New Mexico / Plains Regional Medical Center
CMS certification 320022 · Clovis, NM
Plains Regional Medical Center: charges and Medicare payments
Plains Regional Medical Center reported 406 Medicare inpatient stays across 16 DRGs in 2024. Across them it charged 2.79 times what it was paid — among the lower ratios in New Mexico, number 13 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: 102 stays at an average charge of $42,014, 53% below the national average. It also billed 336 outpatient services, charging 6.99 times what Medicare paid.
- 1Medicare inpatient stays 406
- 2Charge ÷ paid, inpatient 2.79×
- 3Rank in NM (highest ratio = 1) 13 of 16
- 4CMS price-transparency actions 0
Inpatient stays
For the 16 DRGs that can be compared with the national average, Plains Regional Medical Center charged more than the national average in 0 (0%). 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 | 102 | $42,014 | -53% | $15,897 |
| 177 Respiratory Infections and Inflammations with MCC | 34 | $40,118 | -43% | $13,647 |
| 291 Heart Failure and Shock with MCC | 34 | $26,490 | -53% | $9,982 |
| 189 Pulmonary Edema and Respiratory Failure | 32 | $26,475 | -54% | $10,406 |
| 193 Simple Pneumonia and Pleurisy with MCC | 31 | $31,139 | -48% | $10,315 |
| 470 Major Hip and Knee Joint Replacement or Reattachment of... | 28 | $56,574 | -39% | $17,147 |
| 872 Septicemia or Severe Sepsis without MV >96 Hours without MCC | 20 | $23,788 | -52% | $9,367 |
| 603 Cellulitis without MCC | 18 | $17,277 | -54% | $7,302 |
| 640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 18 | $29,212 | -52% | $10,232 |
| 392 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 14 | $21,416 | -47% | $6,853 |
| 689 Kidney and Urinary Tract Infections with MCC | 14 | $27,986 | -45% | $8,872 |
| 638 Diabetes with CC | 13 | $20,482 | -51% | $7,502 |
| 690 Kidney and Urinary Tract Infections without MCC | 13 | $21,789 | -42% | $7,029 |
| 481 Hip and Femur Procedures except Major Joint with CC | 12 | $48,098 | -52% | $15,796 |
| 683 Renal Failure with CC | 12 | $18,079 | -56% | $8,313 |
| 682 Renal Failure with MCC | 11 | $30,452 | -54% | $11,245 |
Outpatient services
| Service (APC) | Services | Avg charge | Medicare allowed |
|---|---|---|---|
| Comprehensive Observation Services | 194 | $15,150 | $2,318 |
| Level 2 Urology and Related Services | 70 | $1,004 | $583 |
| Level 3 Urology and Related Services | 24 | $3,785 | $1,739 |
| Level 4 Musculoskeletal Procedures | 20 | $25,685 | $6,109 |
| Level 3 Musculoskeletal Procedures | 16 | $15,080 | $2,627 |
| Level 4 Urology and Related Services | 12 | $17,079 | $2,977 |
Against the New Mexico average
For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Plains Regional Medical Center charged $42,014 on average, 36% less than the New Mexico average of $65,967, and was paid $15,897 against a state average of $17,240. For Respiratory Infections and Inflammations with MCC (DRG 177), Plains Regional Medical Center charged $40,118 on average, 27% less than the New Mexico average of $54,728, and was paid $13,647 against a state average of $14,774. For Heart Failure and Shock with MCC (DRG 291), Plains Regional Medical Center charged $26,490 on average, 46% less than the New Mexico average of $49,310, and was paid $9,982 against a state average of $11,350. For Pulmonary Edema and Respiratory Failure (DRG 189), Plains Regional Medical Center charged $26,475 on average, 38% less than the New Mexico average of $42,393, and was paid $10,406 against a state average of $11,604. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $15,150 was 29% below the state average of $21,444. For Level 2 Urology and Related Services (outpatient APC 5372), its average charge of $1,004 was 44% below the state average of $1,809. For Level 3 Urology and Related Services (outpatient APC 5373), its average charge of $3,785 was 56% below the state average of $8,698. For Level 4 Musculoskeletal Procedures (outpatient APC 5114), its average charge of $25,685 was 48% below the state average of $49,078.
Price-transparency record
No action in CMS's price-transparency enforcement list (July 2026) matches this hospital's exact name, city and state. That can mean CMS has not reviewed it, or that it is listed under a different name.
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.