Hospital Costs > In New Mexico > Lovelace 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 | 133 | 383 / 5 | $74.682,10 | 2351 / 25 | $12.133,30 | 1486 / 9 | $10.996,10 | 1456 / 9 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 112 | 452 / 5 | $60.219,30 | 1705 / 12 | $13.690,90 | 918 / 5 | $10.915,80 | 899 / 4 |
| Heart Failure & Shock W Mcc | 78 | 206 / 2 | $57.476,70 | 2156 / 15 | $9.688,00 | 1133 / 6 | $8.470,76 | 1130 / 3 |
| Heart Failure & Shock W Cc | 76 | 202 / 2 | $31.677,20 | 2046 / 16 | $6.244,79 | 1092 / 4 | $5.363,05 | 1090 / 4 |
| Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc | 72 | 124 / 3 | $83.924,50 | 938 / 6 | $13.745,40 | 752 / 3 | $11.407,40 | 748 / 3 |
| Acute Myocardial Infarction, Discharged Alive W Mcc | 66 | 59 / 1 | $42.880,20 | 928 / 4 | $10.955,70 | 614 / 2 | $9.246,45 | 613 / 1 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 53 | 222 / 4 | $30.827,20 | 2207 / 24 | $4.932,17 | 1158 / 5 | $3.863,89 | 1150 / 5 |
| Simple Pneumonia & Pleurisy W Mcc | 52 | 153 / 5 | $49.587,90 | 1907 / 18 | $9.196,23 | 636 / 6 | $7.481,58 | 636 / 2 |
| Cardiac Arrhythmia & Conduction Disorders W Mcc | 49 | 74 / 1 | $38.012,40 | 1262 / 6 | $7.685,90 | 886 / 1 | $6.948,27 | 883 / 1 |
| Perc Cardiovasc Proc W Drug-Eluting Stent W Mcc Or 4+ Vessels/Stents | 44 | 56 / 1 | $110.296,00 | 591 / 3 | $18.948,20 | 310 / 1 | $17.998,90 | 308 / 1 |
| Chronic Obstructive Pulmonary Disease W Mcc | 44 | 158 / 6 | $40.752,60 | 1947 / 13 | $7.908,64 | 603 / 7 | $5.870,50 | 601 / 1 |
| Spinal Fusion Except Cervical W/O Mcc | 43 | 151 / 3 | $132.428,00 | 1017 / 6 | $23.411,30 | 565 / 1 | $22.219,60 | 562 / 2 |
| Renal Failure W Mcc | 42 | 153 / 3 | $66.771,50 | 1858 / 11 | $10.554,80 | 1269 / 5 | $9.597,05 | 1269 / 4 |
| Major Cardiovasc Procedures W/O Mcc | 39 | 62 / 1 | $101.924,00 | 600 / 3 | $20.905,40 | 208 / 1 | $17.850,60 | 208 / 1 |
| Cardiac Arrhythmia & Conduction Disorders W Cc | 39 | 122 / 2 | $25.961,90 | 1451 / 8 | $5.231,95 | 810 / 3 | $4.116,62 | 807 / 2 |
| Renal Failure W Cc | 39 | 182 / 5 | $30.096,70 | 1699 / 12 | $6.070,49 | 941 / 4 | $5.123,41 | 933 / 3 |
| Perc Cardiovasc Proc W/O Coronary Artery Stent W/O Mcc | 38 | 57 / 1 | $103.684,00 | 471 / 2 | $14.312,60 | 265 / 1 | $11.539,90 | 263 / 2 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 38 | 169 / 6 | $35.584,90 | 1887 / 20 | $7.697,34 | 768 / 9 | $5.454,89 | 766 / 2 |
