Level 1 Breast/Lymphatic Surgery and Related Procedures in New Mexico
What 16 hospitals in New Mexico charged and were paid for level 1 breast/lymphatic surgery and related procedures (APC 5091), from 2024 Medicare claims.
Average charge
$31,679
Hospital list price billed
Average allowed
$3,419
Medicare's payment + patient's share
Medicare paid
$2,721
Average per service
State rank
#22 of 49
1 = lowest average payment
Hospitals in New Mexico billed an average of $31,679 for level 1 breast/lymphatic surgery and related procedures, about 9.3 times the average medicare-allowed amount of $3,419. That payment is 7% below the U.S. average of $3,688.
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 $3,419Billed $31,679
About 11¢ was paid for every $1 hospitals in New Mexico billed for this service.
New Mexico hospitals: level 1 breast/lymphatic surgery 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 |
|---|---|---|---|---|
| Lovelace Women's HospitalAlbuquerque | 54 | $48,377 | $3,374 | $2,688 |
| Presbyterian HospitalAlbuquerque | 42 | $18,887 | $3,374 | $2,688 |
| Presbyterian Santa Fe Medical CenterSanta Fe | 23 | $15,925 | $3,604 | $2,866 |
| UNM HospitalAlbuquerque | 21 | $13,141 | $3,246 | $2,560 |
| St Vincent HospitalSanta Fe | 18 | $31,346 | $3,860 | $3,075 |
| Lovelace Westside HospitalAlbuquerque | 15 | $46,445 | $3,374 | $2,688 |
| Memorial Medical Center INCLas Cruces | 13 | $53,557 | $3,319 | $2,645 |
| Three Crosses Regional Hospital LLCLas Cruces | 13 | $23,006 | $3,255 | $2,593 |
| CHRISTUS Southern New MexicoAlamogordo | – | – | – | – |
| San Juan Regional Medical CenterFarmington | – | – | – | – |
| Lovelace Medical CenterAlbuquerque | – | – | – | – |
| Plains Regional Medical CenterClovis | – | – | – | – |
| Los Alamos Medical CenterLos Alamos | – | – | – | – |
| Carlsbad Medical CenterCarlsbad | – | – | – | – |
| Mountain View Regional Medical CenterLas Cruces | – | – | – | – |
| Roswell Regional HospitalRoswell | – | – | – | – |
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
| UNM HospitalAlbuquerque, NM | $3,246 |
|---|---|
| Three Crosses Regional Hospital LLCLas Cruces, NM | $3,255 |
| Memorial Medical Center INCLas Cruces, NM | $3,319 |
| Lovelace Women's HospitalAlbuquerque, NM | $3,374 |
| Presbyterian HospitalAlbuquerque, NM | $3,374 |
Highest
| St Vincent HospitalSanta Fe, NM | $3,860 |
|---|---|
| Presbyterian Santa Fe Medical CenterSanta Fe, NM | $3,604 |
| Lovelace Women's HospitalAlbuquerque, NM | $3,374 |
| Presbyterian HospitalAlbuquerque, NM | $3,374 |
| Lovelace Westside HospitalAlbuquerque, NM | $3,374 |
Level 1 Breast/Lymphatic Surgery and Related Procedures in other states
Questions
How much does level 1 breast/lymphatic surgery and related procedures cost in New Mexico?
In 2024 Medicare data, level 1 breast/lymphatic surgery and related procedures (APC 5091) at 16 hospitals in New Mexico was billed at $31,679 on average, while the average medicare-allowed amount was $3,419, of which Medicare paid $2,721. 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 9.3 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.