facebook tracking Other major cardiovascular procedures with major complications cost in New Mexico: 4 hospitals compared (DRG 270)

Other major cardiovascular procedures with major complications in New Mexico

What 4 hospitals in New Mexico charged and were paid for a Medicare hospital stay for other major cardiovascular procedures with major complications (DRG 270), from 2024 Medicare claims.

DRG 270 Inpatient 2024 Medicare data
Average charge $182,601 Hospital list price billed
Average payment $47,399 Medicare + patient + other payers
Medicare paid $45,330 Average per stay
State rank #16 of 37 1 = lowest average payment

Hospitals in New Mexico billed an average of $182,601 for other major cardiovascular procedures with major complications, about 3.9 times the average total payment of $47,399. That payment is 10% below the U.S. average of $52,554.

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 $47,399Billed $182,601

About 26¢ was paid for every $1 hospitals in New Mexico billed for this stay.

New Mexico hospitals: other major cardiovascular procedures with major complications

Every New Mexico hospital that billed Medicare for this stay at least 11 times. Click a column to sort.

Hospital Stays Avg charge Avg payment Medicare paid
Presbyterian HospitalAlbuquerque 24 $198,882 $50,783 $47,391
San Juan Regional Medical CenterFarmington 16 $142,162 $47,558 $46,334
Lovelace Medical CenterAlbuquerque 16 $218,780 $35,565 $34,186
St Vincent HospitalSanta Fe 14 $159,559 $54,939 $53,387
Advertisement

Lowest and highest payments in New Mexico

Among hospitals with at least 11 Medicare hospital stays. Differences reflect local wage costs, teaching status and how sick patients were, as well as price.

Lowest

Lovelace Medical CenterAlbuquerque, NM$35,565
San Juan Regional Medical CenterFarmington, NM$47,558
Presbyterian HospitalAlbuquerque, NM$50,783
St Vincent HospitalSanta Fe, NM$54,939

Highest

St Vincent HospitalSanta Fe, NM$54,939
Presbyterian HospitalAlbuquerque, NM$50,783
San Juan Regional Medical CenterFarmington, NM$47,558
Lovelace Medical CenterAlbuquerque, NM$35,565

Other major cardiovascular procedures with major complications in other states

Questions

How much does other major cardiovascular procedures with major complications cost in New Mexico?

In 2024 Medicare data, a hospital stay for other major cardiovascular procedures with major complications (DRG 270) at 4 hospitals in New Mexico was billed at $182,601 on average, while the average total payment was $47,399, of which Medicare paid $45,330. 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 stay in New Mexico, average charges were 3.9 times the average payment. Uninsured patients can ask the hospital about its financial assistance (charity care) policy and cash prices.

Source: CMS, Medicare Inpatient Hospitals by Provider and Service, 2024. Average total payment includes Medicare's payment, the patient's deductible and coinsurance, and any other payer. CMS omits hospitals with fewer than 11 hospital stays for privacy. About the data.