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.
| Operation | Inpatient avg total payment Medicare + patient share | List price | List ÷ total | Outpatient Medicare allowed |
|---|---|---|---|---|
| Hip or knee replacement | — | — | — | $12,597 |
| Shoulder replacement | — | — | — | $18,049 |
| Hip replacement after a fracture (DRG 522) | $19,646 | $57,997 | 3.0× | — |
| MS-DRG 470 | Median across insurers | × Medicare total payment | Lowest–highest insurer | Insurers |
|---|---|---|---|---|
| Hip or knee replacement | $21,616 | — | $15,182–$37,593 | 8 |
| Insurer | Median negotiated, MS-DRG 470 | × Medicare total payment | Plans |
|---|---|---|---|
| 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.
Overall Care Compare rating: 2 of 5 stars. Nonprofit · Acute · 240 beds
New Mexico has no certificate-of-need law.
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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.
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.
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.