Nevada's hospitals publish list prices above the Solomon Standard™ 94.8% of the time, the highest of the twelve states measured in this series. Lab test prices are above the Solomon Standard 97.0% of the time, also putting the state in first place, ahead of Indiana's 96.9%. In Nevada, the odds of finding a low-priced hospital are not in your favor.
Nevada is the twelfth state in the Solomon Report series. Full methodology: solomoncopilot.com/standard.html.
The share of 57,502 benchmarkable list prices published in 23 Nevada hospital price files that sit above the Solomon Standard. The highest of the twelve states in the series. Every robustness check at the 260% line lands between 93.5% and 94.8%.
Under the federal Hospital Price Transparency rule, Nevada's hospitals are required to publish a list price, known in the rule as the gross charge, for every item and service they provide. This report measures what they actually publish, against the Solomon Standard, 260% of Medicare, under v1.1.
Of 57,502 list prices that could be matched to a 2026 Medicare rate, 54,515 sit above the Solomon Standard. That is 94.8%. At 200% of Medicare the share is 96.8%. Move the line up to 300% of Medicare and 93.5% of prices are still above it. Excluding extreme prices, below a tenth or above 100 times Medicare, leaves the figure at 94.5%. Every hospital measured has its own Medicare provider number. Laboratory tests, measured separately under v1.1, sit above the Solomon Standard 97.0% of the time.
| State | Report | Share of list prices above the Solomon Standard (v1.1) | Benchmarkable prices |
|---|---|---|---|
| Nevada | No. 12 | 94.8% | 57,502 |
| Florida | No. 8 | 92.2% | 222,136 |
| New Jersey | No. 6 | 92.1% | 211,284 |
| Texas | No. 3 | 91.5% | 289,748 |
| Wisconsin | No. 11 | 89.1% | 429,884 |
| Indiana | No. 1 | 89.1% | 130,844 |
| Ohio | No. 2 | 87.3% | 293,161 |
| North Carolina | No. 5 | 83.3% | 170,518 |
| Idaho | No. 10 | 76.8% | 94,703 |
| New York | No. 7 | 68.3% | 78,264 |
| Michigan | No. 4 | 62.0% | 292,820 |
| Maryland | No. 9 | 59.5% | 59,742 |
All twelve states are shown under the Solomon Standard v1.1. Reports No. 1 through 10 were published under version 1 and stand as measured; their v1.1 figures are on the methodology page. The first report measured under v1.1 was Report No. 11.
Five Valley Health System hospitals and Northern Nevada Sierra Medical Center (all six are UHS hospitals) publish identical list prices.
That one price list accounts for 17,922 of Nevada's 57,502 benchmarked list prices: 31.2%. This is the largest share of any state's prices held by a single price list, across all twelve states.
The next closest are Wisconsin's Aspirus list (28.1%) and Indiana's IU Health list (27.4%).
98.0% of the prices on it sit above the Solomon Standard.
Renown Health's two hospitals publish identical list prices, as well.
| System | Price files | Benchmarkable prices | Share above the Solomon Standard |
|---|---|---|---|
| Renown Health | 2 | 3,604 | 98.9% |
| UHS | 8 | 24,565 | 98.0% |
| HCA | 3 | 3,758 | 97.1% |
| Carson Tahoe | 1 | 2,824 | 95.2% |
| LifePoint (Elko) | 1 | 908 | 94.7% |
| Prime | 2 | 4,676 | 91.9% |
| CommonSpirit (St. Rose) | 3 | 3,740 | 90.8% |
| UMC (county public hospital) | 1 | 9,753 | 89.9% |
| Incline Village | 1 | 2,761 | 87.9% |
| Banner Churchill | 1 | 913 | 86.4% |
At the 14 for-profit hospitals, 97.0% of list prices are above the Solomon Standard; at the 7 nonprofit hospitals, 94.2% of their list prices are; and at the 2 public hospitals, 89.5% of their list prices sit above the Solomon Standard.
In a city vs. rural comparison, 96.7% of the list prices at the hospitals in Reno and Carson City and 94.7% of those in Las Vegas are above the Solomon Standard. Of the rural hospitals, 89.0% of the list prices sit above.
In 2026, Medicare pays $106.55 for a CT scan of the head without contrast (CPT 70450), the national rate used under Solomon Standard v1.1. Of the measured hospitals, 22 out of 23 publish a full-service list price for this scan. Each hospital's price here is its highest full-service list price for the code. The median is $7,928.50, 74.4 times Medicare.
Lowest: $798 at Renown Regional Medical Center and Renown South Meadows Medical Center, 7.5 times Medicare.
Highest: $10,606 at MountainView Hospital, 99.5 times Medicare.
The spread between the lowest and highest hospital is 13.3 to 1.
One more exhibit. Medicare pays $300.27 for a CT of the abdomen and pelvis with contrast (CPT 74177). The lowest price is $2,115 at Renown's two hospitals, 7.0 times Medicare; the highest is $24,064 at Valley Hospital Medical Center, 80.1 times.
