Level 5 Urology and Related Services in New Mexico
What 15 hospitals in New Mexico charged and were paid for level 5 urology and related services (APC 5375), from 2024 Medicare claims.
Average charge
$36,964
Hospital list price billed
Average allowed
$4,701
Medicare's payment + patient's share
Medicare paid
$3,731
Average per service
State rank
#24 of 49
1 = lowest average payment
Hospitals in New Mexico billed an average of $36,964 for level 5 urology and related services, about 7.9 times the average medicare-allowed amount of $4,701. That payment is 5% below the U.S. average of $4,934.
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 $4,701Billed $36,964
About 13¢ was paid for every $1 hospitals in New Mexico billed for this service.
New Mexico hospitals: level 5 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 | 198 | $30,957 | $5,198 | $4,133 |
| Lovelace Women's HospitalAlbuquerque | 161 | $58,363 | $4,489 | $3,557 |
| Presbyterian HospitalAlbuquerque | 154 | $22,345 | $4,486 | $3,552 |
| Memorial Medical Center INCLas Cruces | 118 | $52,123 | $4,476 | $3,546 |
| UNM HospitalAlbuquerque | 79 | $16,918 | $4,533 | $3,603 |
| San Juan Regional Medical CenterFarmington | 62 | $21,037 | $5,023 | $3,998 |
| Lovelace Medical CenterAlbuquerque | 27 | $58,130 | $4,580 | $3,649 |
| Roswell Regional HospitalRoswell | 26 | $45,111 | $4,506 | $3,590 |
| Eastern New Mexico Medical CenterRoswell | 19 | $36,656 | $4,533 | $3,612 |
| Espanola HospitalEspanola | – | – | – | – |
| Plains Regional Medical CenterClovis | – | – | – | – |
| Artesia General HospitalArtesia | – | – | – | – |
| Los Alamos Medical CenterLos Alamos | – | – | – | – |
| Mountain View Regional Medical CenterLas Cruces | – | – | – | – |
| 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
| Memorial Medical Center INCLas Cruces, NM | $4,476 |
|---|---|
| Presbyterian HospitalAlbuquerque, NM | $4,486 |
| Lovelace Women's HospitalAlbuquerque, NM | $4,489 |
| Roswell Regional HospitalRoswell, NM | $4,506 |
| Eastern New Mexico Medical CenterRoswell, NM | $4,533 |
Highest
| St Vincent HospitalSanta Fe, NM | $5,198 |
|---|---|
| San Juan Regional Medical CenterFarmington, NM | $5,023 |
| Lovelace Medical CenterAlbuquerque, NM | $4,580 |
| UNM HospitalAlbuquerque, NM | $4,533 |
| Eastern New Mexico Medical CenterRoswell, NM | $4,533 |
Level 5 Urology and Related Services in other states
Questions
How much does level 5 urology and related services cost in New Mexico?
In 2024 Medicare data, level 5 urology and related services (APC 5375) at 15 hospitals in New Mexico was billed at $36,964 on average, while the average medicare-allowed amount was $4,701, of which Medicare paid $3,731. 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 7.9 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.