Tc-99m tilmanocept diag at CHRISTUS St. Vincent Regional Medical Center
455 St Michaels Dr, Santa Fe, NM · Christushealth · · NPI 1578587150
$9,457.70
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.
$15,762.84
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.
$240.00 with Presbyterian Health Plan (NM) vs $4,053.30 with Pronet — 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 |
|---|---|---|---|
| Presbyterian Health Plan (NM) | KM | $240.00 | ↓ -97% |
| BCBS-NM | KM | $240.00 | ↓ -97% |
| United Healthcare | KM | $240.00 | ↓ -97% |
| Molina | KM | $264.00 | ↓ -97% |
| Aetna | MM | $1,035.84 | ↓ -89% |
| Ambetter | Western Sky HIX | $1,125.91 | ↓ -88% |
| Western Sky | Centennial Care MM | $1,125.91 | ↓ -88% |
| Presbyterian Health Plan (NM) | HMO | $1,248.00 | ↓ -87% |
| Molina | MM | $1,351.10 | ↓ -86% |
| Molina | Medicare Adv MM | $1,351.10 | ↓ -86% |
| Christus Health | HIX | $1,801.46 | ↓ -81% |
| BCBS - NM | HIX | $2,251.83 | ↓ -76% |
| Devoted Health Plan | MM | $2,251.83 | ↓ -76% |
| BCBS - NM | HMO | $2,251.83 | ↓ -76% |
| BCBS - NM | BCBS NM | $2,477.01 | ↓ -74% |
| Molina | HIX | $3,062.49 | ↓ -68% |
| UHC | All Payer | $3,197.60 | ↓ -66% |
| Cigna | All Plans | $3,377.75 | ↓ -64% |
| Zelis | PPO | $3,602.93 | ↓ -62% |
| Triwest | VA MM | $3,828.11 | ↓ -60% |
| PHCS | PPO | $3,828.11 | ↓ -60% |
| United Healthcare | VA CCN MM | $3,828.11 | ↓ -60% |
| Triwest | Medicare PFFS MM | $3,828.11 | ↓ -60% |
| Humana | All Plans | $4,053.30 | ↓ -57% |
| Health Management Network | All Plans | $4,053.30 | ↓ -57% |
| Aetna | PPO | $4,053.30 | ↓ -57% |
| Pronet | PPO | $4,053.30 | ↓ -57% |
Visitor-reported prices
Comments
Tc-99m tilmanocept diag at other New-mexico hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Gerald Champion Regional Medical Center | Alamogordo | not published | $240.00 – $559.67 |