Nevada / Valley Hospital Medical Center
CMS certification 290021 · Las Vegas, NV · 3 entries in CMS's price-transparency list
Valley Hospital Medical Center: charges and Medicare payments
Valley Hospital Medical Center reported 1,498 Medicare inpatient stays across 59 DRGs in 2024. Across them it charged 14.68 times what it was paid — among the higher ratios in Nevada, number 3 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: 210 stays at an average charge of $325,909, 261% above the national average. It also billed 1,202 outpatient services, charging 18.08 times what Medicare paid.
- 1Medicare inpatient stays 1,498
- 2Charge ÷ paid, inpatient 14.68×
- 3Rank in NV (highest ratio = 1) 3 of 19
- 4CMS price-transparency actions 3
Inpatient stays
For the 59 DRGs that can be compared with the national average, Valley Hospital Medical Center charged more than the national average in 59 (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 | 210 | $325,909 | +261% | $20,000 |
| 291 Heart Failure and Shock with MCC | 79 | $196,532 | +249% | $13,974 |
| 392 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 45 | $120,195 | +199% | $8,482 |
| 872 Septicemia or Severe Sepsis without MV >96 Hours without MCC | 42 | $195,854 | +299% | $11,216 |
| 640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 41 | $174,277 | +189% | $13,493 |
| 193 Simple Pneumonia and Pleurisy with MCC | 35 | $175,753 | +194% | $13,194 |
| 682 Renal Failure with MCC | 32 | $254,361 | +286% | $17,023 |
| 689 Kidney and Urinary Tract Infections with MCC | 32 | $148,961 | +190% | $12,418 |
| 690 Kidney and Urinary Tract Infections without MCC | 32 | $106,840 | +182% | $8,928 |
| 698 Other Kidney and Urinary Tract Diagnoses with MCC | 32 | $239,146 | +226% | $17,109 |
| 177 Respiratory Infections and Inflammations with MCC | 31 | $292,066 | +314% | $16,853 |
| 603 Cellulitis without MCC | 31 | $122,565 | +229% | $9,604 |
| 100 Seizures with MCC | 30 | $337,130 | +257% | $21,615 |
| 189 Pulmonary Edema and Respiratory Failure | 30 | $193,948 | +237% | $12,158 |
| 190 Chronic Obstructive Pulmonary Disease with MCC | 29 | $101,228 | +100% | $11,417 |
| 853 Infectious and Parasitic Diseases with O.R. Procedures with... | 29 | $753,989 | +229% | $47,899 |
| 552 Medical Back Problems without MCC | 28 | $135,289 | +177% | $10,318 |
| 641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 28 | $97,521 | +163% | $8,574 |
| 280 Acute Myocardial Infarction, Discharged Alive with MCC | 26 | $233,208 | +208% | $17,201 |
| 378 Gastrointestinal Hemorrhage with CC | 26 | $143,870 | +196% | $10,592 |
| 305 Hypertension without MCC | 25 | $109,816 | +174% | $7,920 |
| 870 Septicemia or Severe Sepsis with MV >96 Hours | 25 | $861,964 | +167% | $62,205 |
| 064 Intracranial Hemorrhage or Cerebral Infarction with MCC | 23 | $230,030 | +130% | $20,837 |
| 208 Respiratory System Diagnosis with Ventilator Support <=96... | 23 | $472,884 | +248% | $25,476 |
| 683 Renal Failure with CC | 22 | $139,728 | +243% | $9,448 |
| 312 Syncope and Collapse | 21 | $103,890 | +128% | $9,210 |
| 917 Poisoning and Toxic Effects of Drugs with MCC | 21 | $151,716 | +103% | $16,316 |
| 092 Other Disorders of Nervous System with CC | 20 | $128,400 | +149% | $10,570 |
| 638 Diabetes with CC | 20 | $135,560 | +225% | $9,941 |
| 101 Seizures without MCC | 19 | $133,267 | +173% | $9,184 |
| 377 Gastrointestinal Hemorrhage with MCC | 19 | $296,952 | +248% | $17,034 |
| 637 Diabetes with MCC | 18 | $315,375 | +374% | $14,349 |
| 308 Cardiac Arrhythmia and Conduction Disorders with MCC | 17 | $155,230 | +174% | $12,837 |
| 391 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 17 | $171,949 | +182% | $13,347 |
| 884 Organic Disturbances and Intellectual Disability | 17 | $138,453 | +122% | $14,031 |
| 069 Transient Ischemia without Thrombolytic | 16 | $135,415 | +168% | $8,809 |
| 176 Pulmonary Embolism without MCC | 16 | $138,233 | +233% | $8,436 |
| 191 Chronic Obstructive Pulmonary Disease with CC | 16 | $122,738 | +210% | $9,235 |
| 812 Red Blood Cell Disorders without MCC | 16 | $167,119 | +277% | $10,323 |
| 065 Intracranial Hemorrhage or Cerebral Infarction with CC or... | 15 | $124,761 | +124% | $10,519 |
| 309 Cardiac Arrhythmia and Conduction Disorders with CC | 15 | $129,229 | +258% | $8,941 |
| 389 Gastrointestinal Obstruction with CC | 15 | $111,814 | +187% | $8,807 |
| 896 Alcohol, Drug Abuse or Dependence without Rehabilitation... | 15 | $139,082 | +79% | $16,990 |
