Hospital Costs > In New Mexico > San Juan 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 | 205 | 311 / 3 | $42.163,70 | 1425 / 17 | $15.232,60 | 2421 / 16 | $14.406,00 | 2377 / 17 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 172 | 392 / 2 | $44.004,50 | 975 / 5 | $17.397,20 | 2143 / 12 | $14.292,10 | 2100 / 12 |
| Pulmonary Edema & Respiratory Failure | 168 | 42 / 1 | $27.203,60 | 866 / 5 | $9.763,09 | 1716 / 7 | $8.536,00 | 1711 / 7 |
| Simple Pneumonia & Pleurisy W Mcc | 131 | 74 / 2 | $32.796,40 | 1215 / 12 | $12.075,40 | 2117 / 15 | $10.726,70 | 2112 / 15 |
| Simple Pneumonia & Pleurisy W Cc | 77 | 126 / 2 | $22.016,10 | 1349 / 13 | $7.662,88 | 2174 / 13 | $6.555,99 | 2166 / 14 |
| Heart Failure & Shock W Cc | 68 | 210 / 3 | $23.631,30 | 1549 / 11 | $7.746,16 | 2185 / 12 | $6.960,63 | 2179 / 14 |
| Kidney & Urinary Tract Infections W/O Mcc | 64 | 169 / 3 | $18.496,90 | 1408 / 12 | $5.902,72 | 1962 / 11 | $4.939,22 | 1951 / 12 |
| Psychoses | 63 | 219 / 3 | $14.597,30 | 173 / 1 | $7.592,40 | 382 / 3 | $6.561,16 | 382 / 3 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 61 | 146 / 4 | $21.194,80 | 894 / 9 | $8.417,15 | 1868 / 13 | $6.978,85 | 1860 / 10 |
| Renal Failure W Cc | 57 | 164 / 2 | $23.121,40 | 1283 / 9 | $7.405,88 | 1796 / 11 | $6.397,18 | 1786 / 12 |
| Other Vascular Procedures W Mcc | 52 | 45 / 1 | $66.185,20 | 219 / 2 | $25.314,40 | 731 / 2 | $24.208,90 | 728 / 3 |
| G.I. Hemorrhage W Cc | 51 | 167 / 2 | $23.953,00 | 1116 / 7 | $7.845,25 | 1793 / 6 | $6.620,65 | 1789 / 7 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 50 | 225 / 5 | $19.715,00 | 1349 / 12 | $5.697,40 | 1830 / 11 | $4.526,94 | 1817 / 12 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 50 | 76 / 1 | $27.334,60 | 824 / 7 | $8.503,72 | 1229 / 8 | $7.801,64 | 1226 / 8 |
| Kidney & Urinary Tract Infections W Mcc | 47 | 97 / 2 | $30.400,80 | 1193 / 8 | $9.956,36 | 1742 / 10 | $9.133,89 | 1738 / 10 |
| Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 43 | 139 / 3 | $33.004,40 | 1283 / 6 | $8.367,49 | 1662 / 6 | $7.466,28 | 1658 / 6 |
| Heart Failure & Shock W Mcc | 43 | 241 / 5 | $34.785,60 | 1380 / 9 | $12.061,90 | 2212 / 11 | $11.359,40 | 2202 / 11 |
| Simple Pneumonia & Pleurisy W/O Cc/Mcc | 43 | 50 / 3 | $16.667,30 | 898 / 11 | $5.426,65 | 1440 / 11 | $4.285,37 | 1432 / 11 |
| Hip & Femur Procedures Except Major Joint W Cc | 43 | 100 / 3 | $42.721,50 | 753 / 5 | $15.079,80 | 1702 / 9 | $14.041,70 | 1683 / 9 |
| Renal Failure W Mcc | 42 | 153 / 3 | $33.014,10 | 948 / 6 | $12.294,90 | 1779 / 7 | $11.632,70 | 1776 / 8 |
| Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 40 | 84 / 2 | $106.902,00 | 567 / 5 | $44.209,90 | 1344 / 6 | $43.342,60 | 1334 / 6 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 37 | 129 / 4 | $22.376,70 | 1745 / 13 | $5.656,03 | 1970 / 11 | $4.816,14 | 1962 / 11 |
| Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 36 | 66 / 2 | $19.884,80 | 562 / 3 | $5.802,33 | 1150 / 3 | $4.694,78 | 1146 / 3 |
| Cellulitis W/O Mcc | 35 | 154 / 4 | $18.211,50 | 1267 / 10 | $6.436,37 | 1886 / 10 | $5.329,17 | 1878 / 11 |
| Acute Myocardial Infarction, Discharged Alive W/O Cc/Mcc | 34 | 19 / 1 | $25.738,10 | 479 / 3 | $6.390,26 | 603 / 3 | $4.696,03 | 599 / 3 |
| Other Circulatory System Diagnoses W Mcc | 33 | 83 / 2 | $33.986,30 | 314 / 4 | $14.790,00 | 1075 / 4 | $14.184,90 | 1067 / 5 |
| Acute Myocardial Infarction, Discharged Alive W Mcc | 32 | 93 / 3 | $37.534,00 | 721 / 3 | $13.338,60 | 1440 / 5 | $12.357,60 | 1428 / 5 |
| G.I. Hemorrhage W Mcc | 32 | 89 / 2 | $27.403,60 | 244 / 1 | $13.480,10 | 1259 / 5 | $12.630,60 | 1251 / 5 |
| Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 32 | 156 / 3 | $32.826,90 | 651 / 4 | $8.324,16 | 1248 / 4 | $7.234,16 | 1245 / 6 |
| Chronic Obstructive Pulmonary Disease W Mcc | 32 | 170 / 7 | $27.443,80 | 1301 / 8 | $8.987,19 | 2007 / 11 | $7.983,94 | 1999 / 11 |
| Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 31 | 89 / 2 | $16.326,40 | 944 / 6 | $6.700,26 | 1235 / 13 | $3.995,87 | 1226 / 5 |
| Major Gastrointestinal Disorders & Peritoneal Infections W Mcc | 31 | 25 / 1 | $32.176,50 | 167 / 3 | $14.526,80 | 535 / 3 | $14.109,00 | 534 / 3 |
| Heart Failure & Shock W/O Cc/Mcc | 30 | 80 / 2 | $18.099,10 | 1159 / 8 | $5.184,23 | 1317 / 8 | $4.110,13 | 1307 / 7 |
| Respiratory System Diagnosis W Ventilator Support <96 Hours | 30 | 101 / 2 | $51.901,80 | 675 / 4 | $17.855,80 | 1418 / 7 | $16.646,50 | 1404 / 7 |
| Esophagitis, Gastroent & Misc Digest Disorders W Mcc | 29 | 67 / 2 | $23.937,30 | 390 / 1 | $9.117,38 | 1023 / 4 | $8.242,34 | 1018 / 5 |
| Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 28 | 122 / 5 | $16.098,90 | 1106 / 6 | $4.370,79 | 1312 / 3 | $3.182,71 | 1307 / 3 |
| Other Circulatory System O.R. Procedures | 26 | 29 / 1 | $75.282,20 | 245 / 1 | $23.909,80 | 379 / 1 | $23.105,90 | 379 / 1 |
| Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc | 26 | 170 / 6 | $63.191,70 | 529 / 4 | $18.761,00 | 1150 / 7 | $13.499,20 | 1143 / 6 |
| Chronic Obstructive Pulmonary Disease W Cc | 25 | 154 / 5 | $15.803,00 | 592 / 2 | $7.210,88 | 1772 / 10 | $6.027,16 | 1765 / 10 |
| Perc Cardiovasc Proc W Non-Drug-Eluting Stent W/O Mcc | 25 | 44 / 2 | $52.122,60 | 180 / 1 | $16.105,40 | 422 / 3 | $11.854,20 | 420 / 3 |
| Chest Pain | 25 | 126 / 3 | $15.744,80 | 565 / 2 | $4.597,92 | 1097 / 5 | $3.728,80 | 1090 / 5 |
