Hospital Costs > In New Mexico > Gerald Champion Regional Medical Center, procedure costs
| Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
|---|---|---|---|---|---|---|---|---|
| Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
| Cardiac Arrhythmia & Conduction Disorders W Cc | 11 | 150 / 10 | $11.507,50 | 204 / 1 | $6.457,82 | 1662 / 9 | $5.361,09 | 1657 / 10 |
| Chronic Obstructive Pulmonary Disease W Mcc | 28 | 174 / 8 | $17.928,40 | 565 / 2 | $9.601,96 | 2155 / 15 | $8.567,68 | 2147 / 16 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 14 | 261 / 16 | $14.842,90 | 731 / 8 | $6.071,21 | 2119 / 14 | $5.038,07 | 2105 / 16 |
| G.I. Hemorrhage W Cc | 34 | 184 / 6 | $18.089,60 | 577 / 2 | $8.177,59 | 1898 / 8 | $6.913,44 | 1894 / 8 |
| G.I. Obstruction W Cc | 14 | 78 / 7 | $23.330,70 | 886 / 3 | $7.291,00 | 1446 / 5 | $6.433,86 | 1441 / 5 |
| G.I. Obstruction W/O Cc/Mcc | 12 | 59 / 5 | $14.684,60 | 508 / 2 | $5.349,75 | 693 / 3 | $3.243,83 | 691 / 1 |
| Heart Failure & Shock W Cc | 11 | 267 / 17 | $19.192,80 | 1073 / 7 | $8.156,36 | 2183 / 14 | $6.954,91 | 2177 / 13 |
| Heart Failure & Shock W Mcc | 38 | 246 / 6 | $24.368,80 | 688 / 4 | $12.331,40 | 2238 / 12 | $11.502,80 | 2228 / 12 |
| Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 14 | 168 / 8 | $20.726,50 | 516 / 1 | $8.809,43 | 1724 / 7 | $7.771,71 | 1720 / 7 |
| Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 11 | 91 / 8 | $17.119,50 | 377 / 1 | $6.199,00 | 1323 / 5 | $5.317,55 | 1319 / 7 |
| Kidney & Urinary Tract Infections W Mcc | 16 | 128 / 8 | $15.500,40 | 282 / 3 | $9.229,56 | 1624 / 8 | $8.245,56 | 1620 / 8 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 87 | 477 / 8 | $43.739,70 | 965 / 4 | $17.861,90 | 2414 / 14 | $16.395,60 | 2368 / 15 |
| Nonspecific Cerebrovascular Disorders W Mcc | 11 | 40 / 3 | $23.648,00 | 55 / 2 | $13.563,70 | 331 / 3 | $12.801,50 | 331 / 3 |
| Other Kidney & Urinary Tract Diagnoses W Mcc | 16 | 85 / 4 | $19.619,10 | 114 / 2 | $12.836,50 | 912 / 3 | $12.230,50 | 908 / 3 |
| Pulmonary Edema & Respiratory Failure | 24 | 179 / 3 | $22.519,10 | 566 / 2 | $9.987,54 | 1842 / 8 | $9.082,21 | 1837 / 9 |
| Renal Failure W Cc | 31 | 190 / 7 | $16.824,30 | 653 / 4 | $7.911,39 | 1914 / 13 | $6.696,84 | 1904 / 13 |
| Renal Failure W Mcc | 44 | 151 / 2 | $20.906,60 | 263 / 2 | $12.599,20 | 1787 / 9 | $11.709,40 | 1783 / 9 |
| Respiratory Infections & Inflammations W Mcc | 29 | 107 / 2 | $28.299,60 | 335 / 1 | $16.263,60 | 1618 / 7 | $15.585,50 | 1602 / 7 |
| Respiratory System Diagnosis W Ventilator Support <96 Hours | 14 | 117 / 6 | $55.413,70 | 782 / 5 | $19.398,90 | 1583 / 9 | $18.708,60 | 1569 / 9 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 96 | 420 / 7 | $27.441,90 | 665 / 8 | $15.680,90 | 2414 / 18 | $14.368,40 | 2371 / 16 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 34 | 173 / 8 | $22.730,70 | 1045 / 11 | $8.908,97 | 2131 / 15 | $7.735,18 | 2123 / 14 |
| Simple Pneumonia & Pleurisy W Cc | 12 | 191 / 22 | $17.839,50 | 896 / 9 | $8.009,50 | 2337 / 16 | $7.001,50 | 2328 / 16 | Total 22 procedures | 601 | 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.