CMS Price Transparency Data

Review of medical records for care

Facility: Artesia General Hospital

Billing Code: 90889 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 90889
Insurance Median: $152
Cash Discount Price: $130
vs. Medicare Baseline: N/A Medicare

The contracted insurance negotiated median rate for a Review of medical records for care at Artesia General Hospital is $152. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $130. Compared to the federal Medicare reimbursement reference rate of N/A, this hospital’s rate is N/A the Medicare baseline. Located in 702 N 13Th Street, Artesia, NM.

Cash / Self-Pay

$130

Average discount available for prompt cash payment at this facility.

Insurance Median

$152

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate

N/A

Standard federal government reimbursement rate for this code.

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Billing Status

Remaining Deductible ($)

Your Coinsurance Rate (%)

Input your details and click calculate to compare out-of-pocket costs.

Commercial Insurance Negotiated Rates

Negotiated contract ranges established by major commercial carriers at this facility.

Carrier / Plan Group	Contract Rate Range	vs. Medicare Reference
Blue Cross Blue Shield	$51 - $130	N/A
Molina Healthcare Of New Mexico	$52	N/A
Presbyterian Health Plan	$52 - $80	N/A
UnitedHealthcare	$52	N/A
Humana	$56	N/A
Zelis	$59 - $108	N/A
First Health	$84 - $195	N/A
New Mexico Health Connections	$130	N/A
Geha	$152 - $174	N/A
Omni Networks	$152	N/A
Three Rivers Provider Network	$163	N/A
Cigna	$184 - $195	N/A
Triwest	$191	N/A
Galaxy Health	$195	N/A
One Health Plan	$195	N/A
Multiplan	$197	N/A
United Payors & United Providers	$202	N/A
Providence Risk & Insurance Services	$206	N/A

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $130.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 90889.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Artesia General Hospital is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 90889.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.