Carson Valley Health
1107 Highway 395, Gardnerville, NV 89410 · 132 Priced Procedures · 83% Patient Recommendation
Typical commercial prices here are 19% below the fair benchmark (0.81×) after accounting for local nurse/doctor wages and patient complexity.
5-Star CMS clinical quality rating paired with 0.81× fair market pricing.
Uniform Value Leader · Low-Cost Across Departments
Carson Valley Health maintains low, disciplined commercial pricing across both routine shoppable procedures (0.8× Medicare, p50 0.83× Fair BaseRate) and emergency/ancillary services (1.0× Medicare, p75 0.93× Fair BaseRate). Both insured and self-pay patients benefit from below-benchmark rates across departments.
Where They're Good (Patient & Payer Edge)
- Elective shoppable care is priced 19% below peer Fair BaseRate (0.81×)
- Self-pay cash beats commercial insurance on 82% of shoppable procedures (99/100 Cash Honesty)
- 5-Star CMS clinical rating with 83% patient recommendation (81/100 safety score)
- IRS 501(c)(3) charity care provides free care up to 200% FPL and discounted care up to 400% FPL (44.5% AGB cap)
Where You Can Get Burned (Markup Traps)
- Even at low-cost facilities (0.81× 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.
- Captive ER (1.2×) & laboratory (2.5×) services average 1.25× higher multiples than routine shoppable care (0.8×)
- Specialty infusion drugs (J-codes) average 1.1× Medicare — verify per-unit billing on itemized statements
- Consolidated metro market (HHI 10,000) limits in-network hospital competition (Highly Concentrated Monopoly (>2,500))
Pre-scheduled outpatient procedures where patients can comparison-shop.
Emergency, inpatient DRG, lab, and specialty drug lines billed after admission.
Detects median-gaming when upper-quartile codes spike above the p50 median.
Procedure Prices at Carson Valley Health
High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 132 published procedures.
| Procedure & Billing Code | This Hospital | vs. Fair |
|---|---|---|
| Spinal fusion, single level (inpatient stay) MS-DRG Code: 451 | $39,667 | 1.3× |
| Sepsis treatment (inpatient stay) MS-DRG Code: 871 | $23,853 | 1.2× |
| Hip or knee replacement (inpatient stay) MS-DRG Code: 470 | $23,686 | 1.2× |
| Heart stent placement (inpatient stay) MS-DRG Code: 322 | $21,649 | 1.2× |
| Digestive disorders treatment (inpatient stay) MS-DRG Code: 392 | $9,573 | 1.2× |
| Total knee replacement CPT Code: 27447 | $8,820 | 0.7× |
| Total hip replacement CPT Code: 27130 | $8,400 | 0.6× |
| C-section delivery (full package) CPT Code: 59510 | $2,247 | 0.8× |
| Vaginal delivery (full package) CPT Code: 59400 | $2,032 | 0.8× |
| Cataract surgery with lens implant CPT Code: 66984 | $1,800 | 0.7× |
| Trauma team activation HCPCS Code: G0390 | $1,702 | 1.2× |
| Gallbladder removal (laparoscopic) CPT Code: 47562 | $1,590 | 0.3× |
| Inguinal hernia repair CPT Code: 49505 | $1,155 | 0.3× |
| Blood transfusion CPT Code: 36430 | $1,050 | 2.1× |
| Knee arthroscopy with meniscus repair CPT Code: 29881 | $1,059 | 0.3× |
| Bunion correction surgery CPT Code: 28296 | $1,059 | 0.3× |
| Breast lump removal CPT Code: 19120 | $967 | 0.2× |
| Injection procedure for pain management HCPCS Code: G0260 | $910 | 1.1× |
| Psychological testing by technician CPT Code: 96138 | $548 | 1.4× |
| Behavioral health residential care HCPCS Code: H0011 | $472 | unverified |
| Sleep study (overnight, in lab) CPT Code: 95810 | $446 | 0.4× |
| MRI, brain (with and without contrast) CPT Code: 70553 | $355 | 0.7× |
| Colonoscopy (diagnostic) CPT Code: 45378 | $333 | 0.3× |
| Upper endoscopy with biopsy CPT Code: 43239 | $329 | 0.3× |
| Colonoscopy with biopsy CPT Code: 45380 | $333 | 0.3× |
Audit a Bill or Quote at Carson Valley Health (Zero PHI Required)
Statutory 501(r) AGB Cap Limits Bill to $42,364
At 274% FPL (201%–400% FPL tier), 26 U.S.C. § 501(r)(5) caps FAP-eligible bills at Amounts Generally Billed (44.5% of gross = $42,364).
Compare Prompt-Pay Cash Rate Against Remaining Deductible
Ask Carson Valley Health's billing desk for their written 45 CFR § 180 discounted self-pay cash price and Good Faith Estimate under the No Surprises Act.
Negotiate Toward $30,775 Fair BaseRate ($23,504 Medicare)
Your bill ($95,201) is $64,426 above the denoised Fair BaseRate ($30,775) and 4.1× the $23,504 Medicare rate.
Financial Assistance Policy (FAP) & Amounts Generally Billed (AGB)
Hospital-Specific CMS HCRIS Benchmark (44.5% 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.
Clinical Quality, Patient Experience & Infection Benchmarks
Source: CMS Hospital Care Compare (282 completed HCAHPS patient surveys). Clinical quality metrics summarize historical facility-wide cohorts and are not medical advice for individual care decisions.
How to Pay Less Nearby: Freestanding Centers, Insurer Leverage & Outpatient Savings
2D regional comparison of commercial negotiated price index against CMS clinical quality composite for Carson Valley Health.
Verify the Raw Data: Official Hospital MRF, CMS Medicare.gov & Federal Filings
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.