Healthcare Pricing Data: ALBUQUERQUE, NM
5 hospitals with public pricing data · 30 procedures reported to CMS
Hospitals
5
With CMS data
Procedures
30
DRG categories
Avg Charge-to-Medicare Ratio
6.0x
Across all procedures
vs National Average
-26%
Chargemaster rates
About This Data
ALBUQUERQUE, NM has 5 hospitals that report pricing data to the Centers for Medicare & Medicaid Services (CMS). Across these facilities, the average chargemaster-to-Medicare reimbursement ratio is 6.0x for the 30 procedures in this dataset.(Source: CMS IPPS Provider Summary)
The procedure with the highest average listed charges in ALBUQUERQUE is SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS (DRG 870), with an average chargemaster rate of $286,338 across reporting hospitals.
Important: Chargemaster rates are hospital list prices and are not what most insured patients pay. Actual costs depend on your insurance plan's negotiated rates, deductibles, and coverage. Use this data as a starting point for understanding pricing in your area.
Procedure Pricing Data
| Procedure | DRG | Avg Listed Charge | Hospitals Reporting | Charge-to-Medicare Ratio |
|---|---|---|---|---|
| SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC | 871 | $79,585 | 5 | 6.4x |
| RENAL FAILURE WITH MCC | 682 | $58,139 | 5 | 6.7x |
| RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC | 177 | $53,292 | 5 | 4.7x |
| HEART FAILURE AND SHOCK WITH MCC | 291 | $52,457 | 5 | 6.7x |
| SIMPLE PNEUMONIA AND PLEURISY WITH MCC | 193 | $52,217 | 5 | 6.5x |
| SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC | 872 | $45,790 | 5 | 7.9x |
| INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC | 853 | $181,353 | 4 | 5.4x |
| HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC | 481 | $82,819 | 4 | 6.0x |
| GASTROINTESTINAL HEMORRHAGE WITH MCC | 377 | $63,578 | 4 | 5.3x |
| ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC | 391 | $55,969 | 4 | 7.9x |
| GASTROINTESTINAL HEMORRHAGE WITH CC | 378 | $39,816 | 4 | 6.5x |
| SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS | 870 | $286,338 | 3 | 5.8x |
| OTHER VASCULAR PROCEDURES WITH MCC | 252 | $99,393 | 3 | 4.3x |
| MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | 330 | $92,829 | 3 | 6.1x |
| PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC | 274 | $92,368 | 3 | 4.1x |
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC | 064 | $78,220 | 3 | 5.9x |
| CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC | 286 | $76,977 | 3 | 5.3x |
| CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC | 432 | $63,226 | 3 | 5.0x |
| OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC | 698 | $58,998 | 3 | 5.3x |
| ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC | 280 | $55,287 | 3 | 5.3x |
| PULMONARY EDEMA AND RESPIRATORY FAILURE | 189 | $48,726 | 3 | 6.1x |
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS | 065 | $45,455 | 3 | 7.4x |
| PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE | 175 | $45,425 | 3 | 4.8x |
| MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC | 640 | $44,694 | 3 | 5.8x |
| DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC | 057 | $44,365 | 3 | 4.8x |
| KIDNEY AND URINARY TRACT INFECTIONS WITH MCC | 689 | $42,061 | 3 | 5.5x |
| SEIZURES WITHOUT MCC | 101 | $35,835 | 3 | 6.3x |
| DIABETES WITH CC | 638 | $33,434 | 3 | 6.5x |
| MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC | 641 | $32,885 | 3 | 6.8x |
| ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC | 392 | $32,653 | 3 | 7.8x |
Source: CMS IPPS Provider Summary. Listed charges are hospital chargemaster rates, not patient-paid amounts.
Hospitals in ALBUQUERQUE With Pricing Data
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