Ungraded
#94 nationally
Presbyterian Espanola Hospital
1010 Spruce Street, Espanola, NM 87532 · (505) 753-1502
Not enough published pricing to grade
For every $1 of care Medicare actually paid for here, Presbyterian Espanola Hospital billed $2.12 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
- 2.1x
- volume-weighted across all its priced work
- Procedures priced
- 7
- inpatient and outpatient combined
- Rank in NM
- #1
- lower markup ranks higher
- CMS quality stars
- Not rated
- shown for context, not in the grade
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 |
58 | $13,544 | $2,602 | -30% |
|
Sepsis (severe)
MS-DRG 871 · Inpatient stay |
53 | $36,787 | $23,005 | -44% |
|
Level 5 Musculoskeletal Procedures
APC 5115 · Hospital outpatient visit |
41 | $37,643 | $12,495 | -40% |
|
Level 2 Urology and Related Services
APC 5372 · Hospital outpatient visit |
22 | $728 | $650 | -77% |
|
Pneumonia (severe)
MS-DRG 193 · Inpatient stay |
17 | $22,274 | $14,594 | -52% |
|
Respiratory Failure
MS-DRG 189 · Inpatient stay |
15 | $29,440 | $15,325 | -39% |
|
Sepsis (without major complications)
MS-DRG 872 · Inpatient stay |
14 | $18,018 | $11,593 | -54% |
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 |
|---|---|---|---|
|
Comprehensive Observation Services
APC 8011 · Hospital outpatient visit |
$13,544 | $2,602 | -30% |
|
Respiratory Failure
MS-DRG 189 · Inpatient stay |
$29,440 | $15,325 | -39% |
|
Level 5 Musculoskeletal Procedures
APC 5115 · Hospital outpatient visit |
$37,643 | $12,495 | -40% |
|
Sepsis (severe)
MS-DRG 871 · Inpatient stay |
$36,787 | $23,005 | -44% |
|
Pneumonia (severe)
MS-DRG 193 · Inpatient stay |
$22,274 | $14,594 | -52% |
|
Sepsis (without major complications)
MS-DRG 872 · Inpatient stay |
$18,018 | $11,593 | -54% |
|
Level 2 Urology and Related Services
APC 5372 · Hospital outpatient visit |
$728 | $650 | -77% |
Where it charges least relative to everyone else
| Procedure | Charged | Actually paid | vs national |
|---|---|---|---|
|
Level 2 Urology and Related Services
APC 5372 · Hospital outpatient visit |
$728 | $650 | -77% |
|
Sepsis (without major complications)
MS-DRG 872 · Inpatient stay |
$18,018 | $11,593 | -54% |
|
Pneumonia (severe)
MS-DRG 193 · Inpatient stay |
$22,274 | $14,594 | -52% |
|
Sepsis (severe)
MS-DRG 871 · Inpatient stay |
$36,787 | $23,005 | -44% |
|
Level 5 Musculoskeletal Procedures
APC 5115 · Hospital outpatient visit |
$37,643 | $12,495 | -40% |
|
Respiratory Failure
MS-DRG 189 · Inpatient stay |
$29,440 | $15,325 | -39% |
|
Comprehensive Observation Services
APC 8011 · Hospital outpatient visit |
$13,544 | $2,602 | -30% |
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.