Hospital Costs > In New Mexico > St Vincent Hospital Santa Fe, procedure costs
Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
---|---|---|---|---|---|---|---|---|
Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 169 | 395 / 3 | $63.957,90 | 1834 / 14 | $19.197,90 | 2402 / 15 | $16.227,10 | 2356 / 14 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 102 | 414 / 6 | $38.675,10 | 1254 / 15 | $16.200,70 | 2498 / 19 | $15.185,30 | 2454 / 19 |
Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 79 | 196 / 2 | $15.574,20 | 824 / 9 | $6.364,96 | 2133 / 15 | $5.069,24 | 2119 / 17 |
Simple Pneumonia & Pleurisy W Cc | 58 | 145 / 5 | $23.759,00 | 1519 / 15 | $8.636,21 | 2429 / 17 | $7.394,52 | 2420 / 17 |
Hip & Femur Procedures Except Major Joint W Cc | 58 | 85 / 2 | $50.861,20 | 1074 / 6 | $16.667,10 | 1836 / 10 | $15.396,90 | 1817 / 10 |
Chronic Obstructive Pulmonary Disease W Mcc | 55 | 147 / 4 | $26.060,30 | 1204 / 6 | $10.248,60 | 2145 / 16 | $8.520,80 | 2137 / 15 |
Renal Failure W Cc | 54 | 167 / 3 | $21.525,80 | 1125 / 7 | $8.546,22 | 1971 / 14 | $6.881,85 | 1961 / 14 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 52 | 155 / 5 | $20.991,00 | 883 / 8 | $9.064,60 | 2219 / 16 | $8.111,98 | 2210 / 16 |
Kidney & Urinary Tract Infections W/O Mcc | 49 | 184 / 5 | $16.784,50 | 1195 / 9 | $6.531,35 | 2241 / 15 | $5.557,10 | 2230 / 15 |
G.I. Hemorrhage W Cc | 48 | 170 / 3 | $19.882,20 | 740 / 4 | $8.489,21 | 2035 / 9 | $7.425,88 | 2031 / 9 |
Heart Failure & Shock W Mcc | 46 | 238 / 4 | $29.056,60 | 1026 / 6 | $13.065,50 | 2332 / 13 | $12.148,70 | 2322 / 13 |
Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc | 46 | 150 / 5 | $59.664,70 | 446 / 3 | $17.607,60 | 1290 / 6 | $15.254,70 | 1283 / 7 |
Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 44 | 138 / 2 | $24.970,30 | 794 / 2 | $9.145,00 | 1745 / 8 | $7.909,05 | 1741 / 8 |
Renal Failure W Mcc | 42 | 153 / 3 | $30.013,70 | 769 / 4 | $13.225,70 | 1867 / 10 | $12.379,00 | 1863 / 10 |
Heart Failure & Shock W Cc | 41 | 237 / 7 | $18.576,00 | 1001 / 5 | $8.425,44 | 2377 / 15 | $7.671,83 | 2371 / 15 |
Cellulitis W/O Mcc | 40 | 149 / 3 | $19.167,00 | 1389 / 12 | $7.556,05 | 2248 / 14 | $6.313,45 | 2240 / 15 |
Simple Pneumonia & Pleurisy W Mcc | 38 | 167 / 6 | $33.632,70 | 1260 / 13 | $12.656,80 | 2234 / 16 | $11.632,00 | 2228 / 16 |
G.I. Obstruction W Cc | 34 | 58 / 2 | $15.333,40 | 312 / 1 | $7.503,56 | 1453 / 7 | $6.487,97 | 1448 / 6 |
Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 33 | 91 / 4 | $103.096,00 | 526 / 4 | $46.890,30 | 1413 / 7 | $45.918,20 | 1403 / 7 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 31 | 135 / 5 | $17.187,40 | 1223 / 6 | $6.708,68 | 2246 / 13 | $5.784,48 | 2238 / 13 |
