How many shoppable procedure prices are published for Carson Tahoe Regional Medical Center?

Carson Tahoe Regional Medical Center in Carson City, NV currently has 113 standardized procedure price records indexed from its public 45 CFR § 180 machine-readable file.

How do Carson Tahoe Regional Medical Center's commercial prices compare to the fair BaseRate?

Across scored shoppable procedures, Carson Tahoe Regional Medical Center's median negotiated commercial rate is 1.9× the regionally adjusted fair BaseRate benchmark.

What is Carson Tahoe Regional Medical Center's CMS Care Compare overall star rating?

CMS Care Compare assigns Carson Tahoe Regional Medical Center an overall hospital quality rating of 2 out of 5 stars based on public federal clinical and patient-experience measures.

Hospital Profile Acute Care Hospital Voluntary non-profit - Private 175 Beds · urban Updated: 3/25/2026

Carson Tahoe Regional Medical Center

1600 Medical Parkway, Carson City, NV 89703 · 113 Priced Procedures · 73% Patient Recommendation

CMS Overall Rating 2 / 5 Stars

High Markup · Shop Alternatives

1.90×vs. Fair Market Price

Typical commercial prices here are +90% above the fair benchmark (1.90×) even after accounting for local nurse/doctor wages and patient complexity.

76/100 · Corroborated

76/100Self-Pay Cash Beats Insurance 17% of the Time

File Completeness45

Price Logic86

Peer Alignment69

Clean Billing84

Real Cash Discount100

High-Markup · Check Safety

3-Star CMS clinical quality rating paired with 1.90× fair market pricing.

Behavioral Pricing FingerprintHigh-HHI Market Leverage

Consolidated System Premium Pricer

Operating in a concentrated regional market (CBSA HHI 10,000), Carson Tahoe Regional Medical Center commands a 1.90× BaseRate commercial premium across insurers. Self-pay cash quotes, in-state peer hospitals, and freestanding outpatient facilities offer critical leverage against consolidated system pricing.

#21 of 26 in NV · 76th State Percentile#3,024 of 3,385 in U.S. · 89th National Percentile

Advantage

Where They're Good (Patient & Payer Edge)

Bottom-quartile procedures (Q25) price at 1.70× the peer BaseRate benchmark
Self-pay cash beats commercial insurance on 17% of shoppable procedures (99/100 Cash Honesty)
2-Star CMS clinical rating with 73% patient recommendation (67/100 safety score)
IRS 501(c)(3) charity care provides free care up to 200% FPL and discounted care up to 400% FPL (28.2% AGB cap)

Watchout

Where You Can Get Burned (Markup Traps)

Even at low-cost facilities (1.90× Fair BaseRate), out-of-network or unnegotiated chargemaster bills can exceed commercial medians — confirm in-network status or request a self-pay cash quote up front.
Commercial insurance median sits at 1.89× Fair BaseRate (2.1× Medicare), so insured patients should always compare the self-pay cash price before paying.
Even at low-cost facilities (1.90× Fair BaseRate), out-of-network or unnegotiated chargemaster bills can exceed commercial medians — confirm in-network status or request a self-pay cash quote up front.
Consolidated metro market (HHI 10,000) limits in-network hospital competition (Highly Concentrated Monopoly (>2,500))

Front-Door ShoppableElective / Imaging

2.1× Medicare

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

Back-Door Captive & ER1.00× Divergence

2.1× Medicare

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

Quantile Tail Spread+7% Upper Tail

Q25 1.70× · Q50 1.89× · Q75 2.02×

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

2.1× MedicareGood

Outpatient Surgery & ORBack-Door Captive

0.9× MedicareGood

Diagnostic Imaging (CT/MRI)Front-Door Shoppable

1.5× MedicareGood

Back-Door Captive ER VisitsBack-Door Captive

1.1× MedicareGood

Inpatient Lab & PathologyBack-Door Captive

2.6× MedicareFair

Specialty & Infusion Drugs (J-Codes)Back-Door Captive

0.5× MedicareGood

Self-Pay Cash Honesty & 501(r)Integrity & Outcomes

17% Cash Edge · 99/100Good

CMS Clinical Safety & Star ValueIntegrity & Outcomes

2 CMS · 67/100Fair

Procedure Prices at Carson Tahoe Regional Medical Center

High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 113 published procedures.

