facebook tracking Coronary bypass with cardiac catheterization or open ablation without major complications cost in New Mexico: 1 hospitals compared (DRG 234)

Coronary bypass with cardiac catheterization or open ablation without major complications in New Mexico

What 1 hospital in New Mexico charged and were paid for a Medicare hospital stay for coronary bypass with cardiac catheterization or open ablation without major complications (DRG 234), from 2024 Medicare claims.

DRG 234 Inpatient 2024 Medicare data
Average charge $381,206 Hospital list price billed
Average payment $34,918 Medicare + patient + other payers
Medicare paid $33,361 Average per stay
Volume 23 Medicare hospital stays

Hospitals in New Mexico billed an average of $381,206 for coronary bypass with cardiac catheterization or open ablation without major complications, about 10.9 times the average total payment of $34,918. That payment is 24% below the U.S. average of $45,866.

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 $34,918Billed $381,206

About 9¢ 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: coronary bypass with cardiac catheterization or open ablation 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
Lovelace Medical CenterAlbuquerque 23 $381,206 $34,918 $33,361
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Coronary bypass with cardiac catheterization or open ablation without major complications in other states

Questions

How much does coronary bypass with cardiac catheterization or open ablation without major complications cost in New Mexico?

In 2024 Medicare data, a hospital stay for coronary bypass with cardiac catheterization or open ablation without major complications (DRG 234) at 1 hospital in New Mexico was billed at $381,206 on average, while the average total payment was $34,918, of which Medicare paid $33,361. 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 10.9 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.