Pulmonary Edema & Respiratory Failure - costs for treatment in New Mexico

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Pulmonary Edema & Respiratory Failure - costs for treatment in New Mexico


Hospital City Discharges Avg Covered Charges Avg Total Payment Avg Medicare Payment
San Juan Regional Medical CenterFarmington168$27,203.60$9,763.09$8,536.00
Presbyterian HospitalAlbuquerque133$23,238.90$9,338.00$7,891.31
Gerald Champion Regional Medical CenterAlamogordo24$22,519.10$9,987.54$9,082.21
Eastern New Mexico Medical CenterRoswell22$59,309.50$8,227.27$7,623.64
Rehoboth Mckinley Christian Health Care ServicesGallup22$11,141.50$8,325.36$7,666.45
St Vincent Hospital Santa FeSanta Fe22$26,615.50$10,504.80$9,056.00
Lovelace Medical CenterAlbuquerque21$55,655.10$7,967.76$6,771.05
Plains Regional Medical CenterClovis19$29,231.70$8,245.11$7,423.21
Mountain View Regional Medical CenterLas Cruces12$40,269.10$7,415.25$6,632.58
Unm HospitalAlbuquerque12$48,375.60$19,592.90$15,371.70
Total 10 hospitals455

DATA

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.





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