Prime Healthcare Services · Reno, NV
37
In-network payers
231
Disclosed rate categories
380
Beds
4
Care quality
St Marys Regional Medical Center is a 380-bed proprietary hospital in Reno, NV, affiliated with Prime Healthcare Services. Below you'll find publicly disclosed negotiated rates and facility details, including 37 in-network payers and 231 disclosed rate categories.
CCN (Medicare provider number)
290009
NPI
1801152566
Type
Short Term Acute Care Hospital
Ownership
Proprietary
Beds
380
Care Quality
4
Insurance acceptance may vary by specific plan, network status, and services required. Contact your insurance provider or the hospital's billing department to confirm coverage details.
The 24 services St Marys Regional Medical Center most likely performs, ranked by likely volume and what it is paid. Each service names one insurer. * marks hidden insurer names; A, B and C rank the remaining rates from low to high and reset for each service.
Book a demo to see hidden insurer names, more payer rates, and hospital data.
Childbirth · Inpatient
MS-DRG 807
$6,230 - $6,499
from 2 insurers · median $6,365
CMS lists this service as CPT 59400, the obstetrician's global fee. The hospital bills the delivery stay as MS-DRG 807, so these are facility case rates.
Hospital reports neonatal nursery services to CMS
Childbirth · Inpatient
MS-DRG 788
$9,345 - $13,281
from 2 insurers · median $11,313
CMS lists this service as CPT 59510, the obstetrician's global fee. The hospital bills the delivery stay as MS-DRG 788, so these are facility case rates.
Hospital reports neonatal nursery services to CMS
CT imaging
CPT 74177
$676 - $1,694
from 4 insurers · median $1,174
Common here, based on CMS Medicare volume
CT imaging
CPT 70450
$219 - $1,694
from 4 insurers · median $883
Common here, based on CMS Medicare volume
Medicine & Surgery · Inpatient
MS-DRG 460
$15,017 - $51,628
from 2 insurers · median $33,322
15 Medicare discharges for this DRG in CMS hospital data
Childbirth · Inpatient
MS-DRG 807
$6,230 - $6,499
from 2 insurers · median $6,365
CMS lists this service as CPT 59610, the obstetrician's global fee. The hospital bills the delivery stay as MS-DRG 807, so these are facility case rates.
Hospital reports neonatal nursery services to CMS
Gynecology
CPT 58571
$3,982 - $16,053
from 4 insurers · median $8,665
41 Medicare claims in Level 2 Laparoscopy and Related Services (CMS 2024)
Medicine & Surgery · Inpatient
MS-DRG 216
$68,702 - $128,781
from 2 insurers · median $98,741
Hospital reports cardiac thoracic surgery services to CMS
Digestive procedures
CPT 43239
$1,708 - $3,459
from 4 insurers · median $2,296
Common here, based on CMS Medicare volume
Digestive procedures
CPT 45380
$2,012 - $4,000
from 4 insurers · median $2,611
Common here, based on CMS Medicare volume
Medicine & Surgery · Inpatient
MS-DRG 473
$10,255 - $34,754
from 2 insurers · median $22,504
15 Medicare discharges for this DRG in CMS hospital data
CT imaging
CPT 71275
$368 - $2,415
from 4 insurers · median $1,166
Common here, based on CMS Medicare volume
Medicine & Surgery · Inpatient
MS-DRG 470
$10,255 - $25,801
from 2 insurers · median $18,028
16 Medicare discharges for this DRG in CMS hospital data
Digestive procedures
CPT 45385
$2,012 - $3,459
from 4 insurers · median $2,611
Common here, based on CMS Medicare volume
Digestive procedures
CPT 45378
$1,732 - $3,361
from 4 insurers · median $2,263
Common here, based on CMS Medicare volume
CT imaging
CPT 74176
$483 - $1,694
from 4 insurers · median $890
Common here, based on CMS Medicare volume
Medicine & Surgery
CPT 47562
$3,968 - $7,205
from 4 insurers · median $5,527
46 Medicare claims in Level 1 Laparoscopy and Related Services (CMS 2024)
Cardiology and vascular testing
CPT 93306
$540 - $1,146
from 4 insurers · median $696
Common here, based on CMS Medicare volume
Nuclear imaging
CPT 78452
$872 - $4,082
from 4 insurers · median $2,607
Common here, based on CMS Medicare volume
MRI imaging
CPT 70553
$732 - $2,619
from 4 insurers · median $1,674
Common here, based on CMS Medicare volume
Nuclear imaging
CPT 78815
$2,999 - $7,816
from 4 insurers · median $6,037
Common here, based on CMS Medicare volume
MRI imaging
CPT 70551
$500 - $1,961
from 4 insurers · median $1,339
Common here, based on CMS Medicare volume
MRI imaging
CPT 72148
$500 - $2,585
from 4 insurers · median $1,541
Common here, based on CMS Medicare volume
X-ray and bone density
CPT 71046
$64 - $229
from 4 insurers · median $205
Common here, based on CMS Medicare volume
Median rate as a percent of Medicare across the outpatient services above, and how many services sit above or below the same insurer's median at nearby hospitals. * marks hidden insurer names. These table labels track the same insurers across services; the labels on each service card reset.
| Insurer | Services | Median % of Medicare | Above nearby | Below nearby |
|---|---|---|---|---|
| Insurer A* | 17 | 309% | 0 | 6 |
| Insurer B* | 17 | 298% | 9 | 6 |
| Insurer C* | 24 | 256% | 5 | 14 |
| Insurer D* | 24 | 205% | 2 | 16 |
How we chose these services: 5 appear in this hospital's own Medicare claims, 15 are common here based on CMS Medicare volume, and 4 are typical for the service lines it reports to CMS. Rates come from insurer and hospital price transparency files as of October 2026. Rates under a quarter of Medicare or over 20 times Medicare are left out as likely physician-fee rows or file errors. Book a demo to see all 300 CMS shoppable services for St Marys Regional Medical Center.
