Price Transparency Hospital negotiated rates

Hospital facility prices. What the hospital charges for the facility side of care — the surgeon’s and anesthesiologist’s fees are billed separately and are not included. How we scope prices →

Payer comparison · HCPCS 19081 · GRANTS, NM

19081 — Bx Breast 1st Lesion Strtctc

What each payer pays CIBOLA GENERAL HOSPITAL (CCN 321308) for this procedure, and where each sits versus the all-payer median at this facility. Find your plan to see whether you're above or below the market here.

$3,181 All-payer median here
$3,746 Cash / self-pay here
14 payer/plan-name variants
← This hospital National rates for 19081 →
Per-payer negotiated rate at this facility. Use the column headers to sort, the filter row to narrow results.
Payer / plan Median negotiated vs all-payer median Rate rows
   
Humana $3,897 22.5% 2
First Health Network $3,810 19.8% 2
PRESBYTERIAN_HEALTH $3,680 15.7% 2
ZELIS $3,680 15.7% 2
SELFPAY $3,464 8.9% 2
BCBS of New Mexico $3,380 6.3% 8
CORE_CIVIC $2,128 -33.1% 1
HUMANA_MCRADV $2,128 -33.1% 1
Medicare (Generic) $2,107 -33.8% 1
PRESBYTERIAN_SRCARE $2,107 -33.8% 1
UnitedHealthcare $2,107 -33.8% 5
TRICARE $1,921 -39.6% 2
Molina Healthcare $1,094 -65.6% 2
PRESBY_TURQUOISE $781 -75.4% 2

Median over current-blob negotiated rates (COALESCE of standard / median / min–max midpoint, $0.01–$5M sentinel guard). Payers are canonical-grouped where a mapping exists; unmapped regional-plan name variants may appear as separate rows.