Hospital Costs > In New Mexico > Holy Cross Hospital A Div Of Taos Health Systems, procedure costs
| Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
|---|---|---|---|---|---|---|---|---|
| Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
| Cellulitis W/O Mcc | 21 | 168 / 8 | $10.150,80 | 258 / 1 | $7.743,00 | 2270 / 15 | $6.408,76 | 2262 / 16 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 30 | 245 / 10 | $13.274,70 | 535 / 7 | $6.877,00 | 2293 / 18 | $5.498,60 | 2278 / 18 |
| Heart Failure & Shock W Cc | 12 | 266 / 16 | $13.398,20 | 406 / 3 | $9.137,50 | 2479 / 16 | $8.132,17 | 2473 / 16 |
| Heart Failure & Shock W Mcc | 11 | 273 / 14 | $14.548,80 | 126 / 2 | $13.808,50 | 2431 / 14 | $13.108,20 | 2420 / 14 |
| Kidney & Urinary Tract Infections W/O Mcc | 23 | 210 / 12 | $12.422,50 | 564 / 4 | $7.087,09 | 2349 / 17 | $5.950,65 | 2338 / 17 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 23 | 541 / 14 | $38.370,90 | 666 / 1 | $19.748,30 | 2540 / 16 | $18.471,90 | 2494 / 18 |
| Other Kidney & Urinary Tract Diagnoses W Mcc | 11 | 90 / 5 | $10.316,70 | 8 / 1 | $14.426,40 | 994 / 4 | $13.686,70 | 990 / 4 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 41 | 475 / 14 | $20.710,80 | 298 / 5 | $17.001,70 | 2588 / 21 | $16.075,10 | 2543 / 21 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 22 | 185 / 11 | $12.731,20 | 196 / 4 | $9.832,64 | 2347 / 19 | $8.952,64 | 2337 / 18 |
| Simple Pneumonia & Pleurisy W Cc | 36 | 167 / 11 | $11.908,90 | 248 / 5 | $8.993,19 | 2553 / 19 | $8.088,31 | 2544 / 19 |
| Simple Pneumonia & Pleurisy W Mcc | 11 | 194 / 16 | $17.433,30 | 233 / 3 | $13.390,50 | 2340 / 17 | $12.506,10 | 2334 / 17 |
| Simple Pneumonia & Pleurisy W/O Cc/Mcc | 21 | 72 / 9 | $11.467,40 | 368 / 5 | $6.390,00 | 1668 / 17 | $4.986,43 | 1660 / 16 | Total 12 procedures | 262 | 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.