| 313 Chest Pain | 14 | $116,514 | +192% | $7,534 |
| 393 Other Digestive System Diagnoses with MCC | 14 | $168,893 | +120% | $15,199 |
| 481 Hip and Femur Procedures except Major Joint with CC | 14 | $258,569 | +157% | $22,244 |
| 699 Other Kidney and Urinary Tract Diagnoses with CC | 14 | $116,134 | +145% | $11,000 |
| 175 Pulmonary Embolism with MCC or Acute Cor Pulmonale | 13 | $239,180 | +267% | $13,900 |
| 300 Peripheral Vascular Disorders with CC | 13 | $179,407 | +263% | $9,778 |
| 314 Other Circulatory System Diagnoses with MCC | 13 | $257,137 | +171% | $19,781 |
| 322 Percutaneous Cardiovascular Procedures with Intraluminal... | 13 | $305,526 | +167% | $18,182 |
| 004 Tracheostomy with MV >96 Hours or Principal Diagnosis except... | 12 | $2,355,622 | +284% | $127,611 |
| 057 Degenerative Nervous System Disorders without MCC | 12 | $124,595 | +120% | $14,624 |
| 394 Other Digestive System Diagnoses with CC | 12 | $221,930 | +372% | $9,431 |
| 194 Simple Pneumonia and Pleurisy with CC | 11 | $138,382 | +261% | $8,763 |
| 281 Acute Myocardial Infarction, Discharged Alive with CC | 11 | $137,134 | +172% | $9,923 |
| 304 Hypertension with MCC | 11 | $220,386 | +285% | $12,330 |
| 329 Major Small and Large Bowel Procedures with MCC | 11 | $529,999 | +147% | $45,096 |
| 862 Postoperative and Post-Traumatic Infections with MCC | 11 | $170,131 | +104% | $17,373 |
Outpatient services
| Service (APC) | Services | Avg charge | Medicare allowed |
|---|---|---|---|
| Comprehensive Observation Services | 711 | $43,224 | $2,920 |
| Level 5 Musculoskeletal Procedures | 70 | $178,465 | $13,748 |
| Level 1 Laparoscopy and Related Services | 60 | $97,971 | $6,010 |
| Level 3 Musculoskeletal Procedures | 40 | $72,231 | $3,467 |
| Level 4 Musculoskeletal Procedures | 39 | $117,913 | $7,662 |
| Level 4 Vascular Procedures | 38 | $97,672 | $5,762 |
| Level 1 Endovascular Procedures | 31 | $79,322 | $3,253 |
| Level 1 Nerve Procedures | 25 | $64,283 | $2,002 |
| Level 2 Excision/ Biopsy/ Incision and Drainage | 23 | $26,798 | $1,676 |
| Level 2 Laparoscopy and Related Services | 21 | $135,339 | $11,012 |
| Level 3 Airway Endoscopy | 18 | $34,962 | $1,657 |
| Level 3 Vascular Procedures | 16 | $69,122 | $3,414 |
| Level 4 Gynecologic Procedures | 16 | $52,501 | $3,349 |
| Level 5 Gynecologic Procedures | 16 | $78,199 | $5,327 |
| Level 4 Airway Endoscopy | 15 | $56,176 | $3,689 |
| Level 5 Airway Endoscopy | 15 | $65,975 | $7,330 |
| Level 6 Gynecologic Procedures | 14 | $106,004 | $8,093 |
| Level 2 Musculoskeletal Procedures | 12 | $41,935 | $1,722 |
| Level 3 Endovascular Procedures | 11 | $199,079 | $11,767 |
| Level 2 ICD and Similar Procedures | 11 | $333,825 | $32,090 |
Against the Nevada average
For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Valley Hospital Medical Center charged $325,909 on average, 76% more than the Nevada average of $185,667, and was paid $20,000 against a state average of $18,341. For Heart Failure and Shock with MCC (DRG 291), Valley Hospital Medical Center charged $196,532 on average, 91% more than the Nevada average of $102,646, and was paid $13,974 against a state average of $12,417. For Esophagitis, Gastroenteritis and Miscellaneous Digestive Disorders without MCC (DRG 392), Valley Hospital Medical Center charged $120,195 on average, 43% more than the Nevada average of $83,789, and was paid $8,482 against a state average of $8,187. For Septicemia or Severe Sepsis without MV >96 Hours without MCC (DRG 872), Valley Hospital Medical Center charged $195,854 on average, 87% more than the Nevada average of $104,761, and was paid $11,216 against a state average of $10,723. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $43,224 was 10% above the state average of $39,164. For Level 5 Musculoskeletal Procedures (outpatient APC 5115), its average charge of $178,465 was 58% above the state average of $113,166. For Level 1 Laparoscopy and Related Services (outpatient APC 5361), its average charge of $97,971 was 43% above the state average of $68,593. For Level 3 Musculoskeletal Procedures (outpatient APC 5113), its average charge of $72,231 was 70% above the state average of $42,599.
Price-transparency record
CMS's enforcement list records these actions for a hospital named 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:
- Met Requirements — 2022-12-23 (CMS case 1055)
- Met Requirements — 2025-04-14 (CMS case 3816)
- Met Requirements — 2025-05-22 (CMS case 4478)
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.