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Nevada: one knee, three prices

What Medicare pays Nevada hospitals and surgery centers for knee, hip and shoulder replacement, what hospitals list, and which cost the most and the least.

Surgery center
$9,670
Median Medicare knee rate, 35 orthopedic surgery centers
Hospital, same day
$13,741
Median outpatient allowed
Hospital, overnight
$18,276
Median inpatient paid, 9 hospitals

Nevada has a certificate-of-need program that does not cover surgery centers.

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Lowest Medicare payment

HospitalCityInpatient paidList priceOutpatient
Saint Rose Dominican Hospitals - Siena CampusHenderson$16,278$144,222$13,872
Renown South Meadows Medical CenterReno$16,948$68,782$13,981
Henderson HospitalHenderson$17,683$174,557$13,511
Northern Nevada Medical CenterSparks$17,737$185,562$15,862
Spring Valley Hospital Medical CenterLas Vegas$18,276$240,018$13,614
Centennial Hills Hospital Medical CenterLas Vegas$18,868$236,312$13,422
Southern Hills Hospital and Medical CenterLas Vegas$19,302$188,963$13,844
Sunrise Hospital and Medical CenterLas Vegas$19,946$232,799$13,416
Mountainview HospitalLas Vegas$21,885$184,305$12,456

Highest Medicare payment

HospitalCityInpatient paidList priceOutpatient
Mountainview HospitalLas Vegas$21,885$184,305$12,456
Sunrise Hospital and Medical CenterLas Vegas$19,946$232,799$13,416
Southern Hills Hospital and Medical CenterLas Vegas$19,302$188,963$13,844
Centennial Hills Hospital Medical CenterLas Vegas$18,868$236,312$13,422
Spring Valley Hospital Medical CenterLas Vegas$18,276$240,018$13,614
Northern Nevada Medical CenterSparks$17,737$185,562$15,862
Henderson HospitalHenderson$17,683$174,557$13,511
Renown South Meadows Medical CenterReno$16,948$68,782$13,981
Saint Rose Dominican Hospitals - Siena CampusHenderson$16,278$144,222$13,872

Every Nevada hospital (17)

Orthopedic surgery centers (35)

Questions

How much does Medicare pay for a knee replacement in Nevada?

In 2024 Medicare paid Nevada hospitals a median $18,276 per inpatient hip or knee replacement stay (MS-DRG 470, 9 hospitals) and a median $13,741 per outpatient case. An orthopedic surgery center is paid about $9,670 for a knee.

Which Nevada hospitals does Medicare pay least for a joint replacement?

Saint Rose Dominican Hospitals - Siena Campus ($16,278), Renown South Meadows Medical Center ($16,948), Henderson Hospital ($17,683).

What do Nevada hospitals list for a joint replacement?

The median list (chargemaster) price is $185,562, about 10.2× what Medicare pays.

Does Nevada have a certificate-of-need law?

Nevada has a certificate-of-need program that does not cover surgery centers. CON applies only to new health facility construction over $2 million, including ASCs, in counties under 100,000 people or small towns; Clark and Washoe counties are exempt.