235 West Sixth Street, Reno, NV 89503
(775) 770-3000
The nearest hospitals of similar type and size. Their rates are compared with St Marys Regional Medical Center for the same insurers and services above.
Carson Tahoe Regional Healthcare
▲ Rates typically 26% higher than St Marys Regional Medical Center (21 services)
Sutter Roseville Medical Center
▲ Rates typically 66% higher than St Marys Regional Medical Center (21 services)
Adventist Health And Rideout
▼ Rates typically 51% lower than St Marys Regional Medical Center (17 services)
Mercy San Juan Medical Center
▲ Rates typically 55% higher than St Marys Regional Medical Center (21 services)
Enloe Medical Center
▲ Rates typically 87% higher than St Marys Regional Medical Center (17 services)
Mercy General Hospital
▲ Rates typically 55% higher than St Marys Regional Medical Center (21 services)
Renown Regional Medical Center
Sparks Family Hospital Inc
Renown South Meadows Medical Center
North Vista Hospital
About St Marys Regional Medical Center's rates and hospital price transparency.
For MRI brain before and after contrast (CPT 70553), published negotiated rates at St Marys Regional Medical Center range from $732 to $2,619 across 4 insurers. Aetna's rate is $1,395. The median at nearby comparable hospitals is $1,599. What a patient pays depends on their plan's deductible, coinsurance and network status.
For CT abdomen and pelvis with contrast (CPT 74177), published negotiated rates at St Marys Regional Medical Center range from $676 to $1,694 across 4 insurers. Aetna's rate is $676. The median at nearby comparable hospitals is $3,262. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Colonoscopy with biopsy (CPT 45380), published negotiated rates at St Marys Regional Medical Center range from $2,012 to $4,000 across 4 insurers. UnitedHealthcare's rate is $2,150. The median at nearby comparable hospitals is $4,096. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Vaginal delivery, hospital stay (MS-DRG 807), published negotiated rates at St Marys Regional Medical Center range from $6,230 to $6,499 across 2 insurers. Blue Cross Blue Shield's rate is $6,230. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Major lower-extremity joint replacement without MCC (MS-DRG 470), published negotiated rates at St Marys Regional Medical Center range from $10,255 to $25,801 across 2 insurers. Blue Cross Blue Shield's rate is $25,801. The median at nearby comparable hospitals is $83,947. What a patient pays depends on their plan's deductible, coinsurance and network status.
St Marys Regional Medical Center has 380 beds. Facility type: Short Term Acute Care Hospital.
St Marys Regional Medical Center is located at 235 West Sixth Street, Reno, NV 89503. Its main phone number is (775) 770-3000.
St Marys Regional Medical Center's CMS Certification Number (CCN), also called its Medicare provider number, is 290009.
The National Provider Identifier (NPI) on file for St Marys Regional Medical Center is 1801152566.
St Marys Regional Medical Center is affiliated with Prime Healthcare Services.
St Marys Regional Medical Center lists 37 in-network payers, including Aetna, Ambetter, Ameri Health, Aspirus Health Plan, and is Medicare-certified. Insurance acceptance may vary by plan, so confirm coverage with your insurer or the hospital's billing department.
231 disclosed rate categories. Each shows the payer, category, code type and group with its code range, and contract type, along with how the rate compares with the state average.
Under 45 CFR Part 180, every US hospital must publish a machine-readable file of its standard charges, including gross charges, discounted cash prices and payer-specific negotiated rates, in the CMS template format. PayerPrice can help hospitals publish and maintain these files.
A chargemaster (charge description master, or CDM) is a hospital's master list of billable items, with codes, descriptions and gross charges. A chargemaster review looks at those lines for accuracy and pricing. PayerPrice can help hospitals review their chargemaster; contact us to discuss your needs.
For hospital finance and compliance teams
The data on this page comes from the files hospitals and payers publish. We help hospitals publish theirs correctly, and take a fresh look at their chargemaster.
We turn your chargemaster and payer contracts into the CMS template file, then keep it current as rates change.
{
"description": "MRI of brain (no contrast)",
"code_information": [
{ "code": "611", "type": "RC" },
{ "code": "70551", "type": "CPT" }
],
"standard_charges": [{
"setting": "outpatient",
"minimum": 250,
"maximum": 400,
"gross_charge": 1200,
"discounted_cash": 1080,
"payers_information": [
{
"payer_name": "Platform Health Insurance",
"plan_name": "PPO",
"methodology": "fee schedule",
"standard_charge_dollar": 400
},
{
"payer_name": "Region Health Insurance",
"plan_name": "HMO",
"methodology": "fee schedule",
"standard_charge_dollar": 250
}
]
}]
}Your chargemaster sets the gross charge on every claim, and many payer contracts base payment on it through percent-of-charge, lesser-of and stop-loss terms. We audit it line by line and show how your charges and negotiated rates compare with peer hospitals before your next negotiation.
What a review covers