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Hospital Profile Critical Access Hospital Voluntary non-profit - Private 25 Beds · urban Updated: 9/30/2025

Boulder City Hospital

901 Adams Blvd, Boulder City, NV 89005 · 84 Priced Procedures

CMS Overall Rating No CMS Rating
Pillar 1 · The BaseRate™ CompositeHow 1.00× Fair BaseRate Works: Raw price averages unfairly penalize hospitals in high-wage cities or trauma centers treating sicker patients. We adjust for local CMS hospital wage levels and patient complexity first. A 1.00× score means right at the fair price average, 0.85× means 15% cheaper than fair market, and 1.30× means 30% above fair market.High Markup · Shop Alternatives
1.97×vs. Fair Market Price
Position vs. 1.00× Fair Price+97% Above Fair Price 1.00× (center of the bar) is the U.S. fair price average after accounting for local hospital wages and patient complexity. Left of center (<1.00×) is below fair price; right of center (>1.00×) is above fair price.

Typical commercial prices here are +97% above the fair benchmark (1.97×) even after accounting for local nurse/doctor wages and patient complexity.

Pillar 2 · VeriRate™ Data TrustHow VeriRate™ (0–100) Works: Hospitals are legally required to publish machine-readable price files, but some bury fake $0.01 numbers or omit cash discounts. VeriRate audits each file across 5 checks (hover any badge below to see what it tests).73/100 · Corroborated
73/100Self-Pay Cash Beats Insurance 8% of the Time
File Completeness73Provenance (File Completeness): Checks whether the hospital published a complete, up-to-date machine-readable price file with valid CPT and MS-DRG billing codes instead of leaving blanks.
Price Logic93Coherence (Price Logic): Checks whether the hospital’s numbers make basic sense — e.g., self-pay cash price is lower than gross list price, with no fake $0.01 or $999,999 placeholder numbers.
Peer Alignment72Concordance (Peer Alignment): Checks whether reported prices sit in a realistic range compared to Medicare and nearby hospitals rather than wild 100× unit errors.
Clean Billing44Regularity (Clean Billing): Checks whether rates are structured consistently across procedures without erratic statistical spikes or hidden unbundled facility fees.
Real Cash Discount74Cash Honesty (Real Cash Discount): Checks whether the hospital offers a genuine self-pay cash discount that beats or matches commercial insurance rates instead of billing full sticker price.
Pillar 3 · Clinical Quality & ER SpeedChecks whether higher hospital prices actually buy better clinical quality — combining CMS Star Ratings, hospital safety scores, and emergency room wait times.High-Markup · Check Safety
CMS Star RatingNot RatedOfficial CMS Overall Hospital Quality Star Rating (1 to 5 stars) summarizing mortality, safety of care, readmissions, and patient experience.
Safety Score69/100Composite patient safety score (0–100) derived from CMS hospital-acquired infection rates (CLABSI, CAUTI, MRSA, C. diff), surgical complications, and HCAHPS surveys.
Typical ER Wait107 minMedian minutes patients spent in the emergency department before leaving from the visit, as reported to CMS Timely and Effective Care.

Balances commercial hospital prices against CMS clinical safety, infection control, and patient experience.

Behavioral Pricing FingerprintHigh Infusion / OR Multiples

Specialty Drug & Surgical Margin Engine

Boulder City Hospital concentrates commercial margin in outpatient surgical suites (3.9× Medicare) and specialty drug infusions (3.6× Medicare) relative to routine diagnostics (0.6×). Comparing freestanding ambulatory surgery centers or specialty pharmacy options before treatment yields substantial savings.

#22 of 26 in NV · 80th State Percentile#3,061 of 3,385 in U.S. · 90th National Percentile
Advantage

Where They're Good (Patient & Payer Edge)

  • Bottom-quartile procedures (Q25) price at 1.20× the peer BaseRate benchmark
  • Self-pay cash beats commercial insurance on 8% of shoppable procedures (74/100 Cash Honesty)
  • CMS clinical safety score (69/100 safety score) with 72% patient recommendation
  • IRS 501(c)(3) charity care provides free care up to 200% FPL and discounted care up to 400% FPL (22.9% AGB cap)
Watchout

Where You Can Get Burned (Markup Traps)

  • Outpatient surgery & OR suites carry a 3.9× markup over Medicare rates
  • Captive ER (4.5×) & laboratory (0.6×) services average 1.26× higher multiples than routine shoppable care (3.1×)
  • Upper-quartile procedures (Q75 2.94×) jump +17% above the median procedure ratio (Q50 2.52×)
  • Unnegotiated chargemaster list prices average 10.0× Medicare (14¢ true HCRIS cost per $1 gross)
Front-Door ShoppableElective / Imaging
3.1× Medicare

Pre-scheduled outpatient procedures where patients can comparison-shop.

