Encompass Health Rehabilitation Hospital of Albuquerque
7000 Jefferson St Ne, Albuquerque, NM 87109 · 59 Priced Procedures
Typical commercial prices here match the fair market benchmark (1.00×) after accounting for local nurse/doctor wages and patient complexity.
Balances commercial hospital prices against CMS clinical safety, infection control, and patient experience.
Specialty Drug & Surgical Margin Engine
Encompass Health Rehabilitation Hospital of Albuquerque concentrates commercial margin in outpatient surgical suites (4.0× Medicare) and specialty drug infusions (3.7× Medicare) relative to routine diagnostics (3.2×). Comparing freestanding ambulatory surgery centers or specialty pharmacy options before treatment yields substantial savings.
Where They're Good (Patient & Payer Edge)
- Bottom-quartile procedures (Q25) price at 0.78× the peer BaseRate benchmark
- Self-pay cash beats commercial insurance on 17% of shoppable procedures (99/100 Cash Honesty)
- CMS clinical safety score (54/100 safety score) with 72% patient recommendation
- Binding Good Faith Estimate rights under 45 CFR § 149.610 protect self-pay patients before scheduling
Where You Can Get Burned (Markup Traps)
- Outpatient surgery & OR suites carry a 4.0× markup over Medicare rates
- Commercial insurance median sits at 1.00× Fair BaseRate (3.2× Medicare), so insured patients should always compare the self-pay cash price before paying.
- Upper-quartile procedures (Q75 1.28×) jump +28% above the median procedure ratio (Q50 1.00×)
- Unnegotiated chargemaster list prices average 3.4× Medicare (36¢ true HCRIS cost per $1 gross)
Pre-scheduled outpatient procedures where patients can comparison-shop.
Emergency, inpatient DRG, lab, and specialty drug lines billed after admission.
Detects median-gaming when upper-quartile codes spike above the p50 median.
Procedure Prices at Encompass Health Rehabilitation Hospital of Albuquerque
High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 59 published procedures.
| Procedure & Billing Code | This Hospital | vs. Fair |
|---|---|---|
| Blood transfusion CPT Code: 36430 | $894 | 1.8× |
| CT scan, sinuses CPT Code: 70486 | $814 | 4.9× |
| Ultrasound, leg veins (duplex) CPT Code: 93970 | $565 | 2.1× |
| MRI, brain (with and without contrast) CPT Code: 70553 | $539 | 1.1× |
| CT scan, abdomen and pelvis (with contrast) CPT Code: 74177 | $478 | 1.1× |
| Ultrasound, abdomen (complete) CPT Code: 76700 | $430 | 3.2× |
| Ultrasound, abdomen (limited) CPT Code: 76705 | $381 | 3.0× |
| X-ray, chest (single view) CPT Code: 71045 | $326 | 3.5× |
| X-ray, shoulder CPT Code: 73030 | $326 | 3.5× |
| X-ray, foot CPT Code: 73630 | $326 | 3.5× |
| X-ray, chest (two views) CPT Code: 71046 | $326 | 3.5× |
| X-ray, neck (cervical spine) CPT Code: 72040 | $326 | 3.5× |
| X-ray, hand CPT Code: 73130 | $326 | 3.5× |
| X-ray, hip CPT Code: 73502 | $326 | 3.5× |
| X-ray, ankle CPT Code: 73610 | $326 | 3.5× |
| X-ray, pelvis CPT Code: 72170 | $326 | 3.0× |
| X-ray, lower back CPT Code: 72110 | $326 | 2.9× |
| MRI, brain (no contrast) CPT Code: 70551 | $320 | 0.9× |
| MRI, lower back (no contrast) CPT Code: 72148 | $308 | 0.9× |
| MRI, knee or other leg joint CPT Code: 73721 | $329 | 0.9× |
| Echocardiogram (heart ultrasound) CPT Code: 93306 | $309 | 0.5× |
| CT scan, neck (cervical spine) CPT Code: 72125 | $274 | 1.6× |
| CT scan, lower back (lumbar spine) CPT Code: 72131 | $272 | 1.6× |
| Speech therapy (language evaluation) CPT Code: 92507 | $243 | 2.8× |
| CT scan, head (with and without contrast) CPT Code: 70470 | $268 | 1.0× |
Audit a Bill or Quote at Encompass Health Rehabilitation Hospital of Albuquerque (Zero PHI Required)
Above Standard 400% FPL Financial-Assistance Ceiling
At 274% FPL, you exceed the standard 400% FPL tier, though medical-hardship caps (when bills exceed 10% of annual income) may still apply.
Self-Pay Cash Rate ($894) Beats Your Bill
Encompass Health Rehabilitation Hospital of Albuquerque's published 45 CFR § 180 self-pay cash rate is $894 (vs. $894 commercial insurer median). Ask billing to reclassify the visit to prompt-pay self-pay if it beats your deductible.
Negotiate Toward $498 Fair BaseRate ($451 Medicare)
Your bill ($1,192) is $694 above the denoised Fair BaseRate ($498) and 2.6× the $451 Medicare rate.
Financial Assistance Policy (FAP) & Amounts Generally Billed (AGB)
Public IRS & CMS ownership records classify Encompass Health Rehabilitation Hospital of Albuquerque as a non-501(c)(3) facility. Federal 26 U.S.C. § 501(r) statutory charity-care caps apply specifically to tax-exempt nonprofit hospitals, though state hospital fair-pricing statutes and prompt-pay self-pay discounts may still apply.
How to Pay Less Nearby: Freestanding Centers, Insurer Leverage & Outpatient Savings
2D regional comparison of commercial negotiated price index against CMS clinical quality composite for Encompass Health Rehabilitation Hospital of Albuquerque.
Verify the Raw Data: Official Hospital MRF, CMS Medicare.gov & Federal Filings
Safe-Harbor Data Corrections: Parsed directly from public 45 CFR § 180 hospital filings, CMS Care Compare, and CMS HCRIS cost reports. Hospital compliance officers may submit updated MRF URLs or rate tables for verification.