75/100
#497 nationally
Plains Regional Medical Center
2100 N Martin Luther King, Jr, Blvd, Clovis, NM 88101 · (575) 769-6332
Charges moderately above what care is paid for
For every $1 of care Medicare actually paid for here, Plains Regional Medical Center billed $3.15 in list charges. That gap does not change a Medicare patient's bill — but it is where an uninsured or out-of-network bill starts.
- Charge-to-payment
- 3.2x
- volume-weighted across all its priced work
- Procedures priced
- 22
- inpatient and outpatient combined
- Rank in NM
- #4
- lower markup ranks higher
- CMS quality stars
- 2/5
- shown for context, not in the grade
How this grade was reached
Each component is scored against every other U.S. hospital in the same federal files, so the grade is a position in the country, not a pass mark we invented.
Better than 76% of U.S. hospitals.
Better than 58% of U.S. hospitals.
Better than 83% of U.S. hospitals.
Better than 90% of U.S. hospitals.
What this hospital treats most
The ten procedures it billed Medicare for most often, with its charge beside the national middle.
| Procedure | Patients | Charged | Actually paid | vs national |
|---|---|---|---|---|
|
Comprehensive Observation Services
APC 8011 · Hospital outpatient visit |
194 | $15,150 | $2,318 | -22% |
|
Sepsis (severe)
MS-DRG 871 · Inpatient stay |
102 | $42,014 | $15,897 | -36% |
|
Level 2 Urology and Related Services
APC 5372 · Hospital outpatient visit |
70 | $1,004 | $583 | -68% |
|
Respiratory Infection (severe)
MS-DRG 177 · Inpatient stay |
34 | $40,118 | $13,647 | -27% |
|
Heart Failure (severe)
MS-DRG 291 · Inpatient stay |
34 | $26,490 | $9,982 | -39% |
|
Respiratory Failure
MS-DRG 189 · Inpatient stay |
32 | $26,475 | $10,406 | -45% |
|
Pneumonia (severe)
MS-DRG 193 · Inpatient stay |
31 | $31,139 | $10,315 | -33% |
|
Hip or Knee Replacement (without major complications)
MS-DRG 470 · Inpatient stay |
28 | $56,574 | $17,147 | -29% |
|
Level 3 Urology and Related Services
APC 5373 · Hospital outpatient visit |
24 | $3,785 | $1,739 | -71% |
|
Sepsis (without major complications)
MS-DRG 872 · Inpatient stay |
20 | $23,788 | $9,367 | -39% |
Where its charges run furthest above the national middle
Only procedures it performed at least eleven times, so a single unusual case cannot produce the headline.
| Procedure | Charged | Actually paid | vs national |
|---|---|---|---|
|
Level 4 Urology and Related Services
APC 5374 · Hospital outpatient visit |
$17,079 | $2,977 | -17% |
|
Comprehensive Observation Services
APC 8011 · Hospital outpatient visit |
$15,150 | $2,318 | -22% |
|
Level 3 Musculoskeletal Procedures
APC 5113 · Hospital outpatient visit |
$15,080 | $2,627 | -26% |
|
Urinary Tract Infection (without major complications)
MS-DRG 690 · Inpatient stay |
$21,789 | $7,029 | -27% |
|
Respiratory Infection (severe)
MS-DRG 177 · Inpatient stay |
$40,118 | $13,647 | -27% |
|
Hip or Knee Replacement (without major complications)
MS-DRG 470 · Inpatient stay |
$56,574 | $17,147 | -29% |
|
Urinary Tract Infection (severe)
MS-DRG 689 · Inpatient stay |
$27,986 | $8,872 | -31% |
|
Pneumonia (severe)
MS-DRG 193 · Inpatient stay |
$31,139 | $10,315 | -33% |
Where it charges least relative to everyone else
| Procedure | Charged | Actually paid | vs national |
|---|---|---|---|
|
Level 3 Urology and Related Services
APC 5373 · Hospital outpatient visit |
$3,785 | $1,739 | -71% |
|
Level 2 Urology and Related Services
APC 5372 · Hospital outpatient visit |
$1,004 | $583 | -68% |
|
Respiratory Failure
MS-DRG 189 · Inpatient stay |
$26,475 | $10,406 | -45% |
|
Kidney Failure (with complications)
MS-DRG 683 · Inpatient stay |
$18,079 | $8,313 | -45% |
|
Skin Infection (without major complications)
MS-DRG 603 · Inpatient stay |
$17,277 | $7,302 | -43% |
|
Kidney Failure (severe)
MS-DRG 682 · Inpatient stay |
$30,452 | $11,245 | -42% |
|
Hip or Thigh Bone Surgery (with complications)
MS-DRG 481 · Inpatient stay |
$48,098 | $15,796 | -42% |
|
Diabetes (with complications)
MS-DRG 638 · Inpatient stay |
$20,482 | $7,502 | -41% |
What this page cannot tell you
- It is not your bill. These are averages across Medicare patients. What you pay depends on your insurance, your plan's negotiated rate and your own case.
- It is not a quality rating. A hospital with a high markup may be excellent, and one with a low markup may not be. We checked: across every U.S. hospital, markup and the CMS quality star rating barely move together.
- A charge is not a cost. Hospitals do not collect their list charges from insured patients. The number matters because it is the opening figure on an uninsured or out-of-network bill.
- Ask for the real number. Every U.S. hospital must publish a machine-readable price file and give you a written good-faith estimate on request.