Back-Door Captive & ER1.26× Divergence
3.9× Medicare

Emergency, inpatient DRG, lab, and specialty drug lines billed after admission.

Quantile Tail Spread+17% Upper Tail
Q25 1.20× · Q50 2.52× · Q75 2.94×

Detects median-gaming when upper-quartile codes spike above the p50 median.

Select any lens to inspect department markups, federal cost accounting, or insurer discounts.
Department & Integrity Multiples (vs. CMS Medicare Cost Anchor) Green ≤1.3× · Teal 1.3–1.8× · Amber 1.8–2.5× · Rose >2.5×
Front-Door Shoppable CareFront-Door Shoppable
3.1× MedicareFair
Outpatient Surgery & ORBack-Door Captive
3.9× MedicareElevated
Diagnostic Imaging (CT/MRI)Front-Door Shoppable
0.6× MedicareGood
Back-Door Captive ER VisitsBack-Door Captive
4.5× MedicareWatchout
Inpatient Lab & PathologyBack-Door Captive
0.6× MedicareGood
Specialty & Infusion Drugs (J-Codes)Back-Door Captive
3.6× MedicareElevated
Self-Pay Cash Honesty & 501(r)Integrity & Outcomes
8% Cash Edge · 74/100Fair
CMS Clinical Safety & Star ValueIntegrity & Outcomes
3 CMS · 69/100Fair

Procedure Prices at Boulder City Hospital

High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 84 published procedures.

Sort:
Audit a Bill & 501(r) Cap ↓
Procedure & Billing Code This Hospital vs. Fair
Total knee replacement
CPT Code: 27447
 $10,172 0.8×
Echocardiogram (heart ultrasound)
CPT Code: 93306
 $4,064 7.0×
Ultrasound, leg veins (duplex)
CPT Code: 93970
 $1,905 7.0×
Family therapy session
CPT Code: 90847
 $1,666 9.6×
Gallbladder removal (laparoscopic)
CPT Code: 47562
 $1,625 0.3×
Inguinal hernia repair
CPT Code: 49505
 $1,427 0.4×
Ultrasound, abdomen (limited)
CPT Code: 76705
 $1,243 9.9×
Ultrasound, pelvis
CPT Code: 76856
 $1,243 9.6×
Ultrasound, abdomen (complete)
CPT Code: 76700
 $1,243 9.3×
Bunion correction surgery
CPT Code: 28296
 $1,157 0.3×
Breast lump removal
CPT Code: 19120
 $1,157 0.3×
Ultrasound, thyroid and neck
CPT Code: 76536
 $1,092 8.3×
Blood transfusion
CPT Code: 36430
 $1,063 2.1×
Colonoscopy (diagnostic)
CPT Code: 45378
 $1,014 1.0×
Upper endoscopy with biopsy
CPT Code: 43239
 $1,014 1.0×
Colonoscopy with biopsy
CPT Code: 45380
 $1,014 0.8×
X-ray, lower back
CPT Code: 72110
 $889 7.9×
MRI, brain (no contrast)
CPT Code: 70551
 $912 2.7×
MRI, knee or other leg joint
CPT Code: 73721
 $912 2.5×
MRI, brain (with and without contrast)
CPT Code: 70553
 $912 1.8×
MRI, lower back (no contrast)
CPT Code: 72148
 $912 unverified
CT scan, head (no contrast)
CPT Code: 70450
 $702 4.4×
CT scan, sinuses
CPT Code: 70486
 $702 4.2×
CT scan, chest (no contrast)
CPT Code: 71250
 $702 4.2×
CT scan, neck (cervical spine)
CPT Code: 72125
 $702 4.2×
Showing top 25 high-impact procedures of 84 total
Inline Bill X-Ray & 501(r) Calculator 501(c)(3) Nonprofit · Free Care ≤200% FPL · AGB Cap 22.9%

Audit a Bill or Quote at Boulder City Hospital (Zero PHI Required)

CMS CCN: 291309
CPT 27447
Fair BaseRate™ $13,523
Medicare Rate $13,117
Self-Pay Cash $10,172
Insurer Median $10,172
Pre-filled with Boulder City Hospital’s charged/list benchmark
Screened against 2026 HHS Federal Poverty Guidelines
2026 FPL: $15,650 + $5,500 per additional person
Step 1 · 501(r) Charity Care Check 501(r) AGB Cap: $2,742 (274% FPL)

Statutory 501(r) AGB Cap Limits Bill to $2,742

At 274% FPL (201%–400% FPL tier), 26 U.S.C. § 501(r)(5) caps FAP-eligible bills at Amounts Generally Billed (22.9% of gross = $2,742).

