Sparks, NV 89434 · CMS Certification Number 290032. What Medicare pays this hospital for knee, hip and shoulder replacement, what it lists, how it compares, and what a surgery center nearby is paid.
| Operation | Inpatient paid | List price | List ÷ paid | Outpatient allowed |
|---|---|---|---|---|
| Hip or knee replacement | $17,737 | $185,562 | 10.5× | $15,862 |
| Shoulder replacement | — | — | — | $22,567 |
| Hip replacement after a fracture (DRG 522) | $19,377 | $206,914 | 10.7× | — |
Complications after hip or knee replacement: 3.7% (no different from the national rate). Readmissions: 5.3%. Overall Care Compare rating: 3 of 5 stars. Nonprofit · Acute · 108 beds
Nevada has a certificate-of-need program that does not cover surgery centers.
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In 2024 Medicare paid Northern Nevada Medical Center an average of $17,737 per inpatient hip or knee replacement stay (MS-DRG 470, 17 stays) and $15,862 per outpatient case (APC 5115, 168 cases).
The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $185,562, 10.5× what Medicare paid. Almost nobody pays the list price; it matters for uninsured bills and percent-of-charge contracts.
Yes for Medicare facility payments. Quail Surgical and Pain Management Center, an orthopedic surgery center 15.4 mi away, is paid about $8,761 by Medicare for a knee replacement (CPT 27447), $8,976 less than an inpatient stay at Northern Nevada Medical Center. Not every patient is a surgery-center candidate.
Medicare paid Northern Nevada Medical Center less than 56% of the 9 Nevada hospitals that report inpatient hip or knee replacement.