CMS Price Transparency Data

Office visit, established patient (20-29 min)

Facility: UNM Hospital

Billing Code: 99213 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$68
about 0.7× the $95 Medicare rate · typically $57–$105
modeled estimate · not a bill or quote
What this hospital charges insurers
$57
Below the fair price — a good deal
about $11 under the fair price · 0.6× Medicare
Medicare pays $95 Fair price $68 This hospital $57 Cash price $83 Hospital's list price $150

How we calculate the fair BaseRate →

How this hospital compares to other NM hospitals

Lowest price of the 2 NM hospitals we have prices for — a strong deal.

Cheapest $57 Priciest $65

Black dot = this hospital, among the 2 NM hospitals with a price for this procedure. Full list below.

A fair price for a Office visit, established patient (20-29 min) is about $68 (about 0.7× the $95 Medicare rate). UNM Hospital charges insurers about $57, or about $83 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 $46 - $57 48%
Blue Cross Blue Shieldmajor $51 - $57 54%
Aetnamajor $57 60%
Humanamajor $51 54%
Devoted Health $69 72%
Molina $140 147%
Presbyterian $114 120%
+ 10 smaller / regional plans $57 - $140

Self-Pay How to get the cash price

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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