How much does Established patient office visit, low complexity cost in Nevada?

CPT 99213 โ€” the fair price, every hospital's price, and the Medicare benchmark for Nevada.

Estimates only. Educational estimates from public Medicare benchmarks and hospital-published prices โ€” not a guarantee, and not legal, medical, or financial advice.
99213 Established patient office visit, low complexity
Market typical price
$151
18 facilities ยท typical range $93 โ€“ $472 ยท 1.7ร— Medicare PFS
What Medicare paysโ“˜
$89
Market typical
$151
Cash / self-pay price
$189
Prices near you โ€” 18 facilities, lowest first
FacilityTypePricevs MedicareQuality
North Vista Hospital (North Las Vegas) lowest Hospital $47negotiated 0.5ร— โ˜…โ˜…โ˜…โ˜…โ˜…
Saint Mary's Regional Medical Center (Reno) Hospital $47negotiated 0.5ร— โ˜…โ˜…โ˜…โ˜…โ˜…
Southern Hills Hospital & Medical Center (Las Vegas) Hospital $55negotiated 0.6ร— โ˜…โ˜…โ˜…โ˜…โ˜…
hip/knee complications 4.7%
Dignity Health St. Rose Dominican - San Martin Campus (Las Vegas) Hospital $86cash 1.0ร— โ˜…โ˜…โ˜…โ˜…โ˜…
Dignity Health St. Rose Dominican - Siena Campus (Henderson) Hospital $95cash 1.1ร— โ˜…โ˜…โ˜…โ˜…โ˜…
hip/knee complications 4.2%
Incline Village Community Hospital - Tahoe Forest (Incline Village) Hospital $101cash 1.1ร— โ€”
Humboldt General Hospital (Winnemucca) Hospital $108cash 1.2ร— โ˜…โ˜…โ˜…โ˜…โ˜…
Carson Tahoe Regional Medical Center incl. Sierra Surgery (Carson City) Hospital $146cash 1.6ร— โ˜…โ˜…โ˜…โ˜…โ˜…
University Medical Center of Southern Nevada (Las Vegas) Hospital $156cash 1.8ร— โ˜…โ˜…โ˜…โ˜…โ˜…
hip/knee complications 3.8%
Boulder City Hospital (Boulder City) Hospital $162cash 1.8ร— โ€”
Carson Valley Health (Gardnerville) Hospital $189cash 2.1ร— โ˜…โ˜…โ˜…โ˜…โ˜…
Sunrise Hospital & Medical Center (Las Vegas) Hospital $212cash 2.4ร— โ˜…โ˜…โ˜…โ˜…โ˜…
hip/knee complications 4.4%
Prices from each hospital's public machine-readable file; imaging & surgery-center prices are published self-pay rates (often the cheapest option). vs Medicare is how many times the Medicare rate each facility charges. 2 unusually low/high prices excluded from the typical price as likely data errors.
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What should 99213 cost in Nevada?

For Established patient office visit, low complexity (CPT 99213) in Nevada, a fair self-pay price is around $151, with hospitals ranging from $93 to $472 across 18 facilities. Medicare's benchmark rate is $89, the floor to negotiate toward. 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 $151, with hospital prices ranging from $93 to $472 across 18 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 โ€” a fair cash-pay target is roughly 1.5โ€“2ร— 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.

Got a bill for this?

If you were charged more than the fair price, you can usually negotiate it down. Paste your itemized bill to get a personalized appeal letter, the exact numbers to cite, an AI negotiation coach, and a charity-care eligibility check โ€” free.

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 โ€” not a guarantee.