Hospital Costs > In New Mexico > Unm Sandoval Regional Medical Center, procedure costs
| Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
|---|---|---|---|---|---|---|---|---|
| Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
| Alcohol/Drug Abuse Or Dependence W/O Rehabilitation Therapy W/O Mcc | 12 | 112 / 4 | $14.950,80 | 336 / 1 | $4.295,08 | 263 / 1 | $3.689,67 | 263 / 1 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 13 | 262 / 17 | $10.973,00 | 281 / 3 | $4.462,38 | 434 / 2 | $3.347,31 | 432 / 2 |
| Kidney & Urinary Tract Infections W/O Mcc | 23 | 210 / 12 | $13.336,70 | 689 / 6 | $4.662,61 | 795 / 1 | $3.820,87 | 790 / 4 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 94 | 470 / 6 | $38.918,30 | 693 / 2 | $14.651,10 | 1932 / 10 | $13.367,40 | 1890 / 11 |
| Renal Failure W Cc | 13 | 208 / 12 | $10.103,70 | 103 / 1 | $5.367,46 | 91 / 1 | $4.161,31 | 91 / 1 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 48 | 468 / 13 | $23.569,30 | 451 / 7 | $11.020,30 | 1001 / 4 | $10.188,30 | 992 / 6 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 16 | 191 / 14 | $12.568,30 | 182 / 2 | $5.623,38 | 263 / 1 | $4.943,38 | 262 / 1 |
| Simple Pneumonia & Pleurisy W Cc | 12 | 191 / 22 | $17.307,20 | 827 / 7 | $5.108,42 | 186 / 1 | $4.300,42 | 186 / 2 |
| Simple Pneumonia & Pleurisy W Mcc | 22 | 183 / 11 | $19.667,50 | 369 / 4 | $9.669,95 | 1547 / 8 | $8.789,95 | 1547 / 7 | Total 9 procedures | 253 | 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.