facebook tracking Respiratory system diagnosis with ventilator support <=96 hours cost in New Mexico: 2 hospitals compared (DRG 208)

Respiratory system diagnosis with ventilator support <=96 hours in New Mexico

What 2 hospitals in New Mexico charged and were paid for a Medicare hospital stay for respiratory system diagnosis with ventilator support <=96 hours (DRG 208), from 2024 Medicare claims.

DRG 208 Inpatient 2024 Medicare data
Average charge $62,121 Hospital list price billed
Average payment $24,007 Medicare + patient + other payers
Medicare paid $20,805 Average per stay
Volume 34 Medicare hospital stays

Hospitals in New Mexico billed an average of $62,121 for respiratory system diagnosis with ventilator support <=96 hours, about 2.6 times the average total payment of $24,007. That payment is 6% below the U.S. average of $25,674.

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 $24,007Billed $62,121

About 39¢ was paid for every $1 hospitals in New Mexico billed for this stay.

New Mexico hospitals: respiratory system diagnosis with ventilator support <=96 hours

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
UNM HospitalAlbuquerque 18 $55,933 $29,151 $24,337
Presbyterian HospitalAlbuquerque 16 $69,082 $18,219 $16,832
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Respiratory system diagnosis with ventilator support <=96 hours in other states

Questions

How much does respiratory system diagnosis with ventilator support <=96 hours cost in New Mexico?

In 2024 Medicare data, a hospital stay for respiratory system diagnosis with ventilator support <=96 hours (DRG 208) at 2 hospitals in New Mexico was billed at $62,121 on average, while the average total payment was $24,007, of which Medicare paid $20,805. 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 2.6 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.