| Kidney & Urinary Tract Infections W/O Mcc | 38 | 195 / 8 | $26.678,70 | 2063 / 17 | $5.427,68 | 762 / 7 | $3.800,76 | 757 / 2 |
| Simple Pneumonia & Pleurisy W Cc | 36 | 167 / 11 | $27.827,40 | 1829 / 19 | $6.101,19 | 984 / 4 | $5.064,33 | 981 / 3 |
| Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 36 | 114 / 2 | $21.477,60 | 1476 / 9 | $3.786,31 | 843 / 2 | $2.702,19 | 839 / 2 |
| Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 33 | 91 / 4 | $212.500,00 | 1302 / 8 | $34.612,70 | 885 / 3 | $33.727,80 | 879 / 4 |
| Coronary Bypass W/O Cardiac Cath W/O Mcc | 33 | 55 / 1 | $146.820,00 | 464 / 2 | $26.568,30 | 311 / 1 | $21.860,90 | 310 / 1 |
| Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 33 | 149 / 5 | $30.315,40 | 1176 / 5 | $6.698,27 | 404 / 2 | $5.113,42 | 403 / 1 |
| Transient Ischemia | 32 | 93 / 3 | $21.852,80 | 794 / 4 | $5.057,19 | 388 / 4 | $3.252,00 | 387 / 1 |
| Acute Myocardial Infarction, Discharged Alive W Cc | 31 | 60 / 2 | $47.436,70 | 1145 / 5 | $6.794,68 | 691 / 3 | $5.845,26 | 689 / 3 |
| Hip & Femur Procedures Except Major Joint W Cc | 30 | 113 / 5 | $54.334,90 | 1189 / 8 | $12.767,30 | 195 / 6 | $9.477,00 | 194 / 1 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 30 | 136 / 6 | $32.132,50 | 2199 / 17 | $5.104,03 | 1475 / 6 | $4.043,20 | 1470 / 6 |
| Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 29 | 159 / 4 | $50.996,30 | 1230 / 8 | $8.198,59 | 237 / 3 | $5.032,48 | 237 / 1 |
| Circulatory Disorders Except Ami, W Card Cath W Mcc | 29 | 64 / 1 | $60.938,60 | 478 / 3 | $13.506,30 | 181 / 1 | $10.970,80 | 178 / 2 |
| Cellulitis W/O Mcc | 28 | 161 / 6 | $28.977,20 | 2079 / 19 | $5.629,54 | 1031 / 5 | $4.289,46 | 1025 / 3 |
| Perc Cardiovasc Proc W Non-Drug-Eluting Stent W/O Mcc | 28 | 41 / 1 | $79.791,80 | 416 / 3 | $11.685,70 | 193 / 1 | $9.648,21 | 193 / 1 |
| Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 27 | 75 / 5 | $24.089,60 | 846 / 6 | $5.403,74 | 281 / 2 | $3.349,78 | 279 / 1 |
| Respiratory System Diagnosis W Ventilator Support 96+ Hours | 26 | 45 / 1 | $238.884,00 | 841 / 4 | $36.269,30 | 505 / 4 | $32.653,20 | 504 / 4 |
| Acute Myocardial Infarction, Discharged Alive W/O Cc/Mcc | 25 | 28 / 2 | $43.926,20 | 764 / 6 | $5.169,32 | 216 / 1 | $3.621,16 | 215 / 1 |
| Cardiac Valve & Oth Maj Cardiothoracic Proc W/O Card Cath W Cc | 25 | 93 / 1 | $169.012,00 | 344 / 2 | $32.397,70 | 219 / 1 | $31.358,50 | 219 / 2 |
