facebook tracking Kidney and ureter procedures for non-neoplasm without complications cost in New Mexico: 2 hospitals compared (DRG 661)

Kidney and ureter procedures for non-neoplasm without complications in New Mexico

What 2 hospitals in New Mexico charged and were paid for a Medicare hospital stay for kidney and ureter procedures for non-neoplasm without complications (DRG 661), from 2024 Medicare claims.

DRG 661 Inpatient 2024 Medicare data
Average charge $68,534 Hospital list price billed
Average payment $8,232 Medicare + patient + other payers
Medicare paid $6,189 Average per stay
Volume 32 Medicare hospital stays

Hospitals in New Mexico billed an average of $68,534 for kidney and ureter procedures for non-neoplasm without complications, about 8.3 times the average total payment of $8,232. That payment is 15% below the U.S. average of $9,672.

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 $8,232Billed $68,534

About 12¢ was paid for every $1 hospitals in New Mexico billed for this stay.

New Mexico hospitals: kidney and ureter procedures for non-neoplasm without 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
Memorial Medical Center INCLas Cruces 18 $59,413 $7,762 $6,248
Lovelace Women's HospitalAlbuquerque 14 $80,260 $8,836 $6,114
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Kidney and ureter procedures for non-neoplasm without complications in other states

Questions

How much does kidney and ureter procedures for non-neoplasm without complications cost in New Mexico?

In 2024 Medicare data, a hospital stay for kidney and ureter procedures for non-neoplasm without complications (DRG 661) at 2 hospitals in New Mexico was billed at $68,534 on average, while the average total payment was $8,232, of which Medicare paid $6,189. 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 8.3 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.