60/100
#946 nationally
Carson Tahoe Regional Medical Center
1600 Medical Parkway, Carson City, NV 89703 · (775) 445-8000
Charges well above the national norm
For every $1 of care Medicare actually paid for here, Carson Tahoe Regional Medical Center billed $4.02 in list charges. That gap does not change a Medicare patient's bill — but it is where an uninsured or out-of-network bill starts.
- Charge-to-payment
- 4.0x
- volume-weighted across all its priced work
- Procedures priced
- 105
- inpatient and outpatient combined
- Rank in NV
- #1
- lower markup ranks higher
- CMS quality stars
- 2/5
- shown for context, not in the grade
How this grade was reached
Each component is scored against every other U.S. hospital in the same federal files, so the grade is a position in the country, not a pass mark we invented.
Better than 61% of U.S. hospitals.
Better than 65% of U.S. hospitals.
Better than 55% of U.S. hospitals.
Better than 62% of U.S. hospitals.
What this hospital treats most
The ten procedures it billed Medicare for most often, with its charge beside the national middle.
| Procedure | Patients | Charged | Actually paid | vs national |
|---|---|---|---|---|
|
Comprehensive Observation Services
APC 8011 · Hospital outpatient visit |
638 | $20,688 | $2,915 | +6% |
|
Sepsis (severe)
MS-DRG 871 · Inpatient stay |
299 | $61,379 | $18,536 | -6% |
|
Level 2 Excision/ Biopsy/ Incision and Drainage
APC 5072 · Hospital outpatient visit |
250 | $8,985 | $1,728 | -11% |
|
Level 1 Endovascular Procedures
APC 5191 · Hospital outpatient visit |
193 | $19,204 | $3,504 | -24% |
|
Heart Failure (severe)
MS-DRG 291 · Inpatient stay |
177 | $40,938 | $12,107 | -6% |
|
Level 1 Laparoscopy and Related Services
APC 5361 · Hospital outpatient visit |
160 | $28,179 | $6,135 | -20% |
|
Level 5 Urology and Related Services
APC 5375 · Hospital outpatient visit |
139 | $22,798 | $5,524 | -17% |
|
Pneumonia (severe)
MS-DRG 193 · Inpatient stay |
137 | $40,110 | $12,447 | -14% |
|
Level 5 Musculoskeletal Procedures
APC 5115 · Hospital outpatient visit |
115 | $45,720 | $13,781 | -27% |
|
Level 4 Musculoskeletal Procedures
APC 5114 · Hospital outpatient visit |
105 | $32,429 | $7,623 | -19% |
Where its charges run furthest above the national middle
Only procedures it performed at least eleven times, so a single unusual case cannot produce the headline.
| Procedure | Charged | Actually paid | vs national |
|---|---|---|---|
|
Red Blood Cell Disorders without Major Complications
MS-DRG 812 · Inpatient stay |
$56,954 | $8,487 | +53% |
|
Level 2 Pacemaker and Similar Procedures
APC 5222 · Hospital outpatient visit |
$53,454 | $9,118 | +41% |
|
COPD (severe)
MS-DRG 190 · Inpatient stay |
$58,770 | $10,509 | +40% |
|
Other Digestive System Diagnoses with Complications
MS-DRG 394 · Inpatient stay |
$54,105 | $8,793 | +39% |
|
Fainting
MS-DRG 312 · Inpatient stay |
$50,907 | $9,729 | +39% |
|
Gastrointestinal Bleeding (with complications)
MS-DRG 378 · Inpatient stay |
$55,396 | $9,195 | +34% |
|
Level 2 Vascular Procedures
APC 5182 · Hospital outpatient visit |
$11,492 | $1,665 | +34% |
|
Level 3 Excision/ Biopsy/ Incision and Drainage
APC 5073 · Hospital outpatient visit |
$22,904 | $2,998 | +30% |
Where it charges least relative to everyone else
| Procedure | Charged | Actually paid | vs national |
|---|---|---|---|
|
Cardiac Valve and Other Major Cardiothoracic Procedures without Cardiac Catheterization
MS-DRG 219 · Inpatient stay |
$178,797 | $71,699 | -47% |
|
Level 2 Laparoscopy and Related Services
APC 5362 · Hospital outpatient visit |
$31,931 | $11,040 | -47% |
|
Circulatory Disorders Except Heart Attack, with Cardiac Catheterization with Major
MS-DRG 286 · Inpatient stay |
$48,203 | $20,201 | -45% |
|
Infection Needing Surgery (with complications)
MS-DRG 854 · Inpatient stay |
$48,048 | $18,922 | -42% |
|
Spinal Fusion Except Cervical without Major Complications
MS-DRG 460 · Inpatient stay |
$84,199 | $34,902 | -42% |
|
Level 5 Airway Endoscopy
APC 5155 · Hospital outpatient visit |
$22,551 | $6,953 | -41% |
|
Major Small and Large Bowel Procedures without Complications/mcc
MS-DRG 331 · Inpatient stay |
$44,410 | $15,666 | -40% |
|
Level 4 Airway Endoscopy
APC 5154 · Hospital outpatient visit |
$13,863 | $4,021 | -39% |
What this page cannot tell you
- It is not your bill. These are averages across Medicare patients. What you pay depends on your insurance, your plan's negotiated rate and your own case.
- It is not a quality rating. A hospital with a high markup may be excellent, and one with a low markup may not be. We checked: across every U.S. hospital, markup and the CMS quality star rating barely move together.
- A charge is not a cost. Hospitals do not collect their list charges from insured patients. The number matters because it is the opening figure on an uninsured or out-of-network bill.
- Ask for the real number. Every U.S. hospital must publish a machine-readable price file and give you a written good-faith estimate on request.