Hospital Costs > In New Mexico > Unm Hospital, 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 | 212 | 304 / 2 | $37.077,70 | 1155 / 13 | $21.784,60 | 2733 / 26 | $18.659,00 | 2688 / 24 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 76 | 488 / 10 | $46.600,70 | 1115 / 6 | $23.202,60 | 2610 / 19 | $20.111,30 | 2564 / 19 |
| Seizures W/O Mcc | 52 | 56 / 1 | $19.050,50 | 504 / 3 | $12.033,70 | 1283 / 4 | $9.483,46 | 1281 / 4 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 52 | 155 / 5 | $21.612,00 | 928 / 10 | $15.071,10 | 2533 / 22 | $12.386,70 | 2523 / 22 |
| Heart Failure & Shock W Cc | 49 | 229 / 5 | $23.152,60 | 1503 / 9 | $14.553,30 | 2719 / 19 | $11.854,60 | 2713 / 19 |
| Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 46 | 122 / 2 | $41.384,90 | 736 / 6 | $21.961,50 | 1574 / 6 | $18.678,20 | 1567 / 6 |
| Simple Pneumonia & Pleurisy W Cc | 42 | 161 / 10 | $21.669,50 | 1315 / 12 | $14.474,60 | 2796 / 25 | $12.053,50 | 2787 / 25 |
| Craniotomy & Endovascular Intracranial Procedures W Mcc | 40 | 58 / 1 | $81.884,70 | 103 / 1 | $44.146,90 | 446 / 3 | $37.187,00 | 446 / 3 |
| Kidney & Urinary Tract Infections W/O Mcc | 38 | 195 / 8 | $18.209,00 | 1372 / 11 | $12.793,20 | 2687 / 21 | $10.100,60 | 2676 / 21 |
| Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 38 | 86 / 3 | $94.246,00 | 423 / 2 | $53.668,10 | 1434 / 8 | $46.791,80 | 1424 / 8 |
| Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 37 | 145 / 4 | $37.180,50 | 1433 / 7 | $16.500,00 | 2053 / 9 | $12.962,60 | 2048 / 9 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 36 | 239 / 8 | $19.144,60 | 1296 / 11 | $14.110,80 | 2693 / 24 | $9.599,08 | 2678 / 23 |
| Simple Pneumonia & Pleurisy W Mcc | 36 | 169 / 7 | $34.021,60 | 1287 / 14 | $18.754,90 | 2476 / 20 | $15.410,10 | 2470 / 19 |
| Signs & Symptoms W/O Mcc | 35 | 56 / 1 | $18.955,70 | 601 / 3 | $10.990,80 | 1297 / 5 | $8.425,66 | 1294 / 5 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 33 | 93 / 2 | $23.784,60 | 633 / 6 | $15.398,90 | 1699 / 11 | $13.004,80 | 1695 / 11 |
| G.I. Hemorrhage W Mcc | 30 | 91 / 3 | $28.847,40 | 291 / 2 | $20.051,20 | 1606 / 7 | $17.889,90 | 1596 / 7 |
| G.I. Hemorrhage W Cc | 30 | 188 / 7 | $18.252,10 | 589 / 3 | $13.868,10 | 2392 / 12 | $11.799,10 | 2388 / 11 |
| Cellulitis W/O Mcc | 30 | 159 / 5 | $14.431,30 | 782 / 6 | $12.994,70 | 2600 / 21 | $10.479,60 | 2592 / 20 |
| Renal Failure W Cc | 29 | 192 / 9 | $18.203,10 | 794 / 6 | $14.151,80 | 2399 / 15 | $11.405,20 | 2389 / 15 |
| Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 29 | 159 / 4 | $32.210,70 | 621 / 3 | $14.807,40 | 1604 / 8 | $11.768,20 | 1601 / 8 |
| Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 29 | 73 / 3 | $20.982,80 | 647 / 4 | $11.896,40 | 1594 / 8 | $9.509,62 | 1590 / 8 |
