Cellulitis without major complications in New Mexico
What 10 hospitals in New Mexico charged and were paid for a Medicare hospital stay for cellulitis without major complications (DRG 603), from 2024 Medicare claims.
Average charge
$22,973
Hospital list price billed
Average payment
$8,364
Medicare + patient + other payers
Medicare paid
$6,614
Average per stay
State rank
#31 of 50
1 = lowest average payment
Hospitals in New Mexico billed an average of $22,973 for cellulitis without major complications, about 2.7 times the average total payment of $8,364. That payment is 3% below the U.S. average of $8,642.
These are averages for patients with original (fee-for-service) Medicare. Private insurance pays different, negotiated prices, and what you owe depends on your plan's deductible and coinsurance. Use these figures to compare hospitals, not as a quote.
Paid $8,364Billed $22,973
About 36¢ was paid for every $1 hospitals in New Mexico billed for this stay.
Medicare prices this stay in 2 versions, by how sick the patient was. Compare them in New Mexico:
New Mexico hospitals: cellulitis without major complications
Every New Mexico hospital that billed Medicare for this stay at least 11 times. Click a column to sort.
| Hospital | Stays | Avg charge | Avg payment | Medicare paid |
|---|---|---|---|---|
| Presbyterian HospitalAlbuquerque | 57 | $18,426 | $7,034 | $5,235 |
| UNM HospitalAlbuquerque | 23 | $14,702 | $11,452 | $8,542 |
| St Vincent HospitalSanta Fe | 19 | $32,555 | $9,398 | $8,173 |
| Plains Regional Medical CenterClovis | 18 | $17,277 | $7,302 | $5,853 |
| Gallup Indian Medical CenterGallup | 18 | $19,915 | $11,001 | $9,550 |
| Mountain View Regional Medical CenterLas Cruces | 17 | $23,506 | $7,794 | $5,393 |
| Eastern New Mexico Medical CenterRoswell | 14 | $45,001 | $6,431 | $5,149 |
| Northern Navajo Medical CenterShiprock | 12 | $28,179 | $11,188 | $10,095 |
| Three Crosses Regional Hospital LLCLas Cruces | 12 | $12,337 | $5,098 | $3,545 |
| San Juan Regional Medical CenterFarmington | 11 | $38,667 | $8,266 | $6,782 |
Lowest and highest payments in New Mexico
Among hospitals with at least 11 Medicare hospital stays. Differences reflect local wage costs, teaching status and how sick patients were, as well as price.
Lowest
| Three Crosses Regional Hospital LLCLas Cruces, NM | $5,098 |
|---|---|
| Eastern New Mexico Medical CenterRoswell, NM | $6,431 |
| Presbyterian HospitalAlbuquerque, NM | $7,034 |
| Plains Regional Medical CenterClovis, NM | $7,302 |
| Mountain View Regional Medical CenterLas Cruces, NM | $7,794 |
Highest
| UNM HospitalAlbuquerque, NM | $11,452 |
|---|---|
| Northern Navajo Medical CenterShiprock, NM | $11,188 |
| Gallup Indian Medical CenterGallup, NM | $11,001 |
| St Vincent HospitalSanta Fe, NM | $9,398 |
| San Juan Regional Medical CenterFarmington, NM | $8,266 |
Cellulitis without major complications in other states
Questions
How much does cellulitis without major complications cost in New Mexico?
In 2024 Medicare data, a hospital stay for cellulitis without major complications (DRG 603) at 10 hospitals in New Mexico was billed at $22,973 on average, while the average total payment was $8,364, of which Medicare paid $6,614. Your own cost depends on your insurance, deductible and the hospital.
Why are hospital charges so much higher than payments?
Charges are a hospital's list prices. Medicare pays fixed rates set in advance, and private insurers negotiate their own discounts, so almost nobody pays the full charge. For this stay in New Mexico, average charges were 2.7 times the average payment. Uninsured patients can ask the hospital about its financial assistance (charity care) policy and cash prices.
Source: CMS, Medicare Inpatient Hospitals by Provider and Service, 2024. Average total payment includes Medicare's payment, the patient's deductible and coinsurance, and any other payer. CMS omits hospitals with fewer than 11 hospital stays for privacy. About the data.