Hip or thigh bone surgery (not replacement), with major complications in New Mexico
MS-DRG 480: Hip and femur procedures except major joint with mcc
$100,901typical hospital bill
$26,614typical amount paid
$20,218–$31,898range paid across 6 hospitals
New Mexico hospitals billed Medicare a typical $100,901 for this stay in 2024, about 3.8 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 | 21 | $216,083 | $20,218 | |
| Presbyterian Hospital | Albuquerque | 42 | $73,146 | $23,235 | |
| Carlsbad Medical Center | Carlsbad | 11 | $186,863 | $25,861 | |
| San Juan Regional Medical Center Inc | Farmington | 16 | $73,110 | $27,368 | |
| Christus St Vincent Regional Medical Center | Santa Fe | 53 | $128,655 | $31,008 | |
| Unm Hospital | Albuquerque | 20 | $59,847 | $31,898 |
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.