CMS Price Transparency Data

Digestive disorders treatment (inpatient stay)

Facility: Albuquerque-Amg Specialty Hosptial

Billing Code: 392 (MS-DRG)

The BaseRate · fair price medium confidence

A fair price for this

$9,676

about 1.7× the $5,676 Medicare rate · typically $5,212–$28,103

modeled estimate · not a bill or quote

Medicare pays $5,676 Fair price $9,676 Cash price $31,498 Hospital's list price $31,498

How we calculate the fair BaseRate →

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	$29,184	514%
Blue Cross Blue Shieldmajor	$29,184	514%
Aetnamajor	$29,184	514%
Cignamajor	$29,184	514%
Humanamajor	$26,265	463%
Molina	$29,184	514%
+ 8 smaller / regional plans	$12,284 - $33,561

Government programs also on file: Military & VA.

Excludes 4 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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 (about 31,498), 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 Albuquerque-Amg Specialty Hosptial 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 Albuquerque-Amg Specialty Hosptial

Sepsis treatment (inpatient stay)

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

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