Cardiac Valve and Other Major Cardiothoracic Procedures Without Cardiac Catheterization in New Mexico
MS-DRG 219: Cardiac valve and other major cardiothoracic procedures without cardiac catheterization
$197,689typical hospital bill
$80,086typical amount paid
$62,009–$98,162range paid across 2 hospitals
New Mexico hospitals billed Medicare a typical $197,689 for this stay in 2024, about 2.5 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 | |
|---|---|---|---|---|---|
| Presbyterian Hospital | Albuquerque | 11 | $171,726 | $62,009 | |
| Unm Hospital | Albuquerque | 13 | $223,652 | $98,162 |
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.