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Audit a Bill & 501(r) Cap ↓

Procedure & Billing Code	Self-Pay Cash	This Hospital	Fair BaseRate	vs. Fair
Spinal fusion, single level (inpatient stay) MS-DRG Code: `451`	—	$59,346	$30,775	1.9×
Sepsis treatment (inpatient stay) MS-DRG Code: `871`	—	$35,686	$19,087	1.9×
Hip or knee replacement (inpatient stay) MS-DRG Code: `470`	—	$35,436	$19,432	1.8×
Heart stent placement (inpatient stay) MS-DRG Code: `322`	—	$32,388	$17,936	1.8×
Total hip replacement CPT Code: `27130`	$20,024	$28,864	$13,413	2.2×
Digestive disorders treatment (inpatient stay) MS-DRG Code: `392`	—	$14,322	$8,223	1.7×
Total knee replacement CPT Code: `27447`	$14,030	$14,030	$13,523	1.0×
Gallbladder removal (laparoscopic) CPT Code: `47562`	$8,641	$8,641	$6,109	1.4×
Inguinal hernia repair CPT Code: `49505`	$9,578	$8,363	$3,629	unverified
Knee arthroscopy with meniscus repair CPT Code: `29881`	$5,148	$5,148	$3,372	unverified
Bunion correction surgery CPT Code: `28296`	$4,502	$4,502	$3,446	unverified
Colonoscopy (diagnostic) CPT Code: `45378`	$1,835	$2,172	$981	2.2×
Upper endoscopy with biopsy CPT Code: `43239`	$2,947	$2,119	$987	2.1×
Breast lump removal CPT Code: `19120`	$2,136	$2,136	$3,875	unverified
Colonoscopy with biopsy CPT Code: `45380`	$1,704	$1,704	$1,256	1.4×
Injection procedure for pain management HCPCS Code: `G0260`	$2,078	$1,649	$855	1.9×
Echocardiogram (heart ultrasound) CPT Code: `93306`	$2,100	$1,181	$583	2.0×
Blood transfusion CPT Code: `36430`	$1,295	$1,030	$498	2.1×
CT scan, abdomen and pelvis (with contrast) CPT Code: `74177`	$2,058	$815	$448	1.8×
MRI, brain (with and without contrast) CPT Code: `70553`	$2,158	$815	$511	1.6×
MRI, knee or other leg joint CPT Code: `73721`	$1,232	$660	$369	1.8×
Ultrasound, leg veins (duplex) CPT Code: `93970`	$778	$537	$272	2.0×
CT scan, abdomen and pelvis (no contrast) CPT Code: `74176`	$1,337	$557	$303	1.8×
MRI, brain (no contrast) CPT Code: `70551`	$1,344	$557	$343	1.6×
Breathing treatment (nebulizer) CPT Code: `94640`	$563	$492	$201	2.4×
Psychotherapy session (45 minutes) CPT Code: `90834`	$373	$399	$166	2.4×
Family therapy session CPT Code: `90847`	$384	$399	$173	2.3×
Psychotherapy session (60 minutes) CPT Code: `90837`	$459	$399	$181	2.2×
Psychiatric evaluation (first visit) CPT Code: `90791`	$562	$399	$185	2.2×
CT scan, head (with contrast) CPT Code: `70460`	$931	$410	$242	1.7×
CT scan, head (with and without contrast) CPT Code: `70470`	$1,232	$410	$258	1.6×
MRI, lower back (no contrast) CPT Code: `72148`	$1,367	$321	$338	0.9×
Care planning with family CPT Code: `90887`	$287	$300	$107	unverified
X-ray, pelvis CPT Code: `72170`	$225	$235	$110	2.1×
X-ray, lower back CPT Code: `72110`	$434	$226	$112	2.0×
Ultrasound, abdomen (limited) CPT Code: `76705`	$446	$244	$126	1.9×
Ultrasound, pelvis CPT Code: `76856`	$364	$244	$130	1.9×
Ultrasound, thyroid and neck CPT Code: `76536`	$381	$244	$132	1.8×
Ultrasound, abdomen (complete) CPT Code: `76700`	$405	$244	$134	1.8×
CT scan, head (no contrast) CPT Code: `70450`	$624	$244	$160	1.5×
CT scan, pelvis CPT Code: `72192`	$612	$244	$163	1.5×
CT scan, sinuses CPT Code: `70486`	$690	$244	$166	1.5×
CT scan, chest (no contrast) CPT Code: `71250`	$665	$244	$167	1.5×
CT scan, lower back (lumbar spine) CPT Code: `72131`	$668	$244	$168	1.5×
CT scan, neck (cervical spine) CPT Code: `72125`	$668	$244	$169	1.4×
Group therapy session CPT Code: `90853`	$301	$237	$100	unverified
X-ray, chest (two views) CPT Code: `71046`	$368	$196	$93	2.1×
X-ray, hip CPT Code: `73502`	$278	$196	$93	2.1×
X-ray, ankle CPT Code: `73610`	$359	$196	$93	2.1×
X-ray, foot CPT Code: `73630`	$239	$188	$92	2.0×
X-ray, neck (cervical spine) CPT Code: `72040`	$264	$188	$93	2.0×
X-ray, hand CPT Code: `73130`	$265	$188	$93	2.0×
Office visit, established patient (30-39 min) CPT Code: `99214`	$272	$178	$123	1.4×
X-ray, chest (single view) CPT Code: `71045`	$456	$196	$92	unverified
X-ray, shoulder CPT Code: `73030`	$353	$196	$92	unverified
