New Mexico / Unm Hospital
CMS certification 320001 · Albuquerque, NM
Unm Hospital: charges and Medicare payments
Unm Hospital reported 2,177 Medicare inpatient stays across 81 DRGs in 2024. Across them it charged 1.99 times what it was paid — among the lower ratios in New Mexico, number 15 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: 291 stays at an average charge of $46,607, 48% below the national average. It also billed 3,728 outpatient services, charging 4.08 times what Medicare paid.
- 1Medicare inpatient stays 2,177
- 2Charge ÷ paid, inpatient 1.99×
- 3Rank in NM (highest ratio = 1) 15 of 16
- 4CMS price-transparency actions 0
Inpatient stays
For the 81 DRGs that can be compared with the national average, Unm Hospital 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 | 291 | $46,607 | -48% | $23,329 |
| 291 Heart Failure and Shock with MCC | 82 | $29,303 | -48% | $16,489 |
| 064 Intracranial Hemorrhage or Cerebral Infarction with MCC | 67 | $56,543 | -43% | $24,283 |
| 177 Respiratory Infections and Inflammations with MCC | 58 | $29,587 | -58% | $19,503 |
| 853 Infectious and Parasitic Diseases with O.R. Procedures with... | 56 | $107,337 | -53% | $58,775 |
| 023 Craniotomy with Major Device Implant or Acute Complex Cns... | 55 | $153,591 | -45% | $69,787 |
| 193 Simple Pneumonia and Pleurisy with MCC | 55 | $24,086 | -60% | $15,712 |
| 640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 55 | $28,013 | -54% | $16,350 |
| 481 Hip and Femur Procedures except Major Joint with CC | 48 | $47,283 | -53% | $22,806 |
| 065 Intracranial Hemorrhage or Cerebral Infarction with CC or... | 46 | $31,373 | -44% | $12,481 |
| 698 Other Kidney and Urinary Tract Diagnoses with MCC | 44 | $44,254 | -40% | $19,450 |
| 872 Septicemia or Severe Sepsis without MV >96 Hours without MCC | 44 | $20,360 | -58% | $12,733 |
| 189 Pulmonary Edema and Respiratory Failure | 43 | $29,656 | -48% | $15,569 |
| 690 Kidney and Urinary Tract Infections without MCC | 39 | $14,899 | -61% | $10,701 |
| 689 Kidney and Urinary Tract Infections with MCC | 36 | $28,349 | -45% | $15,561 |
| 100 Seizures with MCC | 34 | $73,069 | -23% | $31,662 |
| 101 Seizures without MCC | 33 | $20,575 | -58% | $11,698 |
| 682 Renal Failure with MCC | 30 | $24,581 | -63% | $16,733 |
| 025 Craniotomy and Endovascular Intracranial Procedures with MCC | 29 | $104,722 | -55% | $48,229 |
| 377 Gastrointestinal Hemorrhage with MCC | 29 | $40,964 | -52% | $19,167 |
| 082 Traumatic Stupor and Coma >1 Hour with MCC | 27 | $46,777 | -59% | $24,759 |
| 175 Pulmonary Embolism with MCC or Acute Cor Pulmonale | 27 | $29,490 | -55% | $16,170 |
| 699 Other Kidney and Urinary Tract Diagnoses with CC | 27 | $28,804 | -39% | $13,426 |
| 638 Diabetes with CC | 26 | $17,341 | -58% | $11,378 |
| 641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 25 | $23,025 | -38% | $11,721 |
| 286 Circulatory Disorders except AMI, with Cardiac... | 24 | $67,848 | -40% | $30,619 |
| 392 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 24 | $15,148 | -62% | $10,461 |
| 884 Organic Disturbances and Intellectual Disability | 24 | $47,436 | -24% | $28,953 |
| 603 Cellulitis without MCC | 23 | $14,702 | -61% | $11,452 |
| 003 ECMO or Tracheostomy with MV >96 Hours or Principal... | 22 | $369,755 | -65% | $222,577 |
| 378 Gastrointestinal Hemorrhage with CC | 22 | $16,802 | -65% | $12,396 |
| 070 Other Cerebrovascular Disorders with MCC | 21 | $47,196 | -38% | $20,494 |
| 683 Renal Failure with CC | 21 | $21,277 | -48% | $12,725 |
| 314 Other Circulatory System Diagnoses with MCC | 20 | $39,735 | -58% | $24,367 |
| 330 Major Small and Large Bowel Procedures with CC | 20 | $53,692 | -55% | $24,206 |
| 393 Other Digestive System Diagnoses with MCC | 20 | $34,142 | -56% | $20,441 |
| 480 Hip and Femur Procedures except Major Joint with MCC | 20 | $59,847 | -57% | $31,898 |
| 280 Acute Myocardial Infarction, Discharged Alive with MCC | 19 | $57,961 | -24% | $19,124 |
| 917 Poisoning and Toxic Effects of Drugs with MCC | 19 | $40,568 | -46% | $21,547 |
| 071 Other Cerebrovascular Disorders with CC | 18 | $26,203 | -48% | $14,396 |
| 208 Respiratory System Diagnosis with Ventilator Support <=96... | 18 | $55,933 | -59% | $29,151 |
| 322 Percutaneous Cardiovascular Procedures with Intraluminal... | 18 | $51,550 | -55% | $20,188 |
| 057 Degenerative Nervous System Disorders without MCC | 17 | $23,951 | -58% | $15,633 |
| 522 Hip Replacement with Principal Diagnosis of Hip Fracture... | 17 | $46,472 | -55% | $23,789 |
| 552 Medical Back Problems without MCC | 17 | $30,919 | -37% | $13,231 |
| 637 Diabetes with MCC | 17 | $38,848 | -42% | $19,210 |
| 652 Kidney Transplant | 17 | $206,324 | -39% | $38,948 |
| 957 Other O.R. Procedures for Multiple Significant Trauma with... | 16 | $174,862 | -56% | $75,860 |
| 184 Major Chest Trauma with CC | 15 | $23,724 | -57% | $13,081 |
| 329 Major Small and Large Bowel Procedures with MCC | 15 | $85,555 | -60% | $49,713 |
| 004 Tracheostomy with MV >96 Hours or Principal Diagnosis except... | 14 | $253,724 | -59% | $126,258 |
| 069 Transient Ischemia without Thrombolytic | 14 | $25,089 | -50% | $10,343 |
| 183 Major Chest Trauma with MCC | 14 | $45,842 | -38% | $20,181 |
| 190 Chronic Obstructive Pulmonary Disease with MCC | 14 | $24,785 | -51% | $11,229 |
| 441 Disorders of Liver except Malignancy, Cirrhosis or Alcoholic... | 14 | $41,204 | -52% | $20,261 |
| 854 Infectious and Parasitic Diseases with O.R. Procedures with... | 14 | $35,153 | -64% | $22,168 |
| 176 Pulmonary Embolism without MCC | 13 | $24,576 | -41% | $10,881 |
| 178 Respiratory Infections and Inflammations with CC | 13 | $20,711 | -54% | $13,116 |
| 219 Cardiac Valve and Other Major Cardiothoracic Procedures... | 13 | $223,652 | -44% | $98,162 |
| 327 Stomach, Esophageal and Duodenal Procedures with CC | 13 | $45,588 | -64% | $24,995 |
Showing the 60 most frequent of 81 DRGs.
Outpatient services
Against the New Mexico average
For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Unm Hospital charged $46,607 on average, 29% less than the New Mexico average of $65,967, and was paid $23,329 against a state average of $17,240. For Heart Failure and Shock with MCC (DRG 291), Unm Hospital charged $29,303 on average, 41% less than the New Mexico average of $49,310, and was paid $16,489 against a state average of $11,350. For Intracranial Hemorrhage or Cerebral Infarction with MCC (DRG 064), Unm Hospital charged $56,543 on average, 6% less than the New Mexico average of $60,142, and was paid $24,283 against a state average of $18,027. For Respiratory Infections and Inflammations with MCC (DRG 177), Unm Hospital charged $29,587 on average, 46% less than the New Mexico average of $54,728, and was paid $19,503 against a state average of $14,774. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $9,446 was 56% below the state average of $21,444. For Level 3 Urology and Related Services (outpatient APC 5373), its average charge of $3,075 was 65% below the state average of $8,698. For Level 2 Urology and Related Services (outpatient APC 5372), its average charge of $1,208 was 33% below the state average of $1,809. For Level 1 Intraocular Procedures (outpatient APC 5491), its average charge of $8,743 was 49% below the state average of $17,235.
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.