facebook tracking Level 2 Pacemaker and Similar Procedures cost in New Mexico: 10 hospitals compared (APC 5222)

Level 2 Pacemaker and Similar Procedures in New Mexico

What 10 hospitals in New Mexico charged and were paid for level 2 pacemaker and similar procedures (APC 5222), from 2024 Medicare claims.

APC 5222 Outpatient 2024 Medicare data
Average charge $44,538 Hospital list price billed
Average allowed $7,692 Medicare's payment + patient's share
Medicare paid $6,146 Average per service
State rank #25 of 48 1 = lowest average payment

Hospitals in New Mexico billed an average of $44,538 for level 2 pacemaker and similar procedures, about 5.8 times the average medicare-allowed amount of $7,692. That payment is 5% below the U.S. average of $8,088.

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 $7,692Billed $44,538

About 17¢ was paid for every $1 hospitals in New Mexico billed for this service.

New Mexico hospitals: level 2 pacemaker 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
Lovelace Medical CenterAlbuquerque 49 $48,081 $7,519 $5,987
St Vincent HospitalSanta Fe 25 $49,283 $8,601 $6,969
Memorial Medical Center INCLas Cruces 22 $59,909 $7,398 $5,893
Presbyterian HospitalAlbuquerque 22 $41,924 $7,519 $5,991
San Juan Regional Medical CenterFarmington 16 $23,295 $8,246 $6,606
Three Crosses Regional Hospital LLCLas Cruces 16 $40,817 $7,255 $5,771
UNM HospitalAlbuquerque 14 $27,533 $7,519 $5,991
Mountain View Regional Medical CenterLas Cruces 12 $49,923 $7,398 $5,892
CHRISTUS Southern New MexicoAlamogordo – – – –
Roswell Regional HospitalRoswell – – – –
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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$7,255
Memorial Medical Center INCLas Cruces, NM$7,398
Mountain View Regional Medical CenterLas Cruces, NM$7,398
UNM HospitalAlbuquerque, NM$7,519
Presbyterian HospitalAlbuquerque, NM$7,519

Highest

St Vincent HospitalSanta Fe, NM$8,601
San Juan Regional Medical CenterFarmington, NM$8,246
Lovelace Medical CenterAlbuquerque, NM$7,519
UNM HospitalAlbuquerque, NM$7,519
Presbyterian HospitalAlbuquerque, NM$7,519

Level 2 Pacemaker and Similar Procedures in other states

Questions

How much does level 2 pacemaker and similar procedures cost in New Mexico?

In 2024 Medicare data, level 2 pacemaker and similar procedures (APC 5222) at 10 hospitals in New Mexico was billed at $44,538 on average, while the average medicare-allowed amount was $7,692, of which Medicare paid $6,146. 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 5.8 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.