facebook tracking Permanent cardiac pacemaker implant with major complications cost in New Mexico: 3 hospitals compared (DRG 242)

Permanent cardiac pacemaker implant with major complications in New Mexico

What 3 hospitals in New Mexico charged and were paid for a Medicare hospital stay for permanent cardiac pacemaker implant with major complications (DRG 242), from 2024 Medicare claims.

DRG 242 Inpatient 2024 Medicare data
Average charge $137,036 Hospital list price billed
Average payment $24,478 Medicare + patient + other payers
Medicare paid $21,160 Average per stay
State rank #7 of 41 1 = lowest average payment

Hospitals in New Mexico billed an average of $137,036 for permanent cardiac pacemaker implant with major complications, about 5.6 times the average total payment of $24,478. That payment is 20% below the U.S. average of $30,574.

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 $24,478Billed $137,036

About 18¢ was paid for every $1 hospitals in New Mexico billed for this stay.

New Mexico hospitals: permanent cardiac pacemaker implant 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
Lovelace Medical CenterAlbuquerque 24 $173,537 $25,156 $20,319
Presbyterian HospitalAlbuquerque 11 $97,942 $25,041 $23,202
Three Crosses Regional Hospital LLCLas Cruces 11 $96,490 $22,438 $20,955
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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

Three Crosses Regional Hospital LLCLas Cruces, NM$22,438
Presbyterian HospitalAlbuquerque, NM$25,041
Lovelace Medical CenterAlbuquerque, NM$25,156

Highest

Lovelace Medical CenterAlbuquerque, NM$25,156
Presbyterian HospitalAlbuquerque, NM$25,041
Three Crosses Regional Hospital LLCLas Cruces, NM$22,438

Permanent cardiac pacemaker implant with major complications in other states

Questions

How much does permanent cardiac pacemaker implant with major complications cost in New Mexico?

In 2024 Medicare data, a hospital stay for permanent cardiac pacemaker implant with major complications (DRG 242) at 3 hospitals in New Mexico was billed at $137,036 on average, while the average total payment was $24,478, of which Medicare paid $21,160. 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 5.6 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.