CMS Price Transparency Data

Spinal fusion, single level (inpatient stay)

Facility: UNM Hospital

Billing Code: 451 (MS-DRG)

The BaseRate · fair price high confidence
A fair price for this
$31,081
about 1.3× the $23,504 Medicare rate · typically $26,939–$36,941
modeled estimate · not a bill or quote
What this hospital charges insurers
$35,908
Above the fair price
about $4,827 over the fair price · 1.5× Medicare
Medicare pays $23,504 Fair price $31,081 This hospital $35,908

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 $21,355 Priciest $35,908

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

A fair price for a Spinal fusion, single level (inpatient stay) is about $31,081 (about 1.3× the $23,504 Medicare rate). UNM Hospital charges insurers about $35,908 — above the fair price. Located in Albuquerque, NM.

This price is above the fair BaseRate — you may be able to pay less

Ask the hospital for the cash / self-pay price, check whether you qualify for financial assistance, or negotiate the bill down toward the fair price of about $31,081. Many patients pay well below the first number they’re quoted — the checklists below walk you through it.

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 - $35,908 12%
Blue Cross Blue Shieldmajor $8,509 - $35,908 36%
Aetnamajor $35,908 153%
Humanamajor $2,772 - $34,113 12%
Devoted Health $43,090 183%
Presbyterian $71,816 306%
+ 10 smaller / regional plans $35,908 - $71,816

Self-Pay How to get the cash price

Insurance Before you use insurance

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

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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