Comprehensive Observation Services in New Mexico
What 22 hospitals in New Mexico charged and were paid for comprehensive observation services (APC 8011), from 2024 Medicare claims.
Average charge
$21,444
Hospital list price billed
Average allowed
$2,469
Medicare's payment + patient's share
Medicare paid
$1,961
Average per service
State rank
#24 of 49
1 = lowest average payment
Hospitals in New Mexico billed an average of $21,444 for comprehensive observation services, about 8.7 times the average medicare-allowed amount of $2,469. That payment is 6% below the U.S. average of $2,634.
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 $2,469Billed $21,444
About 12¢ was paid for every $1 hospitals in New Mexico billed for this service.
New Mexico hospitals: comprehensive observation services
Every New Mexico hospital that billed Medicare for this service at least 11 times. Click a column to sort.
| Hospital | Services | Avg charge | Avg allowed | Medicare paid |
|---|---|---|---|---|
| Presbyterian HospitalAlbuquerque | 644 | $17,025 | $2,399 | $1,906 |
| San Juan Regional Medical CenterFarmington | 509 | $23,573 | $2,606 | $2,066 |
| UNM HospitalAlbuquerque | 456 | $9,446 | $2,409 | $1,914 |
| St Vincent HospitalSanta Fe | 400 | $18,881 | $2,766 | $2,203 |
| Mountain View Regional Medical CenterLas Cruces | 300 | $32,693 | $2,365 | $1,873 |
| Three Crosses Regional Hospital LLCLas Cruces | 248 | $7,937 | $2,328 | $1,851 |
| Carlsbad Medical CenterCarlsbad | 225 | $35,330 | $2,544 | $2,022 |
| CHRISTUS Southern New MexicoAlamogordo | 210 | $42,521 | $2,529 | $2,013 |
| Plains Regional Medical CenterClovis | 194 | $15,150 | $2,318 | $1,842 |
| Lovelace Medical CenterAlbuquerque | 193 | $28,606 | $2,416 | $1,924 |
| Memorial Medical Center INCLas Cruces | 131 | $25,383 | $2,355 | $1,866 |
| Roosevelt General HospitalPortales | 129 | $19,742 | $2,252 | $1,775 |
| Espanola HospitalEspanola | 58 | $13,544 | $2,602 | $2,073 |
| Eastern New Mexico Medical CenterRoswell | 56 | $29,493 | $2,331 | $1,838 |
| Artesia General HospitalArtesia | 56 | $19,164 | $2,553 | $2,034 |
| Presbyterian Santa Fe Medical CenterSanta Fe | 50 | $13,640 | $2,550 | $2,021 |
| Lovelace Westside HospitalAlbuquerque | 47 | $35,367 | $2,382 | $1,889 |
| Lovelace Women's HospitalAlbuquerque | 46 | $26,848 | $2,423 | $1,929 |
| Guadalupe County HospitalSanta Rosa | 43 | $8,506 | $2,503 | $2,005 |
| Covenant Health Hobbs HospitalHobbs | 41 | $18,694 | $2,553 | $2,032 |
| Los Alamos Medical CenterLos Alamos | 33 | $35,641 | $2,391 | $1,879 |
| Roswell Regional HospitalRoswell | 14 | $24,947 | $2,384 | $1,899 |
Lowest and highest allowed amounts in New Mexico
Among hospitals with at least 11 Medicare services. Differences reflect local wage costs, teaching status and how sick patients were, as well as price.
Lowest
| Roosevelt General HospitalPortales, NM | $2,252 |
|---|---|
| Plains Regional Medical CenterClovis, NM | $2,318 |
| Three Crosses Regional Hospital LLCLas Cruces, NM | $2,328 |
| Eastern New Mexico Medical CenterRoswell, NM | $2,331 |
| Memorial Medical Center INCLas Cruces, NM | $2,355 |
Highest
| St Vincent HospitalSanta Fe, NM | $2,766 |
|---|---|
| San Juan Regional Medical CenterFarmington, NM | $2,606 |
| Espanola HospitalEspanola, NM | $2,602 |
| Covenant Health Hobbs HospitalHobbs, NM | $2,553 |
| Artesia General HospitalArtesia, NM | $2,553 |
Comprehensive Observation Services in other states
Questions
How much does comprehensive observation services cost in New Mexico?
In 2024 Medicare data, comprehensive observation services (APC 8011) at 22 hospitals in New Mexico was billed at $21,444 on average, while the average medicare-allowed amount was $2,469, of which Medicare paid $1,961. 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 service in New Mexico, average charges were 8.7 times the average payment. Uninsured patients can ask the hospital about its financial assistance (charity care) policy and cash prices.
Source: CMS, Medicare Outpatient Hospitals by Provider and Service, 2024. The allowed amount is Medicare's payment plus the patient's coinsurance. CMS omits hospitals with fewer than 11 services for privacy. About the data.