Unm Hospital

UNM Hospital in Albuquerque charges 2.4x the Medicare reimbursement rate across 59 analyzed procedures, reflecting typical pricing patterns for government-owned healthcare facilities.

Albuquerque, NM 87106 · Acute Care Hospitals · CMS Rating: 2/5

By Kevin Nyk , Medical Billing Analyst · Published March 15, 2026 · Updated April 3, 2026

Data from CMS files published FY 2024 CMS IPPS. Refreshed weekly.

About the analyst

Kevin Nyk analyzes hospital pricing data at BillRazor Research. He specializes in Medicare reimbursement patterns and chargemaster pricing across U.S. hospitals. Expertise: hospital pricing, Medicare rates, chargemaster analysis.

59 procedures analyzed

CMS price transparency data

Updated 2026-04-03

2.4x

Medicare markup ratio

NM lowestUnm HospitalNM highest

2.4x

Avg markup ratio

2.2x

Median markup

Procedures

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Compare your charges against 4 CMS benchmark datasets — including the rates shown on this page.

Billing patterns — government

Government hospitals in our dataset demonstrate distinct billing patterns compared to other ownership types. With 374 facilities analyzed, these hospitals show an average markup of 4.2x Medicare rates, which typically falls below the industry average for comparable services. Government hospitals often maintain more standardized pricing structures due to regulatory oversight and public accountability requirements. Patients may encounter charges above the benchmark for certain procedures, though the potential difference between government hospital billing and private facilities can vary significantly by service type and geographic region. Common charge patterns include transparent itemization of services and adherence to established fee schedules. Patients should be aware that government hospitals frequently offer financial assistance programs and sliding scale payment options based on income eligibility. These facilities often provide detailed cost estimates upon request and maintain patient financial counselors to discuss billing arrangements before treatment when possible.

Pricing grade

Good

Avg markup vs Medicare

2.38x

Charge / Medicare rate

Max markup

7.12x

Worst procedure

Procedures analyzed

With pricing data

Outlier procedures

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	$231,245	$115,622	—	7.1x
INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS	065	$35,329	$17,664	—	3.7x
RED BLOOD CELL DISORDERS WITH MCC	811	$45,722	$22,861	—	3.4x
POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC	917	$48,356	$24,178	—	3.3x
TRAUMATIC STUPOR AND COMA >1 HOUR WITH CC	083	$36,652	$18,326	—	3.1x
CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC	190	$34,562	$17,281	—	2.9x
SEIZURES WITHOUT MCC	101	$25,276	$12,638	—	2.9x
TRAUMATIC STUPOR AND COMA >1 HOUR WITH MCC	082	$76,978	$38,489	—	2.8x
PULMONARY EDEMA AND RESPIRATORY FAILURE	189	$38,133	$19,066	—	2.8x
INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC	064	$58,187	$29,094	—	2.7x
SEIZURES WITH MCC	100	$61,086	$30,543	—	2.7x
DIABETES WITH MCC	637	$32,523	$16,262	—	2.7x
OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC	698	$44,379	$22,189	—	2.6x
PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE	175	$39,022	$19,511	—	2.6x
SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS	870	$214,758	$107,379	—	2.6x
MEDICAL BACK PROBLEMS WITHOUT MCC	552	$24,785	$12,393	—	2.5x
LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC	493	$56,339	$28,170	—	2.5x
OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC	314	$74,034	$37,017	—	2.5x
MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC	330	$58,175	$29,088	—	2.5x
NONSPECIFIC CEREBROVASCULAR DISORDERS WITH MCC	070	$41,767	$20,884	—	2.4x
ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC	280	$37,924	$18,962	—	2.4x
LIMB REATTACHMENT, HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA	956	$102,339	$51,169	—	2.4x
DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MCC	056	$55,389	$27,695	—	2.4x
CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC	286	$45,461	$22,731	—	2.4x
DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC	057	$29,188	$14,594	—	2.4x
HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC	522	$44,879	$22,439	—	2.4x
INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC	853	$129,336	$64,668	—	2.3x
HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC	480	$72,750	$36,375	—	2.3x
HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC	481	$45,575	$22,787	—	2.3x
INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC	854	$46,620	$23,310	—	2.2x
SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC	871	$42,881	$21,441	—	2.2x
OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC	699	$21,781	$10,890	—	2.2x
HEART FAILURE AND SHOCK WITH MCC	291	$30,273	$15,136	—	2.2x
MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC	640	$27,117	$13,559	—	2.2x
ENDOCRINE DISORDERS WITH MCC	643	$37,115	$18,558	—	2.2x
SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC	872	$21,367	$10,684	—	2.2x
RENAL FAILURE WITH CC	683	$18,298	$9,149	—	2.1x
MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC	641	$16,708	$8,354	—	2.1x
RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS	208	$53,547	$26,774	—	2.1x
OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC	957	$163,381	$81,690	—	2.1x
KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC	690	$16,685	$8,342	—	2.1x
OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC	963	$54,917	$27,459	—	2.1x
ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC	392	$16,246	$8,123	—	2x
RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC	177	$40,058	$20,029	—	2x
CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH MCC	025	$93,890	$46,945	—	2x
PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC	274	$63,929	$31,964	—	2x
NONSPECIFIC CEREBROVASCULAR DISORDERS WITH CC	071	$21,643	$10,821	—	2x
KIDNEY AND URINARY TRACT INFECTIONS WITH MCC	689	$22,285	$11,142	—	2x
OTHER VASCULAR PROCEDURES WITH MCC	252	$60,707	$30,353	—	1.8x
CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITH MCC O	023	$98,288	$49,144	—	1.8x

Showing 50 of 59 procedures

How UNM 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.

Rates shown are from the 2026 Medicare Physician Fee Schedule and CMS IPPS. BillRazor compares your bill against these data sources. See how it works →

FAQ — government hospital billing

How do government hospital billing rates compare to Medicare benchmarks?

Based on available data from 374 government hospitals, charges average 4.2 times the Medicare benchmark rates. Government hospitals, while publicly owned, still establish their own pricing structures that can result in charges above standard Medicare rates.

Why do government hospitals charge above Medicare rates if they're publicly owned?

Government hospitals operate as independent entities that must cover operational costs, equipment, and staffing expenses. Public ownership doesn't require hospitals to limit charges to Medicare benchmark levels, as they still need to maintain financial sustainability for continued operations.

What should I expect when reviewing a government hospital bill?

Government hospital bills typically show charges that may be several times higher than Medicare benchmark rates, with the average markup being approximately 4.2x across sampled facilities. The final amount you pay will depend on your insurance coverage, negotiated rates, and any applicable financial assistance programs.

Are there potential billing differences between government hospitals and other facility types?

Government hospitals show similar billing patterns to other hospital types, with charges typically set above Medicare benchmarks. The potential difference in what patients ultimately pay often depends more on individual insurance plans and hospital financial assistance policies than on the ownership structure of the facility.

Related pricing data

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Albuquerque, NM costsCity-level pricing data

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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