| Other Kidney & Urinary Tract Diagnoses W Mcc | 26 | 75 / 2 | $54.122,20 | 826 / 5 | $25.802,70 | 1097 / 5 | $20.506,60 | 1093 / 5 |
| Spinal Fusion Except Cervical W/O Mcc | 26 | 168 / 5 | $86.498,50 | 597 / 3 | $40.567,00 | 1284 / 7 | $34.989,00 | 1279 / 7 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 26 | 140 / 7 | $16.791,00 | 1178 / 5 | $11.806,60 | 2512 / 17 | $9.533,77 | 2503 / 17 |
| Major Small & Large Bowel Procedures W Cc | 24 | 84 / 2 | $54.915,30 | 524 / 3 | $27.790,30 | 1483 / 5 | $23.954,50 | 1469 / 5 |
| Diabetes W Cc | 24 | 68 / 2 | $14.128,80 | 277 / 2 | $12.467,60 | 1590 / 11 | $10.551,70 | 1585 / 11 |
| Kidney Transplant | 24 | 77 / 2 | $223.321,00 | 119 / 2 | $41.796,70 | 172 / 2 | $37.436,10 | 172 / 2 |
| Hip & Femur Procedures Except Major Joint W Cc | 23 | 120 / 6 | $38.399,00 | 559 / 4 | $21.683,90 | 1977 / 11 | $18.036,00 | 1956 / 11 |
| Poisoning & Toxic Effects Of Drugs W Mcc | 23 | 49 / 2 | $35.326,70 | 478 / 4 | $18.910,10 | 963 / 6 | $16.076,00 | 960 / 6 |
| Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc | 22 | 174 / 7 | $47.527,20 | 175 / 1 | $22.270,90 | 1456 / 8 | $19.833,40 | 1448 / 8 |
| Cirrhosis & Alcoholic Hepatitis W Mcc | 22 | 20 / 2 | $35.125,70 | 85 / 2 | $19.696,80 | 268 / 3 | $16.913,80 | 268 / 3 |
| Alcohol/Drug Abuse Or Dependence W/O Rehabilitation Therapy W/O Mcc | 22 | 102 / 2 | $18.603,00 | 459 / 2 | $11.449,00 | 817 / 4 | $9.336,32 | 816 / 4 |
| Esophagitis, Gastroent & Misc Digest Disorders W Mcc | 22 | 74 / 3 | $31.029,90 | 680 / 3 | $17.576,50 | 1445 / 7 | $14.170,60 | 1440 / 7 |
| Medical Back Problems W/O Mcc | 21 | 100 / 3 | $25.542,50 | 851 / 7 | $14.079,40 | 1480 / 7 | $10.615,80 | 1475 / 7 |
| Other Circulatory System Diagnoses W Mcc | 21 | 95 / 3 | $39.164,70 | 461 / 5 | $22.105,40 | 1317 / 7 | $18.929,90 | 1309 / 7 |
| Renal Failure W Mcc | 20 | 175 / 7 | $37.164,70 | 1160 / 8 | $21.293,70 | 2127 / 11 | $17.774,20 | 2123 / 11 |
| Craniotomy & Endovascular Intracranial Procedures W Cc | 20 | 35 / 1 | $60.898,60 | 41 / 1 | $33.742,10 | 215 / 2 | $29.704,30 | 215 / 2 |
| Other Kidney & Urinary Tract Diagnoses W Cc | 20 | 83 / 3 | $19.085,20 | 222 / 1 | $14.260,60 | 837 / 5 | $11.248,50 | 837 / 5 |
| Poisoning & Toxic Effects Of Drugs W/O Mcc | 19 | 42 / 2 | $13.104,90 | 220 / 2 | $10.799,50 | 908 / 8 | $9.167,58 | 907 / 8 |
| Disorders Of Liver Except Malig,Cirr,Alc Hepa W Mcc | 19 | 57 / 2 | $34.658,90 | 154 / 2 | $22.654,80 | 523 / 4 | $19.289,50 | 523 / 4 |
| Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 19 | 101 / 7 | $16.765,20 | 997 / 8 | $11.625,20 | 2096 / 14 | $9.444,00 | 2084 / 14 |
| Other Vascular Procedures W Mcc | 19 | 78 / 3 | $67.071,80 | 226 / 3 | $35.901,30 | 951 / 4 | $32.377,90 | 948 / 4 |
| Chronic Obstructive Pulmonary Disease W Cc | 19 | 160 / 7 | $20.137,60 | 1016 / 6 | $13.506,40 | 2414 / 15 | $11.206,90 | 2407 / 15 |
