Los Alamos Medical Center
3917 West Road, Los Alamos, NM 87544 · 99 Priced Procedures · 63% Patient Recommendation
Typical commercial prices here match the fair market benchmark (1.00×) after accounting for local nurse/doctor wages and patient complexity.
3-Star CMS clinical quality rating paired with 1.00× fair market pricing.
Specialty Drug & Surgical Margin Engine
Los Alamos Medical Center concentrates commercial margin in outpatient surgical suites (6.3× Medicare) and specialty drug infusions (3.8× Medicare) relative to routine diagnostics (12.9×). 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 0% of shoppable procedures (99/100 Cash Honesty)
- CMS clinical safety score (64/100 safety score) with 63% 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 6.3× markup over Medicare rates
- Commercial insurance median sits at 1.00× Fair BaseRate (14.8× 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×)
- Consolidated metro market (HHI 10,000) limits in-network hospital competition (Highly Concentrated Monopoly (>2,500))
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 Los Alamos Medical Center
High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 99 published procedures.
| Procedure & Billing Code | This Hospital | vs. Fair |
|---|---|---|
| Sepsis treatment (inpatient stay) MS-DRG Code: 871 | $33,755 | unverified |
| Gallbladder removal (laparoscopic) CPT Code: 47562 | $27,284 | unverified |
| Inguinal hernia repair CPT Code: 49505 | $21,384 | unverified |
| Knee arthroscopy with meniscus repair CPT Code: 29881 | $20,069 | unverified |
| Digestive disorders treatment (inpatient stay) MS-DRG Code: 392 | $19,885 | 2.4× |
| Upper endoscopy with biopsy CPT Code: 43239 | $6,872 | unverified |
| Colonoscopy (diagnostic) CPT Code: 45378 | $6,851 | unverified |
| Colonoscopy with biopsy CPT Code: 45380 | $6,851 | unverified |
| Sleep study (overnight, in lab) CPT Code: 95810 | $6,285 | unverified |
| CT scan, abdomen and pelvis (with contrast) CPT Code: 74177 | $5,400 | unverified |
| Bunion correction surgery CPT Code: 28296 | $5,299 | unverified |
| MRI, brain (with and without contrast) CPT Code: 70553 | $5,319 | unverified |
| CT scan, abdomen and pelvis (no contrast) CPT Code: 74176 | $4,937 | unverified |
| MRI, brain (no contrast) CPT Code: 70551 | $4,343 | unverified |
| MRI, lower back (no contrast) CPT Code: 72148 | $4,343 | unverified |
| CT scan, head (with and without contrast) CPT Code: 70470 | $3,922 | unverified |
| CT scan, neck (cervical spine) CPT Code: 72125 | $3,548 | unverified |
| CT scan, lower back (lumbar spine) CPT Code: 72131 | $3,548 | unverified |
| MRI, knee or other leg joint CPT Code: 73721 | $3,340 | unverified |
| CT scan, pelvis CPT Code: 72192 | $3,291 | unverified |
| CT scan, chest (no contrast) CPT Code: 71250 | $3,127 | unverified |
| CT scan, head (with contrast) CPT Code: 70460 | $2,848 | unverified |
| CT scan, head (no contrast) CPT Code: 70450 | $2,707 | unverified |
| Echocardiogram (heart ultrasound) CPT Code: 93306 | $2,583 | unverified |
| Rabies immune globulin HCPCS Code: 90375 | $1,922 | unverified |
Audit a Bill or Quote at Los Alamos Medical Center (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 ($33,755) Beats Your Bill
Los Alamos Medical Center's published 45 CFR § 180 self-pay cash rate is $33,755 (vs. $33,755 commercial insurer median). Ask billing to reclassify the visit to prompt-pay self-pay if it beats your deductible.
Negotiate Toward $19,087 Fair BaseRate ($14,117 Medicare)
Your bill ($56,258) is $37,171 above the denoised Fair BaseRate ($19,087) and 4.0× the $14,117 Medicare rate.
Financial Assistance Policy (FAP) & Amounts Generally Billed (AGB)
Public IRS & CMS ownership records classify Los Alamos Medical Center 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.
Clinical Quality, Patient Experience & Infection Benchmarks
CMS Price Transparency Administrative Enforcement Log
Factual public administrative actions published by the Centers for Medicare & Medicaid Services regarding 45 CFR § 180 compliance at Los Alamos Medical Center. Prior administrative notices do not necessarily reflect current compliance status.
- 2025-08-06·administrative_or_closure
Closure Notice
Recorded - 2025-07-21·cap_corrective_action
CAP Request
Recorded - 2025-04-17·warning_notice
Warning Notice
Recorded
Source: CMS Hospital Care Compare (124 completed HCAHPS patient surveys). Clinical quality metrics summarize historical facility-wide cohorts and are not medical advice for individual care decisions.
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 Los Alamos Medical Center.
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.