Level 3 Musculoskeletal Procedures in New Mexico
What 21 hospitals in New Mexico charged and were paid for level 3 musculoskeletal procedures (APC 5113), from 2024 Medicare claims.
Average charge
$28,946
Hospital list price billed
Average allowed
$2,895
Medicare's payment + patient's share
Medicare paid
$2,295
Average per service
State rank
#25 of 49
1 = lowest average payment
Hospitals in New Mexico billed an average of $28,946 for level 3 musculoskeletal procedures, about 10.0 times the average medicare-allowed amount of $2,895. That payment is 3% below the U.S. average of $2,995.
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 $2,895Billed $28,946
About 10¢ was paid for every $1 hospitals in New Mexico billed for this service.
New Mexico hospitals: level 3 musculoskeletal 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 |
|---|---|---|---|---|
| St Vincent HospitalSanta Fe | 114 | $19,038 | $3,118 | $2,478 |
| UNM HospitalAlbuquerque | 74 | $10,805 | $2,865 | $2,271 |
| Mountain View Regional Medical CenterLas Cruces | 48 | $50,953 | $2,819 | $2,245 |
| Memorial Medical Center INCLas Cruces | 42 | $42,948 | $2,819 | $2,246 |
| Presbyterian Santa Fe Medical CenterSanta Fe | 29 | $16,597 | $2,976 | $2,354 |
| Roswell Regional HospitalRoswell | 28 | $40,404 | $2,741 | $2,165 |
| San Juan Regional Medical CenterFarmington | 27 | $14,084 | $3,049 | $2,411 |
| Lovelace Medical CenterAlbuquerque | 25 | $45,066 | $2,750 | $2,185 |
| Three Crosses Regional Hospital LLCLas Cruces | 25 | $22,468 | $2,676 | $2,114 |
| Presbyterian HospitalAlbuquerque | 24 | $19,664 | $2,770 | $2,187 |
| Artesia General HospitalArtesia | 22 | $18,007 | $2,910 | $2,296 |
| Eastern New Mexico Medical CenterRoswell | 21 | $30,787 | $2,836 | $2,259 |
| CHRISTUS Southern New MexicoAlamogordo | 18 | $84,157 | $2,752 | $2,138 |
| Lovelace Women's HospitalAlbuquerque | 18 | $52,933 | $2,865 | $2,283 |
| Carlsbad Medical CenterCarlsbad | 18 | $32,083 | $3,019 | $2,402 |
| Plains Regional Medical CenterClovis | 16 | $15,080 | $2,627 | $2,056 |
| Lovelace Westside HospitalAlbuquerque | 15 | $41,580 | $2,865 | $2,283 |
| Espanola HospitalEspanola | – | – | – | – |
| Los Alamos Medical CenterLos Alamos | – | – | – | – |
| Covenant Health Hobbs HospitalHobbs | – | – | – | – |
| St Joseph Rehab HospitalAlbuquerque | – | – | – | – |
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
| Plains Regional Medical CenterClovis, NM | $2,627 |
|---|---|
| Three Crosses Regional Hospital LLCLas Cruces, NM | $2,676 |
| Roswell Regional HospitalRoswell, NM | $2,741 |
| Lovelace Medical CenterAlbuquerque, NM | $2,750 |
| CHRISTUS Southern New MexicoAlamogordo, NM | $2,752 |
Highest
| St Vincent HospitalSanta Fe, NM | $3,118 |
|---|---|
| San Juan Regional Medical CenterFarmington, NM | $3,049 |
| Carlsbad Medical CenterCarlsbad, NM | $3,019 |
| Presbyterian Santa Fe Medical CenterSanta Fe, NM | $2,976 |
| Artesia General HospitalArtesia, NM | $2,910 |
Level 3 Musculoskeletal Procedures in other states
Questions
How much does level 3 musculoskeletal procedures cost in New Mexico?
In 2024 Medicare data, level 3 musculoskeletal procedures (APC 5113) at 21 hospitals in New Mexico was billed at $28,946 on average, while the average medicare-allowed amount was $2,895, of which Medicare paid $2,295. 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 10.0 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.