What is the best hospital in Las Vegas?

Southern Hills Hospital & Medical Center is Las Vegas's only 4-star CMS-rated hospital. MountainView Hospital and St. Rose Dominican earn 3 stars. No Las Vegas hospital reaches 5 stars. For the best value, University Medical Center of Southern Nevada (public) has the lowest markups.

Why are Las Vegas hospital bills so high?

Las Vegas is dominated by HCA Healthcare, a for-profit hospital company. Even Southern Hills Hospital (4 stars) shows a 0.08 cost-to-charge ratio — a 13.2x markup over actual costs. Nevada's minimal healthcare regulation allows these pricing practices. The public UMC hospital (0.18 ratio) and nonprofit St. Rose offer better values.

Which Las Vegas hospitals are most affordable?

University Medical Center of Southern Nevada (UMC) has the best cost-to-charge ratio at 0.18 (5.7x markup). As a public hospital, it also has the broadest charity care programs. Most HCA hospitals show ratios of 0.08 or below — meaning charges are 12–13x actual costs.

Is Sunrise Hospital good?

Sunrise Hospital and Medical Center earns a 2-star CMS rating but is Las Vegas's largest hospital and Level II trauma center. It publishes 229 priced procedures (tied for most transparent). Its quality rating is concerning for elective care — consider Southern Hills (4-star) or MountainView (3-star) for planned procedures.

How can I compare hospital prices in Las Vegas?

Use Taven's free provider comparison tool to see real negotiated rates from Las Vegas hospital transparency filings. MountainView and Sunrise each publish 229 procedures, providing the most comparison data. Price shopping is especially important in Las Vegas's high-markup market.

Best Hospitals in Las Vegas (2026) — Ranked by Quality & Cost

Las Vegas has one of the most fragmented and markup-heavy hospital markets in America. 34 hospital facilities serve the metro, but quality is modest — only one 4-star hospital (Southern Hills) and most facilities at 2–3 stars. HCA Healthcare dominates the for-profit market with extreme markups. MountainView Hospital leads transparency with 229 published procedures.

This guide ranks Las Vegas-area hospitals by CMS star ratings, cost-to-charge ratios, and price transparency — critical in a market with some of the highest hospital markups in America.

Top 5 Hospitals in Las Vegas

Hospital	CMS Rating	Cost-to-Charge	Priced Procedures
Southern Hills Hospital & Medical Center	⭐⭐⭐⭐	0.08	0
MountainView Hospital	⭐⭐⭐	N/A	229
St. Rose Dominican Hospital - San Martin	⭐⭐⭐	N/A	0
Sunrise Hospital and Medical Center	⭐⭐	N/A	229
University Medical Center of Southern Nevada	⭐⭐	0.18	1

Understanding the Rankings

CMS Star Ratings

Southern Hills Hospital & Medical Center is Las Vegas's only 4-star hospital. The 3-star tier includes MountainView Hospital and St. Rose Dominican Hospital - San Martin (Dignity Health). Sunrise Hospital and Medical Center — Las Vegas's largest hospital and only Level II trauma center — earns just 2 stars. University Medical Center of Southern Nevada (the public safety-net hospital) also earns 2 stars.

Cost-to-Charge Ratio

Las Vegas hospitals show extreme markups. Southern Hills Hospital, despite being the highest-rated, has a 0.08 cost-to-charge ratio (13.2x markup). University Medical Center, the public hospital, shows 0.18 (5.7x) — still the best ratio in Las Vegas. Most HCA hospitals don't report usable HCRIS data. Nevada's lack of rate regulation allows these extreme pricing practices.

Price Transparency

MountainView Hospital and Sunrise Hospital each publish 229 priced procedures — strong transparency despite quality challenges. University Medical Center publishes just 1. The HCA hospitals generally share pricing data through their Parallon billing system, but individual facility transparency varies.

Best Value Hospitals in Las Vegas

**Best quality:** Southern Hills Hospital & Medical Center — Las Vegas's only 4-star facility
**Best transparency:** MountainView Hospital and Sunrise Hospital — both at 229 published procedures
**Best cost ratio:** University Medical Center of Southern Nevada — public hospital with 0.18 ratio (5.7x)
**Best for trauma:** Sunrise Hospital and Medical Center — Las Vegas's Level II trauma center
**Best nonprofit option:** St. Rose Dominican Hospital (Dignity Health) — nonprofit alternative to HCA

Las Vegas Hospital System Overview

**HCA Healthcare** — The dominant for-profit system in Las Vegas, operating Southern Hills Hospital (4-star), MountainView Hospital (3-star, 229 procedures), and Sunrise Hospital (2-star, 229 procedures, Level II trauma). HCA's aggressive pricing means extreme markups, but their hospitals publish the most transparency data.
**Dignity Health / CommonSpirit** — Operates St. Rose Dominican Hospital - San Martin (3-star) and other St. Rose campuses. Nonprofit Catholic system providing an alternative to HCA's for-profit dominance. Limited pricing data available.
**University Medical Center of Southern Nevada (UMC)** — Las Vegas's public, safety-net hospital (2-star). The only Level I trauma center in Nevada. Best cost-to-charge ratio in the market at 0.18. Clark County-operated. Serves all patients regardless of ability to pay.

Las Vegas's For-Profit Reality

Las Vegas exemplifies for-profit healthcare's impact on pricing. HCA Healthcare dominates the market, and even the highest-rated facility (Southern Hills, 4 stars) shows a 0.08 cost-to-charge ratio — a 13.2x markup. The public UMC hospital offers the best value at 0.18, but earns only 2 stars. Nevada's minimal healthcare regulation, rapid population growth, and tourism-driven economy create conditions where hospitals can charge extreme markups with limited accountability. Patients planning elective procedures should compare prices aggressively and consider the St. Rose (nonprofit) or UMC (public) alternatives to HCA.

Tips for Choosing a Hospital in Las Vegas

**Southern Hills is the quality leader** at 4 stars, but markups are extreme (13.2x). Ask for pricing upfront.
**MountainView and Sunrise publish the most data.** 229 procedures each — use this to compare before choosing.
**UMC is the value play.** Best cost ratio (0.18) and the state's only Level I trauma center.
**Compare prices before scheduled procedures.** Use Taven's comparison tool with real Las Vegas data.
**Nevada has minimal patient protections.** Limited state surprise billing rules beyond federal requirements.
**Ask about charity care** — UMC is a public hospital; St. Rose is nonprofit. HCA facilities have more limited charity care.
**Get a Good Faith Estimate** before any planned procedure — especially important in Las Vegas's high-markup market.
**Review your bill.** Use our free bill review tool to catch errors and overcharges.

How We Rank Hospitals

Our rankings use CMS Overall Hospital Quality Star Ratings, cost-to-charge ratios from CMS cost reports, and price transparency compliance data. We don't accept advertising from hospitals. Learn more about our methodology.