Level 1 ICD and Similar Procedures in New Mexico
What 9 hospitals in New Mexico charged and were paid for level 1 icd and similar procedures (APC 5231), from 2024 Medicare claims.
Average charge
–
Hospital list price billed
Average allowed
–
Medicare's payment + patient's share
Medicare paid
–
Average per service
Volume
–
Medicare services
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.
New Mexico hospitals: level 1 icd and similar 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 |
|---|---|---|---|---|
| UNM HospitalAlbuquerque | – | – | – | – |
| St Vincent HospitalSanta Fe | – | – | – | – |
| CHRISTUS Southern New MexicoAlamogordo | – | – | – | – |
| San Juan Regional Medical CenterFarmington | – | – | – | – |
| Eastern New Mexico Medical CenterRoswell | – | – | – | – |
| Lovelace Medical CenterAlbuquerque | – | – | – | – |
| Memorial Medical Center INCLas Cruces | – | – | – | – |
| Presbyterian HospitalAlbuquerque | – | – | – | – |
| Mountain View Regional Medical CenterLas Cruces | – | – | – | – |
Level 1 ICD and Similar Procedures in other states
Questions
How much does level 1 icd and similar procedures cost in New Mexico?
In 2024 Medicare data, level 1 icd and similar procedures (APC 5231) at 9 hospitals in New Mexico was billed at – on average, while the average medicare-allowed amount was –. 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. 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.