| G.I. Hemorrhage W Cc | 24 | 194 / 8 | $37.318,00 | 1866 / 11 | $6.341,12 | 1119 / 2 | $5.492,46 | 1117 / 2 |
| Chest Pain | 24 | 127 / 4 | $27.369,20 | 1307 / 10 | $4.055,79 | 670 / 3 | $3.102,38 | 666 / 2 |
| Other Vascular Procedures W Cc | 24 | 78 / 3 | $105.281,00 | 880 / 7 | $15.662,90 | 324 / 2 | $14.064,60 | 322 / 1 |
| Respiratory System Diagnosis W Ventilator Support <96 Hours | 23 | 108 / 4 | $114.757,00 | 1639 / 10 | $15.982,10 | 1255 / 5 | $15.397,50 | 1242 / 6 |
| Permanent Cardiac Pacemaker Implant W Cc | 22 | 55 / 1 | $93.942,30 | 732 / 3 | $17.443,20 | 340 / 2 | $14.788,90 | 339 / 2 |
| Kidney & Urinary Tract Infections W Mcc | 22 | 122 / 4 | $33.505,50 | 1306 / 9 | $7.087,18 | 1011 / 3 | $6.412,64 | 1008 / 4 |
| Pulmonary Edema & Respiratory Failure | 21 | 182 / 5 | $55.655,10 | 1859 / 9 | $7.967,76 | 856 / 2 | $6.771,05 | 856 / 2 |
| Septicemia Or Severe Sepsis W Mv 96+ Hours | 21 | 71 / 2 | $244.452,00 | 876 / 4 | $39.688,00 | 622 / 3 | $39.077,10 | 621 / 4 |
| Syncope & Collapse | 20 | 149 / 3 | $27.782,20 | 1347 / 9 | $5.908,25 | 501 / 8 | $3.556,05 | 499 / 1 |
| Heart Failure & Shock W/O Cc/Mcc | 20 | 90 / 4 | $23.124,20 | 1459 / 11 | $4.473,70 | 798 / 4 | $3.554,70 | 794 / 2 |
| Chronic Obstructive Pulmonary Disease W Cc | 19 | 160 / 7 | $28.597,90 | 1657 / 10 | $5.935,84 | 779 / 3 | $4.780,05 | 777 / 1 |
| Other Digestive System Diagnoses W Cc | 19 | 78 / 2 | $26.699,60 | 745 / 7 | $6.129,63 | 536 / 2 | $5.261,58 | 533 / 2 |
| G.I. Hemorrhage W Mcc | 18 | 103 / 6 | $59.639,30 | 1187 / 7 | $10.215,80 | 328 / 2 | $9.235,44 | 328 / 2 |
| Esophagitis, Gastroent & Misc Digest Disorders W Mcc | 18 | 78 / 5 | $41.900,40 | 997 / 6 | $7.615,22 | 543 / 2 | $6.719,67 | 538 / 2 |
| Other Vascular Procedures W Mcc | 18 | 79 / 4 | $141.285,00 | 838 / 4 | $28.676,70 | 185 / 3 | $17.789,20 | 185 / 1 |
| Other Vascular Procedures W/O Cc/Mcc | 18 | 38 / 1 | $94.681,40 | 509 / 1 | $11.336,60 | 221 / 1 | $9.271,89 | 220 / 1 |
| Extracranial Procedures W/O Cc/Mcc | 18 | 80 / 2 | $35.960,10 | 572 / 2 | $6.596,06 | 443 / 1 | $5.582,50 | 442 / 1 |
| Peripheral Vascular Disorders W Mcc | 17 | 32 / 2 | $67.879,50 | 516 / 4 | $9.641,35 | 335 / 2 | $8.725,35 | 335 / 3 |
| Permanent Cardiac Pacemaker Implant W/O Cc/Mcc | 17 | 40 / 1 | $88.578,30 | 623 / 3 | $19.604,70 | 210 / 3 | $11.393,00 | 209 / 2 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 17 | 109 / 6 | $33.553,80 | 1118 / 8 | $6.675,47 | 541 / 1 | $6.091,24 | 538 / 1 |
