Hospital Costs > In New Mexico > Roosevelt General Hospital, 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 | 21 | 182 / 17 | $17.593,30 | 860 / 8 | $6.726,29 | 1573 / 9 | $5.585,67 | 1566 / 7 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 21 | 495 / 19 | $14.669,90 | 64 / 2 | $10.891,90 | 927 / 3 | $10.095,60 | 923 / 4 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 17 | 190 / 13 | $14.422,50 | 305 / 5 | $7.098,12 | 1500 / 6 | $6.260,82 | 1494 / 8 |
| Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 15 | 105 / 9 | $14.585,00 | 740 / 1 | $4.991,40 | 1201 / 4 | $3.946,07 | 1192 / 4 |
| Heart Failure & Shock W Mcc | 15 | 269 / 11 | $17.800,50 | 296 / 3 | $9.392,00 | 1119 / 4 | $8.447,33 | 1116 / 2 |
| Kidney & Urinary Tract Infections W/O Mcc | 15 | 218 / 14 | $15.439,80 | 1003 / 7 | $5.301,40 | 1488 / 6 | $4.337,13 | 1478 / 8 |
| Chronic Obstructive Pulmonary Disease W Mcc | 14 | 188 / 13 | $16.508,50 | 439 / 1 | $7.493,64 | 1293 / 4 | $6.566,07 | 1287 / 6 |
| Simple Pneumonia & Pleurisy W/O Cc/Mcc | 14 | 79 / 13 | $15.093,40 | 743 / 9 | $4.905,43 | 1355 / 7 | $4.132,86 | 1347 / 9 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 11 | 264 / 19 | $12.791,70 | 484 / 5 | $5.174,00 | 1294 / 9 | $3.963,82 | 1283 / 6 |
| Renal Failure W Cc | 11 | 210 / 13 | $12.613,50 | 265 / 2 | $6.646,73 | 1455 / 8 | $5.684,36 | 1446 / 6 |
| Heart Failure & Shock W Cc | 11 | 267 / 17 | $14.101,20 | 483 / 4 | $6.451,18 | 1086 / 5 | $5.360,27 | 1084 / 3 |
| Heart Failure & Shock W/O Cc/Mcc | 11 | 99 / 10 | $12.049,70 | 476 / 2 | $4.637,64 | 939 / 5 | $3.678,18 | 932 / 5 | Total 12 procedures | 176 | 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.