. For Septicemia or Severe Sepsis without MV >96 Hours without MCC (DRG 872), Sunrise Hospital and Medical Center charged $136,342 on average, 30% more than the Nevada average of $104,761, and was paid $9,763 against a state average of $10,723. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $56,800 was 45% above the state average of $39,164. For Level 2 Intraocular Procedures (outpatient APC 5492), its average charge of $83,552 was 40% above the state average of $59,480. For Level 3 Electrophysiologic Procedures (outpatient APC 5213), its average charge of $352,440 was 31% above the state average of $269,469. For Level 5 Urology and Related Services (outpatient APC 5375), its average charge of $73,148 was 31% above the state average of $55,697.

Price-transparency record

CMS's enforcement list records these actions for a hospital named Sunrise Hospital and 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 — 2021-09-29 (CMS case 349)
CAP Request — 2022-11-02 (CMS case 349)
Closure Notice — 2023-07-27 (CMS case 349)
Met Requirements — 2025-04-01 (CMS case 3500)
Met Requirements — 2025-05-05 (CMS case 4288)

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.