CMS Price Transparency Data

Hip or knee replacement (inpatient stay)

Facility: PAM Health Specialty Hospital of Reno

Billing Code: 470 (MS-DRG)

The BaseRate · fair price medium confidence

A fair price for this

$27,503

about 2.0× the $14,044 Medicare rate · typically $12,049–$42,918

modeled estimate · not a bill or quote

What this hospital charges insurers

$31,072

About the fair price

about $3,569 over the fair price · 2.2× Medicare

Medicare pays $14,044 Fair price $27,503 This hospital $31,072

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 $31,072

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 $27,503 (about 2.0× the $14,044 Medicare rate). PAM Health Specialty Hospital of Reno charges insurers about $31,072 — about the fair price. Located in Reno, NV.

What each insurance company pays

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

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

✓ Blue Cross Blue Shield✓ Aetna✓ Humana UnitedHealthcareCignaKaiser 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
Blue Cross Blue Shieldmajor	$31,072	221%
Aetnamajor	$31,072	221%
Humanamajor	$31,072	221%
Molina	$34,180	243%
SelectHealth	$31,072	221%
+ 9 smaller / regional plans	$31,072 - $38,840

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 PAM Health Specialty Hospital of Reno 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 PAM Health Specialty Hospital of Reno

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.