Craniotomy with major device implant or acute complex CNS principal diagnosis with major complications o in New Mexico
What 1 hospital in New Mexico charged and were paid for a Medicare hospital stay for craniotomy with major device implant or acute complex cns principal diagnosis with major complications o (DRG 023), from 2024 Medicare claims.
Average charge
$153,591
Hospital list price billed
Average payment
$69,787
Medicare + patient + other payers
Medicare paid
$61,581
Average per stay
Volume
55
Medicare hospital stays
Hospitals in New Mexico billed an average of $153,591 for craniotomy with major device implant or acute complex cns principal diagnosis with major complications o, about 2.2 times the average total payment of $69,787. That payment is 23% above the U.S. average of $56,603.
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 $69,787Billed $153,591
About 45¢ was paid for every $1 hospitals in New Mexico billed for this stay.
New Mexico hospitals: craniotomy with major device implant or acute complex cns principal diagnosis with major complications o
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 | 55 | $153,591 | $69,787 | $61,581 |
Craniotomy with major device implant or acute complex CNS principal diagnosis with major complications o in other states
Questions
How much does craniotomy with major device implant or acute complex cns principal diagnosis with major complications o cost in New Mexico?
In 2024 Medicare data, a hospital stay for craniotomy with major device implant or acute complex cns principal diagnosis with major complications o (DRG 023) at 1 hospital in New Mexico was billed at $153,591 on average, while the average total payment was $69,787, of which Medicare paid $61,581. 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 2.2 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.