Knee Arthroscopy (Cartilage Smoothing) at CHRISTUS St. Vincent Regional Medical Center
455 St Michaels Dr, Santa Fe, NM · Christushealth · · NPI 1578587150
not published by hospital
Cash price Discounted cash price What a hospital charges a self-pay patient who pays directly, without going through insurance — usually well below the gross charge. Example: A CT scan has a $3,200 gross charge but an $850 discounted cash price. Ask for it by name when scheduling — hospitals don't always advertise it up front.
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What you pay up front if you don't use insurance.
not published by hospital
Gross charge Gross charge (chargemaster price) The hospital's full, undiscounted list price — pulled from its internal "chargemaster" price list. Almost no one actually pays this. Example: A chest X-ray has a gross charge of $1,450. The same hospital's discounted cash price for the same X-ray is $180 — the gross charge mostly anchors negotiations, not what patients pay.
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The hospital's undiscounted list price — almost no one pays this.
$2,016.77 with BCBS-NM vs $12,665.32 with BCBS - NM — same scan, same building. Share
Negotiated rates by payer
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Negotiated rate
The price a specific insurance plan agreed to pay the hospital for a service — it varies by insurer, and even by plan within the same insurer.
Example: The same knee MRI has a negotiated rate of $904 with one insurer's PPO plan and $1,509 with another's — identical hospital, identical scan.
Full explanation →
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Negotiated rate
The price a specific insurance plan agreed to pay the hospital for a service — it varies by insurer, and even by plan within the same insurer.
Example: The same knee MRI has a negotiated rate of $904 with one insurer's PPO plan and $1,509 with another's — identical hospital, identical scan.
Full explanation →Payer ?Payer The insurance company footing the bill — Aetna, UnitedHealthcare, Medicare, and so on. Example: "Blue Cross Blue Shield" is the payer. Its negotiated rate for an MRI might be $904, while a different payer's negotiated rate for the same scan is $1,509. Full explanation → |
Plan ?Plan The specific product an insurer sells — e.g. "Blue Cross PPO 500" — which sets your deductible, coinsurance and negotiated rates. Example: Two people both insured by Aetna can owe very different amounts for the same MRI: $50 with an HMO plan's flat copay, or the full $1,200 toward a high-deductible PPO plan's unmet deductible. Full explanation → |
Negotiated rate | vs. cash |
|---|---|---|---|
| BCBS-NM | KM | $2,016.77 | — |
| United Healthcare | KM | $2,016.77 | — |
| Presbyterian Health Plan (NM) | KM | $2,016.77 | — |
| Molina | KM | $2,218.45 | — |
| Aetna | MM | $3,423.91 | — |
| Allwell | Superior Medicare Adantage | $3,423.91 | — |
| Christus Health | Med Adv MM | $3,423.91 | — |
| Humana | Medicare MM | $3,423.91 | — |
| Humana | MM | $3,423.91 | — |
| Humana | Senior Health Plan MM | $3,423.91 | — |
| Presbyterian Health Plan (NM) | Senior Plan MM | $3,423.91 | — |
| Triwest | Medicare PFFS MM | $3,423.91 | — |
| Triwest | VA MM | $3,423.91 | — |
| United Healthcare | MM | $3,423.91 | — |
| United Healthcare | VA CCN MM | $3,423.91 | — |
| Washington National | Supp MM | $3,423.91 | — |
| Western Sky | Centennial Care MM | $3,423.91 | — |
| BCBS - NM | MM | $3,492.39 | — |
| Cigna | Healthspring Medicare Advantage MM | $3,526.63 | — |
| Molina | MM | $3,595.11 | — |
| Molina | Medicare Adv MM | $3,595.11 | — |
| Devoted Health Plan | MM | $3,595.11 | — |
| Amerigroup | MM | $3,937.50 | — |
| Ambetter | Western Sky HIX | $6,847.82 | — |
| BCBS - NM | HMO | $10,467.04 | — |
| Presbyterian Health Plan (NM) | HMO | $11,534.34 | — |
| BCBS - NM | HIX | $11,576.26 | — |
| BCBS - NM | BCBS NM | $12,665.32 | — |
| Humana | All Plans | not published by hospital | — |
| Aetna | PPO | not published by hospital | — |
| Zelis | PPO | not published by hospital | — |
| Molina | HIX | not published by hospital | — |
| PHCS | PPO | not published by hospital | — |
| Christus Health | HIX | not published by hospital | — |
| UHC | All Payer | not published by hospital | — |
| Cigna | All Plans | not published by hospital | — |
| Health Management Network | All Plans | not published by hospital | — |
| Pronet | PPO | not published by hospital | — |
Visitor-reported prices
Comments
Knee Arthroscopy (Cartilage Smoothing) at other New-mexico hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Covenant Health Hobbs Hospital | Hobbs | not published | $3,245.59 – $4,543.83 |
| Gerald Champion Regional Medical Center | Alamogordo | not published | $2,016.77 – $4,949.45 |