Hospital Costs > In New Mexico > Lovelace Women's Hospital, 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 | 11 | 178 / 13 | $21.174,60 | 1595 / 13 | $12.535,40 | 2616 / 20 | $11.614,20 | 2608 / 21 |
| Chronic Obstructive Pulmonary Disease W Mcc | 11 | 191 / 16 | $42.067,50 | 1991 / 15 | $14.644,70 | 2544 / 17 | $13.574,40 | 2536 / 18 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 18 | 257 / 14 | $27.604,10 | 2041 / 20 | $11.824,20 | 2711 / 23 | $10.478,60 | 2696 / 24 |
| G.I. Hemorrhage W Cc | 13 | 205 / 11 | $27.377,20 | 1394 / 10 | $13.369,00 | 2406 / 11 | $12.301,80 | 2402 / 12 |
| Heart Failure & Shock W Mcc | 13 | 271 / 13 | $34.523,80 | 1369 / 8 | $16.103,50 | 2535 / 15 | $15.116,70 | 2524 / 15 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 76 | 488 / 10 | $63.921,60 | 1832 / 13 | $20.825,30 | 2447 / 18 | $16.776,70 | 2401 / 16 |
| Major Small & Large Bowel Procedures W/O Cc/Mcc | 11 | 53 / 3 | $60.366,90 | 569 / 3 | $17.808,00 | 720 / 3 | $14.913,00 | 720 / 3 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 18 | 498 / 20 | $56.601,90 | 2001 / 22 | $19.276,80 | 2721 / 23 | $18.384,20 | 2676 / 23 |
| Simple Pneumonia & Pleurisy W Cc | 22 | 181 / 16 | $27.676,40 | 1823 / 18 | $13.076,70 | 2795 / 24 | $12.044,80 | 2786 / 24 |
| Simple Pneumonia & Pleurisy W Mcc | 24 | 181 / 10 | $31.252,80 | 1118 / 9 | $15.635,80 | 2451 / 18 | $14.576,00 | 2445 / 18 | Total 10 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.