facebook tracking Degenerative nervous system disorders without major complications cost in New Mexico: 2 hospitals compared (DRG 057)

Degenerative nervous system disorders without major complications in New Mexico

What 2 hospitals in New Mexico charged and were paid for a Medicare hospital stay for degenerative nervous system disorders without major complications (DRG 057), from 2024 Medicare claims.

DRG 057 Inpatient 2024 Medicare data
Average charge $26,020 Hospital list price billed
Average payment $13,173 Medicare + patient + other payers
Medicare paid $10,603 Average per stay
Volume 33 Medicare hospital stays

Hospitals in New Mexico billed an average of $26,020 for degenerative nervous system disorders without major complications, about 2.0 times the average total payment of $13,173. That payment is 9% below the U.S. average of $14,417.

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 $13,173Billed $26,020

About 51¢ 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: degenerative nervous system disorders 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
UNM HospitalAlbuquerque 17 $23,951 $15,633 $13,339
Presbyterian HospitalAlbuquerque 16 $28,217 $10,560 $7,696
Advertisement

Degenerative nervous system disorders without major complications in other states

Questions

How much does degenerative nervous system disorders without major complications cost in New Mexico?

In 2024 Medicare data, a hospital stay for degenerative nervous system disorders without major complications (DRG 057) at 2 hospitals in New Mexico was billed at $26,020 on average, while the average total payment was $13,173, of which Medicare paid $10,603. 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 2.0 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.