CMS Price Transparency Data

Hip or knee replacement (inpatient stay)

Facility: Sunrise Hospital and Medical Center

Billing Code: 470 (MS-DRG)

The BaseRate · fair price high confidence

A fair price for this

$20,311

about 1.4× the $14,044 Medicare rate · typically $15,897–$21,858

modeled estimate · not a bill or quote

What this hospital charges insurers

$21,862

About the fair price

about $1,551 over the fair price · 1.6× Medicare

Medicare pays $14,044 Fair price $20,311 This hospital $21,862

How we calculate the fair BaseRate →

How this hospital compares to other NV hospitals

Highest price of the 9 NV hospitals we have prices for — worth calling around.

Cheapest $15,788 Priciest $21,862

Black dot = this hospital, among the 9 NV hospitals with a price for this procedure. Full list below.

A fair price for a Hip or knee replacement (inpatient stay) is about $20,311 (about 1.4× the $14,044 Medicare rate). Sunrise Hospital and Medical Center charges insurers about $21,862 — about the fair price. Located in Las Vegas, NV.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

5 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana Kaiser Permanente

Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.

Insurance company	Price range	vs. Medicare
UnitedHealthcaremajor	$3,592 - $27,611	26%
Blue Cross Blue Shieldmajor	$4,514 - $42,687	32%
Aetnamajor	$4,164 - $32,954	30%
Cignamajor	$4,347 - $57,423	31%
Humanamajor	$3,148 - $17,969	22%
Ambetter (Centene)	$17,386 - $32,345	124%
Molina	$1,550	11%
SelectHealth	$3,588 - $47,537	26%
+ 11 smaller / regional plans	$2,000 - $31,390

Government programs also on file: Military & VA.

Excludes 2 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

Self-Pay How to get the cash price

Tell the billing desk you want to be billed as self-pay — not through insurance — before your visit.
Ask for the cash / prompt-pay discount in writing, with the exact price, before you agree to anything.
Get it in writing that they won’t also bill your insurance, so the cash price is what you owe.
Check the MS-DRG code on your bill matches exactly: 470.

Insurance Before you use insurance

Call your insurance company to confirm Sunrise Hospital and Medical Center is in-network.
Ask your insurer whether prior approval is required for MS-DRG code 470.
Confirm the doctor or provider is in-network too — not just the hospital building.
Check your Explanation of Benefits against the hospital’s final itemized bill.

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

How you’d pay

Deductible left to meet ($)

Your coinsurance (%)

Enter your details and press estimate to compare.

Other Procedures at Sunrise Hospital and Medical Center

Compare: Hip or knee replacement (inpatient stay) at other NV hospitals

Saint Rose Dominican Hospitals - San Martin Campus · Las Vegas $15,788
Saint Rose Dominican Hospitals - Siena Campus · Henderson $15,792
Northern Nevada Medical Center · Sparks $18,884
Summerlin Hospital Medical Center · Las Vegas $19,246
Spring Valley Hospital Medical Center · Las Vegas $19,246
Henderson Hospital · Henderson $19,246
West Henderson Hospital · Henderson $19,246
Northeastern Nevada Regional Hospital · Elko $19,607

Insurance negotiated median for the same procedure, sorted lowest first.