| Coronary Bypass W Cardiac Cath W/O Mcc | 17 | 59 / 2 | $189.961,00 | 477 / 3 | $32.906,20 | 387 / 3 | $28.387,80 | 387 / 3 |
| Back & Neck Proc Exc Spinal Fusion W/O Cc/Mcc | 17 | 72 / 1 | $46.861,50 | 564 / 3 | $7.167,65 | 224 / 1 | $5.302,35 | 224 / 1 |
| Respiratory Infections & Inflammations W Mcc | 17 | 119 / 5 | $59.393,80 | 1256 / 5 | $11.684,10 | 713 / 1 | $10.949,80 | 705 / 2 |
| Other Circulatory System Diagnoses W Mcc | 17 | 99 / 6 | $78.944,60 | 1138 / 7 | $11.995,70 | 237 / 3 | $9.731,59 | 237 / 1 |
| Cervical Spinal Fusion W/O Cc/Mcc | 17 | 87 / 1 | $69.536,80 | 573 / 3 | $14.351,60 | 281 / 1 | $11.513,60 | 280 / 1 |
| Perc Cardiovasc Proc W Non-Drug-Eluting Stent W Mcc Or 4+ Ves/Stents | 16 | 29 / 1 | $107.244,00 | 180 / 1 | $18.006,90 | 96 / 1 | $17.312,40 | 96 / 1 |
| Peripheral Vascular Disorders W Cc | 16 | 68 / 2 | $32.934,90 | 881 / 3 | $6.106,88 | 410 / 1 | $5.118,12 | 408 / 1 |
| Permanent Cardiac Pacemaker Implant W Mcc | 16 | 36 / 2 | $130.197,00 | 462 / 2 | $22.412,20 | 254 / 1 | $21.706,40 | 254 / 1 |
| Disorders Of The Biliary Tract W Cc | 15 | 39 / 1 | $49.890,10 | 392 / 3 | $6.621,33 | 129 / 1 | $5.716,53 | 129 / 1 |
| Cardiac Valve & Oth Maj Cardiothoracic Proc W/O Card Cath W Mcc | 15 | 101 / 2 | $228.895,00 | 271 / 3 | $48.644,30 | 163 / 1 | $47.809,40 | 163 / 2 |
| Laparoscopic Cholecystectomy W/O C.D.E. W Cc | 15 | 41 / 4 | $67.237,30 | 637 / 6 | $9.412,27 | 214 / 1 | $8.345,07 | 214 / 2 |
| Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 15 | 153 / 6 | $40.055,10 | 696 / 5 | $9.992,87 | 530 / 2 | $9.417,40 | 529 / 2 |
| Perc Cardiovasc Proc W/O Coronary Artery Stent W Mcc | 15 | 39 / 1 | $105.617,00 | 150 / 2 | $18.298,70 | 67 / 1 | $17.636,30 | 67 / 2 |
| Coronary Bypass W Cardiac Cath W Mcc | 15 | 41 / 1 | $266.821,00 | 331 / 1 | $45.122,20 | 238 / 1 | $44.028,20 | 238 / 1 |
| Simple Pneumonia & Pleurisy W/O Cc/Mcc | 14 | 79 / 13 | $26.618,90 | 1521 / 18 | $4.634,64 | 991 / 4 | $3.669,79 | 986 / 6 |
| Red Blood Cell Disorders W/O Mcc | 14 | 129 / 3 | $29.060,70 | 1461 / 5 | $5.621,36 | 464 / 3 | $3.947,21 | 463 / 2 |
| Cardiac Valve & Oth Maj Cardiothoracic Proc W/O Card Cath W/O Cc/Mcc | 14 | 28 / 1 | $169.252,00 | 96 / 2 | $28.060,20 | 50 / 1 | $27.265,90 | 50 / 2 |
| Hip & Femur Procedures Except Major Joint W Mcc | 14 | 48 / 3 | $128.632,00 | 819 / 4 | $21.531,90 | 692 / 2 | $20.404,10 | 689 / 2 |
