Medicine & Surgery ยท Inpatient
Spinal fusion except cervical without MCC
MS-DRG 460
$26,117 - $63,615
from 3 insurers ยท median $52,871
29 Medicare discharges for this DRG in CMS hospital data
Universal Health Services ยท Las Vegas, NV
36
In-network payers
327
Disclosed rate categories
306
Beds
1
Care quality
Valley Hospital Medical Center is a 306-bed proprietary hospital in Las Vegas, NV, affiliated with Universal Health Services. Below you'll find publicly disclosed negotiated rates and facility details, including 36 in-network payers and 327 disclosed rate categories.
CCN (Medicare provider number)
290021
NPI
1417947490
Type
Short Term Acute Care Hospital
Ownership
Proprietary
Beds
306
Care Quality
1
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 Valley Hospital 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.
Medicine & Surgery ยท Inpatient
MS-DRG 460
$26,117 - $63,615
from 3 insurers ยท median $52,871
29 Medicare discharges for this DRG in CMS hospital data
Gynecology
CPT 58558
$2,082 - $6,990
from 4 insurers ยท median $3,680
16 Medicare claims in Level 4 Gynecologic Procedures (CMS 2024)
Medicine & Surgery ยท Inpatient
MS-DRG 216
$82,944 - $150,525
from 3 insurers ยท median $144,359
Hospital reports cardiac thoracic surgery services to CMS
Digestive procedures
CPT 43239
$1,124 - $3,391
from 3 insurers ยท median $2,818
Common here, based on CMS Medicare volume
Medicine & Surgery
CPT 47562
$4,206 - $15,819
from 4 insurers ยท median $8,051
60 Medicare claims in Level 1 Laparoscopy and Related Services (CMS 2024)
Medicine & Surgery ยท Inpatient
MS-DRG 470
$20,828 - $38,687
from 4 insurers ยท median $31,019
13 Medicare discharges for this DRG in CMS hospital data
Digestive procedures
CPT 45380
$1,092 - $3,921
from 3 insurers ยท median $2,818
Common here, based on CMS Medicare volume
CT imaging
CPT 74177
$321 - $826
from 2 insurers ยท median $573
Common here, based on CMS Medicare volume
Digestive procedures
CPT 45378
$1,112 - $3,391
from 3 insurers ยท median $2,818
Common here, based on CMS Medicare volume
Digestive procedures
CPT 45385
$1,158 - $3,568
from 3 insurers ยท median $2,818
Common here, based on CMS Medicare volume
CT imaging
CPT 70450
$87 - $682
from 2 insurers ยท median $385
Common here, based on CMS Medicare volume
Gynecology
CPT 58571
$4,982 - $16,729
from 4 insurers ยท median $7,013
21 Medicare claims in Level 2 Laparoscopy and Related Services (CMS 2024)
CT imaging
CPT 71275
$346 - $739
from 2 insurers ยท median $543
Common here, based on CMS Medicare volume
Medicine & Surgery ยท Inpatient
MS-DRG 473
$20,516 - $67,978
from 4 insurers ยท median $34,920
Hospital reports neurosurgical services to CMS
CT imaging
CPT 74176
$238 - $540
from 2 insurers ยท median $389
Common here, based on CMS Medicare volume
Mammography
CPT 77067
$135 - $351
from 3 insurers ยท median $145
Common here, based on CMS Medicare volume
MRI imaging
CPT 70553
$518 - $1,002
from 2 insurers ยท median $760
Common here, based on CMS Medicare volume
Nuclear imaging
CPT 78452
$564 - $1,447
from 2 insurers ยท median $1,005
Common here, based on CMS Medicare volume
X-ray and bone density
CPT 71046
$35 - $159
from 3 insurers ยท median $97
Common here, based on CMS Medicare volume
Cardiology and vascular testing
CPT 93306
$574
negotiated rate
Common here, based on CMS Medicare volume
Cardiology and vascular testing
CPT 93970
$458 - $514
from 2 insurers ยท median $486
Common here, based on CMS Medicare volume
Orthopedics and pain
CPT 20610
$803 - $3,213
from 3 insurers ยท median $1,898
Common here, based on CMS Medicare volume
Gynecology
CPT 57288
$2,340 - $9,245
from 4 insurers ยท median $3,855
16 Medicare claims in Level 5 Gynecologic Procedures (CMS 2024)
Ear, nose and throat
CPT 69436
$1,282 - $4,217
from 3 insurers ยท median $2,818
Typical for a hospital with this service line
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* | 12 | 221% | 9 | 3 |
| Insurer B* | 22 | 160% | 10 | 10 |
| Insurer C* | 11 | 154% | 2 | 8 |
| Insurer D* | 24 | 113% | 16 | 8 |
How we chose these services: 6 appear in this hospital's own Medicare claims, 15 are common here based on CMS Medicare volume, and 3 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 Valley Hospital Medical Center.
620 Shadow Lane, Las Vegas, NV 89106
(702) 388-4000
About Valley Hospital Medical Center's rates and hospital price transparency.
For MRI brain before and after contrast (CPT 70553), published negotiated rates at Valley Hospital Medical Center range from $518 to $1,002 across 2 insurers. Blue Cross Blue Shield's rate is $518. The median at nearby comparable hospitals is $726. 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 Valley Hospital Medical Center range from $321 to $826 across 2 insurers. Aetna's rate is $826. The median at nearby comparable hospitals is $424. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Colonoscopy with biopsy (CPT 45380), published negotiated rates at Valley Hospital Medical Center range from $1,092 to $3,921 across 3 insurers. Blue Cross Blue Shield's rate is $3,921. The median at nearby comparable hospitals is $2,108. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Screening mammography, bilateral (CPT 77067), published negotiated rates at Valley Hospital Medical Center range from $135 to $351 across 3 insurers. Blue Cross Blue Shield's rate is $135. The median at nearby comparable hospitals is $149. 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 Valley Hospital Medical Center range from $20,828 to $38,687 across 4 insurers. Aetna's rate is $38,687. The median at nearby comparable hospitals is $29,599. What a patient pays depends on their plan's deductible, coinsurance and network status.
Valley Hospital Medical Center has 306 beds. Facility type: Short Term Acute Care Hospital.
Valley Hospital Medical Center is located at 620 Shadow Lane, Las Vegas, NV 89106. Its main phone number is (702) 388-4000.
Valley Hospital Medical Center's CMS Certification Number (CCN), also called its Medicare provider number, is 290021.
The National Provider Identifier (NPI) on file for Valley Hospital Medical Center is 1417947490.
Valley Hospital Medical Center is affiliated with Universal Health Services.
Valley Hospital Medical Center lists 36 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.
327 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