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Presbyterian 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.

Surgery center nearby
$8,600
New Mexico Orthopaedic Surgery Center, 7.2 mi
Outpatient here
$11,327
430 Medicare cases, APC 5115
Inpatient here
$16,023
18 Medicare stays, MS-DRG 470

Medicare prices at Presbyterian Hospital

OperationInpatient paidList priceList ÷ paidOutpatient allowed
Hip or knee replacement$16,023$61,8823.9×$11,327
Shoulder replacement———$16,247
Hip replacement after a fracture (DRG 522)$15,762$61,4493.9×—

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 Medicare paid Presbyterian Hospital an average of $16,023 per inpatient hip or knee replacement stay (MS-DRG 470, 18 stays) and $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× what Medicare paid. 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?

Medicare paid Presbyterian Hospital more than 67% of the 6 New Mexico hospitals that report inpatient hip or knee replacement.