Level 6 Musculoskeletal Procedures in New Mexico
What 18 hospitals in New Mexico charged and were paid for level 6 musculoskeletal procedures (APC 5116), from 2024 Medicare claims.
Average charge
$99,004
Hospital list price billed
Average allowed
$17,126
Medicare's payment + patient's share
Medicare paid
$15,492
Average per service
State rank
#26 of 49
1 = lowest average payment
Hospitals in New Mexico billed an average of $99,004 for level 6 musculoskeletal procedures, about 5.8 times the average medicare-allowed amount of $17,126. That payment is 2% below the U.S. average of $17,392.
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 $17,126Billed $99,004
About 17¢ was paid for every $1 hospitals in New Mexico billed for this service.
New Mexico hospitals: level 6 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 | 79 | $147,017 | $18,610 | $16,976 |
| Presbyterian HospitalAlbuquerque | 66 | $55,653 | $16,247 | $14,613 |
| San Juan Regional Medical CenterFarmington | 52 | $48,811 | $18,049 | $16,417 |
| Three Crosses Regional Hospital LLCLas Cruces | 24 | $109,356 | $15,882 | $14,250 |
| UNM HospitalAlbuquerque | 23 | $49,442 | $16,460 | $14,819 |
| Memorial Medical Center INCLas Cruces | 16 | $131,474 | $15,286 | $13,639 |
| Artesia General HospitalArtesia | 15 | $98,807 | $15,248 | $13,616 |
| CHRISTUS Southern New MexicoAlamogordo | 14 | $233,800 | $17,343 | $15,711 |
| Lovelace Women's HospitalAlbuquerque | 11 | $114,080 | $16,460 | $14,828 |
| Eastern New Mexico Medical CenterRoswell | – | – | – | – |
| Lovelace Medical CenterAlbuquerque | – | – | – | – |
| Espanola HospitalEspanola | – | – | – | – |
| Plains Regional Medical CenterClovis | – | – | – | – |
| Carlsbad Medical CenterCarlsbad | – | – | – | – |
| Lovelace Westside HospitalAlbuquerque | – | – | – | – |
| Mountain View Regional Medical CenterLas Cruces | – | – | – | – |
| Roswell Regional HospitalRoswell | – | – | – | – |
| Presbyterian Santa Fe Medical CenterSanta Fe | – | – | – | – |
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
| Artesia General HospitalArtesia, NM | $15,248 |
|---|---|
| Memorial Medical Center INCLas Cruces, NM | $15,286 |
| Three Crosses Regional Hospital LLCLas Cruces, NM | $15,882 |
| Presbyterian HospitalAlbuquerque, NM | $16,247 |
| Lovelace Women's HospitalAlbuquerque, NM | $16,460 |
Highest
| St Vincent HospitalSanta Fe, NM | $18,610 |
|---|---|
| San Juan Regional Medical CenterFarmington, NM | $18,049 |
| CHRISTUS Southern New MexicoAlamogordo, NM | $17,343 |
| UNM HospitalAlbuquerque, NM | $16,460 |
| Lovelace Women's HospitalAlbuquerque, NM | $16,460 |
Level 6 Musculoskeletal Procedures in other states
Questions
How much does level 6 musculoskeletal procedures cost in New Mexico?
In 2024 Medicare data, level 6 musculoskeletal procedures (APC 5116) at 18 hospitals in New Mexico was billed at $99,004 on average, while the average medicare-allowed amount was $17,126, of which Medicare paid $15,492. 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 5.8 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.