CMS Price Transparency Data

Office visit, established patient (20-29 min)

Facility: Sunrise Hospital and Medical Center

Billing Code: 99213 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$69
about 0.7× the $95 Medicare rate · typically $53–$130
modeled estimate · not a bill or quote
What this hospital charges insurers
$75
About the fair price
about $6 over the fair price · 0.8× Medicare
Medicare pays $95 Fair price $69 This hospital $75 Cash price $295 Hospital's list price $295

How we calculate the fair BaseRate →

How this hospital compares to other NV hospitals

On the higher side — 7 of 8 other NV hospitals charge less.

Cheapest $24 Priciest $88

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

⚠ The cash price looks unusually high next to the insurance price — it may be the full list price, not a real cash discount. Call to confirm the self-pay rate.

A fair price for a Office visit, established patient (20-29 min) is about $69 (about 0.7× the $95 Medicare rate). Sunrise Hospital and Medical Center charges insurers about $75, or about $295 in cash — 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 $55 - $289 58%
Blue Cross Blue Shieldmajor $38 - $1,383 40%
Aetnamajor $63 - $418 66%
Cignamajor $71 - $187 75%
Humanamajor $25 - $91 26%
Ambetter (Centene) $25 - $290 26%
Amerigroup $24 - $72 25%
Molina $23 - $79 24%
SelectHealth $126 - $319 132%
+ 18 smaller / regional plans $23 - $1,037
Excludes 4 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

Self-Pay How to get the cash price

Insurance Before you use insurance

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Facility Profile & Credentials

  • Address: 3186 S Maryland Pkwy, Las Vegas, NV 89109
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals