CMS Price Transparency Data
New patient office visit (30-44 min)
Facility: UNM Hospital
Billing Code: 99203 (CPT)
The BaseRate · fair price high confidence
A fair price for this
$81
about 0.7× the $118 Medicare rate · typically $70–$134
modeled estimate · not a bill or quote
What this hospital charges insurers
$72
Below the fair price — a good deal
about $9 under the fair price · 0.6× Medicare
Medicare pays $118 Fair price $81 This hospital $72 Cash price $86 Hospital's list price $156
A fair price for a New patient office visit (30-44 min) is about $81 (about 0.7× the $118 Medicare rate). UNM Hospital charges insurers about $72, or about $86 in cash — below the fair price — a good deal. 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 | $72 | 61% |
| Blue Cross Blue Shieldmajor | $72 - $94 | 61% |
| Aetnamajor | $72 | 61% |
| Humanamajor | $64 | 54% |
| Devoted Health | $86 | 73% |
| Molina | $175 | 149% |
| Presbyterian | $143 | 122% |
| + 10 smaller / regional plans | $72 - $175 |
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