Respiratory System Diagnosis W Ventilator Support <96 Hours | 30 | 101 / 2 | $56.060,60 | 804 / 6 | $19.328,90 | 1561 / 8 | $18.315,10 | 1547 / 8 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 30 | 96 / 3 | $21.709,10 | 508 / 4 | $9.386,13 | 1363 / 10 | $8.449,27 | 1360 / 10 |
Chronic Obstructive Pulmonary Disease W Cc | 30 | 149 / 3 | $18.657,20 | 861 / 4 | $7.896,20 | 2035 / 12 | $6.835,73 | 2028 / 12 |
Spinal Fusion Except Cervical W/O Mcc | 29 | 165 / 4 | $122.696,00 | 950 / 5 | $36.023,80 | 1250 / 6 | $32.682,50 | 1245 / 6 |
Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 28 | 74 / 4 | $17.705,10 | 409 / 2 | $6.463,32 | 1275 / 7 | $5.114,18 | 1271 / 6 |
G.I. Hemorrhage W Mcc | 28 | 93 / 4 | $38.048,50 | 624 / 4 | $15.392,00 | 1432 / 6 | $14.198,70 | 1422 / 6 |
Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 27 | 141 / 3 | $31.880,70 | 403 / 1 | $14.695,30 | 1366 / 5 | $13.643,00 | 1360 / 5 |
G.I. Obstruction W/O Cc/Mcc | 26 | 45 / 2 | $12.487,50 | 323 / 1 | $5.187,96 | 988 / 2 | $3.932,42 | 985 / 4 |
Bilateral Or Multiple Major Joint Procs Of Lower Extremity W/O Mcc | 26 | 37 / 2 | $99.492,70 | 173 / 2 | $34.480,00 | 205 / 2 | $25.315,30 | 204 / 2 |
Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 25 | 163 / 5 | $30.236,20 | 528 / 2 | $9.184,48 | 1407 / 7 | $8.258,64 | 1404 / 7 |
Cardiac Arrhythmia & Conduction Disorders W Cc | 24 | 137 / 4 | $18.214,80 | 879 / 3 | $6.667,38 | 1783 / 11 | $5.761,71 | 1778 / 11 |
Acute Myocardial Infarction, Discharged Alive W Cc | 23 | 68 / 3 | $24.645,30 | 506 / 3 | $8.916,48 | 1231 / 6 | $7.975,35 | 1229 / 6 |
Laparoscopic Cholecystectomy W/O C.D.E. W Cc | 23 | 33 / 2 | $37.002,60 | 203 / 1 | $13.961,20 | 800 / 5 | $12.739,50 | 796 / 6 |
Acute Myocardial Infarction, Discharged Alive W Mcc | 23 | 102 / 4 | $34.264,30 | 589 / 2 | $14.684,20 | 1560 / 6 | $13.615,50 | 1547 / 6 |
Major Gastrointestinal Disorders & Peritoneal Infections W Cc | 22 | 51 / 2 | $19.157,80 | 259 / 1 | $9.945,05 | 969 / 4 | $9.179,68 | 967 / 4 |
Hip & Femur Procedures Except Major Joint W Mcc | 22 | 40 / 2 | $66.033,90 | 367 / 2 | $25.865,20 | 856 / 3 | $24.599,30 | 853 / 3 |
Pulmonary Edema & Respiratory Failure | 22 | 181 / 4 | $26.615,50 | 830 / 4 | $10.504,80 | 1833 / 9 | $9.056,00 | 1828 / 8 |
Cardiac Arrhythmia & Conduction Disorders W Mcc | 21 | 102 / 3 | $25.228,00 | 671 / 2 | $10.223,60 | 1595 / 6 | $9.179,62 | 1592 / 6 |
Esophagitis, Gastroent & Misc Digest Disorders W Mcc | 20 | 76 / 4 | $31.999,20 | 712 / 4 | $10.109,80 | 1178 / 6 | $9.144,15 | 1173 / 6 |
Major Small & Large Bowel Procedures W Cc | 20 | 88 / 3 | $54.458,30 | 514 / 2 | $21.909,70 | 1344 / 3 | $19.584,20 | 1330 / 3 |
Perc Cardiovasc Proc W Drug-Eluting Stent W Mcc Or 4+ Vessels/Stents | 20 | 80 / 4 | $91.125,90 | 391 / 2 | $29.872,20 | 871 / 4 | $25.670,10 | 866 / 4 |
