CMS Price Transparency Data

Digestive disorders treatment (inpatient stay)

Facility: Southern Hills Hospital and Medical Center

Billing Code: 392 (MS-DRG)

The BaseRate · fair price high confidence

A fair price for this

$8,216

about 1.4× the $5,676 Medicare rate · typically $7,157–$10,339

modeled estimate · not a bill or quote

What this hospital charges insurers

$9,164

About the fair price

about $948 over the fair price · 1.6× Medicare

Medicare pays $5,676 Fair price $8,216 This hospital $9,164

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 $6,887 Priciest $9,164

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

A fair price for a Digestive disorders treatment (inpatient stay) is about $8,216 (about 1.4× the $5,676 Medicare rate). Southern Hills Hospital and Medical Center charges insurers about $9,164 — 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	$5,332 - $8,788	94%
Blue Cross Blue Shieldmajor	$4,514 - $19,359	80%
Aetnamajor	$4,484 - $9,164	79%
Cignamajor	$4,327	76%
Humanamajor	$2,368 - $9,164	42%
Ambetter (Centene)	$8,896 - $16,496	157%
Molina	$1,550	27%
SelectHealth	$3,864 - $11,364	68%
+ 11 smaller / regional plans	$945 - $9,806

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: 392.

Insurance Before you use insurance

Call your insurance company to confirm Southern Hills Hospital and Medical Center is in-network.
Ask your insurer whether prior approval is required for MS-DRG code 392.
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 Southern Hills Hospital and Medical Center

Compare: Digestive disorders treatment (inpatient stay) at other NV hospitals

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