New Mexico / Lovelace Women's Hospital
CMS certification 320017 · Albuquerque, NM · 1 entry in CMS's price-transparency list
Lovelace Women's Hospital: charges and Medicare payments
Lovelace Women's Hospital reported 195 Medicare inpatient stays across 10 DRGs in 2024. Across them it charged 6.9 times what it was paid — among the higher ratios in New Mexico, number 5 of 16 hospitals with at least 100 stays (state median 4.13×, national 4.15×). Its most frequent stay was DRG 871, Septicemia or Severe Sepsis without MV >96 Hours with MCC: 58 stays at an average charge of $87,351, 3% below the national average. It also billed 1,061 outpatient services, charging 14.35 times what Medicare paid.
- 1Medicare inpatient stays 195
- 2Charge ÷ paid, inpatient 6.9×
- 3Rank in NM (highest ratio = 1) 5 of 16
- 4CMS price-transparency actions 1
Inpatient stays
For the 10 DRGs that can be compared with the national average, Lovelace Women's Hospital charged more than the national average in 8 (80%). Payments follow Medicare's rates, so they usually vary far less than charges.
| DRG | Stays | Avg charge | vs US | Avg paid |
|---|---|---|---|---|
| 871 Septicemia or Severe Sepsis without MV >96 Hours with MCC | 58 | $87,351 | -3% | $14,867 |
| 193 Simple Pneumonia and Pleurisy with MCC | 23 | $71,150 | +19% | $9,427 |
| 291 Heart Failure and Shock with MCC | 19 | $53,610 | -5% | $9,491 |
| 177 Respiratory Infections and Inflammations with MCC | 18 | $78,310 | +11% | $13,121 |
| 872 Septicemia or Severe Sepsis without MV >96 Hours without MCC | 16 | $65,587 | +34% | $8,245 |
| 661 Kidney and Ureter Procedures for Non-Neoplasm without CC/MCC | 14 | $80,260 | +42% | $8,836 |
| 660 Kidney and Ureter Procedures for Non-Neoplasm with CC | 13 | $89,505 | +33% | $11,056 |
| 698 Other Kidney and Urinary Tract Diagnoses with MCC | 12 | $100,518 | +37% | $11,997 |
| 470 Major Hip and Knee Joint Replacement or Reattachment of... | 11 | $128,805 | +38% | $13,992 |
| 683 Renal Failure with CC | 11 | $48,634 | +19% | $6,546 |
Outpatient services
Against the New Mexico average
For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Lovelace Women's Hospital charged $87,351 on average, 32% more than the New Mexico average of $65,967, and was paid $14,867 against a state average of $17,240. For Simple Pneumonia and Pleurisy with MCC (DRG 193), Lovelace Women's Hospital charged $71,150 on average, 51% more than the New Mexico average of $47,073, and was paid $9,427 against a state average of $12,080. For Heart Failure and Shock with MCC (DRG 291), Lovelace Women's Hospital charged $53,610 on average, 9% more than the New Mexico average of $49,310, and was paid $9,491 against a state average of $11,350. For Respiratory Infections and Inflammations with MCC (DRG 177), Lovelace Women's Hospital charged $78,310 on average, 43% more than the New Mexico average of $54,728, and was paid $13,121 against a state average of $14,774. For Level 5 Urology and Related Services (outpatient APC 5375), its average charge of $58,363 was 59% above the state average of $36,607. For Level 1 Laparoscopy and Related Services (outpatient APC 5361), its average charge of $75,590 was 65% above the state average of $45,932. For Level 1 Nerve Procedures (outpatient APC 5431), its average charge of $23,633 was 64% above the state average of $14,426. For Level 2 Excision/ Biopsy/ Incision and Drainage (outpatient APC 5072), its average charge of $9,282 was 12% below the state average of $10,501.
Price-transparency record
CMS's enforcement list records these actions for a hospital named Lovelace Women's Hospital in Albuquerque, NM, under the federal hospital price-transparency rule (45 CFR part 180), which requires hospitals to post their standard charges online:
- Met Requirements — 2025-04-23 (CMS case 4067)
A warning notice or corrective-action request is not a finding of wrongdoing; "Met Requirements" and closure notices record that CMS's review ended. Matched to this hospital by exact name, city and state.
Charges are the hospital's list prices averaged over its 2024 Medicare cases; payments are what those cases actually brought in. Neither is what you will pay. For a planned procedure, ask the hospital for its price estimate or, if you are uninsured or self-paying, a good-faith estimate.
Sources: CMS Medicare Inpatient Hospitals — by Provider and Service / by Geography and Service, data year 2024; CMS Medicare Outpatient Hospitals — by Provider and Service / by Geography and Service, data year 2024; CMS Hospital Price Transparency Enforcement Activities and Outcomes, July 2026. Checked 2026-10-24. Methodology.