University Medical Center: charges and Medicare payments

University Medical Center reported 1,786 Medicare inpatient stays across 72 DRGs in 2024. Across them it charged 5.78 times what it was paid — among the lower ratios in Nevada, number 13 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: 156 stays at an average charge of $113,900, 26% above the national average. It also billed 989 outpatient services, charging 12.14 times what Medicare paid.

1Medicare inpatient stays 1,786
2Charge ÷ paid, inpatient 5.78×
3Rank in NV (highest ratio = 1) 13 of 19
4CMS price-transparency actions 0

Average charge per stay at University 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, University Medical Center charged more than the national average in 64 (89%). 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	156	$113,900	+26%	$24,209
291 Heart Failure and Shock with MCC	103	$77,276	+37%	$16,378
699 Other Kidney and Urinary Tract Diagnoses with CC	64	$55,177	+16%	$12,889
481 Hip and Femur Procedures except Major Joint with CC	57	$162,441	+61%	$23,807
312 Syncope and Collapse	56	$69,241	+52%	$12,150
698 Other Kidney and Urinary Tract Diagnoses with MCC	50	$108,405	+48%	$21,677
392 Esophagitis, Gastroenteritis and Miscellaneous Digestive...	47	$60,828	+51%	$11,714
640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and...	45	$82,423	+37%	$15,684
193 Simple Pneumonia and Pleurisy with MCC	42	$78,826	+32%	$16,534
690 Kidney and Urinary Tract Infections without MCC	40	$48,383	+28%	$10,922
872 Septicemia or Severe Sepsis without MV >96 Hours without MCC	40	$70,115	+43%	$14,034
177 Respiratory Infections and Inflammations with MCC	37	$94,404	+34%	$21,471
274 Percutaneous and Other Intracardiac Procedures without MCC	36	$151,232	-4%	$32,620
652 Kidney Transplant	36	$396,875	+18%	$45,702
853 Infectious and Parasitic Diseases with O.R. Procedures with...	32	$533,206	+133%	$87,827
189 Pulmonary Edema and Respiratory Failure	29	$94,480	+64%	$14,849
683 Renal Failure with CC	29	$59,700	+47%	$12,616
522 Hip Replacement with Principal Diagnosis of Hip Fracture...	28	$164,700	+61%	$26,597
885 Psychoses	28	$41,744	-5%	$17,561
641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and...	27	$63,532	+71%	$10,483
064 Intracranial Hemorrhage or Cerebral Infarction with MCC	26	$192,128	+92%	$21,933
377 Gastrointestinal Hemorrhage with MCC	25	$122,505	+43%	$22,919
552 Medical Back Problems without MCC	25	$65,602	+34%	$11,644
083 Traumatic Stupor and Coma >1 Hour with CC	23	$95,542	+30%	$16,550
190 Chronic Obstructive Pulmonary Disease with MCC	22	$109,349	+116%	$13,386
480 Hip and Femur Procedures except Major Joint with MCC	22	$223,774	+61%	$31,403
650 Kidney Transplant with Hemodialysis with MCC	22	$465,996	+11%	$55,843
065 Intracranial Hemorrhage or Cerebral Infarction with CC or...	21	$85,902	+54%	$14,196
184 Major Chest Trauma with CC	21	$89,097	+61%	$13,646
682 Renal Failure with MCC	21	$94,067	+43%	$18,010
378 Gastrointestinal Hemorrhage with CC	20	$67,424	+39%	$12,974
267 Endovascular Cardiac Valve Replacement and Supplement...	19	$196,574	-11%	$48,606
280 Acute Myocardial Infarction, Discharged Alive with MCC	18	$90,131	+19%	$19,479
057 Degenerative Nervous System Disorders without MCC	17	$71,830	+27%	$17,054
300 Peripheral Vascular Disorders with CC	17	$60,899	+23%	$12,346
309 Cardiac Arrhythmia and Conduction Disorders with CC	17	$44,861	+24%	$10,922
638 Diabetes with CC	17	$60,361	+45%	$12,443
493 Lower Extremity and Humerus Procedures except Hip, Foot and...	16	$190,958	+60%	$26,039
870 Septicemia or Severe Sepsis with MV >96 Hours	16	$474,950	+47%	$84,868
003 ECMO or Tracheostomy with MV >96 Hours or Principal...	15	$1,267,538	+20%	$211,113
207 Respiratory System Diagnosis with Ventilator Support >96...	15	$366,367	+25%	$74,368
308 Cardiac Arrhythmia and Conduction Disorders with MCC	15	$98,558	+74%	$17,921
603 Cellulitis without MCC	15	$41,946	+12%	$11,827
956 Limb Reattachment, Hip and Femur Procedures for Multiple...	15	$550,586	+212%	$49,633
082 Traumatic Stupor and Coma >1 Hour with MCC	14	$207,249	+80%	$27,901
208 Respiratory System Diagnosis with Ventilator Support <=96...	14	$136,014	0%	$29,472
313 Chest Pain	14	$56,401	+41%	$10,386
563 Fracture, Sprain, Strain and Dislocation except Femur, Hip,...	14	$58,138	+36%	$11,400
605 Trauma To The Skin, Subcutaneous Tissue and Breast without...	14	$63,453	+37%	$11,821
689 Kidney and Urinary Tract Infections with MCC	14	$101,663	+98%	$14,794
314 Other Circulatory System Diagnoses with MCC	13	$136,352	+44%	$24,992
543 Pathological Fractures and Musculoskeletal and Connective...	13	$57,444	+17%	$14,300
917 Poisoning and Toxic Effects of Drugs with MCC	13	$83,277	+11%	$19,286
981 Extensive O.R. Procedures Unrelated To Principal Diagnosis...	13	$279,269	+29%	$51,893
004 Tracheostomy with MV >96 Hours or Principal Diagnosis except...	12	$927,529	+51%	$162,586
101 Seizures without MCC	12	$55,951	+15%	$12,914
178 Respiratory Infections and Inflammations with CC	12	$41,543	-8%	$12,517
270 Other Major Cardiovascular Procedures with MCC	12	$310,220	+20%	$58,264
394 Other Digestive System Diagnoses with CC	12	$50,653	+8%	$12,288
536 Fractures of Hip and Pelvis without MCC	12	$58,667	+56%	$10,897

