Hospital Costs > In New Mexico > Lovelace Westside Hospital, procedure costs
| Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
|---|---|---|---|---|---|---|---|---|
| Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
| Cellulitis W/O Mcc | 15 | 174 / 11 | $25.721,90 | 1915 / 16 | $4.664,67 | 306 / 1 | $3.696,13 | 303 / 1 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 16 | 259 / 15 | $26.987,20 | 2004 / 19 | $4.266,31 | 185 / 1 | $3.090,50 | 185 / 1 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 65 | 499 / 11 | $58.790,30 | 1645 / 11 | $12.754,30 | 817 / 3 | $10.781,30 | 803 / 2 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 16 | 500 / 22 | $46.494,20 | 1650 / 18 | $9.215,75 | 59 / 1 | $8.463,75 | 59 / 1 |
| Simple Pneumonia & Pleurisy W Cc | 17 | 186 / 20 | $28.412,50 | 1860 / 20 | $5.304,65 | 110 / 2 | $4.162,06 | 110 / 1 | Total 5 procedures | 129 | 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.