Hospital · CCN 290061

Northern Nevada Sierra Medical Center

6500 Longley Lane, Reno, NV 89511 · Washoe County
Part of Universal Health Services · 170 beds · 5
Metropolitan area core: primary flow within an urbanized area of 50,000 and greater

7 admission types 47 outpatient services

Billed per dollar paid, all admissions

7.64×

$31.9M billed against $4.2M paid across 172 Medicare discharges; the national figure is 5.03×.

6.5%

of adults in Washoe County have medical debt in collections

12.9%

uninsured in the county · state 13.2%

$84K

median household income

3.9×

billed ÷ paid, inpatient, summed over the county's hospitals in the Medicare file (4 in the inpatient or outpatient file)ⓘ

28.5%

obesity in the countyⓘ

10.0%

diagnosed diabetes (PLACES)

6.1%

coronary heart disease (PLACES)

—

median age · — below poverty (ACS)

01 · Admissions

What it billed Medicare, by admission type

Average charge submitted and average total payment per discharge, 2024. Rows under 11 discharges are suppressed by CMS. The last column is the hospital's ratio against its state's for the same admission.

DRG

Admission

Discharges

Charge

Paid

Billed ÷ paid

266

Endovascular cardiac valve replacement and supplement procedures with mcc

$358,857

$47,800

7.5× st 7.2×

274

Percutaneous and other intracardiac procedures without mcc

$194,148

$24,863

7.8× st 7.6×

291

Heart failure and shock with mcc

$120,893

$14,938

8.1× st 8.3×

871

Septicemia or severe sepsis without mv >96 hours with mcc

$131,409

$19,284

6.8× st 10.1×

177

Respiratory infections and inflammations with mcc

$122,846

$15,995

7.7× st 8.4×

193

Simple pneumonia and pleurisy with mcc

$106,245

$12,987

8.2× st 8.7×

640

Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes with mcc

$119,409

$12,611

9.5× st 8.5×

02 · Outpatient

Outpatient services

Comprehensive APCs, Medicare's outpatient payment groups: submitted charge against what Medicare allowed, per service.

APC

Service

Services

Charge

Allowed

Billed ÷ allowed

8011

Comprehensive Observation Services

$39,725

$2,898

13.7×

5115

Level 5 Musculoskeletal Procedures

$144,653

$13,699

10.6×

5191

Level 1 Endovascular Procedures

$50,136

$3,454

14.5×

5302

Level 2 Upper GI Procedures

$29,215

$1,981

14.8×

5213

Level 3 Electrophysiologic Procedures

$203,510

$25,366

8.0×

5114

Level 4 Musculoskeletal Procedures

$84,654

$7,504

11.3×

5361

Level 1 Laparoscopy and Related Services

$88,287

$6,180

14.3×

5375

Level 5 Urology and Related Services

$53,737

$5,542

9.7×

5193

Level 3 Endovascular Procedures

$119,880

$11,767

10.2×

5223

Level 3 Pacemaker and Similar Procedures

$116,325

$11,422

10.2×

5224

Level 4 Pacemaker and Similar Procedures

$158,358

$20,816

7.6×

5072

Level 2 Excision/ Biopsy/ Incision and Drainage

$15,917

$1,736

9.2×

5362

Level 2 Laparoscopy and Related Services

$123,950

$11,012

11.3×

5374

Level 4 Urology and Related Services

$45,292

$3,734

12.1×

5222

Level 2 Pacemaker and Similar Procedures

$60,849

$8,479

7.2×

5194

Level 4 Endovascular Procedures

$143,229

$17,175

8.3×

5341

Level 1 Abdominal/Peritoneal/Biliary and Related Procedures

$90,616

$3,705

24.5×

5112

Level 2 Musculoskeletal Procedures

$28,523

$1,721

16.6×

5113

Level 3 Musculoskeletal Procedures

$58,513

$3,264

17.9×

5464

Level 4 Neurostimulator and Related Procedures

—

5092

Level 2 Breast/Lymphatic Surgery and Related Procedures

—

5373

Level 3 Urology and Related Services

—

5091

Level 1 Breast/Lymphatic Surgery and Related Procedures

—

5073

Level 3 Excision/ Biopsy/ Incision and Drainage

—

5376

Level 6 Urology and Related Services

—

5378

Level 8 Urology and Related Services

—

5503

Level 3 Extraocular, Repair, and Plastic Eye Procedures

—

5415

Level 5 Gynecologic Procedures

—

5465

Level 5 Neurostimulator and Related Procedures

—

5461

Level 1 Neurostimulator and Related Procedures

—

5414

Level 4 Gynecologic Procedures

—

5192

Level 2 Endovascular Procedures

—

5331

Complex GI Procedures

—

5183

Level 3 Vascular Procedures

—

5182

Level 2 Vascular Procedures

—

5200

Implantation Wireless PA Pressure Monitor

—

5212

Level 2 Electrophysiologic Procedures

—

5165

Level 5 ENT Procedures

—

5155

Level 5 Airway Endoscopy

—

5154

Level 4 Airway Endoscopy

—

5153

Level 3 Airway Endoscopy

—

5231

Level 1 ICD and Similar Procedures

—

5232

Level 2 ICD and Similar Procedures

—

5116

Level 6 Musculoskeletal Procedures

—

5303

Level 3 Upper GI Procedures

—

5313

Level 3 Lower GI Procedures

—

5431

Level 1 Nerve Procedures

—

Sources for this hospital

the files read, as fetched — not our copy of them

Medicare Inpatient Hospitals - by Provider and Service · CMS · 2024
MUP_INP_RY26_P03_V10_DY24_PrvSvc.CSV · 38.0M bytes · fetched 2026-08-21 · sha256 2ab6da15be4c… · publisher's page · public domain (US federal)
Medicare Outpatient Hospitals - by Provider and Service · CMS · 2024
MUP_OUT_RY26_P04_V10_DY24_Prov_Svc.csv · 28.1M bytes · fetched 2026-08-21 · sha256 f293918edbf6… · publisher's page · public domain (US federal)
AHRQ Compendium of U.S. Health Systems — hospital linkage file · AHRQ · 2023
chsp-hospital-linkage-2023.csv · 1.5M bytes · fetched 2026-08-21 · sha256 a86146f10c8d… · publisher's page · public; cite AHRQ Compendium of U.S. Health Systems
2020 ZCTA to County relationship file · US Census Bureau · 2020
tab20_zcta520_county20_natl.txt · 6.8M bytes · fetched 2026-08-21 · sha256 3ed41278d637… · publisher's page · public domain (US federal)

Every figure on this page is computed from these files by pipeline/prices/; the same rows are in the API.

Source rows for this hospital as JSON: inpatient · outpatient. CMS, Medicare Inpatient and Outpatient Hospitals by Provider and Service, 2024.