CMS Price Transparency Data

Hip or knee replacement (inpatient stay)

Facility: Presbyterian Hospital

Billing Code: 470 (MS-DRG)

The BaseRate · fair price high confidence
A fair price for this
$20,009
about 1.4× the $14,044 Medicare rate · typically $16,444–$22,109
modeled estimate · not a bill or quote
What this hospital charges insurers
$19,013
About the fair price
about $996 under the fair price · 1.4× Medicare
Medicare pays $14,044 Fair price $20,009 This hospital $19,013

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 $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 $20,009 (about 1.4× the $14,044 Medicare rate). Presbyterian Hospital charges insurers about $19,013 — 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 $15,912 - $32,489 113%
Blue Cross Blue Shieldmajor $15,912 - $30,051 113%
Aetnamajor $16,065 - $43,713 114%
Cignamajor $16,065 - $27,215 114%
Presbyterian $14,549 - $22,290 104%
+ 1 smaller / regional plan $15,912
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