77/100
#437 nationally
Presbyterian Hospital
1100 Central Avenue Se, Albuquerque, NM 87106 · (505) 724-8386
Charges moderately above what care is paid for
For every $1 of care Medicare actually paid for here, Presbyterian Hospital billed $3.41 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
- 3.4x
- volume-weighted across all its priced work
- Procedures priced
- 178
- inpatient and outpatient combined
- Rank in NM
- #3
- 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 67% of U.S. hospitals.
Better than 80% of U.S. hospitals.
Better than 82% of U.S. hospitals.
Better than 91% 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 |
|---|---|---|---|---|
|
Sepsis (severe)
MS-DRG 871 · Inpatient stay |
870 | $47,549 | $14,943 | -27% |
|
Comprehensive Observation Services
APC 8011 · Hospital outpatient visit |
644 | $17,025 | $2,399 | -12% |
|
Level 2 Urology and Related Services
APC 5372 · Hospital outpatient visit |
583 | $976 | $582 | -69% |
|
Level 5 Musculoskeletal Procedures
APC 5115 · Hospital outpatient visit |
430 | $46,631 | $11,327 | -25% |
|
Heart Failure (severe)
MS-DRG 291 · Inpatient stay |
274 | $35,968 | $10,436 | -17% |
|
Level 3 Urology and Related Services
APC 5373 · Hospital outpatient visit |
217 | $5,450 | $1,737 | -58% |
|
Level 2 Upper GI Procedures
APC 5302 · Hospital outpatient visit |
209 | $7,051 | $1,654 | -40% |
|
Respiratory Infection (severe)
MS-DRG 177 · Inpatient stay |
197 | $36,937 | $12,383 | -33% |
|
Pneumonia (severe)
MS-DRG 193 · Inpatient stay |
176 | $27,248 | $10,241 | -42% |
|
Level 1 Laparoscopy and Related Services
APC 5361 · Hospital outpatient visit |
155 | $24,996 | $5,003 | -29% |
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 2 Pacemaker and Similar Procedures
APC 5222 · Hospital outpatient visit |
$41,924 | $7,519 | +11% |
|
Level 4 Pacemaker and Similar Procedures
APC 5224 · Hospital outpatient visit |
$97,130 | $16,721 | about average |
|
Level 3 Musculoskeletal Procedures
APC 5113 · Hospital outpatient visit |
$19,664 | $2,770 | -4% |
|
Chemotherapy without Acute Leukemia as Secondary Diagnosis with Complications
MS-DRG 847 · Inpatient stay |
$48,650 | $9,387 | -9% |
|
Other Major Cardiovascular Procedures with Major Complications
MS-DRG 270 · Inpatient stay |
$198,882 | $50,783 | -11% |
|
Comprehensive Observation Services
APC 8011 · Hospital outpatient visit |
$17,025 | $2,399 | -12% |
|
Level 4 Urology and Related Services
APC 5374 · Hospital outpatient visit |
$17,519 | $3,036 | -15% |
|
Heart Failure (severe)
MS-DRG 291 · Inpatient stay |
$35,968 | $10,436 | -17% |
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 |
$976 | $582 | -69% |
|
Level 3 ENT Procedures
APC 5163 · Hospital outpatient visit |
$2,261 | $1,252 | -65% |
|
Level 1 Endovascular Procedures
APC 5191 · Hospital outpatient visit |
$9,451 | $2,750 | -63% |
|
Other Kidney and Urinary Tract Procedures with Major Complications
MS-DRG 673 · Inpatient stay |
$60,174 | $26,604 | -61% |
|
Postoperative or Post-traumatic Infections with Operating Room Procedures with Major
MS-DRG 856 · Inpatient stay |
$74,829 | $25,693 | -61% |
|
Connective Tissue Disorders with Major Complications
MS-DRG 545 · Inpatient stay |
$52,329 | $18,848 | -60% |
|
Traumatic Stupor and Coma >1 Hour with Major Complications
MS-DRG 082 · Inpatient stay |
$39,708 | $16,626 | -59% |
|
Other Circulatory System Operating Room Procedures
MS-DRG 264 · Inpatient stay |
$56,344 | $24,952 | -59% |
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.