Hospital Costs > In New Mexico > Lea Regional Medical Center, procedure costs
| Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
|---|---|---|---|---|---|---|---|---|
| Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
| Bronchitis & Asthma W Cc/Mcc | 18 | 58 / 2 | $37.129,10 | 846 / 5 | $6.653,00 | 721 / 2 | $5.577,44 | 717 / 2 |
| Cardiac Arrhythmia & Conduction Disorders W Cc | 14 | 147 / 7 | $32.366,40 | 1720 / 12 | $6.146,14 | 1600 / 8 | $5.197,57 | 1595 / 8 |
| Cellulitis W/O Mcc | 21 | 168 / 8 | $24.935,40 | 1868 / 15 | $6.457,81 | 1962 / 11 | $5.476,48 | 1954 / 13 |
| Chronic Obstructive Pulmonary Disease W Cc | 35 | 144 / 1 | $35.914,80 | 1952 / 13 | $7.089,77 | 1875 / 9 | $6.298,00 | 1868 / 11 |
| Chronic Obstructive Pulmonary Disease W Mcc | 61 | 141 / 2 | $60.793,50 | 2364 / 18 | $9.036,84 | 2036 / 12 | $8.061,02 | 2028 / 13 |
| Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 16 | 104 / 8 | $37.367,20 | 1902 / 14 | $5.673,75 | 1546 / 9 | $4.537,75 | 1535 / 10 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 39 | 236 / 7 | $30.100,80 | 2171 / 23 | $6.934,82 | 1905 / 19 | $4.613,23 | 1891 / 13 |
| Heart Failure & Shock W Cc | 39 | 239 / 8 | $39.549,20 | 2311 / 18 | $7.497,82 | 2047 / 11 | $6.613,87 | 2042 / 11 |
| Heart Failure & Shock W Mcc | 17 | 267 / 10 | $74.788,10 | 2405 / 16 | $11.909,30 | 2102 / 9 | $10.768,10 | 2092 / 9 |
| Kidney & Urinary Tract Infections W Mcc | 18 | 126 / 6 | $38.615,90 | 1462 / 11 | $8.568,83 | 1435 / 6 | $7.423,94 | 1431 / 7 |
| Kidney & Urinary Tract Infections W/O Mcc | 26 | 207 / 10 | $27.526,00 | 2096 / 18 | $6.004,19 | 2063 / 13 | $5.122,96 | 2052 / 14 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 11 | 115 / 9 | $35.186,50 | 1166 / 10 | $8.442,91 | 1249 / 7 | $7.890,18 | 1246 / 9 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 15 | 151 / 15 | $31.388,50 | 2178 / 16 | $5.478,67 | 1781 / 9 | $4.449,40 | 1776 / 8 |
| Renal Failure W Cc | 13 | 208 / 12 | $34.231,00 | 1869 / 15 | $7.102,15 | 1688 / 9 | $6.096,23 | 1679 / 9 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 50 | 466 / 12 | $58.184,90 | 2037 / 23 | $13.892,60 | 2104 / 13 | $12.780,00 | 2067 / 14 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 18 | 189 / 12 | $33.971,10 | 1816 / 18 | $8.116,11 | 1933 / 11 | $7.104,56 | 1925 / 12 |
| Simple Pneumonia & Pleurisy W Mcc | 19 | 186 / 12 | $54.653,50 | 2008 / 19 | $11.018,50 | 2029 / 12 | $10.253,80 | 2028 / 12 |
| Syncope & Collapse | 14 | 155 / 6 | $25.164,20 | 1227 / 8 | $5.734,43 | 1435 / 6 | $4.952,71 | 1428 / 8 |
| Transient Ischemia | 15 | 110 / 5 | $27.931,50 | 1104 / 7 | $5.439,20 | 1165 / 5 | $4.406,20 | 1159 / 6 | Total 19 procedures | 459 | 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.