Hospital Costs > In New Mexico > Lovelace Regional Hospital - Roswell, procedure costs
| Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
|---|---|---|---|---|---|---|---|---|
| Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
| Chronic Obstructive Pulmonary Disease W Mcc | 15 | 187 / 12 | $39.752,00 | 1911 / 12 | $6.916,47 | 1027 / 1 | $6.272,20 | 1022 / 3 |
| Heart Failure & Shock W Cc | 12 | 266 / 16 | $23.768,80 | 1559 / 12 | $5.974,50 | 971 / 1 | $5.270,50 | 970 / 1 |
| Heart Failure & Shock W/O Cc/Mcc | 15 | 95 / 6 | $21.217,70 | 1377 / 10 | $4.227,07 | 923 / 1 | $3.661,73 | 916 / 4 |
| Hip & Femur Procedures Except Major Joint W Cc | 12 | 131 / 9 | $52.642,10 | 1142 / 7 | $10.973,70 | 367 / 1 | $9.864,33 | 366 / 2 |
| Kidney & Urinary Tract Infections W/O Mcc | 14 | 219 / 15 | $20.810,90 | 1656 / 15 | $4.760,21 | 660 / 2 | $3.729,36 | 656 / 1 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 86 | 478 / 9 | $56.911,90 | 1575 / 10 | $12.643,90 | 629 / 2 | $10.518,00 | 622 / 1 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 16 | 150 / 14 | $18.524,20 | 1381 / 10 | $4.310,94 | 633 / 1 | $3.404,94 | 631 / 1 |
| Red Blood Cell Disorders W/O Mcc | 11 | 132 / 5 | $21.248,00 | 1011 / 4 | $4.918,09 | 454 / 1 | $3.931,91 | 453 / 1 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 11 | 505 / 24 | $92.709,50 | 2572 / 26 | $19.571,50 | 2735 / 24 | $18.704,60 | 2690 / 25 |
| Simple Pneumonia & Pleurisy W Mcc | 12 | 193 / 15 | $45.340,30 | 1767 / 17 | $8.607,58 | 646 / 2 | $7.495,58 | 646 / 3 |
| Simple Pneumonia & Pleurisy W/O Cc/Mcc | 13 | 80 / 14 | $25.110,00 | 1461 / 17 | $4.387,85 | 544 / 1 | $3.272,77 | 542 / 1 | Total 11 procedures | 217 | 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.