facebook tracking Chemotherapy without acute leukemia as secondary diagnosis with complications cost in New Mexico: 2 hospitals compared (DRG 847)

Chemotherapy without acute leukemia as secondary diagnosis with complications in New Mexico

What 2 hospitals in New Mexico charged and were paid for a Medicare hospital stay for chemotherapy without acute leukemia as secondary diagnosis with complications (DRG 847), from 2024 Medicare claims.

DRG 847 Inpatient 2024 Medicare data
Average charge $41,455 Hospital list price billed
Average payment $12,748 Medicare + patient + other payers
Medicare paid $10,697 Average per stay
Volume 23 Medicare hospital stays

Hospitals in New Mexico billed an average of $41,455 for chemotherapy without acute leukemia as secondary diagnosis with complications, about 3.3 times the average total payment of $12,748. That payment is 20% below the U.S. average of $16,023.

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 $12,748Billed $41,455

About 31¢ 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: chemotherapy without acute leukemia as secondary diagnosis with 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
UNM HospitalAlbuquerque 12 $34,859 $15,829 $12,584
Presbyterian HospitalAlbuquerque 11 $48,650 $9,387 $8,638
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Chemotherapy without acute leukemia as secondary diagnosis with complications in other states

Questions

How much does chemotherapy without acute leukemia as secondary diagnosis with complications cost in New Mexico?

In 2024 Medicare data, a hospital stay for chemotherapy without acute leukemia as secondary diagnosis with complications (DRG 847) at 2 hospitals in New Mexico was billed at $41,455 on average, while the average total payment was $12,748, of which Medicare paid $10,697. 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 3.3 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.