facebook tracking Combined anterior and posterior spinal fusion with complications cost in New Mexico: 1 hospitals compared (DRG 454)

Combined anterior and posterior spinal fusion with complications in New Mexico

What 1 hospital in New Mexico charged and were paid for a Medicare hospital stay for combined anterior and posterior spinal fusion with complications (DRG 454), from 2024 Medicare claims.

DRG 454 Inpatient 2024 Medicare data
Average charge $336,127 Hospital list price billed
Average payment $71,657 Medicare + patient + other payers
Medicare paid $70,259 Average per stay
Volume 11 Medicare hospital stays

Hospitals in New Mexico billed an average of $336,127 for combined anterior and posterior spinal fusion with complications, about 4.7 times the average total payment of $71,657. That payment is 21% above the U.S. average of $59,319.

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 $71,657Billed $336,127

About 21¢ was paid for every $1 hospitals in New Mexico billed for this stay.

New Mexico hospitals: combined anterior and posterior spinal fusion 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
Three Crosses Regional Hospital LLCLas Cruces 11 $336,127 $71,657 $70,259
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Combined anterior and posterior spinal fusion with complications in other states

Questions

How much does combined anterior and posterior spinal fusion with complications cost in New Mexico?

In 2024 Medicare data, a hospital stay for combined anterior and posterior spinal fusion with complications (DRG 454) at 1 hospital in New Mexico was billed at $336,127 on average, while the average total payment was $71,657, of which Medicare paid $70,259. 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 4.7 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.