Level 1 Abdominal/Peritoneal/Biliary and Related Procedures in New Mexico
What 21 hospitals in New Mexico charged and were paid for level 1 abdominal/peritoneal/biliary and related procedures (APC 5341), from 2024 Medicare claims.
Average charge
$27,327
Hospital list price billed
Average allowed
$3,102
Medicare's payment + patient's share
Medicare paid
$2,464
Average per service
State rank
#23 of 49
1 = lowest average payment
Hospitals in New Mexico billed an average of $27,327 for level 1 abdominal/peritoneal/biliary and related procedures, about 8.8 times the average medicare-allowed amount of $3,102. That payment is 7% below the U.S. average of $3,323.
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 $3,102Billed $27,327
About 11¢ was paid for every $1 hospitals in New Mexico billed for this service.
New Mexico hospitals: level 1 abdominal/peritoneal/biliary and related procedures
Every New Mexico hospital that billed Medicare for this service at least 11 times. Click a column to sort.
| Hospital | Services | Avg charge | Avg allowed | Medicare paid |
|---|---|---|---|---|
| Presbyterian HospitalAlbuquerque | 73 | $10,855 | $3,029 | $2,404 |
| UNM HospitalAlbuquerque | 53 | $11,021 | $3,062 | $2,438 |
| Lovelace Medical CenterAlbuquerque | 28 | $24,941 | $3,062 | $2,438 |
| CHRISTUS Southern New MexicoAlamogordo | 22 | $76,595 | $3,227 | $2,570 |
| Memorial Medical Center INCLas Cruces | 22 | $50,396 | $3,013 | $2,392 |
| Presbyterian Santa Fe Medical CenterSanta Fe | 22 | $13,350 | $3,161 | $2,488 |
| St Vincent HospitalSanta Fe | 20 | $21,676 | $3,364 | $2,652 |
| Los Alamos Medical CenterLos Alamos | 19 | $41,949 | $3,279 | $2,613 |
| Roswell Regional HospitalRoswell | 19 | $41,549 | $3,013 | $2,400 |
| Three Crosses Regional Hospital LLCLas Cruces | 19 | $35,209 | $2,954 | $2,354 |
| Mountain View Regional Medical CenterLas Cruces | 15 | $52,484 | $3,013 | $2,400 |
| San Juan Regional Medical CenterFarmington | 14 | $19,298 | $3,358 | $2,676 |
| Eastern New Mexico Medical CenterRoswell | – | – | – | – |
| Espanola HospitalEspanola | – | – | – | – |
| Lovelace Women's HospitalAlbuquerque | – | – | – | – |
| Plains Regional Medical CenterClovis | – | – | – | – |
| Artesia General HospitalArtesia | – | – | – | – |
| Carlsbad Medical CenterCarlsbad | – | – | – | – |
| Covenant Health Hobbs HospitalHobbs | – | – | – | – |
| Lovelace Westside HospitalAlbuquerque | – | – | – | – |
| Roosevelt General HospitalPortales | – | – | – | – |
Lowest and highest allowed amounts in New Mexico
Among hospitals with at least 11 Medicare services. Differences reflect local wage costs, teaching status and how sick patients were, as well as price.
Lowest
| Three Crosses Regional Hospital LLCLas Cruces, NM | $2,954 |
|---|---|
| Mountain View Regional Medical CenterLas Cruces, NM | $3,013 |
| Roswell Regional HospitalRoswell, NM | $3,013 |
| Memorial Medical Center INCLas Cruces, NM | $3,013 |
| Presbyterian HospitalAlbuquerque, NM | $3,029 |
Highest
| St Vincent HospitalSanta Fe, NM | $3,364 |
|---|---|
| San Juan Regional Medical CenterFarmington, NM | $3,358 |
| Los Alamos Medical CenterLos Alamos, NM | $3,279 |
| CHRISTUS Southern New MexicoAlamogordo, NM | $3,227 |
| Presbyterian Santa Fe Medical CenterSanta Fe, NM | $3,161 |
Level 1 Abdominal/Peritoneal/Biliary and Related Procedures in other states
Questions
How much does level 1 abdominal/peritoneal/biliary and related procedures cost in New Mexico?
In 2024 Medicare data, level 1 abdominal/peritoneal/biliary and related procedures (APC 5341) at 21 hospitals in New Mexico was billed at $27,327 on average, while the average medicare-allowed amount was $3,102, of which Medicare paid $2,464. 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 service in New Mexico, average charges were 8.8 times the average payment. Uninsured patients can ask the hospital about its financial assistance (charity care) policy and cash prices.
Source: CMS, Medicare Outpatient Hospitals by Provider and Service, 2024. The allowed amount is Medicare's payment plus the patient's coinsurance. CMS omits hospitals with fewer than 11 services for privacy. About the data.