What 3 hospitals in New Mexico charged and were paid for a Medicare hospital stay for endovascular cardiac valve replacement and supplement procedures with major complications (DRG 266), from 2024 Medicare claims.
Hospitals in New Mexico billed an average of $270,731 for endovascular cardiac valve replacement and supplement procedures with major complications, about 5.9 times the average total payment of $46,022. That payment is 20% below the U.S. average of $57,249.
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.
About 17¢ 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:
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 |
|---|---|---|---|---|
| Presbyterian HospitalAlbuquerque | 51 | $148,670 | $45,740 | $40,401 |
| Lovelace Medical CenterAlbuquerque | 16 | $400,069 | $42,557 | $41,976 |
| Memorial Medical Center INCLas Cruces | 13 | $590,404 | $51,395 | $50,009 |
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.
| Lovelace Medical CenterAlbuquerque, NM | $42,557 |
|---|---|
| Presbyterian HospitalAlbuquerque, NM | $45,740 |
| Memorial Medical Center INCLas Cruces, NM | $51,395 |
| Memorial Medical Center INCLas Cruces, NM | $51,395 |
|---|---|
| Presbyterian HospitalAlbuquerque, NM | $45,740 |
| Lovelace Medical CenterAlbuquerque, NM | $42,557 |
In 2024 Medicare data, a hospital stay for endovascular cardiac valve replacement and supplement procedures with major complications (DRG 266) at 3 hospitals in New Mexico was billed at $270,731 on average, while the average total payment was $46,022, of which Medicare paid $42,277. Your own cost depends on your insurance, deductible and the hospital.
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 5.9 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.