facebook tracking Septicemia or severe sepsis with ventilator >96 hours cost in New Mexico: 3 hospitals compared (DRG 870)

Septicemia or severe sepsis with ventilator >96 hours in New Mexico

What 3 hospitals in New Mexico charged and were paid for a Medicare hospital stay for septicemia or severe sepsis with ventilator >96 hours (DRG 870), from 2024 Medicare claims.

DRG 870 Inpatient 2024 Medicare data
Average charge $335,501 Hospital list price billed
Average payment $58,536 Medicare + patient + other payers
Medicare paid $54,096 Average per stay
State rank #20 of 40 1 = lowest average payment

Hospitals in New Mexico billed an average of $335,501 for septicemia or severe sepsis with ventilator >96 hours, about 5.7 times the average total payment of $58,536. That payment is 11% below the U.S. average of $66,013.

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 $58,536Billed $335,501

About 17¢ was paid for every $1 hospitals in New Mexico billed for this stay.

New Mexico hospitals: septicemia or severe sepsis with ventilator >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
Lovelace Medical CenterAlbuquerque 13 $525,763 $44,602 $42,301
UNM HospitalAlbuquerque 12 $192,386 $80,733 $72,014
Mountain View Regional Medical CenterLas Cruces 12 $272,499 $51,435 $48,957
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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$44,602
Mountain View Regional Medical CenterLas Cruces, NM$51,435
UNM HospitalAlbuquerque, NM$80,733

Highest

UNM HospitalAlbuquerque, NM$80,733
Mountain View Regional Medical CenterLas Cruces, NM$51,435
Lovelace Medical CenterAlbuquerque, NM$44,602

Septicemia or severe sepsis with ventilator >96 hours in other states

Questions

How much does septicemia or severe sepsis with ventilator >96 hours cost in New Mexico?

In 2024 Medicare data, a hospital stay for septicemia or severe sepsis with ventilator >96 hours (DRG 870) at 3 hospitals in New Mexico was billed at $335,501 on average, while the average total payment was $58,536, of which Medicare paid $54,096. 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 5.7 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.