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San Juan Regional Medical Center Inc: what a joint replacement costs

Farmington, NM 87401 · CMS Certification Number 320005. What Medicare pays this hospital for knee, hip and shoulder replacement, what it lists, how it compares, and what a surgery center nearby is paid.

Surgery center nearby
$8,283
Four Corners Ambulatory Surgery Center, same ZIP
Outpatient here
$12,597
Medicare allowed amount, 179 cases, APC 5115
Inpatient here
—
Under 11 stays

Medicare prices at San Juan Regional Medical Center Inc

OperationInpatient avg total payment
Medicare + patient share
List priceList ÷ totalOutpatient Medicare allowed
Hip or knee replacement———$12,597
Shoulder replacement———$18,049
Hip replacement after a fracture (DRG 522)$19,646$57,9973.0×—

Commercial negotiated rates (beta)

MS-DRG 470Median across insurers× Medicare total paymentLowest–highest insurerInsurers
Hip or knee replacement$21,616—$15,182–$37,5938
InsurerMedian negotiated, MS-DRG 470× Medicare total paymentPlans
Bc Of Nm HMO/PPO/Par/POS - All Other Plans$37,593—1
Bc Of Nm Centennial/Mcaid$33,561—1
Presbyterian Centennial/Mcaid$33,561—1
UnitedHealthcare$25,233—1
Presbyterian Health Plan - All Other Plans$18,000—1
Humana$15,905—1
BCBS NM$15,667—1
Presbyterian Mcare$15,182—1

From the hospital's price-transparency file (2026-06-09); commercial plans, dollar-amount contracts only.

From the hospital's price-transparency file (2026-06-09); commercial plans, dollar-amount contracts only.

Quality

Overall Care Compare rating: 2 of 5 stars. Nonprofit · Acute · 240 beds

New Mexico has no certificate-of-need law.

Open the interactive price tagBuild a reportAll New Mexico hospitals

Questions

How much does Medicare pay San Juan Regional Medical Center Inc for a knee or hip replacement?

The Medicare allowed amount averaged $12,597 per outpatient hip or knee replacement case (APC 5115, 179 cases) in 2024. Inpatient stays were too few to report.

Is a knee replacement cheaper at a surgery center near San Juan Regional Medical Center Inc?

Yes for Medicare facility payments. Four Corners Ambulatory Surgery Center, an orthopedic surgery center same ZIP away, is paid about $8,283 by Medicare for a knee replacement (CPT 27447). Not every patient is a surgery-center candidate.

What do commercial insurers pay San Juan Regional Medical Center Inc for a hip or knee replacement?

From the hospital's own price-transparency file, commercial plans' negotiated rates for MS-DRG 470 have a median of $21,616 across 8 insurers, ranging from $15,182 to $37,593.