| Other Kidney & Urinary Tract Diagnoses W Cc | 24 | 79 / 1 | $25.979,30 | 421 / 4 | $7.574,67 | 589 / 2 | $6.869,33 | 589 / 3 |
| Spinal Fusion Except Cervical W/O Mcc | 23 | 171 / 6 | $76.318,60 | 467 / 1 | $30.768,60 | 1159 / 5 | $29.561,00 | 1154 / 5 |
| Other Kidney & Urinary Tract Procedures W Mcc | 23 | 15 / 1 | $69.838,40 | 75 / 1 | $23.846,30 | 149 / 1 | $22.737,40 | 148 / 1 |
| Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 22 | 146 / 4 | $38.752,80 | 653 / 4 | $13.325,20 | 1222 / 4 | $12.276,50 | 1216 / 4 |
| Major Small & Large Bowel Procedures W Mcc | 22 | 63 / 2 | $192.693,00 | 1018 / 7 | $59.532,70 | 1277 / 7 | $58.239,50 | 1274 / 7 |
| G.I. Obstruction W Cc | 21 | 71 / 3 | $26.919,00 | 1082 / 6 | $7.206,24 | 1465 / 4 | $6.570,76 | 1460 / 7 |
| Cardiac Arrhythmia & Conduction Disorders W Cc | 21 | 140 / 5 | $19.591,80 | 1024 / 5 | $6.026,10 | 1503 / 6 | $4.988,38 | 1498 / 5 |
| G.I. Obstruction W/O Cc/Mcc | 20 | 51 / 3 | $19.752,20 | 808 / 4 | $4.641,30 | 902 / 1 | $3.679,70 | 899 / 3 |
| Diabetes W Cc | 19 | 73 / 3 | $17.928,90 | 554 / 3 | $6.327,53 | 1090 / 7 | $5.375,95 | 1086 / 6 |
| Extensive O.R. Procedure Unrelated To Principal Diagnosis W Mcc | 19 | 44 / 1 | $105.051,00 | 252 / 2 | $40.352,30 | 637 / 3 | $39.349,30 | 637 / 3 |
| Cardiac Arrhythmia & Conduction Disorders W Mcc | 19 | 104 / 4 | $33.688,90 | 1115 / 5 | $9.596,89 | 1342 / 5 | $8.105,74 | 1339 / 4 |
| Major Small & Large Bowel Procedures W Cc | 18 | 90 / 4 | $64.823,60 | 745 / 4 | $21.974,80 | 1387 / 4 | $20.522,40 | 1373 / 4 |
| Medical Back Problems W/O Mcc | 17 | 104 / 5 | $25.252,80 | 836 / 6 | $6.479,24 | 1123 / 4 | $5.699,94 | 1119 / 5 |
| Laparoscopic Cholecystectomy W/O C.D.E. W/O Cc/Mcc | 17 | 30 / 1 | $29.438,60 | 148 / 3 | $9.378,41 | 479 / 2 | $8.320,53 | 478 / 2 |
| Other Kidney & Urinary Tract Diagnoses W Mcc | 17 | 84 / 3 | $34.217,40 | 504 / 4 | $12.005,10 | 837 / 2 | $11.224,00 | 834 / 2 |
| Other Vascular Procedures W Cc | 16 | 86 / 4 | $70.084,40 | 518 / 3 | $20.248,20 | 934 / 5 | $19.344,20 | 929 / 5 |
| Other Digestive System Diagnoses W Cc | 16 | 81 / 4 | $20.385,70 | 428 / 1 | $7.386,88 | 982 / 4 | $6.425,38 | 978 / 4 |
| Acute Myocardial Infarction, Discharged Alive W Cc | 16 | 75 / 4 | $31.198,70 | 779 / 4 | $8.100,00 | 1080 / 4 | $7.040,00 | 1078 / 5 |
| Syncope & Collapse | 16 | 153 / 5 | $19.682,80 | 824 / 4 | $5.545,69 | 1286 / 5 | $4.565,69 | 1279 / 5 |
| Circulatory Disorders Except Ami, W Card Cath W Mcc | 16 | 77 / 3 | $58.881,90 | 449 / 2 | $19.244,40 | 773 / 4 | $16.873,40 | 766 / 4 |
| Major Joint & Limb Reattachment Proc Of Upper Extremity W/O Cc/Mcc | 16 | 80 / 3 | $44.517,40 | 241 / 2 | $17.162,90 | 663 / 4 | $14.933,10 | 659 / 4 |