Prices are each hospital's highest full-service list price for the code, excluding component-only lines (professional or technical only) and $1.00 placeholders. University Medical Center of Southern Nevada doesn't publish a full-service list price for either of these two codes.
For inpatient care, hospitals publish the rates they have negotiated with each insurer for each diagnosis-related group, measured here against each hospital's own wage-adjusted Medicare payment. Twenty of Nevada's 23 measured hospitals are measured this way. Rates that price only part of a stay, such as per-day rates or rates covering the first days of a stay, are left out, under one rule for every hospital. Exclusions are listed under Limits.
| Measure (inpatient, MS-DRG, per-hospital wage-adjusted Medicare) | Median, multiple of Medicare | Hospitals |
|---|---|---|
| SCAN, California, negotiated (case rate) | 1.12x | 3 |
| Nevada, lowest negotiated rate per DRG, hospitals with floors at or above Medicare | 1.26x | 18 |
| Nevada, highest negotiated rate per DRG, any payer | 2.65x | 20 |
At the ceiling, Nevada's hospitals charge some insurer a median of 2.65 times Medicare for an inpatient stay, and 65.6% of those ceiling rates sit above the Solomon Standard. That is the lowest ceiling of the six states measured this way. By hospital, the median ceiling runs from 2.09x at Northern Nevada Medical Center to 3.96x at St. Rose Dominican Rose de Lima.
Nevada tops the leaderboard for hospital list prices, ranking first among 12 states measured, but folds to last place in negotiated inpatient price ceilings among six states measured. Insurers with a seat at the bargaining table play their cards right and secure moderate rates. Meanwhile, patients and health plans paying list prices, or a percentage of them, draw the losing hand, facing the highest prices in the series.
Five Medicare Advantage insurers publish usable inpatient rates at 11 or more of the 20 hospitals: UnitedHealthcare (15), Aetna (14), Anthem (13), Humana (11) and Molina (11). Each insurer's median falls between 1.25 and 1.36 times Medicare, however the files are counted.
At the floor, the lowest negotiated rate per stay has a median of 1.26 times Medicare across 18 hospitals, ranging from 1.11 at Northern Nevada Medical Center to 1.51 at University Medical Center of Southern Nevada. Two HCA hospitals have floors below Medicare, Southern Hills at 0.88 times and Sunrise at 0.92 times; as in earlier reports, they are set aside from the floor figure rather than pooled with it. A Medicare plan, mostly Medicare Advantage, sets the floor on 65.9% of diagnosis groups, and on most diagnosis groups at 14 of the 20 hospitals.
One Nevada price file publishes an inpatient list price: Northeastern Nevada Regional Hospital, at a median of 4.88 times Medicare across 231 diagnosis groups. Every other hospital discloses negotiated amounts only.
Inpatient Limits. The inpatient basis covers 20 of 23 hospitals. Two critical access hospitals that are outside Medicare's inpatient payment system are Banner Churchill Community Hospital and Incline Village Community Hospital. West Henderson Hospital is not listed in Medicare's fiscal 2026 inpatient payment file. The Medicare base is the operating payment used under Solomon Standard v1.1, which excludes capital and teaching and low-income add-ons; some Nevada hospitals' own lines labeled 100% of Medicare come out at 1.17 to 1.44 times it. The same base applies to every state in the series, so comparisons between states hold. At Northeastern Nevada Regional Hospital, 96.2% of payer rates are published as percentages, so its dollar rates understate its ceiling; it is left out of the hospital range. At St. Rose Dominican Rose de Lima, Medicare Advantage rates equal the Siena campus's rates plus $15,195 to $19,352 per diagnosis group, and are shown as published.
Every hospital in this report has attested under federal rule that its price file is accurate and complete. The files were read as published, and each finding below reflects the files as checked on November 2, 2026.
Nevada's largest health care purchasing group, the Health Services Coalition, represents more than 300,000 union members and their families, including members of the Culinary Workers Union. In December 2025, the coalition accused Valley Health System of overcharging and threatened to remove all 16 of its facilities from its network. The dispute was resolved on December 12, allowing members to keep their coverage. A similar dispute with HCA Healthcare was resolved in February 2024.
Those are the same systems at the top of this report. 98.0% of Universal Health Services' list prices sit above the Solomon Standard. Universal Health Services is the parent entity of Valley Health System. 97.1% of HCA's list prices in its three Las Vegas hospitals sit above the Solomon Standard, as well.
As of January 1, 2026, every Nevada hospital must publish its gross charges, cash prices and every rate it has negotiated with each insurer and plan per AB 343, a bill passed by Nevada's legislature in 2025 and signed by Governor Lombardo. Failure to comply prevents a hospital from sending a patient's medical debt to collections, suing over it, or reporting it to a credit agency, with daily penalties imposed until the hospital corrects the violation.
Lower insurance premiums won't fix high hospital prices. Nevada hospitals now publish their prices, and this report shows what they charge.
Instrument. Each published list price is measured against the Solomon Standard™, 260% of Medicare, under version 1.1 of its methodology, published at solomoncopilot.com/standard.html. A price is benchmarkable where the Medicare rate exceeds $1. The 200% and 300% lines and the 0.1x to 100x trim in the Summary are robustness lines and do not enter the headline. The eleven earlier states' v1.1 figures were reproduced exactly on the same table used for Nevada.
