Hospital Costs > In New Mexico > Mountain View Regional 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 | 177 | 339 / 4 | $38.720,10 | 1260 / 16 | $10.834,40 | 569 / 2 | $9.619,24 | 568 / 2 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 155 | 409 / 4 | $68.652,20 | 1954 / 16 | $12.368,30 | 883 / 1 | $10.872,90 | 864 / 3 |
| Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc | 76 | 120 / 2 | $76.018,10 | 797 / 5 | $12.405,00 | 538 / 1 | $10.736,20 | 535 / 1 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 69 | 206 / 3 | $20.432,60 | 1441 / 16 | $4.755,71 | 929 / 3 | $3.715,74 | 923 / 3 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 68 | 139 / 2 | $28.628,70 | 1535 / 15 | $6.946,88 | 1337 / 4 | $6.029,84 | 1332 / 5 |
| Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 67 | 121 / 1 | $49.344,90 | 1188 / 7 | $6.676,72 | 540 / 1 | $5.512,79 | 538 / 2 |
| Simple Pneumonia & Pleurisy W Mcc | 59 | 146 / 4 | $32.579,70 | 1197 / 10 | $8.271,56 | 561 / 1 | $7.395,58 | 561 / 1 |
| Kidney & Urinary Tract Infections W/O Mcc | 58 | 175 / 4 | $19.306,10 | 1494 / 14 | $5.217,34 | 773 / 5 | $3.807,53 | 768 / 3 |
| Simple Pneumonia & Pleurisy W Cc | 56 | 147 / 6 | $29.214,40 | 1911 / 22 | $6.005,57 | 1205 / 3 | $5.228,43 | 1201 / 4 |
| Chronic Obstructive Pulmonary Disease W Mcc | 50 | 152 / 5 | $39.385,00 | 1894 / 11 | $7.034,50 | 832 / 2 | $6.078,52 | 827 / 2 |
| Heart Failure & Shock W Cc | 48 | 230 / 6 | $23.298,50 | 1519 / 10 | $6.122,12 | 1035 / 2 | $5.315,46 | 1033 / 2 |
| Spinal Fusion Except Cervical W/O Mcc | 45 | 149 / 2 | $164.257,00 | 1172 / 7 | $23.592,10 | 571 / 2 | $22.289,20 | 568 / 3 |
| G.I. Hemorrhage W Cc | 43 | 175 / 4 | $24.988,00 | 1196 / 9 | $6.114,21 | 851 / 1 | $5.216,28 | 849 / 1 |
| Perc Cardiovasc Proc W Drug-Eluting Stent W Mcc Or 4+ Vessels/Stents | 42 | 58 / 2 | $123.859,00 | 692 / 5 | $20.870,80 | 367 / 2 | $18.434,40 | 365 / 2 |
| Simple Pneumonia & Pleurisy W/O Cc/Mcc | 41 | 52 / 4 | $20.423,50 | 1227 / 14 | $4.533,44 | 797 / 3 | $3.501,63 | 793 / 3 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 38 | 128 / 3 | $17.590,50 | 1278 / 8 | $4.407,95 | 815 / 2 | $3.525,47 | 812 / 2 |
| Hip & Femur Procedures Except Major Joint W Cc | 35 | 108 / 4 | $61.582,40 | 1390 / 9 | $11.553,40 | 765 / 2 | $10.553,20 | 757 / 3 |
| Transient Ischemia | 35 | 90 / 2 | $20.323,90 | 684 / 3 | $4.506,23 | 595 / 1 | $3.470,34 | 591 / 3 |
| Heart Failure & Shock W Mcc | 34 | 250 / 7 | $29.444,40 | 1048 / 7 | $8.846,65 | 941 / 1 | $8.208,53 | 940 / 1 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 30 | 96 / 3 | $34.793,30 | 1157 / 9 | $7.155,53 | 808 / 2 | $6.594,47 | 805 / 4 |
| Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 30 | 120 / 3 | $14.805,00 | 967 / 5 | $3.701,83 | 762 / 1 | $2.638,33 | 758 / 1 |
| Respiratory System Diagnosis W Ventilator Support <96 Hours | 29 | 102 / 3 | $77.617,60 | 1282 / 8 | $13.400,20 | 513 / 1 | $12.483,20 | 506 / 2 |
| Syncope & Collapse | 29 | 140 / 2 | $23.278,40 | 1125 / 7 | $4.923,17 | 967 / 2 | $4.023,31 | 961 / 3 |
| Chronic Obstructive Pulmonary Disease W Cc | 28 | 151 / 4 | $29.239,50 | 1682 / 11 | $5.753,39 | 1062 / 1 | $5.020,82 | 1058 / 3 |
| Other Vascular Procedures W Cc | 28 | 74 / 2 | $74.118,50 | 574 / 5 | $15.047,20 | 346 / 1 | $14.140,90 | 344 / 2 |
| Renal Failure W Mcc | 27 | 168 / 5 | $46.530,50 | 1492 / 9 | $9.063,11 | 653 / 1 | $8.298,67 | 653 / 1 |
| Major Cardiovasc Procedures W/O Mcc | 27 | 74 / 3 | $144.585,00 | 858 / 4 | $21.678,60 | 522 / 2 | $20.530,80 | 522 / 3 |
| Heart Failure & Shock W/O Cc/Mcc | 25 | 85 / 3 | $19.716,90 | 1275 / 9 | $4.375,64 | 860 / 3 | $3.606,36 | 856 / 3 |
| Red Blood Cell Disorders W/O Mcc | 25 | 118 / 2 | $20.278,60 | 921 / 3 | $5.082,52 | 597 / 2 | $4.079,64 | 593 / 3 |
| Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 24 | 100 / 5 | $123.136,00 | 772 / 6 | $30.194,80 | 482 / 1 | $29.320,90 | 478 / 1 |
| Medical Back Problems W/O Mcc | 24 | 97 / 2 | $25.100,70 | 833 / 5 | $5.191,21 | 468 / 1 | $4.187,21 | 468 / 1 |
| Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 23 | 97 / 5 | $23.794,80 | 1488 / 11 | $4.499,48 | 909 / 1 | $3.660,52 | 901 / 2 |
| Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 22 | 160 / 6 | $27.826,60 | 987 / 4 | $6.479,27 | 757 / 1 | $5.494,55 | 755 / 2 |
| Renal Failure W Cc | 22 | 199 / 10 | $24.062,00 | 1349 / 10 | $5.966,77 | 710 / 2 | $4.923,86 | 703 / 2 |
| G.I. Hemorrhage W Mcc | 21 | 100 / 5 | $39.036,10 | 664 / 5 | $10.019,80 | 280 / 1 | $9.100,95 | 280 / 1 |
| Coronary Bypass W Cardiac Cath W/O Mcc | 21 | 55 / 1 | $201.783,00 | 501 / 4 | $27.863,50 | 197 / 1 | $24.871,80 | 197 / 2 |
| Chest Pain | 21 | 130 / 5 | $19.316,10 | 870 / 7 | $3.976,67 | 396 / 2 | $2.823,14 | 395 / 1 |
| Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 20 | 82 / 6 | $24.170,90 | 854 / 7 | $4.807,65 | 634 / 1 | $3.780,45 | 630 / 2 |
| Other Circulatory System Diagnoses W Mcc | 20 | 96 / 4 | $28.904,30 | 192 / 2 | $10.655,20 | 313 / 1 | $10.040,50 | 312 / 2 |
| Cellulitis W/O Mcc | 19 | 170 / 9 | $26.478,20 | 1962 / 17 | $5.200,21 | 1046 / 2 | $4.307,37 | 1040 / 4 |
| Lower Extrem & Humer Proc Except Hip,Foot,Femur W/O Cc/Mcc | 19 | 28 / 1 | $40.147,60 | 224 / 2 | $8.972,79 | 191 / 1 | $7.830,89 | 191 / 1 |
