How much does established patient office visit, low complexity cost in Nevada?
CPT 99213 — the fair price, every hospital's price, and the Medicare benchmark for Nevada.
| Facility | Type | Price | vs Medicare | Quality |
|---|---|---|---|---|
| North Vista Hospital (North Las Vegas) lowest | Hospital | $47negotiated | 0.5× | ★★★★★ |
| Saint Mary's Regional Medical Center (Reno) | Hospital | $47negotiated | 0.5× | ★★★★★ |
| Southern Hills Hospital & Medical Center (Las Vegas) | Hospital | $55negotiated | 0.6× | ★★★★★ hip/knee complications 4.7% |
| Dignity Health St. Rose Dominican - San Martin Campus (Las Vegas) | Hospital | $81cash | 0.9× | ★★★★★ |
| Dignity Health St. Rose Dominican - Siena Campus (Henderson) | Hospital | $90cash | 1.0× | ★★★★★ hip/knee complications 4.2% |
| Incline Village Community Hospital - Tahoe Forest (Incline Village) | Hospital | $106cash | 1.2× | — |
| Humboldt General Hospital (Winnemucca) | Hospital | $108cash | 1.2× | ★★★★★ |
| Carson Tahoe Regional Medical Center incl. Sierra Surgery (Carson City) | Hospital | $146cash | 1.6× | ★★★★★ |
| University Medical Center of Southern Nevada (Las Vegas) | Hospital | $156cash | 1.8× | ★★★★★ hip/knee complications 3.8% |
| Boulder City Hospital (Boulder City) | Hospital | $162cash | 1.8× | — |
| Carson Valley Health (Gardnerville) | Hospital | $189cash | 2.1× | ★★★★★ |
| Sunrise Hospital & Medical Center (Las Vegas) | Hospital | $212cash | 2.4× | ★★★★★ hip/knee complications 4.4% |
| Renown Regional Medical Center (Reno) | Hospital | $412cash | 4.6× | ★★★★★ |
| Renown South Meadows Medical Center (Reno) | Hospital | $412cash | 4.6× | ★★★★★ hip/knee complications 4.8% |
| Northeastern Nevada Regional Hospital (Elko) | Hospital | $649cash | 7.3× | ★★★★★ |
| Banner Churchill Community Hospital (Fallon) gross charge | Hospital | $1,382cash | 15.5× | ★★★★★ |
| MountainView Hospital (Las Vegas) gross charge | Hospital | $1,523cash | 17.1× | ★★★★★ hip/knee complications 3.2% |
What should 99213 cost in Nevada?
For established patient office visit, low complexity (CPT 99213) in Nevada, a fair self-pay price is around $146, with hospitals ranging from $86 to $412 across 17 facilities. Medicare's benchmark rate is $89, the benchmark every published rate is measured against. The card above lists each hospital's price, cheapest first, with CMS quality stars.
Frequently asked questions
How much does established patient office visit, low complexity cost in Nevada?
A fair self-pay price for established patient office visit, low complexity (CPT 99213) in Nevada is around $146, with hospital prices ranging from $86 to $412 across 17 facilities. These are estimates from hospital-published prices, not a guarantee.
What is the Medicare rate for CPT 99213?
Medicare pays about $89 for established patient office visit, low complexity (CPT 99213). That's the negotiation floor — a fair cash-pay target is roughly 1.5–2× it, well below typical gross charges.
Can I negotiate the price of established patient office visit, low complexity?
Yes. Under the federal Hospital Price Transparency rule hospitals must publish these rates, so you can ask to pay the cash or negotiated rate instead of the gross charge. Paste your bill on the home page for a ready-to-send appeal letter and the exact numbers to cite.
Placing a referral for this?
Enter the patient's ZIP and plan in the facility finder to see every facility near them that publishes a price for 99213, ranked, with the phone number and an out-of-pocket estimate.
Compare other procedures in Nevada
Prices last refreshed September 2026 from each hospital's official CMS machine-readable file. Medicare rate: CY2025 OPPS/PFS/CLFS. Estimates only — not a guarantee.