CMS Price Transparency Data

Digestive disorders treatment (inpatient stay)

Facility: Christus St Vincent Regional Medical Center

Billing Code: 392 (MS-DRG)

The BaseRate · fair price high confidence

A fair price for this

$7,663

about 1.4× the $5,676 Medicare rate · typically $5,837–$11,161

modeled estimate · not a bill or quote

What this hospital charges insurers

$5,475

Below the fair price — a good deal

about $2,188 under the fair price · 1.0× Medicare

Medicare pays $5,676 Fair price $7,663 This hospital $5,475

How we calculate the fair BaseRate →

How this hospital compares to other NM hospitals

One of the lower prices — 6 of 8 other NM hospitals charge more for the same procedure.

Cheapest $4,173 Priciest $8,469

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

A fair price for a Digestive disorders treatment (inpatient stay) is about $7,663 (about 1.4× the $5,676 Medicare rate). Christus St Vincent Regional Medical Center charges insurers about $5,475 — below the fair price — a good deal. Located in Santa Fe, NM.

What each insurance company pays

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

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

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana Kaiser 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	$3,714 - $5,475	65%
Blue Cross Blue Shieldmajor	$3,714 - $13,232	65%
Aetnamajor	$5,475	96%
Cignamajor	$5,640	99%
Humanamajor	$5,475	96%
Ambetter (Centene)	$10,951	193%
Amerigroup	$5,749	101%
Devoted Health	$5,749	101%
Molina	$4,085 - $7,970	72%
Presbyterian	$3,714 - $14,660	65%
+ 4 smaller / regional plans	$5,475

Government programs also on file: Military & VA.

Self-Pay How to get the cash price

Tell the billing desk you want to be billed as self-pay — not through insurance — before your visit.
Ask for the cash / prompt-pay discount in writing, with the exact price, before you agree to anything.
Get it in writing that they won’t also bill your insurance, so the cash price is what you owe.
Check the MS-DRG code on your bill matches exactly: 392.

Insurance Before you use insurance

Call your insurance company to confirm Christus St Vincent Regional Medical Center is in-network.
Ask your insurer whether prior approval is required for MS-DRG code 392.
Confirm the doctor or provider is in-network too — not just the hospital building.
Check your Explanation of Benefits against the hospital’s final itemized bill.

Estimate your out-of-pocket cost

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

How you’d pay

Deductible left to meet ($)

Your coinsurance (%)

Enter your details and press estimate to compare.

Other Procedures at Christus St Vincent Regional Medical Center

Compare: Digestive disorders treatment (inpatient stay) at other NM hospitals

Gila Regional Medical Center · Silver City $4,173
Alta Vista Regional Hospital · Las Vegas $5,282
Holy Cross Hospital A Div of Taos Health Systems · Taos $5,960
Mountain View Regional Medical Center · Las Cruces $6,413
Eastern New Mexico Medical Center · Roswell $6,662
Carlsbad Medical Center · Carlsbad $7,027
Presbyterian Hospital · Albuquerque $7,869
Artesia General Hospital · Artesia $8,469

Insurance negotiated median for the same procedure, sorted lowest first.