CMS Price Transparency Data

Hip or knee replacement (inpatient stay)

Facility: Christus St Vincent Regional Medical Center

Billing Code: 470 (MS-DRG)

The BaseRate · fair price high confidence

A fair price for this

$17,266

about 1.2× the $14,044 Medicare rate · typically $14,121–$21,303

modeled estimate · not a bill or quote

What this hospital charges insurers

$13,892

Below the fair price — a good deal

about $3,374 under the fair price · 1.0× Medicare

Medicare pays $14,044 Fair price $17,266 This hospital $13,892

How we calculate the fair BaseRate →

How this hospital compares to other NM hospitals

One of the lower prices — 7 of 8 other NM hospitals charge more for the same procedure.

Cheapest $13,883 Priciest $19,627

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 $17,266 (about 1.2× the $14,044 Medicare rate). Christus St Vincent Regional Medical Center charges insurers about $13,892 — 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	$13,230 - $21,096	94%
Blue Cross Blue Shieldmajor	$13,230 - $31,974	94%
Aetnamajor	$13,230	94%
Cignamajor	$13,627	97%
Humanamajor	$13,230	94%
Ambetter (Centene)	$26,461	188%
Amerigroup	$13,892	99%
Devoted Health	$13,892	99%
Molina	$13,892 - $23,206	99%
Presbyterian	$13,230 - $35,425	94%
+ 4 smaller / regional plans	$13,230

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: 470.

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 470.
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: Hip or knee replacement (inpatient stay) at other NM hospitals

Alta Vista Regional Hospital · Las Vegas $13,883
Holy Cross Hospital A Div of Taos Health Systems · Taos $14,747
Mountain View Regional Medical Center · Las Cruces $15,397
Eastern New Mexico Medical Center · Roswell $15,647
Carlsbad Medical Center · Carlsbad $15,892
Covenant Health Hobbs Hospital · Hobbs $17,989
Presbyterian Hospital · Albuquerque $19,013
Artesia General Hospital · Artesia $19,627

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