| Disorders Of Liver Except Malig,Cirr,Alc Hepa W Mcc | 16 | 60 / 3 | $50.958,60 | 310 / 4 | $18.205,60 | 483 / 2 | $16.459,10 | 483 / 3 |
| Atherosclerosis W/O Mcc | 15 | 43 / 1 | $17.016,20 | 241 / 1 | $4.634,13 | / 1 | $3.590,93 | / |
| Respiratory Infections & Inflammations W Mcc | 14 | 122 / 6 | $45.448,60 | 946 / 3 | $15.183,50 | 1551 / 6 | $14.662,40 | 1535 / 6 |
| Laparoscopic Cholecystectomy W/O C.D.E. W Cc | 14 | 42 / 5 | $48.948,10 | 439 / 3 | $12.663,90 | 738 / 4 | $11.543,90 | 734 / 5 |
| Cellulitis W Mcc | 14 | 44 / 2 | $31.905,40 | 425 / 2 | $12.402,70 | 830 / 2 | $11.451,90 | 828 / 2 |
| Hip & Femur Procedures Except Major Joint W Mcc | 14 | 48 / 3 | $76.422,20 | 492 / 3 | $26.272,80 | 875 / 4 | $25.317,40 | 872 / 4 |
| Poisoning & Toxic Effects Of Drugs W/O Mcc | 13 | 48 / 4 | $13.302,80 | 230 / 3 | $4.946,38 | 469 / 4 | $3.789,92 | 468 / 4 |
| Bronchitis & Asthma W Cc/Mcc | 13 | 63 / 3 | $14.524,30 | 175 / 1 | $6.654,62 | 730 / 3 | $5.630,62 | 726 / 3 |
| Other O.R. Procedures For Injuries W Mcc | 13 | 24 / 1 | $61.022,20 | 17 / 1 | $29.905,30 | 116 / 1 | $28.977,30 | 116 / 1 |
| Laparoscopic Cholecystectomy W/O C.D.E. W Mcc | 13 | 27 / 2 | $67.658,70 | 227 / 2 | $19.733,50 | 404 / 3 | $18.800,50 | 403 / 3 |
| Major Cardiovasc Procedures W Mcc | 12 | 56 / 4 | $82.039,20 | 62 / 1 | $39.090,80 | 455 / 3 | $38.290,80 | 454 / 3 |
| Poisoning & Toxic Effects Of Drugs W Mcc | 12 | 60 / 4 | $23.415,60 | 180 / 1 | $10.790,40 | 724 / 3 | $9.990,42 | 722 / 4 |
| Disorders Of Liver Except Malig,Cirr,Alc Hepa W Cc | 12 | 58 / 4 | $14.699,30 | 77 / 2 | $7.085,08 | 378 / 1 | $6.679,75 | 378 / 2 |
| Traumatic Stupor & Coma, Coma <1 Hr W Cc | 12 | 54 / 3 | $25.561,30 | 170 / 2 | $8.523,33 | 343 / 1 | $7.310,00 | 342 / 1 |
| Seizures W Mcc | 12 | 54 / 3 | $40.419,70 | 362 / 3 | $12.150,30 | 562 / 2 | $11.454,30 | 562 / 2 |
| Craniotomy & Endovascular Intracranial Procedures W Mcc | 12 | 86 / 2 | $114.906,00 | 253 / 3 | $38.069,70 | 445 / 2 | $37.160,40 | 445 / 2 |
| Hip & Femur Procedures Except Major Joint W/O Cc/Mcc | 11 | 45 / 6 | $32.874,80 | 259 / 2 | $13.922,20 | 634 / 6 | $10.025,70 | 632 / 4 |
| Respiratory Neoplasms W Cc | 11 | 36 / 1 | $19.688,10 | 61 / 1 | $8.983,36 | 337 / 1 | $7.991,36 | 336 / 1 |
| Other Digestive System Diagnoses W Mcc | 11 | 51 / 3 | $31.698,60 | 187 / 1 | $13.117,60 | 566 / 3 | $12.678,30 | 565 / 3 |
| Perc Cardiovasc Proc W Drug-Eluting Stent W Mcc Or 4+ Vessels/Stents | 11 | 89 / 5 | $113.603,00 | 621 / 4 | $35.624,90 | 925 / 5 | $27.512,50 | 920 / 5 | Total 82 procedures | 2.832 | 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.