Step 2 · Cash vs. Insurance Arbitrage Save $1,795 Paying Cash

Self-Pay Cash Rate ($10,172) Beats Your Bill

Boulder City Hospital's published 45 CFR § 180 self-pay cash rate is $10,172 (vs. $10,172 commercial insurer median). Ask billing to reclassify the visit to prompt-pay self-pay if it beats your deductible.

Step 3 · Fair BaseRate Target Target: $13,523 Fair BaseRate

Negotiate Toward $13,523 Fair BaseRate ($13,117 Medicare)

Your entered amount is at or below the modeled Fair BaseRate benchmark ($13,523).

1-Click Factual Dispute Summary: Copy a citation-backed benchmark memo (with CMS CCN, CPT code, Medicare reference, Fair BaseRate, and 26 U.S.C. § 501(r) calculations) to paste into patient-portal messages or billing appeals.
IRS Form 990 Schedule H & 26 U.S.C. § 501(r) 501(c)(3) Nonprofit Hospital

Financial Assistance Policy (FAP) & Amounts Generally Billed (AGB)

EIN: 880065829
Filing Period: 195403
Free Care Eligibility BenchmarkUp to 200% FPL100% charity write-off income threshold
Discounted Care EligibilityUp to 400% FPLSliding-scale & AGB billing cap tier
Charity Care Share of ExpensesSee Schedule HNet community financial assistance reported
26 U.S.C. § 501(r)(5) AGB Benchmark Method: lookback_commercial_median

Hospital-Specific CMS HCRIS Benchmark (22.9% of gross charges)

Under 26 U.S.C. § 501(r)(5), a tax-exempt hospital organization may not bill FAP-eligible patients more than Amounts Generally Billed (AGB) to individuals with insurance covering emergency or medically necessary care. Derived from this facility’s reported CMS HCRIS cost-to-charge & insurer allowance filings. Verify your exact Financial Assistance Policy (FAP) determination directly with the billing office.

Screen your household size, income, and itemized CPT codes against 2026 HHS Federal Poverty Guidelines: Calculate Your 501(r) Cap Above ↑
CMS Care Compare Public Quality Record

Clinical Quality, Patient Experience & Infection Benchmarks

Safety Composite69/100
Median ER Wait107 min
Left ER Before Seen1%
30-Day Mortality vs U.S.same
Unplanned Readmissionsame

CMS Price Transparency Administrative Enforcement Log

Factual public administrative actions published by the Centers for Medicare & Medicaid Services regarding 45 CFR § 180 compliance at Boulder City Hospital. Prior administrative notices do not necessarily reflect current compliance status.

  • 2025-12-12·administrative_or_closure

    Closure Notice

    Recorded
  • 2025-09-12·warning_notice

    Warning Notice

    Recorded
  • 2023-09-13·administrative_or_closure

    Closure Notice

    Recorded
  • 2023-07-10·cap_corrective_action

    CAP Request

    Recorded
  • 2023-03-21·warning_notice

    Warning Notice

    Recorded

Source: CMS Hospital Care Compare. Clinical quality metrics summarize historical facility-wide cohorts and are not medical advice for individual care decisions.

Care-Setting Arbitrage, Bilateral SVD Insurer Leverage & Regional Alternatives

How to Pay Less Nearby: Freestanding Centers, Insurer Leverage & Outpatient Savings

Regional Value & Quality Leader

2D regional comparison of commercial negotiated price index against CMS clinical quality composite for Boulder City Hospital.

Price Index: 0.66× regional baseline
Quality: 56/100 CMS composite
Median Household Income$73,845U.S. Census ACS
Local Uninsured Share12.1%Regional ACS estimate
200% FPL (1 Person)$31,920Common free-care ceiling
400% FPL (Family of 4)$128,600Common AGB cap ceiling
45 CFR § 180 Primary-Source Lineage & Federal Verification VeriRate 73/100 · Corroborated CMS CCN 291309 EIN 880065829

Verify the Raw Data: Official Hospital MRF, CMS Medicare.gov & Federal Filings

Download Official Hospital MRF ↗ Verify on CMS Medicare.gov (CCN 291309) ↗ Verify IRS Form 990 (EIN 880065829) ↗ CMS HCRIS Cost Reports ↗
Published MRF File880065829_boulder-city-hospital_standard-charges.csv
Publication / Vintage9/30/2025 · 8.83 MB
Validated Rate Rows221 (CMS v2.0.0)
File Integrity Digest28d4d7d481188787c895…

Safe-Harbor Data Corrections: Parsed directly from public 45 CFR § 180 hospital filings, CMS Care Compare, and CMS HCRIS cost reports. Hospital compliance officers may submit updated MRF URLs or rate tables for verification.

Submit MRF Update Correction Policy