New Mexico / San Juan Regional Medical Center Inc
CMS certification 320005 · Farmington, NM
San Juan Regional Medical Center Inc: charges and Medicare payments
San Juan Regional Medical Center Inc reported 1,543 Medicare inpatient stays across 46 DRGs in 2024. Across them it charged 3.37 times what it was paid — among the lower ratios in New Mexico, number 11 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: 297 stays at an average charge of $60,478, 33% below the national average. It also billed 2,018 outpatient services, charging 5.74 times what Medicare paid.
- 1Medicare inpatient stays 1,543
- 2Charge ÷ paid, inpatient 3.37×
- 3Rank in NM (highest ratio = 1) 11 of 16
- 4CMS price-transparency actions 0
Inpatient stays
For the 46 DRGs that can be compared with the national average, San Juan Regional Medical Center Inc charged more than the national average in 2 (4%). 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 | 297 | $60,478 | -33% | $18,514 |
| 193 Simple Pneumonia and Pleurisy with MCC | 126 | $42,785 | -28% | $12,643 |
| 291 Heart Failure and Shock with MCC | 123 | $51,067 | -9% | $12,277 |
| 640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 79 | $40,383 | -33% | $12,492 |
| 177 Respiratory Infections and Inflammations with MCC | 51 | $55,052 | -22% | $15,633 |
| 190 Chronic Obstructive Pulmonary Disease with MCC | 50 | $44,528 | -12% | $10,351 |
| 481 Hip and Femur Procedures except Major Joint with CC | 42 | $60,727 | -40% | $19,860 |
| 853 Infectious and Parasitic Diseases with O.R. Procedures with... | 42 | $125,761 | -45% | $47,884 |
| 189 Pulmonary Edema and Respiratory Failure | 39 | $37,286 | -35% | $12,297 |
| 322 Percutaneous Cardiovascular Procedures with Intraluminal... | 37 | $98,003 | -14% | $23,804 |
| 872 Septicemia or Severe Sepsis without MV >96 Hours without MCC | 34 | $40,723 | -17% | $9,866 |
| 377 Gastrointestinal Hemorrhage with MCC | 30 | $61,700 | -28% | $16,682 |
| 641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 29 | $27,888 | -25% | $7,226 |
| 280 Acute Myocardial Infarction, Discharged Alive with MCC | 27 | $51,017 | -33% | $15,561 |
| 522 Hip Replacement with Principal Diagnosis of Hip Fracture... | 27 | $57,997 | -43% | $19,646 |
| 683 Renal Failure with CC | 27 | $38,520 | -5% | $8,407 |
| 885 Psychoses | 26 | $16,215 | -63% | $12,874 |
| 065 Intracranial Hemorrhage or Cerebral Infarction with CC or... | 23 | $40,215 | -28% | $9,579 |
| 378 Gastrointestinal Hemorrhage with CC | 23 | $33,736 | -31% | $9,444 |
| 698 Other Kidney and Urinary Tract Diagnoses with MCC | 21 | $68,790 | -6% | $15,504 |
| 321 Percutaneous Cardiovascular Procedures with Intraluminal... | 20 | $118,398 | -28% | $26,786 |
| 389 Gastrointestinal Obstruction with CC | 20 | $29,163 | -25% | $7,707 |
| 441 Disorders of Liver except Malignancy, Cirrhosis or Alcoholic... | 19 | $38,925 | -55% | $17,009 |
| 286 Circulatory Disorders except AMI, with Cardiac... | 17 | $75,336 | -33% | $20,234 |
| 308 Cardiac Arrhythmia and Conduction Disorders with MCC | 17 | $46,440 | -18% | $11,263 |
| 482 Hip and Femur Procedures except Major Joint without CC/MCC | 17 | $48,721 | -37% | $14,849 |
| 637 Diabetes with MCC | 17 | $53,340 | -20% | $13,565 |
| 682 Renal Failure with MCC | 17 | $42,890 | -35% | $13,965 |
| 270 Other Major Cardiovascular Procedures with MCC | 16 | $142,162 | -45% | $47,558 |
| 330 Major Small and Large Bowel Procedures with CC | 16 | $66,766 | -44% | $25,041 |
| 480 Hip and Femur Procedures except Major Joint with MCC | 16 | $73,110 | -47% | $27,368 |
| 689 Kidney and Urinary Tract Infections with MCC | 16 | $38,426 | -25% | $10,958 |
| 064 Intracranial Hemorrhage or Cerebral Infarction with MCC | 15 | $56,735 | -43% | $18,738 |
| 175 Pulmonary Embolism with MCC or Acute Cor Pulmonale | 15 | $36,211 | -44% | $13,032 |
| 638 Diabetes with CC | 15 | $42,141 | +1% | $8,484 |
| 673 Other Kidney and Urinary Tract Procedures with MCC | 15 | $62,331 | -64% | $34,270 |
| 309 Cardiac Arrhythmia and Conduction Disorders with CC | 14 | $33,139 | -8% | $6,925 |
| 314 Other Circulatory System Diagnoses with MCC | 14 | $71,851 | -24% | $20,065 |
| 417 Laparoscopic Cholecystectomy without C.D.E. with MCC | 14 | $91,281 | -27% | $23,971 |
| 066 Intracranial Hemorrhage or Cerebral Infarction without... | 12 | $26,574 | -37% | $6,851 |
| 617 Amputation of Lower Limb for Endocrine, Nutritional and... | 12 | $51,776 | -40% | $18,374 |
| 917 Poisoning and Toxic Effects of Drugs with MCC | 12 | $62,172 | -17% | $15,201 |
| 070 Other Cerebrovascular Disorders with MCC | 11 | $56,891 | -25% | $16,519 |
| 312 Syncope and Collapse | 11 | $45,204 | -1% | $8,118 |
| 536 Fractures of Hip and Pelvis without MCC | 11 | $28,365 | -25% | $7,492 |
| 603 Cellulitis without MCC | 11 | $38,667 | +4% | $8,266 |
Outpatient services
Against the New Mexico average
For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), San Juan Regional Medical Center Inc charged $60,478 on average, 8% less than the New Mexico average of $65,967, and was paid $18,514 against a state average of $17,240. For Simple Pneumonia and Pleurisy with MCC (DRG 193), San Juan Regional Medical Center Inc charged $42,785 on average, 9% less than the New Mexico average of $47,073, and was paid $12,643 against a state average of $12,080. For Heart Failure and Shock with MCC (DRG 291), San Juan Regional Medical Center Inc charged $51,067 on average, 4% more than the New Mexico average of $49,310, and was paid $12,277 against a state average of $11,350. For Miscellaneous Disorders of Nutrition, Metabolism, Fluids and Electrolytes with MCC (DRG 640), San Juan Regional Medical Center Inc charged $40,383 on average, 11% less than the New Mexico average of $45,380, and was paid $12,492 against a state average of $11,975. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $23,573 was 10% above the state average of $21,444. For Level 5 Musculoskeletal Procedures (outpatient APC 5115), its average charge of $38,524 was 48% below the state average of $73,720. For Level 3 Vascular Procedures (outpatient APC 5183), its average charge of $14,834 was 24% below the state average of $19,625. For Level 2 Excision/ Biopsy/ Incision and Drainage (outpatient APC 5072), its average charge of $8,965 was 15% below the state average of $10,501.
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.