San Juan Regional Medical Center Inc
San Juan Regional Medical Center Inc in Farmington, NM charges 4.1x the Medicare reimbursement rate based on analysis of 39 medical procedures.
Farmington, NM 87401 · Acute Care Hospitals · CMS Rating: 2/5
About the analyst
Elena Vasquez leads hospital billing pattern analysis at BillRazor Research. She focuses on identifying overcharges, markup outliers, and patient advocacy strategies. Expertise: hospital billing patterns, overcharge analysis, patient advocacy.
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Pricing grade
C
Average
Avg markup vs Medicare
4.08x
Charge / Medicare rate
Max markup
6.52x
Worst procedure
Procedures analyzed
39
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 |
|---|---|---|---|---|---|
| ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC | 281 | $41,637 | $20,818 | — | 6.5x |
| PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITHOUT MCC | 247 | $89,997 | $44,999 | — | 5.9x |
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC | 310 | $21,037 | $10,518 | — | 5.7x |
| GASTROINTESTINAL HEMORRHAGE WITH CC | 378 | $41,847 | $20,924 | — | 5.7x |
| ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC | 392 | $29,490 | $14,745 | — | 5.7x |
| KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC | 690 | $34,737 | $17,369 | — | 5.7x |
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC | 309 | $30,514 | $15,257 | — | 5.6x |
| DIABETES WITH CC | 638 | $38,841 | $19,421 | — | 5.6x |
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS | 065 | $42,269 | $21,135 | — | 5.4x |
| MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC | 641 | $29,517 | $14,759 | — | 5.1x |
| KIDNEY AND URINARY TRACT INFECTIONS WITH MCC | 689 | $43,883 | $21,941 | — | 4.8x |
| SIMPLE PNEUMONIA AND PLEURISY WITH CC | 194 | $28,831 | $14,416 | — | 4.8x |
| CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC | 190 | $41,524 | $20,762 | — | 4.8x |
| PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITH MCC OR 4+ ARTERIES O | 246 | $106,334 | $53,167 | — | 4.3x |
| SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC | 872 | $34,008 | $17,004 | — | 4.3x |
| GASTROINTESTINAL OBSTRUCTION WITH CC | 389 | $26,534 | $13,267 | — | 4.2x |
| RENAL FAILURE WITH CC | 683 | $26,815 | $13,407 | — | 3.9x |
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC | 308 | $37,005 | $18,503 | — | 3.9x |
| DIABETES WITH MCC | 637 | $42,808 | $21,404 | — | 3.9x |
| PULMONARY EDEMA AND RESPIRATORY FAILURE | 189 | $37,707 | $18,853 | — | 3.9x |
| ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC | 280 | $49,589 | $24,794 | — | 3.9x |
| SIMPLE PNEUMONIA AND PLEURISY WITH MCC | 193 | $39,614 | $19,807 | — | 3.8x |
| MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC | 640 | $39,637 | $19,818 | — | 3.7x |
| HEART FAILURE AND SHOCK WITH MCC | 291 | $39,217 | $19,608 | — | 3.7x |
| GASTROINTESTINAL HEMORRHAGE WITH MCC | 377 | $53,786 | $26,893 | — | 3.5x |
| RENAL FAILURE WITH MCC | 682 | $43,279 | $21,639 | — | 3.4x |
| SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC | 871 | $55,975 | $27,987 | — | 3.3x |
| MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | 330 | $62,927 | $31,464 | — | 3.3x |
| HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC | 481 | $56,903 | $28,451 | — | 3.2x |
| HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC | 522 | $57,695 | $28,847 | — | 3.2x |
| OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC | 314 | $55,671 | $27,835 | — | 3.1x |
| OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC | 698 | $43,025 | $21,512 | — | 3x |
| HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC | 480 | $76,358 | $38,179 | — | 3x |
| INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC | 853 | $126,635 | $63,318 | — | 2.9x |
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC | 064 | $48,184 | $24,092 | — | 2.9x |
| DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC | 441 | $46,195 | $23,098 | — | 2.8x |
| RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC | 177 | $42,302 | $21,151 | — | 2.7x |
| OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC | 673 | $78,099 | $39,050 | — | 2.5x |
| PSYCHOSES | 885 | $15,051 | $7,525 | — | 1.4x |
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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