Price AtlasInteractive atlas · All states · techysurgeon.comPresbyterian Hospital: what a joint replacement costs
Albuquerque, NM 87106 · CMS Certification Number 320021. 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 Hospital
| Operation | Inpatient avg total payment Medicare + patient share | List price | List ÷ total | Outpatient Medicare allowed |
|---|---|---|---|---|
| Hip or knee replacement | $16,023 | $61,882 | 3.9× | $11,327 |
| Shoulder replacement | — | — | — | $16,247 |
| Hip replacement after a fracture (DRG 522) | $15,762 | $61,449 | 3.9× | — |
Commercial negotiated rates (beta)
| MS-DRG 470 | Median across insurers | × Medicare total payment | Lowest–highest insurer | Insurers |
|---|---|---|---|---|
| Hip or knee replacement | $30,051 | 1.9× | $19,477–$43,713 | 5 |
| Insurer | Median negotiated, MS-DRG 470 | × Medicare total payment | Plans |
|---|---|---|---|
| Aetna | $43,713 | 2.7× | 1 |
| UnitedHealthcare | $32,489 | 2.0× | 1 |
| BCBS NM | $30,051 | 1.9× | 1 |
| Cigna | $27,215 | 1.7× | 1 |
| Zelis (rental network) | $25,247 | 1.6× | 1 |
| Presbyterian Health Plan | $19,477 | 1.2× | 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: 4.7% (no different from the national rate). Readmissions: 5.8%. Overall Care Compare rating: 2 of 5 stars. Nonprofit · Acute · 623 beds
New Mexico has no certificate-of-need law.
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Questions
How much does Medicare pay Presbyterian Hospital for a knee or hip replacement?
In 2024 the average total payment to Presbyterian Hospital for an inpatient hip or knee replacement stay was $16,023 (MS-DRG 470, 18 Medicare stays; Medicare's payment plus the patient's deductible and coinsurance), and the Medicare allowed amount averaged $11,327 per outpatient case (APC 5115, 430 cases).
What is Presbyterian Hospital's list price for a joint replacement?
The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $61,882, 3.9× the average total payment for a Medicare stay. Almost nobody pays the list price; it matters for uninsured bills and percent-of-charge contracts.
Is a knee replacement cheaper at a surgery center near Presbyterian Hospital?
Yes for Medicare facility payments. New Mexico Orthopaedic Surgery Center, an orthopedic surgery center 7.2 mi away, is paid about $8,600 by Medicare for a knee replacement (CPT 27447), $7,423 less than an inpatient stay at Presbyterian Hospital. Not every patient is a surgery-center candidate.
How does Presbyterian Hospital compare with other New Mexico hospitals?
Presbyterian Hospital's average total payment per Medicare stay is higher than 67% of the 6 New Mexico hospitals that report inpatient hip or knee replacement.
What do commercial insurers pay Presbyterian 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 $30,051 across 5 insurers, ranging from $19,477 to $43,713.