Hospital Costs > In New Mexico > Los Alamos Medical Center, procedure costs
| Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
|---|---|---|---|---|---|---|---|---|
| Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 14 | 261 / 16 | $19.728,70 | 1353 / 13 | $8.439,43 | 2602 / 21 | $7.401,71 | 2587 / 21 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 22 | 542 / 15 | $65.717,90 | 1884 / 15 | $24.456,40 | 2661 / 20 | $23.257,80 | 2615 / 20 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 26 | 490 / 16 | $33.044,20 | 944 / 11 | $20.631,80 | 2741 / 25 | $19.043,00 | 2696 / 26 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 13 | 194 / 17 | $29.725,20 | 1606 / 16 | $12.151,30 | 2504 / 20 | $11.225,80 | 2494 / 20 |
| Simple Pneumonia & Pleurisy W Cc | 23 | 180 / 15 | $16.659,20 | 754 / 6 | $10.843,40 | 2697 / 22 | $9.276,39 | 2688 / 22 |
| Simple Pneumonia & Pleurisy W Mcc | 12 | 193 / 15 | $24.656,50 | 680 / 6 | $16.532,80 | 2481 / 19 | $15.628,80 | 2475 / 20 | Total 6 procedures | 110 | 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.