Hospital Costs > In New Mexico > Memorial Medical Center Inc, procedure costs
Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
---|---|---|---|---|---|---|---|---|
Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
Acute Myocardial Infarction, Discharged Alive W/O Cc/Mcc | 12 | 41 / 5 | $40.322,00 | 740 / 5 | $5.982,17 | 635 / 2 | $4.889,17 | 631 / 5 |
Alcohol/Drug Abuse Or Dependence W/O Rehabilitation Therapy W/O Mcc | 14 | 110 / 3 | $21.637,60 | 528 / 4 | $5.563,79 | 422 / 2 | $4.162,57 | 421 / 2 |
Back & Neck Proc Exc Spinal Fusion W/O Cc/Mcc | 15 | 74 / 3 | $58.019,60 | 650 / 4 | $7.807,33 | 506 / 2 | $6.587,07 | 505 / 2 |
Cardiac Arrhythmia & Conduction Disorders W Cc | 29 | 132 / 3 | $20.345,80 | 1078 / 6 | $6.133,62 | 1593 / 7 | $5.181,34 | 1588 / 7 |
Cardiac Arrhythmia & Conduction Disorders W Mcc | 14 | 109 / 6 | $32.221,90 | 1055 / 4 | $8.590,50 | 1197 / 3 | $7.607,93 | 1194 / 2 |
Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 29 | 121 / 4 | $17.480,60 | 1239 / 7 | $4.703,21 | 1534 / 7 | $3.600,00 | 1528 / 5 |
Cellulitis W/O Mcc | 40 | 149 / 3 | $23.562,20 | 1782 / 14 | $6.375,27 | 1793 / 9 | $5.138,67 | 1785 / 9 |
Chest Pain | 31 | 120 / 1 | $18.873,00 | 834 / 5 | $4.908,00 | 1145 / 7 | $3.833,77 | 1138 / 6 |
Chronic Obstructive Pulmonary Disease W Cc | 28 | 151 / 4 | $27.325,60 | 1589 / 9 | $7.023,93 | 1726 / 7 | $5.919,07 | 1719 / 8 |
Chronic Obstructive Pulmonary Disease W Mcc | 56 | 146 / 3 | $31.154,60 | 1543 / 10 | $8.046,93 | 1659 / 8 | $7.113,07 | 1651 / 9 |
Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 31 | 89 / 2 | $21.699,50 | 1385 / 9 | $5.624,19 | 1544 / 8 | $4.533,97 | 1533 / 9 |
Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 37 | 151 / 2 | $38.477,50 | 897 / 5 | $8.624,13 | 1020 / 6 | $6.383,03 | 1017 / 4 |
Coronary Bypass W Cardiac Cath W/O Mcc | 17 | 59 / 2 | $167.941,00 | 417 / 2 | $30.800,10 | 415 / 2 | $29.201,90 | 415 / 4 |
Diabetes W Cc | 18 | 74 / 4 | $26.025,20 | 1042 / 7 | $6.225,28 | 840 / 6 | $4.780,61 | 836 / 5 |
Esophagitis, Gastroent & Misc Digest Disorders W Mcc | 15 | 81 / 6 | $47.930,00 | 1113 / 7 | $8.703,13 | 778 / 3 | $7.319,20 | 773 / 3 |
Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 47 | 228 / 6 | $22.189,20 | 1647 / 17 | $6.031,26 | 1977 / 13 | $4.730,08 | 1963 / 14 |
Fractures Of Hip & Pelvis W/O Mcc | 13 | 48 / 2 | $20.107,80 | 522 / 3 | $5.683,69 | 656 / 2 | $4.417,23 | 656 / 2 |
Fx, Sprn, Strn & Disl Except Femur, Hip, Pelvis & Thigh W/O Mcc | 11 | 51 / 3 | $18.167,10 | 314 / 3 | $5.650,91 | 435 / 2 | $4.316,36 | 433 / 2 |
G.I. Hemorrhage W Cc | 35 | 183 / 5 | $24.368,60 | 1153 / 8 | $7.363,63 | 1637 / 5 | $6.225,00 | 1633 / 4 |
G.I. Hemorrhage W Mcc | 21 | 100 / 5 | $45.499,20 | 879 / 6 | $12.918,00 | 1145 / 4 | $11.888,70 | 1137 / 4 |
G.I. Hemorrhage W/O Cc/Mcc | 18 | 50 / 3 | $16.274,40 | 391 / 3 | $5.468,67 | 713 / 1 | $4.445,83 | 709 / 1 |
