Hospital Costs > In New Mexico > Northern Navajo Medical Center, procedure costs
| Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
|---|---|---|---|---|---|---|---|---|
| Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
| Simple Pneumonia & Pleurisy W Cc | 45 | 158 / 8 | $10.103,00 | 116 / 3 | $12.108,10 | 2770 / 23 | $11.195,10 | 2761 / 23 |
| Simple Pneumonia & Pleurisy W/O Cc/Mcc | 30 | 63 / 6 | $6.976,33 | 42 / 2 | $9.601,53 | 1949 / 20 | $8.551,93 | 1941 / 21 |
| Cellulitis W/O Mcc | 28 | 161 / 6 | $11.286,60 | 390 / 4 | $10.892,50 | 2583 / 19 | $9.852,54 | 2575 / 19 |
| Kidney & Urinary Tract Infections W/O Mcc | 26 | 207 / 10 | $9.163,31 | 210 / 3 | $10.230,30 | 2663 / 20 | $9.210,00 | 2652 / 20 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 25 | 491 / 17 | $17.190,70 | 143 / 3 | $19.070,60 | 2707 / 22 | $18.105,50 | 2662 / 22 |
| Heart Failure & Shock W Cc | 24 | 254 / 12 | $9.411,79 | 94 / 1 | $12.084,90 | 2704 / 18 | $11.280,90 | 2698 / 18 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 18 | 257 / 14 | $6.964,83 | 51 / 1 | $9.985,33 | 2682 / 22 | $9.178,22 | 2667 / 22 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 17 | 149 / 13 | $12.242,00 | 579 / 3 | $9.486,65 | 2494 / 16 | $8.628,29 | 2485 / 16 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 16 | 191 / 14 | $12.716,30 | 194 / 3 | $12.776,20 | 2517 / 21 | $11.794,20 | 2507 / 21 |
| Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 12 | 138 / 8 | $5.276,50 | 22 / 1 | $8.255,00 | 1969 / 10 | $7.348,33 | 1963 / 10 |
| Heart Failure & Shock W/O Cc/Mcc | 11 | 99 / 10 | $14.186,10 | 745 / 3 | $9.345,55 | 1987 / 13 | $8.685,18 | 1974 / 13 | Total 11 procedures | 252 | 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.