12/100
#2,346 nationally
Northern Nevada Sierra Medical Center
6500 Longley Lane, Reno, NV 89511
Among the highest charge markups in the country
For every $1 of care Medicare actually paid for here, Northern Nevada Sierra Medical Center billed $9.05 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
- 9.0x
- volume-weighted across all its priced work
- Procedures priced
- 26
- inpatient and outpatient combined
- Rank in NV
- #10
- lower markup ranks higher
- CMS quality stars
- Not rated
- 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 12% of U.S. hospitals.
Better than 17% of U.S. hospitals.
Better than 8% of U.S. hospitals.
Better than 13% 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 |
69 | $39,725 | $2,898 | +104% |
|
Level 5 Musculoskeletal Procedures
APC 5115 · Hospital outpatient visit |
67 | $144,653 | $13,699 | +132% |
|
Level 1 Endovascular Procedures
APC 5191 · Hospital outpatient visit |
60 | $50,136 | $3,454 | +99% |
|
Level 2 Upper GI Procedures
APC 5302 · Hospital outpatient visit |
46 | $29,215 | $1,981 | +149% |
|
Level 3 Electrophysiologic Procedures
APC 5213 · Hospital outpatient visit |
40 | $203,510 | $25,366 | +53% |
|
Percutaneous and Other Intracardiac Procedures without Major Complications
MS-DRG 274 · Inpatient stay |
35 | $194,148 | $24,863 | +56% |
|
Endovascular Cardiac Valve Replacement and Supplement Procedures with Major Complications
MS-DRG 266 · Inpatient stay |
35 | $358,857 | $47,800 | +49% |
|
Heart Failure (severe)
MS-DRG 291 · Inpatient stay |
33 | $120,893 | $14,938 | +179% |
|
Sepsis (severe)
MS-DRG 871 · Inpatient stay |
33 | $131,409 | $19,284 | +101% |
|
Level 4 Musculoskeletal Procedures
APC 5114 · Hospital outpatient visit |
32 | $84,654 | $7,504 | +112% |
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 |
|---|---|---|---|
|
Level 1 Abdominal/peritoneal/biliary and Related Procedures
APC 5341 · Hospital outpatient visit |
$90,616 | $3,705 | +290% |
|
Level 3 Musculoskeletal Procedures
APC 5113 · Hospital outpatient visit |
$58,513 | $3,264 | +187% |
|
Heart Failure (severe)
MS-DRG 291 · Inpatient stay |
$120,893 | $14,938 | +179% |
|
Level 2 Musculoskeletal Procedures
APC 5112 · Hospital outpatient visit |
$28,523 | $1,721 | +154% |
|
Level 1 Laparoscopy and Related Services
APC 5361 · Hospital outpatient visit |
$88,287 | $6,180 | +151% |
|
Level 2 Upper GI Procedures
APC 5302 · Hospital outpatient visit |
$29,215 | $1,981 | +149% |
|
Fluid and Electrolyte Disorder (severe)
MS-DRG 640 · Inpatient stay |
$119,409 | $12,611 | +146% |
|
Level 5 Musculoskeletal Procedures
APC 5115 · Hospital outpatient visit |
$144,653 | $13,699 | +132% |
Where it charges least relative to everyone else
| Procedure | Charged | Actually paid | vs national |
|---|---|---|---|
|
Endovascular Cardiac Valve Replacement and Supplement Procedures with Major Complications
MS-DRG 266 · Inpatient stay |
$358,857 | $47,800 | +49% |
|
Level 4 Endovascular Procedures
APC 5194 · Hospital outpatient visit |
$143,229 | $17,175 | +50% |
|
Level 3 Electrophysiologic Procedures
APC 5213 · Hospital outpatient visit |
$203,510 | $25,366 | +53% |
|
Percutaneous and Other Intracardiac Procedures without Major Complications
MS-DRG 274 · Inpatient stay |
$194,148 | $24,863 | +56% |
|
Level 2 Excision/ Biopsy/ Incision and Drainage
APC 5072 · Hospital outpatient visit |
$15,917 | $1,736 | +58% |
|
Level 2 Pacemaker and Similar Procedures
APC 5222 · Hospital outpatient visit |
$60,849 | $8,479 | +61% |
|
Level 4 Pacemaker and Similar Procedures
APC 5224 · Hospital outpatient visit |
$158,358 | $20,816 | +66% |
|
Level 3 Endovascular Procedures
APC 5193 · Hospital outpatient visit |
$119,880 | $11,767 | +77% |
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.