Hip Replacement with Principal Diagnosis of Hip Fracture with Mcc in New Mexico
MS-DRG 521: Hip replacement with principal diagnosis of hip fracture with mcc
$115,621typical hospital bill
$25,170typical amount paid
$20,473–$29,868range paid across 2 hospitals
New Mexico hospitals billed Medicare a typical $115,621 for this stay in 2024, about 4.6 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 | 21 | $81,123 | $20,473 | |
| Christus St Vincent Regional Medical Center | Santa Fe | 22 | $150,118 | $29,868 |
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.