| Kidney & Urinary Tract Infections W Mcc | 19 | 125 / 5 | $28.175,60 | 1104 / 7 | $6.755,79 | 630 / 1 | $5.854,32 | 629 / 1 |
| Septicemia Or Severe Sepsis W Mv 96+ Hours | 18 | 74 / 3 | $121.750,00 | 329 / 2 | $33.207,30 | 253 / 1 | $32.400,20 | 252 / 1 |
| Cardiac Arrhythmia & Conduction Disorders W Cc | 18 | 143 / 6 | $26.038,40 | 1457 / 9 | $5.012,89 | 913 / 1 | $4.205,78 | 910 / 3 |
| Respiratory System Diagnosis W Ventilator Support 96+ Hours | 18 | 53 / 2 | $132.875,00 | 458 / 2 | $32.124,40 | 184 / 2 | $27.759,50 | 184 / 1 |
| Fx, Sprn, Strn & Disl Except Femur, Hip, Pelvis & Thigh W/O Mcc | 18 | 44 / 2 | $14.958,30 | 190 / 2 | $4.681,22 | 152 / 1 | $3.472,33 | 152 / 1 |
| Respiratory Infections & Inflammations W Mcc | 17 | 119 / 5 | $53.551,20 | 1143 / 4 | $12.458,10 | 934 / 4 | $11.523,50 | 924 / 4 |
| Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 17 | 151 / 5 | $34.341,10 | 499 / 2 | $9.624,24 | 300 / 1 | $8.780,94 | 299 / 1 |
| Signs & Symptoms W/O Mcc | 16 | 75 / 3 | $23.265,40 | 825 / 5 | $4.358,56 | 546 / 1 | $3.752,56 | 545 / 1 |
| Hip & Femur Procedures Except Major Joint W/O Cc/Mcc | 16 | 40 / 3 | $58.322,30 | 691 / 6 | $9.714,50 | 349 / 1 | $8.658,50 | 348 / 1 |
| Extracranial Procedures W/O Cc/Mcc | 16 | 82 / 3 | $54.363,70 | 800 / 3 | $7.588,00 | 697 / 2 | $6.529,38 | 694 / 3 |
| Pulmonary Embolism W/O Mcc | 16 | 58 / 2 | $24.078,10 | 609 / 2 | $5.688,62 | 97 / 1 | $4.321,31 | 97 / 1 |
| Permanent Cardiac Pacemaker Implant W/O Cc/Mcc | 16 | 41 / 2 | $66.340,60 | 477 / 2 | $13.232,90 | 54 / 1 | $10.297,20 | 54 / 1 |
| Esophagitis, Gastroent & Misc Digest Disorders W Mcc | 15 | 81 / 6 | $34.592,50 | 788 / 5 | $7.263,93 | 283 / 1 | $6.198,33 | 281 / 1 |
| G.I. Obstruction W Cc | 15 | 77 / 6 | $22.518,80 | 828 / 2 | $5.508,73 | 634 / 1 | $4.617,00 | 633 / 1 |
| Major Small & Large Bowel Procedures W Cc | 15 | 93 / 5 | $85.961,00 | 1068 / 5 | $14.502,80 | 388 / 1 | $13.190,00 | 385 / 1 |
| Permanent Cardiac Pacemaker Implant W Cc | 15 | 62 / 3 | $73.012,80 | 536 / 2 | $15.503,00 | 316 / 1 | $14.698,70 | 315 / 1 |
| Circulatory Disorders Except Ami, W Card Cath W Mcc | 15 | 78 / 4 | $74.963,20 | 626 / 5 | $15.632,10 | 149 / 3 | $10.804,90 | 146 / 1 |
| Signs & Symptoms Of Musculoskeletal System & Conn Tissue W/O Mcc | 15 | 32 / 2 | $17.975,00 | 118 / 1 | $4.568,60 | 97 / 1 | $3.703,53 | 97 / 1 |
| Extensive O.R. Procedure Unrelated To Principal Diagnosis W Mcc | 14 | 49 / 3 | $118.899,00 | 337 / 3 | $26.722,40 | 121 / 1 | $25.689,20 | 121 / 1 |
| Acute Myocardial Infarction, Discharged Alive W Cc | 14 | 77 / 6 | $53.198,30 | 1222 / 7 | $6.507,14 | 505 / 2 | $5.469,43 | 504 / 1 |