G.I. Hemorrhage W/O Cc/Mcc | 19 | 49 / 2 | $14.399,50 | 300 / 2 | $6.218,95 | 742 / 2 | $4.576,32 | 738 / 2 |
Hip & Femur Procedures Except Major Joint W/O Cc/Mcc | 18 | 38 / 2 | $43.848,60 | 474 / 4 | $13.788,60 | 813 / 5 | $12.499,10 | 810 / 6 |
Respiratory Infections & Inflammations W Cc | 18 | 70 / 2 | $24.575,30 | 456 / 2 | $11.805,30 | 1314 / 5 | $10.749,30 | 1309 / 5 |
Major Small & Large Bowel Procedures W Mcc | 18 | 67 / 3 | $100.082,00 | 382 / 2 | $47.260,90 | 1149 / 5 | $43.522,70 | 1147 / 5 |
Other Circulatory System Diagnoses W Mcc | 18 | 98 / 5 | $31.895,70 | 264 / 3 | $17.679,50 | 1076 / 6 | $14.186,40 | 1068 / 6 |
Simple Pneumonia & Pleurisy W/O Cc/Mcc | 18 | 75 / 10 | $14.647,00 | 693 / 7 | $5.945,17 | 1605 / 14 | $4.750,83 | 1597 / 15 |
Lower Extrem & Humer Proc Except Hip,Foot,Femur W Cc | 17 | 38 / 2 | $48.756,40 | 247 / 3 | $16.861,20 | 559 / 2 | $15.569,20 | 555 / 2 |
Other Digestive System Diagnoses W Cc | 17 | 80 / 3 | $24.446,60 | 643 / 5 | $8.203,65 | 1183 / 6 | $7.334,71 | 1179 / 6 |
Poisoning & Toxic Effects Of Drugs W/O Mcc | 17 | 44 / 3 | $18.251,50 | 452 / 6 | $5.388,76 | 643 / 6 | $4.414,06 | 642 / 6 |
Acute Myocardial Infarction, Discharged Alive W/O Cc/Mcc | 16 | 37 / 4 | $20.301,40 | 310 / 2 | $6.400,94 | 695 / 4 | $5.229,19 | 691 / 6 |
Back & Neck Proc Exc Spinal Fusion W/O Cc/Mcc | 16 | 73 / 2 | $30.414,00 | 303 / 2 | $9.215,19 | 656 / 4 | $8.033,19 | 655 / 4 |
Syncope & Collapse | 16 | 153 / 5 | $16.506,80 | 528 / 1 | $6.130,12 | 1551 / 9 | $5.320,50 | 1544 / 10 |
Craniotomy & Endovascular Intracranial Procedures W Cc | 16 | 39 / 2 | $62.109,90 | 46 / 2 | $25.188,80 | 176 / 1 | $24.141,10 | 176 / 1 |
Laparoscopic Cholecystectomy W/O C.D.E. W/O Cc/Mcc | 16 | 31 / 3 | $29.273,90 | 145 / 2 | $10.338,20 | 534 / 3 | $9.309,62 | 533 / 3 |
Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 16 | 134 / 7 | $12.524,80 | 657 / 3 | $4.676,19 | 1569 / 6 | $3.662,69 | 1563 / 7 |
Disorders Of Liver Except Malig,Cirr,Alc Hepa W Mcc | 15 | 61 / 4 | $41.813,70 | 229 / 3 | $20.478,60 | 334 / 3 | $12.685,30 | 334 / 2 |
Medical Back Problems W/O Mcc | 15 | 106 / 6 | $18.636,50 | 430 / 2 | $7.456,00 | 1160 / 6 | $5.832,87 | 1156 / 6 |
Pulmonary Embolism W/O Mcc | 15 | 59 / 3 | $26.238,40 | 700 / 4 | $8.886,73 | 1040 / 5 | $6.754,47 | 1037 / 5 |
Pulmonary Embolism W Mcc | 15 | 28 / 2 | $26.471,90 | 116 / 1 | $12.964,70 | 516 / 3 | $11.913,90 | 515 / 3 |
Kidney & Urinary Tract Infections W Mcc | 14 | 130 / 9 | $15.889,40 | 303 / 4 | $9.553,29 | 1638 / 9 | $8.325,00 | 1634 / 9 |
Bronchitis & Asthma W Cc/Mcc | 13 | 63 / 3 | $21.079,50 | 428 / 3 | $7.655,38 | 754 / 5 | $5.715,85 | 750 / 5 |
Diabetes W Mcc | 12 | 45 / 2 | $51.233,00 | 568 / 2 | $14.528,20 | 702 / 2 | $13.421,10 | 701 / 2 |
