Presbyterian Hospital
Presbyterian Hospital in Albuquerque, New Mexico charges 4.4x the Medicare reimbursement rate across 136 analyzed procedures, according to our analysis of this nonprofit-private facility's pricing data.
Albuquerque, NM 87106 · Acute Care Hospitals · CMS Rating: 3/5
About the analyst
Michael Glenn reviews CMS datasets and drug pricing at BillRazor Research. He focuses on NADAC acquisition costs and procedure coding accuracy. Expertise: drug pricing, NADAC data, CPT coding.
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Pricing grade
C
Average
Avg markup vs Medicare
4.37x
Charge / Medicare rate
Max markup
12.04x
Worst procedure
Procedures analyzed
136
With pricing data
Outlier procedures
0%
Above 90th percentile
Pricing grades reflect how this hospital's chargemaster (list) rates compare to Medicare reimbursement benchmarks within the same state. Grades measure pricing patterns only — not quality of care, patient outcomes, or clinical performance. A lower grade does not mean a hospital provides inferior care. Based on publicly available federal data. Not endorsed by or affiliated with any government agency.
| Procedure | Code | Gross charge | Cash price | Medicare | Markup |
|---|---|---|---|---|---|
| KIDNEY TRANSPLANT | 652 | $193,774 | $96,887 | — | 12x |
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC | 310 | $17,132 | $8,566 | — | 8.4x |
| ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY | 884 | $64,397 | $32,199 | — | 7x |
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC | 066 | $25,031 | $12,515 | — | 6.9x |
| GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC | 390 | $16,925 | $8,462 | — | 6.2x |
| SIGNS AND SYMPTOMS WITHOUT MCC | 948 | $26,759 | $13,379 | — | 6.2x |
| MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC | 470 | $55,751 | $27,876 | — | 5.9x |
| PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITHOUT MCC | 247 | $61,154 | $30,577 | — | 5.9x |
| CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC | 433 | $33,855 | $16,927 | — | 5.8x |
| TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC | 069 | $30,906 | $15,453 | — | 5.8x |
| SYNCOPE AND COLLAPSE | 312 | $30,066 | $15,033 | — | 5.7x |
| PULMONARY EMBOLISM WITHOUT MCC | 176 | $25,878 | $12,939 | — | 5.4x |
| OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC | 271 | $102,846 | $51,423 | — | 5.4x |
| MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC | 372 | $34,153 | $17,076 | — | 5.4x |
| DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC | 057 | $54,912 | $27,456 | — | 5.4x |
| LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC | 418 | $49,957 | $24,979 | — | 5.3x |
| EXTRACRANIAL PROCEDURES WITHOUT CC/MCC | 039 | $34,989 | $17,495 | — | 5.3x |
| DIABETES WITH MCC | 637 | $41,473 | $20,737 | — | 5.3x |
| ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC | 282 | $21,848 | $10,924 | — | 5.3x |
| DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC | 439 | $22,808 | $11,404 | — | 5.3x |
| DISORDERS OF THE BILIARY TRACT WITH CC | 445 | $30,575 | $15,287 | — | 5.2x |
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC | 309 | $20,768 | $10,384 | — | 5.2x |
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS | 065 | $29,531 | $14,766 | — | 5.2x |
| PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITHOUT MCC | 322 | $55,798 | $27,899 | — | 5.1x |
| MEDICAL BACK PROBLEMS WITHOUT MCC | 552 | $28,983 | $14,491 | — | 5.1x |
| RESPIRATORY NEOPLASMS WITH MCC | 180 | $54,843 | $27,422 | — | 5.1x |
| OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC | 394 | $29,529 | $14,765 | — | 5.1x |
| CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC | 432 | $57,187 | $28,594 | — | 5x |
| CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC | 287 | $28,665 | $14,332 | — | 5x |
| ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC | 281 | $26,047 | $13,023 | — | 5x |
| OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC | 229 | $107,327 | $53,664 | — | 5x |
| ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC | 392 | $22,017 | $11,008 | — | 5x |
| ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC | 391 | $34,742 | $17,371 | — | 4.9x |
| PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITH MCC OR 4+ ARTERIES/ | 321 | $91,456 | $45,728 | — | 4.9x |
| PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITH MCC OR 4+ ARTERIES O | 246 | $83,523 | $41,762 | — | 4.9x |
| HYPERTENSION WITHOUT MCC | 305 | $21,729 | $10,865 | — | 4.8x |
| DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC | 442 | $24,110 | $12,055 | — | 4.8x |
| BRONCHITIS AND ASTHMA WITH CC/MCC | 202 | $24,539 | $12,270 | — | 4.7x |
| PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH CC | 543 | $28,238 | $14,119 | — | 4.7x |
| ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC | 897 | $23,927 | $11,963 | — | 4.7x |
| MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATIO | 808 | $88,405 | $44,203 | — | 4.7x |
| KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC | 690 | $20,419 | $10,209 | — | 4.6x |
| COAGULATION DISORDERS | 813 | $38,922 | $19,461 | — | 4.6x |
| NONSPECIFIC CEREBROVASCULAR DISORDERS WITH MCC | 070 | $51,566 | $25,783 | — | 4.6x |
| ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC | 280 | $43,674 | $21,837 | — | 4.6x |
| RED BLOOD CELL DISORDERS WITH MCC | 811 | $39,542 | $19,771 | — | 4.6x |
| CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC | 286 | $54,944 | $27,472 | — | 4.6x |
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC | 308 | $32,120 | $16,060 | — | 4.6x |
| SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC | 872 | $27,397 | $13,699 | — | 4.5x |
| KIDNEY AND URINARY TRACT INFECTIONS WITH MCC | 689 | $34,436 | $17,218 | — | 4.5x |
Showing 50 of 136 procedures
How PRESBYTERIAN HOSPITAL compares to nearby hospitals
Comparison based on average markup ratios from federal hospital pricing data (FY 2024). Chargemaster rates are gross charges — they are not what most insured patients pay. Actual costs depend on your insurance plan, negotiated rates, and coverage terms. This comparison is for informational purposes only and does not constitute medical, financial, or legal advice. Verify costs directly with your provider and insurer.
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Pricing data from federal hospital transparency files and physician fee schedules. Last updated: . All data is publicly available under federal law.
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Data: Federal hospital pricing data, updated annually. All data publicly available under federal law.
Methodology: Hospital gross charges divided by Medicare payment for the same DRG. A ratio of 3.0x means the hospital's listed price is 3 times what Medicare pays. Chargemaster rates are list prices — they are not what most insured patients pay. Grades measure pricing patterns only — not quality of care or clinical performance.
This information is for educational purposes only and is not medical, financial, or legal advice. Actual costs depend on your insurance and provider. We recommend verifying costs directly with your provider. Full methodology · Terms of use