CMS Price Transparency Data

Digestive disorders treatment (inpatient stay)

Facility: Presbyterian Hospital

Billing Code: 392 (MS-DRG)

The BaseRate · fair price high confidence
A fair price for this
$8,229
about 1.4× the $5,676 Medicare rate · typically $6,965–$11,728
modeled estimate · not a bill or quote
What this hospital charges insurers
$7,869
About the fair price
about $360 under the fair price · 1.4× Medicare
Medicare pays $5,676 Fair price $8,229 This hospital $7,869

How we calculate the fair BaseRate →

How this hospital compares to other NM hospitals

On the higher side — 7 of 8 other NM hospitals charge less.

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 $8,229 (about 1.4× the $5,676 Medicare rate). Presbyterian Hospital charges insurers about $7,869 — about the fair price. 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✓ Cigna HumanaKaiser 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 $7,019 - $13,445 124%
Blue Cross Blue Shieldmajor $7,019 - $12,436 124%
Aetnamajor $7,086 - $18,090 125%
Cignamajor $7,086 - $11,263 125%
Presbyterian $6,021 - $9,225 106%
+ 1 smaller / regional plan $7,019
Excludes 1 rental-network / third-party entry (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 1100 Central Avenue Se, Albuquerque, NM 87106
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals