Hospital Costs > In New Mexico > Alta Vista Regional Hospital, procedure costs
| Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
|---|---|---|---|---|---|---|---|---|
| Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
| Cellulitis W/O Mcc | 19 | 170 / 9 | $28.664,80 | 2067 / 18 | $6.317,53 | 1816 / 8 | $5.170,58 | 1808 / 10 |
| Chronic Obstructive Pulmonary Disease W Cc | 18 | 161 / 8 | $35.702,10 | 1943 / 12 | $7.028,00 | 1770 / 8 | $6.025,33 | 1763 / 9 |
| Chronic Obstructive Pulmonary Disease W Mcc | 12 | 190 / 15 | $57.305,50 | 2319 / 17 | $8.800,42 | 2011 / 9 | $7.989,75 | 2003 / 12 |
| Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 24 | 96 / 4 | $23.561,00 | 1481 / 10 | $5.361,71 | 1439 / 6 | $4.307,04 | 1428 / 7 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 14 | 261 / 16 | $25.834,90 | 1941 / 18 | $5.665,43 | 1597 / 10 | $4.216,50 | 1584 / 11 |
| Heart Failure & Shock W Cc | 15 | 263 / 15 | $34.948,80 | 2175 / 17 | $7.440,80 | 2158 / 10 | $6.875,47 | 2152 / 12 |
| Heart Failure & Shock W/O Cc/Mcc | 15 | 95 / 6 | $36.790,30 | 1848 / 14 | $5.057,40 | 1457 / 7 | $4.332,07 | 1445 / 8 |
| Kidney & Urinary Tract Infections W/O Mcc | 38 | 195 / 8 | $31.203,40 | 2262 / 20 | $5.787,89 | 1831 / 10 | $4.737,79 | 1820 / 9 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 18 | 148 / 12 | $26.743,70 | 1979 / 15 | $5.255,78 | 1655 / 7 | $4.249,56 | 1650 / 7 |
| Poisoning & Toxic Effects Of Drugs W/O Mcc | 11 | 50 / 5 | $22.020,50 | 571 / 7 | $4.921,18 | 436 / 3 | $3.672,73 | 435 / 3 |
| Respiratory Infections & Inflammations W Cc | 15 | 73 / 4 | $54.109,50 | 1198 / 4 | $10.449,90 | 1200 / 4 | $9.726,67 | 1195 / 4 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 22 | 494 / 18 | $55.775,30 | 1978 / 21 | $14.252,80 | 1830 / 14 | $11.817,70 | 1795 / 13 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 15 | 192 / 15 | $34.955,00 | 1856 / 19 | $8.009,93 | 1967 / 10 | $7.199,27 | 1959 / 13 |
| Simple Pneumonia & Pleurisy W Cc | 33 | 170 / 13 | $40.445,10 | 2338 / 24 | $7.357,85 | 2062 / 12 | $6.285,97 | 2054 / 13 |
| Simple Pneumonia & Pleurisy W/O Cc/Mcc | 26 | 67 / 8 | $28.271,80 | 1567 / 19 | $5.324,38 | 1236 / 9 | $3.950,35 | 1230 / 8 | Total 15 procedures | 295 | discharges |
Source: Medicare Provider Utilization and Payment Data: Inpatient for FY2014
Average Covered Charges: The provider's average charge for services covered by Medicare for all discharges in the MS-DRG. These will vary from hospital to hospital because of differences in hospital charge structures.
Average Total Payments: The average total payments to all providers for the MS-DRG including the MSDRG amount, teaching, disproportionate share, capital, and outlier payments for all cases. Also included in average total payments are co-payment and deductible amounts that the patient is responsible for and any additional payments by third parties for coordination of benefits.
Average Medicare Payments: The average amount that Medicare pays to the provider for Medicare's share of the MS-DRG. Average Medicare payment amounts include the MS-DRG amount, teaching, disproportionate share, capital, and outlier payments for all cases. Medicare payments DO NOT include beneficiary co-payments and deductible amounts nor any additional payments from third parties for coordination of benefits. Note: In general, Medicare FFS claims with dates-of-service or dates-of-discharge on or after April 1, 2013, incurred a 2 percent reduction in Medicare payment. This is in response to mandatory across-the-board reductions in Federal spending, also known as sequestration
Hospital Rank: We have calculated the rank for each procedure within a hospital. The left number is the national ranking, the right one is the state ranking. For discharges, ranking is from highest # of discharges to lower (hospital with highest number of discharges ranks first). For charges and payments, lowest means a higher ranking.