Level 5 Musculoskeletal Procedures in New Mexico
What 21 hospitals in New Mexico charged and were paid for level 5 musculoskeletal procedures (APC 5115), from 2024 Medicare claims.
Average charge
$73,686
Hospital list price billed
Average allowed
$11,704
Medicare's payment + patient's share
Medicare paid
$10,072
Average per service
State rank
#20 of 49
1 = lowest average payment
Hospitals in New Mexico billed an average of $73,686 for level 5 musculoskeletal procedures, about 6.3 times the average medicare-allowed amount of $11,704. That payment is 6% below the U.S. average of $12,402.
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 $11,704Billed $73,686
About 16¢ was paid for every $1 hospitals in New Mexico billed for this service.
New Mexico hospitals: level 5 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 |
|---|---|---|---|---|
| Presbyterian HospitalAlbuquerque | 430 | $46,631 | $11,327 | $9,693 |
| Lovelace Medical CenterAlbuquerque | 332 | $101,925 | $11,307 | $9,674 |
| St Vincent HospitalSanta Fe | 250 | $80,655 | $12,980 | $11,345 |
| Presbyterian Santa Fe Medical CenterSanta Fe | 192 | $44,599 | $11,921 | $10,288 |
| San Juan Regional Medical CenterFarmington | 179 | $38,524 | $12,597 | $10,967 |
| Memorial Medical Center INCLas Cruces | 98 | $126,077 | $10,953 | $9,320 |
| Three Crosses Regional Hospital LLCLas Cruces | 94 | $65,597 | $10,818 | $9,185 |
| Artesia General HospitalArtesia | 88 | $67,674 | $11,776 | $10,143 |
| Mountain View Regional Medical CenterLas Cruces | 87 | $142,062 | $11,334 | $9,702 |
| Lovelace Women's HospitalAlbuquerque | 78 | $96,923 | $11,380 | $9,742 |
| UNM HospitalAlbuquerque | 77 | $32,899 | $11,483 | $9,872 |
| Espanola HospitalEspanola | 41 | $37,643 | $12,495 | $10,863 |
| Lovelace Westside HospitalAlbuquerque | 34 | $91,955 | $11,340 | $9,706 |
| Roswell Regional HospitalRoswell | 34 | $85,003 | $11,158 | $9,526 |
| CHRISTUS Southern New MexicoAlamogordo | 20 | $264,902 | $12,258 | $10,626 |
| Eastern New Mexico Medical CenterRoswell | 16 | $109,767 | $10,898 | $9,266 |
| Plains Regional Medical CenterClovis | – | – | – | – |
| Los Alamos Medical CenterLos Alamos | – | – | – | – |
| Carlsbad Medical CenterCarlsbad | – | – | – | – |
| Covenant Health Hobbs HospitalHobbs | – | – | – | – |
| Roosevelt General HospitalPortales | – | – | – | – |
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 | $10,818 |
|---|---|
| Eastern New Mexico Medical CenterRoswell, NM | $10,898 |
| Memorial Medical Center INCLas Cruces, NM | $10,953 |
| Roswell Regional HospitalRoswell, NM | $11,158 |
| Lovelace Medical CenterAlbuquerque, NM | $11,307 |
Highest
| St Vincent HospitalSanta Fe, NM | $12,980 |
|---|---|
| San Juan Regional Medical CenterFarmington, NM | $12,597 |
| Espanola HospitalEspanola, NM | $12,495 |
| CHRISTUS Southern New MexicoAlamogordo, NM | $12,258 |
| Presbyterian Santa Fe Medical CenterSanta Fe, NM | $11,921 |
Level 5 Musculoskeletal Procedures in other states
Questions
How much does level 5 musculoskeletal procedures cost in New Mexico?
In 2024 Medicare data, level 5 musculoskeletal procedures (APC 5115) at 21 hospitals in New Mexico was billed at $73,686 on average, while the average medicare-allowed amount was $11,704, of which Medicare paid $10,072. 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 6.3 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.