Hospital Costs > In New Mexico > Artesia General Hospital, procedure costs
Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
---|---|---|---|---|---|---|---|---|
Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 36 | 528 / 13 | $70.216,40 | 1999 / 18 | $17.577,30 | 2342 / 13 | $15.644,90 | 2297 / 13 |
Simple Pneumonia & Pleurisy W Cc | 18 | 185 / 19 | $23.249,10 | 1475 / 14 | $7.812,11 | 2249 / 14 | $6.735,67 | 2241 / 15 |
Chronic Obstructive Pulmonary Disease W Mcc | 17 | 185 / 11 | $20.580,10 | 765 / 3 | $9.313,29 | 2058 / 13 | $8.122,24 | 2050 / 14 |
Simple Pneumonia & Pleurisy W/O Cc/Mcc | 17 | 76 / 11 | $23.156,80 | 1364 / 16 | $5.606,06 | 1491 / 13 | $4.416,41 | 1483 / 12 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 14 | 502 / 23 | $23.218,00 | 429 / 6 | $14.654,20 | 2354 / 15 | $13.918,20 | 2312 / 15 |
Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 12 | 108 / 10 | $15.992,50 | 905 / 3 | $5.675,08 | 1694 / 10 | $4.930,08 | 1683 / 12 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 12 | 195 / 18 | $25.884,00 | 1325 / 14 | $8.489,00 | 2157 / 14 | $7.830,00 | 2148 / 15 |
Simple Pneumonia & Pleurisy W Mcc | 11 | 194 / 16 | $28.788,00 | 958 / 8 | $11.545,00 | 2112 / 14 | $10.717,70 | 2107 / 14 | Total 8 procedures | 137 | 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.