Showing the 60 most frequent of 72 DRGs.

Outpatient services

Service (APC)	Services	Avg charge	Medicare allowed
Comprehensive Observation Services	407	$36,598	$2,893
Level 1 Endovascular Procedures	90	$25,283	$3,440
Level 2 Upper GI Procedures	49	$11,935	$2,005
Level 2 Breast/Lymphatic Surgery and Related Procedures	42	$67,242	$6,721
Level 3 Pacemaker and Similar Procedures	41	$52,423	$11,189
Level 2 Excision/ Biopsy/ Incision and Drainage	40	$24,680	$1,668
Level 3 Excision/ Biopsy/ Incision and Drainage	37	$39,163	$2,906
Level 3 Electrophysiologic Procedures	37	$182,633	$25,365
Level 4 Airway Endoscopy	30	$55,791	$4,011
Level 5 Musculoskeletal Procedures	28	$129,925	$14,071
Level 1 Breast/Lymphatic Surgery and Related Procedures	26	$52,859	$3,731
Level 4 Musculoskeletal Procedures	26	$89,079	$7,444
Level 5 Airway Endoscopy	22	$82,471	$7,068
Level 1 Laparoscopy and Related Services	22	$115,697	$5,732
Level 5 ENT Procedures	20	$99,291	$5,867
Level 2 Musculoskeletal Procedures	18	$34,039	$1,721
Level 3 Lower GI Procedures	16	$18,268	$3,007
Level 3 Vascular Procedures	14	$37,805	$3,414
Level 3 Endovascular Procedures	13	$60,975	$11,767
Level 3 Urology and Related Services	11	$22,276	$2,181

Against the Nevada average

For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), University Medical Center charged $113,900 on average, 39% less than the Nevada average of $185,667, and was paid $24,209 against a state average of $18,341. For Heart Failure and Shock with MCC (DRG 291), University Medical Center charged $77,276 on average, 25% less than the Nevada average of $102,646, and was paid $16,378 against a state average of $12,417. For Other Kidney and Urinary Tract Diagnoses with CC (DRG 699), University Medical Center charged $55,177 on average, 38% less than the Nevada average of $89,270, and was paid $12,889 against a state average of $10,107. For Hip and Femur Procedures except Major Joint with CC (DRG 481), University Medical Center charged $162,441 on average, 13% more than the Nevada average of $143,905, and was paid $23,807 against a state average of $19,238. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $36,598 was 7% below the state average of $39,164. For Level 1 Endovascular Procedures (outpatient APC 5191), its average charge of $25,283 was 52% below the state average of $52,257. For Level 2 Upper GI Procedures (outpatient APC 5302), its average charge of $11,935 was 51% below the state average of $24,222. For Level 2 Breast/Lymphatic Surgery and Related Procedures (outpatient APC 5092), its average charge of $67,242 was 2% below the state average of $68,585.

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.