Hospital Costs > In New Mexico > Gallup Indian Medical Center, procedure costs
| Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
|---|---|---|---|---|---|---|---|---|
| Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
| Simple Pneumonia & Pleurisy W Cc | 60 | 143 / 3 | $10.803,00 | 158 / 4 | $9.086,42 | 2591 / 20 | $8.340,82 | 2582 / 20 |
| Simple Pneumonia & Pleurisy W/O Cc/Mcc | 49 | 44 / 2 | $8.715,75 | 125 / 4 | $7.227,41 | 1862 / 19 | $6.266,75 | 1854 / 19 |
| Kidney & Urinary Tract Infections W/O Mcc | 47 | 186 / 6 | $8.116,49 | 123 / 2 | $7.781,77 | 2537 / 18 | $6.941,26 | 2526 / 19 |
| Cellulitis W/O Mcc | 41 | 148 / 2 | $10.457,70 | 292 / 2 | $8.265,63 | 2457 / 17 | $7.497,63 | 2449 / 17 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 27 | 248 / 11 | $7.561,11 | 72 / 2 | $7.430,07 | 2531 / 20 | $6.745,63 | 2516 / 20 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 21 | 145 / 10 | $5.577,38 | 17 / 1 | $7.177,67 | 2372 / 14 | $6.545,29 | 2363 / 15 |
| Chest Pain | 19 | 132 / 6 | $4.408,74 | 2 / 1 | $6.503,95 | 1553 / 10 | $5.677,00 | 1544 / 10 |
| Heart Failure & Shock W Cc | 18 | 260 / 14 | $9.441,39 | 98 / 2 | $9.462,33 | 2554 / 17 | $8.721,00 | 2548 / 17 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 17 | 499 / 21 | $11.592,20 | 17 / 1 | $15.396,50 | 2429 / 17 | $14.468,50 | 2385 / 18 |
| Kidney & Urinary Tract Infections W Mcc | 17 | 127 / 7 | $10.414,30 | 56 / 2 | $10.444,50 | 1810 / 11 | $9.806,35 | 1806 / 11 |
| Bronchitis & Asthma W/O Cc/Mcc | 16 | 29 / 1 | $5.022,88 | 3 / 1 | $6.808,81 | 344 / 2 | $5.756,81 | 344 / 2 |
| Disorders Of Liver Except Malig,Cirr,Alc Hepa W Cc | 14 | 56 / 3 | $9.785,21 | 17 / 1 | $8.705,14 | 478 / 4 | $8.270,86 | 478 / 4 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 14 | 193 / 16 | $11.307,40 | 105 / 1 | $9.717,00 | 2355 / 18 | $9.029,00 | 2345 / 19 |
| Diabetes W Cc | 13 | 79 / 6 | $9.620,69 | 73 / 1 | $8.032,00 | 1495 / 10 | $7.756,31 | 1490 / 10 |
| Heart Failure & Shock W/O Cc/Mcc | 13 | 97 / 8 | $6.126,54 | 27 / 1 | $7.053,15 | 1883 / 12 | $6.312,23 | 1870 / 12 |
| Simple Pneumonia & Pleurisy W Mcc | 13 | 192 / 14 | $12.812,40 | 53 / 1 | $11.242,70 | 2059 / 13 | $10.405,80 | 2058 / 13 |
| Laparoscopic Cholecystectomy W/O C.D.E. W/O Cc/Mcc | 12 | 35 / 4 | $7.419,25 | 1 / 1 | $11.193,40 | 553 / 4 | $10.081,40 | 552 / 4 |
| Chronic Obstructive Pulmonary Disease W Cc | 11 | 168 / 10 | $10.066,50 | 104 / 1 | $9.013,91 | 2280 / 14 | $8.353,55 | 2273 / 14 |
| Seizures W/O Mcc | 11 | 97 / 3 | $7.214,82 | 21 / 1 | $7.695,27 | 1132 / 3 | $6.485,09 | 1130 / 3 | Total 19 procedures | 433 | 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.