Pulmonary edema and respiratory failure in New Mexico
What 15 hospitals in New Mexico charged and were paid for a Medicare hospital stay for pulmonary edema and respiratory failure (DRG 189), from 2024 Medicare claims.
Average charge
$42,218
Hospital list price billed
Average payment
$11,712
Medicare + patient + other payers
Medicare paid
$10,014
Average per stay
State rank
#32 of 50
1 = lowest average payment
Hospitals in New Mexico billed an average of $42,218 for pulmonary edema and respiratory failure, about 3.6 times the average total payment of $11,712. That payment is 4% below the U.S. average of $12,197.
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 $11,712Billed $42,218
About 28¢ was paid for every $1 hospitals in New Mexico billed for this stay.
New Mexico hospitals: pulmonary edema and respiratory failure
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 | 105 | $30,137 | $9,340 | $7,568 |
| UNM HospitalAlbuquerque | 43 | $29,656 | $15,569 | $12,314 |
| San Juan Regional Medical CenterFarmington | 39 | $37,286 | $12,297 | $10,501 |
| Memorial Medical Center INCLas Cruces | 37 | $74,603 | $9,488 | $7,553 |
| Plains Regional Medical CenterClovis | 32 | $26,475 | $10,406 | $9,234 |
| St Vincent HospitalSanta Fe | 29 | $34,146 | $13,045 | $11,669 |
| Eastern New Mexico Medical CenterRoswell | 24 | $70,859 | $8,761 | $7,607 |
| Gallup Indian Medical CenterGallup | 21 | $22,030 | $14,486 | $13,089 |
| Northern Navajo Medical CenterShiprock | 20 | $21,849 | $14,581 | $13,398 |
| Los Alamos Medical CenterLos Alamos | 18 | $44,868 | $18,259 | $15,966 |
| Carlsbad Medical CenterCarlsbad | 18 | $59,759 | $10,952 | $10,136 |
| Lovelace Medical CenterAlbuquerque | 17 | $91,679 | $8,069 | $6,885 |
| Espanola HospitalEspanola | 15 | $29,440 | $15,325 | $14,121 |
| CHRISTUS Southern New MexicoAlamogordo | 12 | $92,569 | $13,218 | $12,011 |
| Mountain View Regional Medical CenterLas Cruces | 11 | $48,382 | $10,479 | $9,192 |
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 | $8,069 |
|---|---|
| Eastern New Mexico Medical CenterRoswell, NM | $8,761 |
| Presbyterian HospitalAlbuquerque, NM | $9,340 |
| Memorial Medical Center INCLas Cruces, NM | $9,488 |
| Plains Regional Medical CenterClovis, NM | $10,406 |
Highest
| Los Alamos Medical CenterLos Alamos, NM | $18,259 |
|---|---|
| UNM HospitalAlbuquerque, NM | $15,569 |
| Espanola HospitalEspanola, NM | $15,325 |
| Northern Navajo Medical CenterShiprock, NM | $14,581 |
| Gallup Indian Medical CenterGallup, NM | $14,486 |
Pulmonary edema and respiratory failure in other states
Questions
How much does pulmonary edema and respiratory failure cost in New Mexico?
In 2024 Medicare data, a hospital stay for pulmonary edema and respiratory failure (DRG 189) at 15 hospitals in New Mexico was billed at $42,218 on average, while the average total payment was $11,712, of which Medicare paid $10,014. 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 3.6 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.