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Upper arm (shoulder) fracture fixation in New Mexico: what insurers pay

Posted commercial rates at 6 New Mexico hospitals, each next to its own Medicare base rate.

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CPT 23615

HospitalMedian across insurers× MedicareInsurersFile date
Christus St Vincent Regional Medical Center Santa Fe$13,5781.0×92026-01-13
Presbyterian Espanola Hospital Espanola$14,7811.2×12026-04-01
Presbyterian Santa Fe Medical Center Santa Fe$20,9981.6×12026-04-01
Eastern New Mexico Medical Center Roswell$21,9241.7×42026-04-01
Unm Hospital Albuquerque$25,2952.0×12026-03-25
Presbyterian Hospital Albuquerque$35,2922.8×22026-04-01

Questions

How much do insurers pay for upper arm (shoulder) fracture fixation in New Mexico?

6 New Mexico hospitals post usable commercial rates for upper arm (shoulder) fracture fixation in their federal price-transparency files. For CPT 23615, hospital outpatient, the median across 6 hospitals is $21,461, 1.6× each hospital's local Medicare base rate. Your share depends on your plan's deductible and coinsurance; the surgeon and anesthesia bill separately.