facebook tracking Level 3 Pacemaker and Similar Procedures cost in New Mexico: 12 hospitals compared (APC 5223)

Level 3 Pacemaker and Similar Procedures in New Mexico

What 12 hospitals in New Mexico charged and were paid for level 3 pacemaker and similar procedures (APC 5223), from 2024 Medicare claims.

APC 5223 Outpatient 2024 Medicare data
Average charge $69,425 Hospital list price billed
Average allowed $9,616 Medicare's payment + patient's share
Medicare paid $7,985 Average per service
State rank #22 of 49 1 = lowest average payment

Hospitals in New Mexico billed an average of $69,425 for level 3 pacemaker and similar procedures, about 7.2 times the average medicare-allowed amount of $9,616. That payment is 6% below the U.S. average of $10,202.

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 $9,616Billed $69,425

About 14¢ was paid for every $1 hospitals in New Mexico billed for this service.

New Mexico hospitals: level 3 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 65 $66,418 $9,325 $7,692
Presbyterian HospitalAlbuquerque 39 $32,542 $9,445 $7,809
St Vincent HospitalSanta Fe 34 $74,654 $10,533 $8,896
CHRISTUS Southern New MexicoAlamogordo 34 $125,344 $9,805 $8,197
Three Crosses Regional Hospital LLCLas Cruces 28 $56,398 $9,114 $7,482
San Juan Regional Medical CenterFarmington 22 $45,717 $10,356 $8,724
Memorial Medical Center INCLas Cruces 14 $68,633 $9,294 $7,648
UNM HospitalAlbuquerque 13 $25,436 $9,445 $7,813
Mountain View Regional Medical CenterLas Cruces 13 $122,732 $9,294 $7,662
Eastern New Mexico Medical CenterRoswell 12 $97,013 $9,349 $7,717
Carlsbad Medical CenterCarlsbad – – – –
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

Highest

St Vincent HospitalSanta Fe, NM$10,533
San Juan Regional Medical CenterFarmington, NM$10,356
CHRISTUS Southern New MexicoAlamogordo, NM$9,805
Presbyterian HospitalAlbuquerque, NM$9,445
UNM HospitalAlbuquerque, NM$9,445

Level 3 Pacemaker and Similar Procedures in other states

Questions

How much does level 3 pacemaker and similar procedures cost in New Mexico?

In 2024 Medicare data, level 3 pacemaker and similar procedures (APC 5223) at 12 hospitals in New Mexico was billed at $69,425 on average, while the average medicare-allowed amount was $9,616, of which Medicare paid $7,985. 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 7.2 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.