Price AtlasInteractive atlas · All states · techysurgeon.comPresbyterian Espanola Hospital: what a joint replacement costs
Espanola, NM 87532 · CMS Certification Number 320011. 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.
Medicare prices at Presbyterian Espanola Hospital
| Operation | Inpatient avg total payment Medicare + patient share | List price | List ÷ total | Outpatient Medicare allowed |
|---|---|---|---|---|
| Hip or knee replacement | — | — | — | $12,495 |
| Shoulder replacement | — | — | — | — |
Commercial negotiated rates (beta)
| MS-DRG 470 | Median across insurers | × Medicare total payment | Lowest–highest insurer | Insurers |
|---|---|---|---|---|
| Hip or knee replacement | $56,778 | — | $33,149–$80,406 | 2 |
| Insurer | Median negotiated, MS-DRG 470 | × Medicare total payment | Plans |
|---|---|---|---|
| Presbyterian Health Plan | $80,406 | — | 1 |
| BCBS NM | $33,149 | — | 1 |
From the hospital's price-transparency file (2026-04-01); commercial plans, dollar-amount contracts only.
From the hospital's price-transparency file (2026-04-01); commercial plans, dollar-amount contracts only.
Quality
Complications after hip or knee replacement: 4.2% (no different from the national rate). Readmissions: 5.5%. Nonprofit · Acute · 80 beds
New Mexico has no certificate-of-need law.
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Questions
How much does Medicare pay Presbyterian Espanola Hospital for a knee or hip replacement?
The Medicare allowed amount averaged $12,495 per outpatient hip or knee replacement case (APC 5115, 41 cases) in 2024. Inpatient stays were too few to report.
What do commercial insurers pay Presbyterian Espanola Hospital 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 $56,778 across 2 insurers, ranging from $33,149 to $80,406.