| Craniotomy & Endovascular Intracranial Procedures W/O Cc/Mcc | 19 | 55 / 1 | $37.821,40 | 21 / 1 | $23.852,60 | 257 / 2 | $21.806,10 | 256 / 2 |
| Seizures W Mcc | 18 | 48 / 1 | $33.599,80 | 231 / 2 | $18.574,10 | 682 / 3 | $14.270,60 | 682 / 3 |
| Chronic Obstructive Pulmonary Disease W Mcc | 18 | 184 / 10 | $29.719,20 | 1460 / 9 | $15.727,90 | 2540 / 18 | $13.259,70 | 2532 / 17 |
| Major Small & Large Bowel Procedures W Mcc | 17 | 68 / 4 | $94.379,10 | 334 / 1 | $52.044,50 | 1202 / 6 | $45.697,20 | 1199 / 6 |
| Cardiac Arrhythmia & Conduction Disorders W Mcc | 16 | 107 / 5 | $24.715,00 | 643 / 1 | $16.127,20 | 1874 / 7 | $13.561,90 | 1871 / 7 |
| Ecmo Or Trach W Mv 96+ Hrs Or Pdx Exc Face, Mouth & Neck W Maj O.R. | 16 | 65 / 1 | $250.595,00 | 39 / 1 | $134.598,00 | 280 / 1 | $124.573,00 | 279 / 1 |
| Acute Myocardial Infarction, Discharged Alive W Mcc | 15 | 110 / 6 | $49.781,50 | 1134 / 5 | $21.854,50 | 1773 / 7 | $18.128,80 | 1760 / 7 |
| Major Chest Procedures W Cc | 15 | 59 / 1 | $59.234,80 | 191 / 1 | $28.228,40 | 487 / 2 | $25.042,70 | 485 / 2 |
| Disorders Of Liver Except Malig,Cirr,Alc Hepa W Cc | 15 | 55 / 2 | $17.653,70 | 135 / 3 | $13.780,30 | 553 / 5 | $11.575,90 | 553 / 5 |
| Respiratory System Diagnosis W Ventilator Support <96 Hours | 14 | 117 / 6 | $50.118,40 | 621 / 3 | $25.499,20 | 1746 / 10 | $21.681,70 | 1732 / 10 |
| Other O.R. Procedures For Multiple Significant Trauma W Mcc | 14 | 9 / 1 | $203.046,00 | 17 / 1 | $94.676,30 | 30 / 1 | $80.029,70 | 30 / 1 |
| Acute Myocardial Infarction, Discharged Alive W Cc | 14 | 77 / 6 | $22.324,00 | 389 / 1 | $14.459,40 | 1414 / 7 | $12.354,60 | 1412 / 7 |
| Chemotherapy W/O Acute Leukemia As Secondary Diagnosis W Cc | 14 | 77 / 1 | $30.714,90 | 170 / 1 | $19.385,40 | 395 / 1 | $17.429,90 | 395 / 1 |
| Heart Failure & Shock W Mcc | 14 | 270 / 12 | $35.899,10 | 1445 / 11 | $19.238,90 | 2564 / 16 | $15.965,90 | 2553 / 16 |
| Heart Failure & Shock W/O Cc/Mcc | 14 | 96 / 7 | $16.809,50 | 1042 / 6 | $11.408,90 | 1996 / 14 | $9.239,64 | 1983 / 14 |
| Traumatic Stupor & Coma, Coma <1 Hr W Mcc | 14 | 37 / 1 | $87.723,70 | 280 / 1 | $25.569,60 | 340 / 1 | $22.343,20 | 340 / 1 |
| Traumatic Stupor & Coma, Coma <1 Hr W Cc | 13 | 53 / 1 | $22.584,00 | 116 / 1 | $15.307,00 | 515 / 3 | $12.642,30 | 514 / 3 |
| Other Multiple Significant Trauma W Cc | 13 | 12 / 1 | $39.922,60 | 17 / 1 | $18.441,90 | 46 / 1 | $15.051,00 | 46 / 1 |
| Major Cardiovasc Procedures W Mcc | 13 | 55 / 3 | $121.518,00 | 219 / 3 | $56.672,50 | 600 / 4 | $49.406,50 | 599 / 4 |
| Syncope & Collapse | 13 | 156 / 7 | $16.655,80 | 543 / 2 | $11.714,10 | 1905 / 11 | $9.574,92 | 1897 / 11 |
| Degenerative Nervous System Disorders W/O Mcc | 12 | 66 / 2 | $16.747,20 | 130 / 1 | $14.194,80 | 850 / 2 | $11.872,90 | 850 / 2 |
