Disorders of the biliary tract with complications in New Mexico
What 2 hospitals in New Mexico charged and were paid for a Medicare hospital stay for disorders of the biliary tract with complications (DRG 445), from 2024 Medicare claims.
Average charge
$58,866
Hospital list price billed
Average payment
$7,917
Medicare + patient + other payers
Medicare paid
$6,517
Average per stay
Volume
30
Medicare hospital stays
Hospitals in New Mexico billed an average of $58,866 for disorders of the biliary tract with complications, about 7.4 times the average total payment of $7,917. That payment is 28% below the U.S. average of $10,996.
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 $7,917Billed $58,866
About 13¢ 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: disorders of the biliary tract 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 |
|---|---|---|---|---|
| Lovelace Medical CenterAlbuquerque | 17 | $84,822 | $7,629 | $6,252 |
| Presbyterian HospitalAlbuquerque | 13 | $24,924 | $8,294 | $6,863 |
Disorders of the biliary tract with complications in other states
Questions
How much does disorders of the biliary tract with complications cost in New Mexico?
In 2024 Medicare data, a hospital stay for disorders of the biliary tract with complications (DRG 445) at 2 hospitals in New Mexico was billed at $58,866 on average, while the average total payment was $7,917, of which Medicare paid $6,517. 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 7.4 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.