G.I. Obstruction W Cc | 20 | 72 / 4 | $25.442,80 | 1011 / 4 | $6.618,35 | 932 / 3 | $4.991,85 | 929 / 3 |
G.I. Obstruction W/O Cc/Mcc | 18 | 53 / 4 | $22.544,20 | 931 / 5 | $6.158,78 | 779 / 5 | $3.394,44 | 776 / 2 |
Heart Failure & Shock W Cc | 37 | 241 / 9 | $30.794,60 | 2000 / 15 | $7.419,49 | 1893 / 9 | $6.307,59 | 1888 / 9 |
Heart Failure & Shock W Mcc | 31 | 253 / 8 | $50.417,60 | 1993 / 14 | $11.975,80 | 2184 / 10 | $11.166,00 | 2174 / 10 |
Heart Failure & Shock W/O Cc/Mcc | 18 | 92 / 5 | $17.375,40 | 1094 / 7 | $5.446,72 | 1476 / 9 | $4.377,83 | 1464 / 9 |
Hip & Femur Procedures Except Major Joint W Cc | 16 | 127 / 8 | $70.010,80 | 1546 / 10 | $12.893,60 | 1205 / 7 | $11.649,80 | 1191 / 7 |
Hip & Femur Procedures Except Major Joint W/O Cc/Mcc | 15 | 41 / 4 | $56.172,10 | 670 / 5 | $10.929,30 | 577 / 3 | $9.641,27 | 575 / 3 |
Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 13 | 169 / 9 | $37.238,80 | 1434 / 8 | $7.746,15 | 1399 / 4 | $6.561,54 | 1396 / 5 |
Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 18 | 84 / 7 | $24.593,20 | 882 / 8 | $5.879,94 | 1170 / 4 | $4.749,94 | 1166 / 4 |
Kidney & Urinary Tract Infections W/O Mcc | 70 | 163 / 2 | $18.516,70 | 1410 / 13 | $5.936,49 | 1852 / 12 | $4.753,57 | 1841 / 10 |
Laparoscopic Cholecystectomy W/O C.D.E. W Cc | 19 | 37 / 3 | $60.304,50 | 581 / 5 | $17.551,80 | 228 / 6 | $8.410,63 | 228 / 3 |
Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 93 | 471 / 7 | $69.645,40 | 1984 / 17 | $14.150,20 | 1623 / 7 | $12.373,50 | 1586 / 10 |
Major Small & Large Bowel Procedures W Mcc | 12 | 73 / 6 | $154.410,00 | 829 / 5 | $32.483,20 | 605 / 3 | $30.786,90 | 603 / 3 |
Medical Back Problems W/O Mcc | 19 | 102 / 4 | $24.389,40 | 798 / 3 | $6.470,68 | 993 / 3 | $5.223,53 | 990 / 3 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 28 | 98 / 4 | $20.512,20 | 440 / 2 | $7.903,18 | 992 / 5 | $7.044,82 | 989 / 6 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 53 | 113 / 2 | $18.531,50 | 1382 / 11 | $5.576,51 | 1853 / 10 | $4.570,77 | 1847 / 9 |
Other Circulatory System Diagnoses W Mcc | 13 | 103 / 7 | $26.873,20 | 153 / 1 | $11.452,80 | 503 / 2 | $10.786,30 | 501 / 3 |
Other Digestive System Diagnoses W Cc | 15 | 82 / 5 | $21.314,90 | 475 / 2 | $7.143,60 | 898 / 3 | $6.115,87 | 894 / 3 |
Other Kidney & Urinary Tract Diagnoses W Cc | 13 | 90 / 4 | $26.372,40 | 430 / 5 | $7.179,15 | 480 / 1 | $6.173,00 | 480 / 1 |
Other Vascular Procedures W Cc | 12 | 90 / 5 | $86.037,40 | 707 / 6 | $17.264,80 | 689 / 3 | $16.325,40 | 686 / 4 |
Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc | 48 | 148 / 4 | $85.218,80 | 967 / 7 | $16.191,70 | 922 / 5 | $12.146,70 | 915 / 5 |
Perc Cardiovasc Proc W Non-Drug-Eluting Stent W/O Mcc | 13 | 56 / 3 | $72.923,10 | 370 / 2 | $12.129,80 | 326 / 2 | $10.762,20 | 326 / 2 |
