Level 4 Urology and Related Services in New Mexico
What 16 hospitals in New Mexico charged and were paid for level 4 urology and related services (APC 5374), from 2024 Medicare claims.
Average charge
$25,767
Hospital list price billed
Average allowed
$3,185
Medicare's payment + patient's share
Medicare paid
$2,528
Average per service
State rank
#25 of 49
1 = lowest average payment
Hospitals in New Mexico billed an average of $25,767 for level 4 urology and related services, about 8.1 times the average medicare-allowed amount of $3,185. That payment is 4% below the U.S. average of $3,312.
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 $3,185Billed $25,767
About 12¢ was paid for every $1 hospitals in New Mexico billed for this service.
New Mexico hospitals: level 4 urology and related services
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 | 167 | $25,002 | $3,463 | $2,745 |
| Presbyterian HospitalAlbuquerque | 145 | $17,519 | $3,036 | $2,404 |
| Memorial Medical Center INCLas Cruces | 78 | $38,888 | $3,036 | $2,412 |
| San Juan Regional Medical CenterFarmington | 55 | $19,071 | $3,384 | $2,693 |
| Lovelace Women's HospitalAlbuquerque | 55 | $39,111 | $3,041 | $2,413 |
| UNM HospitalAlbuquerque | 52 | $12,506 | $3,086 | $2,457 |
| Roswell Regional HospitalRoswell | 26 | $35,577 | $3,036 | $2,419 |
| Lovelace Medical CenterAlbuquerque | 24 | $40,206 | $3,085 | $2,458 |
| Los Alamos Medical CenterLos Alamos | 19 | $29,739 | $3,166 | $2,494 |
| Eastern New Mexico Medical CenterRoswell | 14 | $29,467 | $3,054 | $2,433 |
| Plains Regional Medical CenterClovis | 12 | $17,079 | $2,977 | $2,372 |
| CHRISTUS Southern New MexicoAlamogordo | – | – | – | – |
| Espanola HospitalEspanola | – | – | – | – |
| Artesia General HospitalArtesia | – | – | – | – |
| Presbyterian Santa Fe Medical CenterSanta Fe | – | – | – | – |
| Three Crosses Regional Hospital LLCLas Cruces | – | – | – | – |
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 | $2,977 |
|---|---|
| Roswell Regional HospitalRoswell, NM | $3,036 |
| Memorial Medical Center INCLas Cruces, NM | $3,036 |
| Presbyterian HospitalAlbuquerque, NM | $3,036 |
| Lovelace Women's HospitalAlbuquerque, NM | $3,041 |
Highest
| St Vincent HospitalSanta Fe, NM | $3,463 |
|---|---|
| San Juan Regional Medical CenterFarmington, NM | $3,384 |
| Los Alamos Medical CenterLos Alamos, NM | $3,166 |
| UNM HospitalAlbuquerque, NM | $3,086 |
| Lovelace Medical CenterAlbuquerque, NM | $3,085 |
Level 4 Urology and Related Services in other states
Questions
How much does level 4 urology and related services cost in New Mexico?
In 2024 Medicare data, level 4 urology and related services (APC 5374) at 16 hospitals in New Mexico was billed at $25,767 on average, while the average medicare-allowed amount was $3,185, of which Medicare paid $2,528. 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 8.1 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.