facebook tracking Esophagitis, gastroenteritis and miscellaneous digestive disorders without major complications cost in New Mexico: 12 hospitals compared (DRG 392)

Esophagitis, gastroenteritis and miscellaneous digestive disorders without major complications in New Mexico

What 12 hospitals in New Mexico charged and were paid for a Medicare hospital stay for esophagitis, gastroenteritis and miscellaneous digestive disorders without major complications (DRG 392), from 2024 Medicare claims.

DRG 392 Inpatient 2024 Medicare data
Average charge $33,360 Hospital list price billed
Average payment $7,111 Medicare + patient + other payers
Medicare paid $5,297 Average per stay
State rank #21 of 50 1 = lowest average payment

Hospitals in New Mexico billed an average of $33,360 for esophagitis, gastroenteritis and miscellaneous digestive disorders without major complications, about 4.7 times the average total payment of $7,111. That payment is 9% below the U.S. average of $7,791.

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 $7,111Billed $33,360

About 21¢ 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: esophagitis, gastroenteritis and miscellaneous digestive 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
Presbyterian HospitalAlbuquerque 69 $21,544 $6,247 $4,398
St Vincent HospitalSanta Fe 39 $32,657 $8,350 $6,845
Lovelace Medical CenterAlbuquerque 29 $57,613 $6,603 $4,100
Mountain View Regional Medical CenterLas Cruces 28 $38,757 $6,779 $4,916
UNM HospitalAlbuquerque 24 $15,148 $10,461 $7,964
Memorial Medical Center INCLas Cruces 24 $45,911 $6,299 $4,536
Eastern New Mexico Medical CenterRoswell 18 $47,025 $5,903 $3,929
Plains Regional Medical CenterClovis 14 $21,416 $6,853 $5,454
Three Crosses Regional Hospital LLCLas Cruces 14 $11,870 $4,996 $3,714
CHRISTUS Southern New MexicoAlamogordo 13 $63,526 $8,167 $6,660
Roswell Regional HospitalRoswell 13 $41,243 $5,825 $4,444
Gallup Indian Medical CenterGallup 11 $19,870 $10,053 $8,866
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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

Three Crosses Regional Hospital LLCLas Cruces, NM$4,996
Roswell Regional HospitalRoswell, NM$5,825
Eastern New Mexico Medical CenterRoswell, NM$5,903
Presbyterian HospitalAlbuquerque, NM$6,247
Memorial Medical Center INCLas Cruces, NM$6,299

Highest

UNM HospitalAlbuquerque, NM$10,461
Gallup Indian Medical CenterGallup, NM$10,053
St Vincent HospitalSanta Fe, NM$8,350
CHRISTUS Southern New MexicoAlamogordo, NM$8,167
Plains Regional Medical CenterClovis, NM$6,853

Esophagitis, gastroenteritis and miscellaneous digestive disorders without major complications in other states

Questions

How much does esophagitis, gastroenteritis and miscellaneous digestive disorders without major complications cost in New Mexico?

In 2024 Medicare data, a hospital stay for esophagitis, gastroenteritis and miscellaneous digestive disorders without major complications (DRG 392) at 12 hospitals in New Mexico was billed at $33,360 on average, while the average total payment was $7,111, of which Medicare paid $5,297. 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 4.7 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.