Peripheral Vascular Disorders W/O Cc/Mcc | 14 | 31 / 2 | $16.621,10 | 159 / 3 | $5.454,50 | 261 / 2 | $4.253,64 | 261 / 2 |
Poisoning & Toxic Effects Of Drugs W/O Mcc | 17 | 44 / 3 | $16.840,60 | 389 / 4 | $5.208,29 | 606 / 5 | $4.257,94 | 605 / 5 |
Psychoses | 97 | 194 / 2 | $16.313,00 | 222 / 2 | $7.364,11 | 269 / 2 | $5.798,83 | 269 / 2 |
Pulmonary Embolism W/O Mcc | 11 | 63 / 5 | $32.798,90 | 913 / 6 | $7.093,27 | 724 / 3 | $5.616,82 | 721 / 3 |
Red Blood Cell Disorders W/O Mcc | 13 | 130 / 4 | $18.920,50 | 798 / 2 | $6.146,85 | 1433 / 5 | $5.286,85 | 1424 / 5 |
Renal Failure W Cc | 38 | 183 / 6 | $26.014,20 | 1491 / 11 | $7.191,58 | 1752 / 10 | $6.270,32 | 1742 / 11 |
Renal Failure W Mcc | 23 | 172 / 6 | $34.698,30 | 1035 / 7 | $10.446,70 | 1307 / 4 | $9.677,30 | 1307 / 5 |
Renal Failure W/O Cc/Mcc | 11 | 45 / 3 | $18.664,70 | 515 / 3 | $5.135,91 | 678 / 1 | $4.358,45 | 677 / 2 |
Respiratory Infections & Inflammations W Cc | 28 | 60 / 1 | $40.653,90 | 978 / 3 | $9.625,46 | 982 / 2 | $8.600,04 | 977 / 3 |
Respiratory Infections & Inflammations W Mcc | 19 | 117 / 3 | $62.047,80 | 1307 / 6 | $12.319,60 | 811 / 3 | $11.149,90 | 801 / 3 |
Respiratory System Diagnosis W Ventilator Support <96 Hours | 23 | 108 / 4 | $56.542,70 | 819 / 7 | $14.850,80 | 926 / 4 | $13.823,20 | 918 / 4 |
Respiratory System Diagnosis W Ventilator Support 96+ Hours | 13 | 58 / 4 | $136.472,00 | 485 / 3 | $29.966,60 | 254 / 1 | $28.544,20 | 254 / 3 |
Seizures W/O Mcc | 11 | 97 / 3 | $22.347,70 | 662 / 4 | $5.925,27 | 916 / 1 | $5.135,45 | 913 / 2 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 55 | 461 / 11 | $51.113,20 | 1829 / 20 | $12.664,50 | 1720 / 11 | $11.504,80 | 1687 / 11 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 22 | 185 / 11 | $24.863,50 | 1241 / 13 | $7.593,68 | 1481 / 8 | $6.229,50 | 1475 / 7 |
Signs & Symptoms W/O Mcc | 13 | 78 / 4 | $14.910,20 | 324 / 1 | $5.537,62 | 797 / 3 | $4.290,92 | 794 / 3 |
Simple Pneumonia & Pleurisy W Cc | 59 | 144 / 4 | $28.899,70 | 1894 / 21 | $7.268,22 | 1879 / 11 | $5.964,17 | 1871 / 11 |
Simple Pneumonia & Pleurisy W Mcc | 34 | 171 / 8 | $39.355,00 | 1540 / 15 | $9.967,21 | 1664 / 10 | $9.066,74 | 1664 / 10 |
Simple Pneumonia & Pleurisy W/O Cc/Mcc | 36 | 57 / 5 | $20.508,50 | 1233 / 15 | $5.602,58 | 1497 / 12 | $4.433,47 | 1489 / 13 |
Spinal Fusion Except Cervical W/O Mcc | 12 | 182 / 7 | $111.921,00 | 855 / 4 | $26.082,10 | 889 / 3 | $24.932,40 | 884 / 4 |
Syncope & Collapse | 14 | 155 / 6 | $20.610,10 | 915 / 5 | $5.761,43 | 1290 / 7 | $4.576,00 | 1283 / 6 |
Transient Ischemia | 19 | 106 / 4 | $23.203,70 | 864 / 5 | $5.497,89 | 1052 / 6 | $4.139,79 | 1047 / 5 |
Transurethral Prostatectomy W/O Cc/Mcc | 12 | 17 / 1 | $28.320,70 | 51 / 1 | $5.778,83 | 55 / 1 | $4.597,17 | 55 / 1 | Total 66 procedures | 1.719 | 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.