Cardiac Valve and Other Major Cardiothoracic Procedures with Cardiac Catheterization Wit in New Mexico
MS-DRG 216: Cardiac valve and other major cardiothoracic procedures with cardiac catheterization wit
$484,338typical hospital bill
$76,590typical amount paid
$67,385–$86,934range paid across 3 hospitals
New Mexico hospitals billed Medicare a typical $484,338 for this stay in 2024, about 6.3 times what was actually paid. Medicare's payment depends mostly on the hospital's location and teaching role; the bill depends on the hospital's own price list, so bills vary far more than payments.
Billed (list price)Actually paid (Medicare + patient)
| Hospital | City | Medicare stays | Billed | Paid | |
|---|---|---|---|---|---|
| Lovelace Medical Center | Albuquerque | 13 | $484,338 | $67,385 | |
| Presbyterian Hospital | Albuquerque | 13 | $237,408 | $76,590 | |
| Memorial Medical Center | Las Cruces | 12 | $529,736 | $86,934 |
Medicare: CMS, 2024 (hospitals with 11 or more Medicare stays). Cash and insurer prices: hospitals' own price files, where read; insurer figures are commercial plans only, median and 10th–90th percentile across plans.