64/100
#825 nationally
San Juan Regional Medical Center Inc
801 West Maple Street, Farmington, NM 87401 · (505) 609-2000
Charges moderately above what care is paid for
For every $1 of care Medicare actually paid for here, San Juan Regional Medical Center Inc billed $3.83 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
- 3.8x
- volume-weighted across all its priced work
- Procedures priced
- 73
- inpatient and outpatient combined
- Rank in NM
- #6
- 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 64% of U.S. hospitals.
Better than 70% of U.S. hospitals.
Better than 59% of U.S. hospitals.
Better than 67% 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 |
509 | $23,573 | $2,606 | +21% |
|
Sepsis (severe)
MS-DRG 871 · Inpatient stay |
297 | $60,478 | $18,514 | -7% |
|
Level 5 Musculoskeletal Procedures
APC 5115 · Hospital outpatient visit |
179 | $38,524 | $12,597 | -38% |
|
Level 3 Vascular Procedures
APC 5183 · Hospital outpatient visit |
152 | $14,834 | $3,062 | -22% |
|
Pneumonia (severe)
MS-DRG 193 · Inpatient stay |
126 | $42,785 | $12,643 | -8% |
|
Level 2 Excision/ Biopsy/ Incision and Drainage
APC 5072 · Hospital outpatient visit |
126 | $8,965 | $1,544 | -11% |
|
Heart Failure (severe)
MS-DRG 291 · Inpatient stay |
123 | $51,067 | $12,277 | +18% |
|
Level 1 Laparoscopy and Related Services
APC 5361 · Hospital outpatient visit |
104 | $29,413 | $5,559 | -16% |
|
Level 3 Endovascular Procedures
APC 5193 · Hospital outpatient visit |
95 | $58,020 | $10,478 | -14% |
|
Level 2 Vascular Procedures
APC 5182 · Hospital outpatient visit |
87 | $7,545 | $1,512 | -12% |
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 |
|---|---|---|---|
|
Skin Infection (without major complications)
MS-DRG 603 · Inpatient stay |
$38,667 | $8,266 | +27% |
|
Fainting
MS-DRG 312 · Inpatient stay |
$45,204 | $8,118 | +23% |
|
Diabetes (with complications)
MS-DRG 638 · Inpatient stay |
$42,141 | $8,484 | +22% |
|
Comprehensive Observation Services
APC 8011 · Hospital outpatient visit |
$23,573 | $2,606 | +21% |
|
Kidney or Urinary Disorder (severe)
MS-DRG 698 · Inpatient stay |
$68,790 | $15,504 | +21% |
|
Heart Failure (severe)
MS-DRG 291 · Inpatient stay |
$51,067 | $12,277 | +18% |
|
Kidney Failure (with complications)
MS-DRG 683 · Inpatient stay |
$38,520 | $8,407 | +17% |
|
Level 1 Endovascular Procedures
APC 5191 · Hospital outpatient visit |
$27,948 | $3,142 | +11% |
Where it charges least relative to everyone else
| Procedure | Charged | Actually paid | vs national |
|---|---|---|---|
|
Other Kidney and Urinary Tract Procedures with Major Complications
MS-DRG 673 · Inpatient stay |
$62,331 | $34,270 | -60% |
|
Psychoses
MS-DRG 885 · Inpatient stay |
$16,215 | $12,874 | -55% |
|
Disorders of Liver Except Malignancy, Cirrhosis or Alcoholic Hepatitis with Major
MS-DRG 441 · Inpatient stay |
$38,925 | $17,009 | -49% |
|
Level 3 Electrophysiologic Procedures
APC 5213 · Hospital outpatient visit |
$67,841 | $22,993 | -49% |
|
Level 6 Musculoskeletal Procedures
APC 5116 · Hospital outpatient visit |
$48,811 | $18,049 | -41% |
|
Level 2 Laparoscopy and Related Services
APC 5362 · Hospital outpatient visit |
$35,722 | $9,258 | -40% |
|
Level 5 Neurostimulator and Related Procedures
APC 5465 · Hospital outpatient visit |
$69,363 | $30,052 | -38% |
|
Level 2 Pacemaker and Similar Procedures
APC 5222 · Hospital outpatient visit |
$23,295 | $8,246 | -38% |
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.