Hospital Costs > In New Mexico > Carlsbad Medical Center, procedure costs
| Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
|---|---|---|---|---|---|---|---|---|
| Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 79 | 437 / 9 | $46.809,00 | 1662 / 19 | $11.783,00 | 920 / 7 | $10.086,20 | 917 / 3 |
| Simple Pneumonia & Pleurisy W Cc | 48 | 155 / 7 | $39.482,30 | 2307 / 23 | $6.116,77 | 1314 / 5 | $5.315,77 | 1309 / 5 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 35 | 172 / 7 | $36.563,90 | 1913 / 21 | $6.672,86 | 1054 / 2 | $5.709,20 | 1051 / 3 |
| Renal Failure W Cc | 30 | 191 / 8 | $34.035,40 | 1863 / 14 | $6.044,03 | 1136 / 3 | $5.317,63 | 1128 / 4 |
| Simple Pneumonia & Pleurisy W Mcc | 29 | 176 / 9 | $44.335,10 | 1733 / 16 | $9.070,28 | 1354 / 4 | $8.406,00 | 1354 / 6 |
| Kidney & Urinary Tract Infections W/O Mcc | 29 | 204 / 9 | $33.726,20 | 2336 / 21 | $4.920,41 | 1064 / 3 | $4.002,34 | 1056 / 6 |
| Simple Pneumonia & Pleurisy W/O Cc/Mcc | 29 | 64 / 7 | $30.960,70 | 1641 / 20 | $4.531,93 | 648 / 2 | $3.366,69 | 645 / 2 |
| Chronic Obstructive Pulmonary Disease W Cc | 28 | 151 / 4 | $42.676,80 | 2126 / 14 | $5.885,64 | 923 / 2 | $4.891,36 | 920 / 2 |
| Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 26 | 94 / 3 | $29.848,80 | 1704 / 12 | $4.610,96 | 877 / 2 | $3.637,42 | 871 / 1 |
| Heart Failure & Shock W Cc | 25 | 253 / 11 | $30.225,70 | 1966 / 14 | $6.205,64 | 1182 / 3 | $5.435,08 | 1179 / 5 |
| Chronic Obstructive Pulmonary Disease W Mcc | 23 | 179 / 9 | $41.887,80 | 1980 / 14 | $7.312,22 | 1213 / 3 | $6.476,04 | 1207 / 4 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 20 | 146 / 11 | $24.823,40 | 1876 / 14 | $4.524,70 | 1033 / 3 | $3.673,50 | 1030 / 3 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 20 | 544 / 16 | $98.600,00 | 2458 / 20 | $13.412,60 | 1554 / 4 | $12.207,80 | 1519 / 8 |
| Kidney & Urinary Tract Infections W Mcc | 19 | 125 / 5 | $42.142,90 | 1547 / 12 | $7.043,95 | 843 / 2 | $6.153,00 | 841 / 2 |
| Heart Failure & Shock W Mcc | 18 | 266 / 9 | $46.424,90 | 1892 / 12 | $9.350,94 | 1173 / 2 | $8.545,61 | 1170 / 4 |
| Chest Pain | 16 | 135 / 7 | $25.222,90 | 1222 / 9 | $3.959,19 | 690 / 1 | $3.127,19 | 685 / 3 |
| Cellulitis W/O Mcc | 15 | 174 / 11 | $37.327,10 | 2355 / 21 | $5.353,07 | 936 / 3 | $4.228,80 | 930 / 2 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 13 | 262 / 17 | $29.286,80 | 2131 / 22 | $4.768,31 | 973 / 4 | $3.746,77 | 965 / 4 |
| Cardiac Arrhythmia & Conduction Disorders W Cc | 13 | 148 / 8 | $32.260,90 | 1710 / 11 | $5.042,15 | 711 / 2 | $4.023,08 | 708 / 1 |
| Hip & Femur Procedures Except Major Joint W/O Cc/Mcc | 12 | 44 / 5 | $74.286,10 | 813 / 7 | $10.192,00 | 485 / 2 | $9.189,33 | 483 / 2 |
| Syncope & Collapse | 12 | 157 / 8 | $33.109,70 | 1532 / 11 | $4.667,58 | 505 / 1 | $3.560,92 | 503 / 2 |
| Transient Ischemia | 12 | 113 / 6 | $36.205,40 | 1355 / 9 | $4.966,25 | 572 / 3 | $3.442,67 | 569 / 2 |
| Diabetes W Cc | 11 | 81 / 8 | $26.843,00 | 1072 / 8 | $5.261,45 | 595 / 2 | $4.385,82 | 594 / 3 |
| Heart Failure & Shock W/O Cc/Mcc | 11 | 99 / 10 | $30.051,60 | 1707 / 12 | $4.364,09 | 354 / 2 | $3.162,64 | 352 / 1 | Total 24 procedures | 573 | 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.