| Trach W Mv 96+ Hrs Or Pdx Exc Face, Mouth & Neck W/O Maj O.R. | 14 | 50 / 2 | $428.442,00 | 463 / 3 | $67.544,10 | 286 / 1 | $65.081,20 | 286 / 2 |
| Major Cardiovasc Procedures W Mcc | 14 | 54 / 2 | $178.763,00 | 451 / 4 | $30.420,90 | 156 / 1 | $29.525,90 | 156 / 1 |
| Poisoning & Toxic Effects Of Drugs W/O Mcc | 13 | 48 / 4 | $26.603,80 | 698 / 8 | $4.567,69 | 172 / 2 | $3.066,31 | 171 / 1 |
| Amputat Of Lower Limb For Endocrine,Nutrit,& Metabol Dis W Cc | 13 | 17 / 2 | $70.334,90 | 150 / 2 | $11.950,40 | 74 / 1 | $10.996,80 | 73 / 1 |
| Pulmonary Embolism W Mcc | 13 | 30 / 3 | $44.107,80 | 371 / 3 | $8.937,92 | 166 / 1 | $8.080,38 | 166 / 1 |
| Major Small & Large Bowel Procedures W Mcc | 13 | 72 / 5 | $174.913,00 | 945 / 6 | $31.059,70 | 565 / 2 | $30.253,80 | 563 / 2 |
| Disorders Of The Biliary Tract W Mcc | 13 | 26 / 1 | $104.387,00 | 247 / 2 | $13.862,30 | 193 / 2 | $12.851,20 | 193 / 2 |
| Pulmonary Embolism W/O Mcc | 12 | 62 / 4 | $27.214,80 | 733 / 5 | $6.301,50 | 329 / 2 | $4.859,25 | 329 / 2 |
| Revision Of Hip Or Knee Replacement W/O Cc/Mcc | 12 | 57 / 2 | $81.601,10 | 343 / 2 | $20.666,20 | 6 / 2 | $11.577,80 | 6 / 1 |
| Diabetes W Cc | 12 | 80 / 7 | $39.815,60 | 1399 / 11 | $5.358,08 | 702 / 3 | $4.531,42 | 700 / 4 |
| Major Gastrointestinal Disorders & Peritoneal Infections W Cc | 11 | 62 / 4 | $35.450,60 | 755 / 4 | $7.767,00 | 322 / 2 | $6.201,18 | 321 / 1 |
| Back & Neck Proc Exc Spinal Fusion W Cc/Mcc Or Disc Device/Neurostim | 11 | 55 / 3 | $65.721,70 | 385 / 2 | $11.940,50 | 259 / 1 | $10.833,30 | 257 / 1 |
| Cirrhosis & Alcoholic Hepatitis W Mcc | 11 | 31 / 3 | $51.718,90 | 172 / 3 | $11.382,30 | 20 / 1 | $8.696,64 | 20 / 1 |
| Malignancy Of Hepatobiliary System Or Pancreas W Mcc | 11 | 42 / 2 | $62.309,20 | 224 / 2 | $10.548,10 | 81 / 1 | $9.868,09 | 82 / 1 |
| Respiratory Neoplasms W Mcc | 11 | 41 / 2 | $49.045,50 | 370 / 2 | $9.962,36 | 152 / 1 | $9.174,00 | 152 / 1 |
| Disorders Of Pancreas Except Malignancy W Cc | 11 | 50 / 2 | $53.399,10 | 883 / 2 | $6.252,55 | 256 / 1 | $4.629,27 | 255 / 1 |
| Medical Back Problems W/O Mcc | 11 | 110 / 7 | $24.581,10 | 812 / 4 | $5.410,64 | 796 / 2 | $4.737,18 | 793 / 2 |
| Signs & Symptoms W/O Mcc | 11 | 80 / 5 | $20.238,50 | 666 / 4 | $4.565,73 | 684 / 2 | $4.009,73 | 681 / 2 | Total 92 procedures | 2.502 | 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.