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Presbyterian Santa Fe Medical Center: what a joint replacement costs

Santa Fe, NM 87507 · CMS Certification Number 320090. 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
—
No orthopedic surgery center within 25 miles
Outpatient here
$11,921
Medicare allowed amount, 192 cases, APC 5115
Inpatient here
—
Under 11 stays

Medicare prices at Presbyterian Santa Fe Medical Center

OperationInpatient avg total payment
Medicare + patient share
List priceList ÷ totalOutpatient Medicare allowed
Hip or knee replacement———$11,921
Shoulder replacement————

Commercial negotiated rates (beta)

MS-DRG 470Median across insurers× Medicare total paymentLowest–highest insurerInsurers
Hip or knee replacement$30,192—$29,436–$30,9492
InsurerMedian negotiated, MS-DRG 470× Medicare total paymentPlans
Presbyterian Health Plan$30,949—1
BCBS NM$29,436—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

Overall Care Compare rating: 5 of 5 stars. Nonprofit · Acute · 36 beds

New Mexico has no certificate-of-need law.

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Questions

How much does Medicare pay Presbyterian Santa Fe Medical Center for a knee or hip replacement?

The Medicare allowed amount averaged $11,921 per outpatient hip or knee replacement case (APC 5115, 192 cases) in 2024. Inpatient stays were too few to report.

What do commercial insurers pay Presbyterian Santa Fe Medical Center 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 $30,192 across 2 insurers, ranging from $29,436 to $30,949.