CMS Price Transparency Data

Hip or knee replacement (inpatient stay)

Facility: UNM Hospital

Billing Code: 470 (MS-DRG)

The BaseRate · fair price high confidence
A fair price for this
$20,313
about 1.4× the $14,044 Medicare rate · typically $15,678–$22,264
modeled estimate · not a bill or quote
What this hospital charges insurers
$22,740
About the fair price
about $2,427 over the fair price · 1.6× Medicare
Medicare pays $14,044 Fair price $20,313 This hospital $22,740

How we calculate the fair BaseRate →

How this hospital compares to other NM hospitals

Highest price of the 9 NM hospitals we have prices for — worth calling around.

Cheapest $13,883 Priciest $22,740

Black dot = this hospital, among the 9 NM hospitals with a price for this procedure. Full list below.

A fair price for a Hip or knee replacement (inpatient stay) is about $20,313 (about 1.4× the $14,044 Medicare rate). UNM Hospital charges insurers about $22,740 — about the fair price. Located in Albuquerque, NM.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

4 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Humana CignaKaiser Permanente

Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.

Insurance company Price range vs. Medicare
UnitedHealthcaremajor $2,733 - $22,740 19%
Blue Cross Blue Shieldmajor $8,509 - $22,740 61%
Aetnamajor $22,740 162%
Humanamajor $2,772 - $21,603 20%
Devoted Health $27,288 194%
Presbyterian $2,055 - $45,480 15%
+ 10 smaller / regional plans $22,740 - $45,480

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Facility Profile & Credentials

  • Address: 2211 Lomas Boulevard Ne, Albuquerque, NM 87106
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Government - State
  • Hospital Type: Acute Care Hospitals