| Other Circulatory System Diagnoses W Cc | 14 | 52 / 2 | $23.219,70 | 265 / 1 | $5.940,21 | 210 / 1 | $5.165,36 | 209 / 1 |
| Major Gastrointestinal Disorders & Peritoneal Infections W Cc | 14 | 59 / 3 | $21.213,10 | 326 / 2 | $6.902,79 | 459 / 1 | $6.557,64 | 457 / 2 |
| Other Digestive System Diagnoses W Cc | 14 | 83 / 6 | $24.766,60 | 665 / 6 | $6.009,21 | 418 / 1 | $5.062,93 | 415 / 1 |
| Dysequilibrium | 13 | 52 / 1 | $20.062,80 | 251 / 1 | $4.079,00 | 197 / 1 | $3.148,54 | 197 / 1 |
| Major Small & Large Bowel Procedures W Mcc | 13 | 72 / 5 | $126.069,00 | 618 / 3 | $29.119,00 | 304 / 1 | $27.491,90 | 302 / 1 |
| Laparoscopic Cholecystectomy W/O C.D.E. W Cc | 13 | 43 / 6 | $51.842,30 | 488 / 4 | $9.842,54 | 135 / 2 | $8.010,85 | 135 / 1 |
| Peripheral Vascular Disorders W Mcc | 13 | 36 / 3 | $25.963,40 | 128 / 2 | $7.983,00 | 176 / 1 | $7.520,23 | 176 / 1 |
| Poisoning & Toxic Effects Of Drugs W Mcc | 12 | 60 / 4 | $54.389,30 | 765 / 6 | $9.038,67 | 396 / 1 | $8.131,92 | 395 / 1 |
| Pulmonary Edema & Respiratory Failure | 12 | 191 / 7 | $40.269,10 | 1510 / 7 | $7.415,25 | 729 / 1 | $6.632,58 | 729 / 1 |
| Bronchitis & Asthma W/O Cc/Mcc | 12 | 33 / 2 | $16.631,50 | 162 / 2 | $4.197,92 | 121 / 1 | $3.085,92 | 121 / 1 |
| Acute Myocardial Infarction, Discharged Alive W Mcc | 12 | 113 / 7 | $69.083,20 | 1445 / 6 | $11.236,50 | 1000 / 3 | $10.309,90 | 998 / 3 |
| Major Joint & Limb Reattachment Proc Of Upper Extremity W/O Cc/Mcc | 12 | 84 / 4 | $80.361,00 | 666 / 4 | $13.052,00 | 348 / 1 | $11.841,30 | 345 / 1 |
| Uterine & Adnexa Proc For Non-Malignancy W/O Cc/Mcc | 12 | 34 / 1 | $30.835,40 | 127 / 1 | $6.094,92 | 58 / 1 | $4.828,67 | 58 / 1 |
| Fractures Of Hip & Pelvis W/O Mcc | 12 | 49 / 3 | $12.512,80 | 182 / 1 | $4.366,42 | 255 / 1 | $3.358,42 | 256 / 1 |
| Major Gastrointestinal Disorders & Peritoneal Infections W Mcc | 12 | 44 / 3 | $45.541,00 | 376 / 4 | $11.023,70 | 163 / 1 | $10.289,00 | 163 / 1 |
| Other Digestive System Diagnoses W Mcc | 12 | 50 / 2 | $48.801,20 | 445 / 3 | $9.845,25 | 183 / 1 | $9.391,25 | 183 / 1 |
| Laparoscopic Cholecystectomy W/O C.D.E. W Mcc | 12 | 28 / 3 | $90.729,40 | 329 / 3 | $15.170,60 | 180 / 1 | $14.061,20 | 179 / 1 |
| Bronchitis & Asthma W Cc/Mcc | 11 | 65 / 4 | $23.551,40 | 527 / 4 | $5.465,82 | 418 / 1 | $4.590,18 | 414 / 1 |
| Diabetes W Cc | 11 | 81 / 8 | $22.240,60 | 831 / 5 | $5.231,09 | 468 / 1 | $4.242,00 | 468 / 1 |
| Peripheral Vascular Disorders W/O Cc/Mcc | 11 | 34 / 3 | $15.367,00 | 136 / 2 | $4.358,27 | 104 / 1 | $3.264,45 | 104 / 1 | Total 81 procedures | 2.300 | 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.