Electrocardiogram (EKG, tracing only) CPT Code: `93005`	$278	$127	$64	2.0×
Speech therapy (language evaluation) CPT Code: `92507`	$225	$152	$86	1.8×
New patient office visit (30-44 min) CPT Code: `99203`	$221	$152	$110	1.4×
Mental health services (assessment) HCPCS Code: `H0031`	$537	$150	$140	1.1×
Review of medical records for care CPT Code: `90889`	$172	$172	$114	unverified
Office visit, established patient (20-29 min) CPT Code: `99213`	$174	$131	$87	1.5×
Orthotic fitting and training CPT Code: `97760`	$189	$92	$51	1.8×
Prosthetic fitting and training CPT Code: `97761`	$102	$81	$45	1.8×
Behavioral health day program HCPCS Code: `H2012`	$95	$95	$100	0.9×
Diagnostic mammogram (both breasts) CPT Code: `77066`	$372	$99	$148	0.7×
Hospital observation (per hour) HCPCS Code: `G0378`	—	—	$86	unverified
Drug screening test HCPCS Code: `G0480`	$602	$602	$116	5.2×
Typhoid vaccine HCPCS Code: `90675`	$1,950	$592	$347	1.7×
Blood antibody screen CPT Code: `86850`	$405	$122	$46	unverified
Pneumonia vaccine injection HCPCS Code: `G0009`	$122	$109	$49	unverified
Prostate cancer screening (blood test) HCPCS Code: `G0103`	$75	$75	$20	3.8×
Blood test, average blood sugar (A1c) CPT Code: `83036`	$44	$44	$10	4.4×
Blood test, vitamin D CPT Code: `82306`	$120	$59	$31	1.9×
Physical therapy (functional capacity test) CPT Code: `97750`	$109	$67	$38	1.8×
Physical therapy (gait training) CPT Code: `97116`	$88	$58	$33	1.8×
Occupational therapy (therapeutic activities) CPT Code: `97530`	$100	$70	$40	1.8×
Physical therapy (neuromuscular re-education) CPT Code: `97112`	$154	$65	$38	1.7×
Occupational therapy (self-care training) CPT Code: `97535`	$203	$65	$38	1.7×
Physical therapy (therapeutic exercise) CPT Code: `97110`	$155	$58	$35	1.7×
Physical therapy (manual therapy) CPT Code: `97140`	$114	$55	$34	1.6×
Diagnostic procedure preparation HCPCS Code: `G0279`	$54	$55	$35	1.6×
Tdap vaccine (tetanus, diphtheria, pertussis) HCPCS Code: `90715`	$397	$64	$56	1.1×
Screening mammogram (both breasts) CPT Code: `77067`	$377	$72	$123	0.6×
Flu vaccine injection HCPCS Code: `G0008`	$50	$50	$48	unverified
Urinalysis (automated, with microscopy) CPT Code: `81001`	$16	$6	$3	2.0×
Blood test, calcium CPT Code: `82310`	$38	$10	$5	2.0×
Blood test, creatinine (kidney) CPT Code: `82565`	$37	$10	$5	2.0×
Blood test, glucose (blood sugar) CPT Code: `82947`	$45	$8	$4	2.0×
Blood test, lipase CPT Code: `83690`	$83	$14	$7	2.0×
Blood test, PSA (prostate screen) CPT Code: `84153`	$80	$38	$19	2.0×
Blood test, cholesterol (lipid panel) CPT Code: `80061`	$57	$27	$14	1.9×
Blood test, ferritin (iron stores) CPT Code: `82728`	$102	$27	$14	1.9×
Psychological testing evaluation CPT Code: `96136`	$51	$51	$128	unverified
Blood test, potassium CPT Code: `84132`	$37	$10	$5	2.0×
Blood test, sodium CPT Code: `84295`	$33	$10	$5	2.0×
Blood test, complete blood count (CBC) CPT Code: `85025`	$63	$16	$8	2.0×
Blood test, clotting time (PTT) CPT Code: `85730`	$68	$12	$6	2.0×
Hepatitis C antibody test CPT Code: `86803`	$101	$29	$15	1.9×
Blood test, comprehensive metabolic panel CPT Code: `80053`	$49	$21	$11	1.9×
Culture, blood CPT Code: `87040`	$112	$21	$11	1.9×
Blood test, thyroid (TSH) CPT Code: `84443`	$118	$34	$18	1.9×
Culture, bacterial CPT Code: `87070`	$63	$17	$9	1.9×
Blood test, vitamin B12 CPT Code: `82607`	$112	$30	$16	1.9×
Blood test, amylase CPT Code: `82150`	$51	$13	$7	1.9×
Blood test, magnesium CPT Code: `83735`	$47	$13	$7	1.9×
Blood test, clotting time (PT/INR) CPT Code: `85610`	$23	$9	$5	1.8×
Electrical stimulation therapy HCPCS Code: `G0283`	$65	$25	$14	1.8×
Blood test, liver function panel CPT Code: `80076`	$59	$16	$9	1.8×
Blood test, hemoglobin CPT Code: `85018`	$20	$5	$3	1.7×
Community mental health services HCPCS Code: `H0038`	$23	$23	$16	1.4×
Electrocardiogram (ECG/EKG) CPT Code: `93000`	$11	$15	$25	0.6×
Blood test, basic metabolic panel CPT Code: `80048`	$72	$17	$9	unverified
Blood test, urea nitrogen (BUN, kidney) CPT Code: `84520`	$30	$8	$4	unverified

