Albuquerque, NM 87109 · CMS Certification Number 320017. 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 paid | List price | List ÷ paid | Outpatient allowed |
|---|---|---|---|---|
| Hip or knee replacement | $13,992 | $128,805 | 9.2× | $11,380 |
| Shoulder replacement | — | — | — | $16,460 |
Readmissions: 5.6%. Overall Care Compare rating: 4 of 5 stars. For-profit · Acute · 120 beds
New Mexico has no certificate-of-need law.
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In 2024 Medicare paid Lovelace Women's Hospital an average of $13,992 per inpatient hip or knee replacement stay (MS-DRG 470, 11 stays) and $11,380 per outpatient case (APC 5115, 78 cases).
The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $128,805, 9.2× what Medicare paid. Almost nobody pays the list price; it matters for uninsured bills and percent-of-charge contracts.
Yes for Medicare facility payments. New Mexico Orthopaedic Surgery Center, an orthopedic surgery center 3.0 mi away, is paid about $8,600 by Medicare for a knee replacement (CPT 27447), $5,392 less than an inpatient stay at Lovelace Women's Hospital. Not every patient is a surgery-center candidate.
Medicare paid Lovelace Women's Hospital less than 50% of the 6 New Mexico hospitals that report inpatient hip or knee replacement.