New Mexico / Presbyterian Santa Fe Medical Center
CMS certification 320090 · Santa Fe, NM · 4 entries in CMS's price-transparency list
Presbyterian Santa Fe Medical Center: charges and Medicare payments
Presbyterian Santa Fe Medical Center reported 70 Medicare inpatient stays across 3 DRGs in 2024. Across them it charged 2.29 times what it was paid. Its most frequent stay was DRG 871, Septicemia or Severe Sepsis without MV >96 Hours with MCC: 46 stays at an average charge of $32,823, 64% below the national average. It also billed 601 outpatient services, charging 4.68 times what Medicare paid.
- 1Medicare inpatient stays 70
- 2Charge ÷ paid, inpatient 2.29×
- 3Rank in NM (highest ratio = 1) –
- 4CMS price-transparency actions 4
Inpatient stays
For the 3 DRGs that can be compared with the national average, Presbyterian Santa Fe 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 | 46 | $32,823 | -64% | $15,522 |
| 291 Heart Failure and Shock with MCC | 13 | $22,215 | -61% | $10,269 |
| 330 Major Small and Large Bowel Procedures with CC | 11 | $54,939 | -54% | $18,448 |
Outpatient services
| Service (APC) | Services | Avg charge | Medicare allowed |
|---|---|---|---|
| Level 5 Musculoskeletal Procedures | 192 | $44,599 | $11,921 |
| Level 1 Nerve Procedures | 119 | $7,904 | $1,801 |
| Comprehensive Observation Services | 50 | $13,640 | $2,550 |
| Level 2 Excision/ Biopsy/ Incision and Drainage | 42 | $2,721 | $796 |
| Level 3 Musculoskeletal Procedures | 29 | $16,597 | $2,976 |
| Level 1 Breast/Lymphatic Surgery and Related Procedures | 23 | $15,925 | $3,604 |
| Level 1 Laparoscopy and Related Services | 23 | $21,031 | $5,456 |
| Level 2 Breast/Lymphatic Surgery and Related Procedures | 22 | $22,125 | $5,943 |
| Level 1 Abdominal/Peritoneal/Biliary and Related Procedures | 22 | $13,350 | $3,161 |
| Level 2 Upper GI Procedures | 19 | $6,645 | $1,799 |
| Level 4 Musculoskeletal Procedures | 17 | $23,225 | $6,447 |
| Level 4 Gynecologic Procedures | 16 | $13,308 | $2,956 |
| Level 3 Lower GI Procedures | 15 | $10,867 | $2,655 |
| Level 3 Excision/ Biopsy/ Incision and Drainage | 12 | $8,484 | $2,149 |
Against the New Mexico average
For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Presbyterian Santa Fe Medical Center charged $32,823 on average, 50% less than the New Mexico average of $65,967, and was paid $15,522 against a state average of $17,240. For Heart Failure and Shock with MCC (DRG 291), Presbyterian Santa Fe Medical Center charged $22,215 on average, 55% less than the New Mexico average of $49,310, and was paid $10,269 against a state average of $11,350. For Major Small and Large Bowel Procedures with CC (DRG 330), Presbyterian Santa Fe Medical Center charged $54,939 on average, 47% less than the New Mexico average of $103,552, and was paid $18,448 against a state average of $20,408. For Level 5 Musculoskeletal Procedures (outpatient APC 5115), its average charge of $44,599 was 40% below the state average of $73,720. For Level 1 Nerve Procedures (outpatient APC 5431), its average charge of $7,904 was 45% below the state average of $14,426. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $13,640 was 36% below the state average of $21,444. For Level 2 Excision/ Biopsy/ Incision and Drainage (outpatient APC 5072), its average charge of $2,721 was 74% below the state average of $10,501.
Price-transparency record
CMS's enforcement list records these actions for a hospital named Presbyterian Santa Fe Medical Center in Santa Fe, NM, under the federal hospital price-transparency rule (45 CFR part 180), which requires hospitals to post their standard charges online:
- Warning Notice — 2023-05-17 (CMS case 1339)
- CAP Request — 2023-09-20 (CMS case 1339)
- Closure Notice — 2023-11-20 (CMS case 1339)
- Met Requirements — 2026-03-23 (CMS case 7339)
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.