Diabetes with complications in New Mexico
What 6 hospitals in New Mexico charged and were paid for a Medicare hospital stay for diabetes with complications (DRG 638), from 2024 Medicare claims.
Average charge
$28,174
Hospital list price billed
Average payment
$8,922
Medicare + patient + other payers
Medicare paid
$7,030
Average per stay
State rank
#32 of 47
1 = lowest average payment
Hospitals in New Mexico billed an average of $28,174 for diabetes with complications, about 3.2 times the average total payment of $8,922. That payment is 3% below the U.S. average of $9,215.
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 $8,922Billed $28,174
About 32¢ was paid for every $1 hospitals in New Mexico billed for this stay.
Medicare prices this stay in 3 versions, by how sick the patient was. Compare them in New Mexico:
New Mexico hospitals: diabetes 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 |
|---|---|---|---|---|
| UNM HospitalAlbuquerque | 26 | $17,341 | $11,378 | $9,087 |
| Presbyterian HospitalAlbuquerque | 21 | $25,903 | $7,204 | $4,652 |
| Mountain View Regional Medical CenterLas Cruces | 19 | $43,757 | $7,413 | $5,618 |
| San Juan Regional Medical CenterFarmington | 15 | $42,141 | $8,484 | $6,906 |
| Plains Regional Medical CenterClovis | 13 | $20,482 | $7,502 | $6,623 |
| Gallup Indian Medical CenterGallup | 11 | $21,241 | $11,280 | $9,796 |
Lowest and highest payments in New Mexico
Among hospitals with at least 11 Medicare hospital stays. Differences reflect local wage costs, teaching status and how sick patients were, as well as price.
Lowest
| Presbyterian HospitalAlbuquerque, NM | $7,204 |
|---|---|
| Mountain View Regional Medical CenterLas Cruces, NM | $7,413 |
| Plains Regional Medical CenterClovis, NM | $7,502 |
| San Juan Regional Medical CenterFarmington, NM | $8,484 |
| Gallup Indian Medical CenterGallup, NM | $11,280 |
Highest
| UNM HospitalAlbuquerque, NM | $11,378 |
|---|---|
| Gallup Indian Medical CenterGallup, NM | $11,280 |
| San Juan Regional Medical CenterFarmington, NM | $8,484 |
| Plains Regional Medical CenterClovis, NM | $7,502 |
| Mountain View Regional Medical CenterLas Cruces, NM | $7,413 |
Diabetes with complications in other states
Questions
How much does diabetes with complications cost in New Mexico?
In 2024 Medicare data, a hospital stay for diabetes with complications (DRG 638) at 6 hospitals in New Mexico was billed at $28,174 on average, while the average total payment was $8,922, of which Medicare paid $7,030. 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 3.2 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.