Lovelace Westside Hospital
10501 Golf Course Road Nw, Albuquerque, NM 87114 · 91 Priced Procedures · 71% 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.
Loss-Leader / Captive Ancillary Cross-Subsidizer
Lovelace Westside Hospital prices routine shoppable procedures near 11.4× Medicare (p50 1.00×) while skewing captive emergency, lab, and upper-quartile codes to 17.9× Medicare (p75 1.28×, +28% upper-tail jump). Patients scheduling elective outpatient care can capture competitive rates, but emergency and ancillary bills require strict line-item auditing.
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 83% of shoppable procedures (99/100 Cash Honesty)
- 4-Star CMS clinical rating with 71% patient recommendation (65/100 safety score)
- 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 3.9× markup over Medicare rates
- Captive ER (16.5×) & laboratory (24.3×) services average 1.57× higher multiples than routine shoppable care (11.4×)
- Upper-quartile procedures (Q75 1.28×) jump +28% above the median procedure ratio (Q50 1.00×)
- Consolidated metro market (HHI 3,098) 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 Lovelace Westside Hospital
High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 91 published procedures.
| Procedure & Billing Code | This Hospital | vs. Fair |
|---|---|---|
| Breast lump removal CPT Code: 19120 | $4,405 | 1.1× |
| Rabies immune globulin HCPCS Code: 90375 | $2,700 | 8.4× |
| CT scan, abdomen and pelvis (with contrast) CPT Code: 74177 | $2,641 | 5.9× |
| CT scan, abdomen and pelvis (no contrast) CPT Code: 74176 | $2,272 | 7.5× |
| MRI, brain (with and without contrast) CPT Code: 70553 | $1,989 | 3.9× |
| CT scan, head (with and without contrast) CPT Code: 70470 | $1,491 | 5.8× |
| MRI, knee or other leg joint CPT Code: 73721 | $1,500 | 4.1× |
| Sleep study (overnight, in lab) CPT Code: 95810 | $1,424 | 1.4× |
| Upper endoscopy with biopsy CPT Code: 43239 | $1,367 | 1.4× |
| CT scan, neck (cervical spine) CPT Code: 72125 | $1,239 | 7.3× |
| CT scan, head (with contrast) CPT Code: 70460 | $1,238 | 5.1× |
| Colonoscopy with biopsy CPT Code: 45380 | $1,205 | 1.0× |
| Colonoscopy (diagnostic) CPT Code: 45378 | $1,103 | 1.1× |
| CT scan, chest (no contrast) CPT Code: 71250 | $1,069 | 6.4× |
| CT scan, head (no contrast) CPT Code: 70450 | $1,016 | 6.3× |
| CT scan, sinuses CPT Code: 70486 | $1,011 | 6.1× |
| MRI, lower back (no contrast) CPT Code: 72148 | $980 | 2.9× |
| MRI, brain (no contrast) CPT Code: 70551 | $993 | 2.9× |
| CT scan, pelvis CPT Code: 72192 | $849 | 5.2× |
| CT scan, lower back (lumbar spine) CPT Code: 72131 | $792 | 4.7× |
| Blood transfusion CPT Code: 36430 | $812 | 1.6× |
| Echocardiogram (heart ultrasound) CPT Code: 93306 | $692 | 1.2× |
| Ultrasound, abdomen (limited) CPT Code: 76705 | $377 | 3.0× |
| Ultrasound, leg veins (duplex) CPT Code: 93970 | $397 | 1.5× |
| Ultrasound, pelvis CPT Code: 76856 | $369 | 2.8× |
Audit a Bill or Quote at Lovelace Westside Hospital (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 ($4,405) Beats Your Bill
Lovelace Westside Hospital's published 45 CFR § 180 self-pay cash rate is $4,405 (vs. $4,405 commercial insurer median). Ask billing to reclassify the visit to prompt-pay self-pay if it beats your deductible.
Negotiate Toward $3,875 Fair BaseRate ($4,000 Medicare)
Your bill ($14,684) is $10,809 above the denoised Fair BaseRate ($3,875) and 3.7× the $4,000 Medicare rate.
Financial Assistance Policy (FAP) & Amounts Generally Billed (AGB)
Public IRS & CMS ownership records classify Lovelace Westside Hospital 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
Healthcare-Associated Infections (CDC NHSN / CMS HAI)
1.00 SIR = National Predicted Baseline (Lower Is Safer)CMS Price Transparency Administrative Enforcement Log
Factual public administrative actions published by the Centers for Medicare & Medicaid Services regarding 45 CFR § 180 compliance at Lovelace Westside Hospital. Prior administrative notices do not necessarily reflect current compliance status.
- 2025-05-16·administrative_or_closure
Closure Notice
Recorded - 2025-04-25·warning_notice
Warning Notice
Recorded
Source: CMS Hospital Care Compare (337 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 Lovelace Westside Hospital.
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.