Showing top 25 high-impact procedures of 113 total

Inline Bill X-Ray & 501(r) Calculator 501(c)(3) Nonprofit · Free Care ≤200% FPL · AGB Cap 28.2%

Audit a Bill or Quote at Carson Tahoe Regional Medical Center (Zero PHI Required)

CMS CCN: 290019

CPT 451

Select Procedure to Audit:

Fair BaseRate™ $30,775

Medicare Rate $23,504

Self-Pay Cash Request Quote

Insurer Median $59,346

1. Amount on Your Bill or Quote ($) Pre-filled with Carson Tahoe Regional Medical Center’s charged/list benchmark

2. Household Annual Income ($) Screened against 2026 HHS Federal Poverty Guidelines

3. Household Size (1–8) 2026 FPL: $15,650 + $5,500 per additional person

Step 1 · 501(r) Charity Care Check 501(r) AGB Cap: $40,123 (274% FPL)

Statutory 501(r) AGB Cap Limits Bill to $40,123

At 274% FPL (201%–400% FPL tier), 26 U.S.C. § 501(r)(5) caps FAP-eligible bills at Amounts Generally Billed (28.2% of gross = $40,123).

Step 2 · Cash vs. Insurance Arbitrage Request Prompt-Pay Quote

Compare Prompt-Pay Cash Rate Against Remaining Deductible

Ask Carson Tahoe Regional Medical Center's billing desk for their written 45 CFR § 180 discounted self-pay cash price and Good Faith Estimate under the No Surprises Act.

Step 3 · Fair BaseRate Target +$111,655 Above Fair BaseRate

Negotiate Toward $30,775 Fair BaseRate ($23,504 Medicare)

Your bill ($142,430) is $111,655 above the denoised Fair BaseRate ($30,775) and 6.1× the $23,504 Medicare rate.

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)

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 (28.2% 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

CMS Overall3/5 Stars (3/5)

Safety Composite67/100

Would Recommend73%

Rated 9 or 10 (HCAHPS)72%

Median ER Wait162 min

Left ER Before Seen1%

30-Day Mortality vs U.S.same

Unplanned Readmissionsame

Hip/Knee Complication Rate3.1%

Healthcare-Associated Infections (CDC NHSN / CMS HAI)

1.00 SIR = National Predicted Baseline (Lower Is Safer)

Central-Line Bloodstream Infectionsame

C. diff Hospital-Onset Infectionbetter

CMS Price Transparency Administrative Enforcement Log

Factual public administrative actions published by the Centers for Medicare & Medicaid Services regarding 45 CFR § 180 compliance at Carson Tahoe Regional Medical Center. Prior administrative notices do not necessarily reflect current compliance status.

2026-04-10·warning_notice
Warning Notice
Recorded
2025-04-03·administrative_or_closure
Closure Notice
Recorded
2025-02-26·cap_corrective_action
CAP Request
Recorded
2024-11-19·warning_notice
Warning Notice
Recorded
2022-02-14·administrative_or_closure
Closure Notice
Recorded
2021-08-25·warning_notice
Warning Notice
Recorded

Source: CMS Hospital Care Compare (1,290 completed HCAHPS patient surveys). 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 Pareto Frontier (Price + Quality)

2D regional comparison of commercial negotiated price index against CMS clinical quality composite for Carson Tahoe Regional Medical Center.

Price Index: 1.00× regional baseline

Quality: 62/100 CMS composite

Median Household Income$71,809U.S. Census ACS

Local Uninsured Share10.8%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 76/100 · Corroborated CMS CCN 290019

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

Download Official Hospital MRF ↗ Verify on CMS Medicare.gov (CCN 290019) ↗ CMS HCRIS Cost Reports ↗

Published MRF Filemrf

Publication / Vintage3/25/2026 · 57.67 MB

Validated Rate Rows886 (CMS v3.0.0)

File Integrity DigestVerified · CCN 290019

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