| Cardiac Arrhythmia & Conduction Disorders W Cc | 12 | 149 / 9 | $15.491,20 | 569 / 2 | $12.004,40 | 2149 / 12 | $10.264,60 | 2144 / 12 |
| Pulmonary Embolism W/O Mcc | 12 | 62 / 4 | $14.139,10 | 118 / 1 | $13.662,50 | 1273 / 6 | $11.789,20 | 1270 / 6 |
| Pulmonary Edema & Respiratory Failure | 12 | 191 / 7 | $48.375,60 | 1725 / 8 | $19.592,90 | 2218 / 10 | $15.371,70 | 2212 / 10 |
| Other Vascular Procedures W Cc | 12 | 90 / 5 | $62.219,60 | 403 / 2 | $29.398,00 | 1108 / 7 | $25.513,30 | 1103 / 7 |
| Major Gastrointestinal Disorders & Peritoneal Infections W Mcc | 12 | 44 / 3 | $25.208,70 | 79 / 1 | $22.308,00 | 645 / 4 | $19.542,50 | 644 / 4 |
| Renal Failure W/O Cc/Mcc | 12 | 44 / 2 | $11.251,60 | 171 / 1 | $10.977,30 | 856 / 3 | $8.730,92 | 854 / 3 |
| Hip & Femur Procedures Except Major Joint W/O Cc/Mcc | 12 | 44 / 5 | $33.209,70 | 270 / 3 | $19.150,40 | 889 / 7 | $15.543,50 | 886 / 7 |
| Lower Extrem & Humer Proc Except Hip,Foot,Femur W Cc | 12 | 43 / 3 | $44.330,50 | 199 / 2 | $22.648,00 | 619 / 3 | $18.965,80 | 615 / 3 |
| Complications Of Treatment W Mcc | 11 | 40 / 2 | $27.941,80 | 44 / 1 | $20.892,40 | 271 / 2 | $17.849,20 | 271 / 2 |
| Trach W Mv 96+ Hrs Or Pdx Exc Face, Mouth & Neck W/O Maj O.R. | 11 | 53 / 3 | $165.890,00 | 82 / 1 | $82.298,40 | 377 / 3 | $75.047,40 | 376 / 3 |
| Hypertension W/O Mcc | 11 | 54 / 2 | $16.508,40 | 275 / 2 | $10.623,80 | 772 / 2 | $8.553,36 | 770 / 2 |
| Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 11 | 139 / 9 | $10.307,10 | 377 / 2 | $7.951,09 | 1937 / 9 | $6.160,91 | 1931 / 9 |
| Circulatory Disorders Except Ami, W Card Cath W Mcc | 11 | 82 / 5 | $63.960,00 | 522 / 4 | $27.358,90 | 895 / 5 | $23.222,70 | 887 / 5 |
| Septicemia Or Severe Sepsis W Mv 96+ Hours | 11 | 81 / 5 | $108.163,00 | 237 / 1 | $58.624,70 | 982 / 5 | $51.655,20 | 981 / 5 |
| Other Digestive System Diagnoses W Cc | 11 | 86 / 7 | $24.016,30 | 625 / 3 | $14.457,00 | 1419 / 7 | $11.727,80 | 1415 / 7 |
| Pancreas, Liver & Shunt Procedures W Mcc | 11 | 32 / 1 | $70.536,30 | 5 / 1 | $50.075,40 | 54 / 1 | $42.029,00 | 54 / 1 |
| Kidney & Urinary Tract Infections W Mcc | 11 | 133 / 10 | $25.990,20 | 979 / 6 | $15.347,50 | 1929 / 12 | $12.868,90 | 1925 / 12 |
| Cardiac Valve & Oth Maj Cardiothoracic Proc W/O Card Cath W Mcc | 11 | 105 / 3 | $114.662,00 | 25 / 1 | $70.725,60 | 370 / 3 | $60.517,60 | 370 / 3 |
| Cervical Spinal Fusion W/O Cc/Mcc | 11 | 93 / 2 | $58.498,70 | 438 / 1 | $25.511,60 | 841 / 3 | $19.728,50 | 838 / 3 |
| Simple Pneumonia & Pleurisy W/O Cc/Mcc | 11 | 82 / 16 | $12.832,10 | 494 / 6 | $10.426,10 | 1933 / 21 | $7.784,00 | 1925 / 20 |
| Major Cardiovasc Procedures W/O Mcc | 11 | 90 / 4 | $68.238,80 | 230 / 1 | $32.577,90 | 961 / 4 | $30.759,20 | 960 / 4 | Total 85 procedures | 2.030 | 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.