Hospital Costs > In New Mexico > Rehoboth Mckinley Christian Health Care Services, 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 | 90 | 426 / 8 | $17.345,60 | 148 / 4 | $12.628,80 | 1802 / 10 | $11.753,80 | 1767 / 12 |
| Simple Pneumonia & Pleurisy W Mcc | 87 | 118 / 3 | $14.441,30 | 101 / 2 | $9.900,52 | 1611 / 9 | $8.938,83 | 1611 / 9 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 24 | 102 / 5 | $14.831,50 | 139 / 1 | $7.570,33 | 839 / 4 | $6.665,00 | 836 / 5 |
| Renal Failure W Mcc | 23 | 172 / 6 | $19.154,70 | 196 / 1 | $11.297,80 | 1502 / 6 | $10.300,30 | 1501 / 7 |
| Pulmonary Edema & Respiratory Failure | 22 | 181 / 4 | $11.141,50 | 20 / 1 | $8.325,36 | 1429 / 5 | $7.666,45 | 1424 / 5 |
| Simple Pneumonia & Pleurisy W Cc | 19 | 184 / 18 | $10.043,70 | 113 / 2 | $6.678,58 | 1756 / 8 | $5.787,63 | 1748 / 9 |
| Nonspecific Cerebrovascular Disorders W Mcc | 15 | 36 / 2 | $19.285,80 | 20 / 1 | $11.346,20 | 209 / 1 | $10.386,20 | 209 / 1 |
| Heart Failure & Shock W Mcc | 13 | 271 / 13 | $11.856,90 | 45 / 1 | $10.217,20 | 1520 / 7 | $9.107,00 | 1516 / 7 |
| Cellulitis W/O Mcc | 13 | 176 / 12 | $10.704,80 | 329 / 3 | $5.814,77 | 1410 / 7 | $4.634,62 | 1403 / 6 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 12 | 263 / 18 | $11.865,80 | 372 / 4 | $5.068,00 | 1413 / 7 | $4.057,33 | 1402 / 8 |
| Simple Pneumonia & Pleurisy W/O Cc/Mcc | 12 | 81 / 15 | $7.429,67 | 63 / 3 | $4.894,83 | 916 / 6 | $3.604,67 | 911 / 4 |
| Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 12 | 112 / 6 | $32.288,90 | 3 / 1 | $36.206,90 | 973 / 4 | $35.097,60 | 967 / 5 |
| Renal Failure W Cc | 11 | 210 / 13 | $13.562,40 | 344 / 3 | $6.608,27 | 1485 / 7 | $5.729,73 | 1476 / 7 |
| Kidney & Urinary Tract Infections W Mcc | 11 | 133 / 10 | $8.621,45 | 20 / 1 | $7.733,18 | 1198 / 5 | $6.752,82 | 1194 / 5 | Total 14 procedures | 364 | 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.