Roster. Medicare's hospital file lists 46 Nevada hospitals: 22 acute-care hospitals, 13 critical access hospitals, 8 psychiatric hospitals, 2 Veterans Administration hospitals and 1 Department of Defense hospital. Twenty-three hospitals are measured: 20 of the acute-care hospitals, 2 critical access hospitals, and Northern Nevada Sierra Medical Center, which has its own Medicare provider number but is not yet listed in that file. Neither Harmon Hospital nor St. Rose Dominican North Durango Campus publishes a price files of its own (see What the Files Do and Do Not Disclose). Eleven critical access hospitals publish price files but were not measured in this report. Psychiatric, Veterans Administration, Department of Defense, rehabilitation and long-term care hospitals, including Renown Rehabilitation Hospital, are outside the measure.
Shared price lists and copied files. Six UHS hospitals share the same list prices, and three of them, Centennial Hills, Henderson and West Henderson, publish line-for-line copies of Summerlin's file. Each is a separately licensed hospital, so each is counted as published, as the series has done since Report No. 7; the campus copies set aside in Report No. 11 were not separate hospitals. Counting the three copies once gives 94.2%; counting each shared price list once gives 93.5%.
Sunrise Hospital. Sunrise Hospital and Medical Center's file also contains the fee schedules of its physician groups at 18 locations, with no location given on each line. Lines marked as professional billing were left out, so only the hospital's own chargemaster is measured.
Critical access hospitals. Two of the 23 measured hospitals, Banner Churchill Community Hospital and Incline Village Community Hospital, are critical access hospitals, which Medicare pays on their reported costs rather than on its fee schedules. The outpatient comparison is the same for every hospital. Critical access hospitals have no Medicare inpatient rate and are not part of the inpatient figures.
Exhibits. Each hospital's exhibit price is its highest full-service list price for the code. Lines marked technical-only (modifier TC) or professional-only (modifier 26) and $1.00 placeholders are excluded. In the headline measure, a technical-only or professional-only line alone set the list price on 1,590 rows; the headline is computed as in every earlier state.
Inpatient. Inpatient rates are measured at 20 hospitals, each against the hospital's own wage-adjusted 2026 Medicare payment for the same MS-DRG. Only MS-DRG codes are measured. Codes published with and without leading zeros were treated as the same code. West Henderson Hospital is not listed in Medicare's fiscal 2026 inpatient payment file and is not measured on inpatient.
The floor. A payer line counts toward a hospital's floor only if it is a price for the whole stay. Lines the file describes as a per-day rate, or as covering a band of days, are excluded under one rule for every hospital. Dollar amounts derived from a percentage of charges are excluded. Each diagnosis group's floor is its lowest remaining line, and its ceiling its highest remaining line; where a file's own minimum and maximum columns differ from its payer lines, the payer lines are used. Floors below Medicare are reported separately and never pooled with the rest. TRICARE lines are kept. At St. Rose Dominican Rose de Lima, Medicare Advantage rates carry an add-on of $15,195 to $19,352 per diagnosis group over the Siena campus's rates; they are shown as published and kept off the floor's endpoints. Without the length-of-stay rule, the ceiling would be 2.67x, with 66.9% above the Solomon Standard. On the loaded maximum used in earlier reports, Nevada's ceiling is 2.71x, with 70.2% above.
Insurers. As in Report No. 11, each insurer is identified by the name the file gives it, and a plan counts as Medicare Advantage or commercial only where its own name says so. An insurer's inpatient dollar rates at a hospital count as usable only if they cover at least half of the diagnosis groups in that hospital's file, include at least 20 different dollar amounts, have at least one different amount for every two diagnosis groups covered, and average no more than 1.5 amounts per diagnosis group. A Medicare Advantage insurer is included where its usable rates appear at 11 or more of the 20 hospitals. Medians were computed with each hospital counted once, with all rates pooled, and with shared price lists counted once, and are reported as the range across all three.
Ownership groupings. Hospitals are grouped by their operator: for-profit, nonprofit, or public. Medicare's file labels three hospitals differently: Northern Nevada Medical Center (operated by UHS) and North Vista Hospital (Prime Healthcare) as nonprofit, and University Medical Center of Southern Nevada (Clark County) as nonprofit-other.
Codes. Device and implant codes have no rate on Medicare's physician fee schedule and do not enter the measurement in any state, including UHS's catalogue of device lines.
The Solomon Report is an ongoing public reporting series from Solomon Copilot that measures what public healthcare pricing data actually shows. Hospital prices and Medicare rates are public records. The Report puts them side by side. Solomon neither accepts revenue from nor gives money to anyone it measures. It also takes no revenue from data vendors serving hospitals. The Solomon Standard is built entirely from files hospitals are required by federal law to publish. No one can withdraw the data, and no one has to agree to share it. Twelve states measured. The Solomon Report intends to keep measuring against the Solomon Standard.