facebook tracking Seizures with major complications cost in New Mexico: 3 hospitals compared (DRG 100)

Seizures with major complications in New Mexico

What 3 hospitals in New Mexico charged and were paid for a Medicare hospital stay for seizures with major complications (DRG 100), from 2024 Medicare claims.

DRG 100 Inpatient 2024 Medicare data
Average charge $63,182 Hospital list price billed
Average payment $21,119 Medicare + patient + other payers
Medicare paid $16,685 Average per stay
State rank #31 of 42 1 = lowest average payment

Hospitals in New Mexico billed an average of $63,182 for seizures with major complications, about 3.0 times the average total payment of $21,119. That payment is 6% above the U.S. average of $19,930.

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 $21,119Billed $63,182

About 33¢ was paid for every $1 hospitals in New Mexico billed for this stay.

Medicare prices this stay in 2 versions, by how sick the patient was. Compare them in New Mexico:

New Mexico hospitals: seizures 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
UNM HospitalAlbuquerque 34 $73,069 $31,662 $23,654
Presbyterian HospitalAlbuquerque 33 $36,614 $14,435 $12,144
Lovelace Medical CenterAlbuquerque 16 $96,970 $12,504 $11,244
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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

Lovelace Medical CenterAlbuquerque, NM$12,504
Presbyterian HospitalAlbuquerque, NM$14,435
UNM HospitalAlbuquerque, NM$31,662

Highest

UNM HospitalAlbuquerque, NM$31,662
Presbyterian HospitalAlbuquerque, NM$14,435
Lovelace Medical CenterAlbuquerque, NM$12,504

Seizures with major complications in other states

Questions

How much does seizures with major complications cost in New Mexico?

In 2024 Medicare data, a hospital stay for seizures with major complications (DRG 100) at 3 hospitals in New Mexico was billed at $63,182 on average, while the average total payment was $21,119, of which Medicare paid $16,685. 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 3.0 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.