Craniotomy & Endovascular Intracranial Procedures W/O Cc/Mcc | 12 | 62 / 2 | $58.252,00 | 95 / 2 | $19.013,40 | 212 / 1 | $17.895,60 | 211 / 1 |
Lower Extrem & Humer Proc Except Hip,Foot,Femur W/O Cc/Mcc | 12 | 35 / 3 | $46.792,10 | 281 / 3 | $18.708,80 | 308 / 3 | $8.783,92 | 308 / 2 |
Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 12 | 108 / 10 | $15.390,20 | 830 / 2 | $6.043,83 | 1735 / 11 | $5.088,67 | 1724 / 13 |
Back & Neck Proc Exc Spinal Fusion W Cc/Mcc Or Disc Device/Neurostim | 12 | 54 / 2 | $39.119,40 | 153 / 1 | $15.894,30 | 497 / 3 | $14.924,20 | 493 / 3 |
Major Small & Large Bowel Procedures W/O Cc/Mcc | 12 | 52 / 2 | $38.615,30 | 276 / 2 | $13.826,60 | 676 / 2 | $12.665,20 | 676 / 2 |
Chest Pain | 12 | 139 / 9 | $19.095,30 | 852 / 6 | $5.091,08 | 1289 / 8 | $4.238,92 | 1282 / 9 |
Disorders Of Liver Except Malig,Cirr,Alc Hepa W Cc | 12 | 58 / 4 | $18.102,30 | 143 / 4 | $7.854,83 | 403 / 3 | $6.989,17 | 403 / 3 |
Disorders Of The Biliary Tract W Cc | 12 | 42 / 3 | $24.889,50 | 130 / 1 | $8.866,08 | 373 / 3 | $8.000,92 | 373 / 3 |
Peripheral Vascular Disorders W Cc | 12 | 72 / 3 | $19.136,30 | 370 / 2 | $8.166,42 | 1038 / 2 | $7.488,42 | 1035 / 3 |
Cervical Spinal Fusion W Cc | 12 | 41 / 1 | $69.536,80 | 167 / 1 | $24.637,40 | 334 / 1 | $23.494,80 | 333 / 1 |
Other Vascular Procedures W Cc | 12 | 90 / 5 | $70.975,70 | 531 / 4 | $21.329,80 | 980 / 6 | $20.284,80 | 975 / 6 |
Heart Failure & Shock W/O Cc/Mcc | 12 | 98 / 9 | $14.626,60 | 807 / 4 | $5.718,00 | 1534 / 10 | $4.556,67 | 1521 / 10 |
Poisoning & Toxic Effects Of Drugs W Mcc | 11 | 61 / 5 | $28.516,00 | 318 / 2 | $12.001,40 | 819 / 5 | $11.260,60 | 816 / 5 |
Craniotomy & Endovascular Intracranial Procedures W Mcc | 11 | 87 / 3 | $86.168,90 | 124 / 2 | $37.462,10 | 436 / 1 | $36.415,50 | 436 / 1 |
Transient Ischemia | 11 | 114 / 7 | $14.858,00 | 289 / 1 | $5.894,18 | 1301 / 8 | $4.861,09 | 1295 / 8 |
Major Joint Replacement Or Reattachment Of Lower Extremity W Mcc | 11 | 54 / 2 | $80.076,50 | 487 / 2 | $28.984,10 | 862 / 2 | $27.845,40 | 858 / 2 |
Major Chest Procedures W Mcc | 11 | 38 / 1 | $125.301,00 | 166 / 1 | $43.226,60 | 297 / 1 | $42.086,60 | 296 / 1 |
Cervical Spinal Fusion W/O Cc/Mcc | 11 | 93 / 2 | $58.893,10 | 448 / 2 | $18.889,90 | 806 / 2 | $17.670,80 | 803 / 2 |
Diabetes W Cc | 11 | 81 / 8 | $28.708,00 | 1132 / 9 | $7.138,45 | 1122 / 9 | $5.465,82 | 1118 / 7 |
Peripheral Vascular Disorders W Mcc | 11 | 38 / 4 | $29.292,20 | 184 / 3 | $11.650,50 | 468 / 4 | $10.550,90 | 468 / 4 |
Other Kidney & Urinary Tract Diagnoses W Cc | 11 | 92 / 5 | $22.869,30 | 330 / 3 | $8.381,09 | 659 / 4 | $7.432,55 | 659 / 4 | Total 84 procedures | 2.236 | 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.