Pneumonia, with complications in New Mexico
MS-DRG 194: Simple pneumonia and pleurisy with cc
$34,246typical hospital bill
$6,423typical amount paid
$5,997–$10,425range paid across 4 hospitals
New Mexico hospitals billed Medicare a typical $34,246 for this stay in 2024, about 5.3 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 | |
|---|---|---|---|---|---|
| Eastern New Mexico Medical Center | Roswell | 16 | $50,127 | $5,997 | |
| Mountain View Regional Medical Center | Las Cruces | 12 | $37,470 | $6,330 | |
| Presbyterian Hospital | Albuquerque | 30 | $18,485 | $6,517 | |
| Gallup Indian Medical Center | Gallup | 30 | $31,023 | $10,425 |
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.