Simple Pneumonia & Pleurisy W/O Cc/Mcc - costs for treatment in New Mexico

Hospital Costs > Simple Pneumonia & Pleurisy W/O Cc/Mcc > Simple Pneumonia & Pleurisy W/O Cc/Mcc - costs for treatment in New Mexico

Simple Pneumonia & Pleurisy W/O Cc/Mcc - costs for treatment in New Mexico


Hospital City Discharges Avg Covered Charges Avg Total Payment Avg Medicare Payment
Lovelace Regional Hospital - RoswellRoswell13$25,110.00$4,387.85$3,272.77
Carlsbad Medical CenterCarlsbad29$30,960.70$4,531.93$3,366.69
Mountain View Regional Medical CenterLas Cruces41$20,423.50$4,533.44$3,501.63
Lovelace Medical CenterAlbuquerque14$26,618.90$4,634.64$3,669.79
Gila Regional Medical CenterSilver City13$14,932.20$4,760.08$3,637.62
Rehoboth Mckinley Christian Health Care ServicesGallup12$7,429.67$4,894.83$3,604.67
Roosevelt General HospitalPortales14$15,093.40$4,905.43$4,132.86
Eastern New Mexico Medical CenterRoswell13$32,543.40$4,924.00$3,904.92
Alta Vista Regional HospitalLas Vegas26$28,271.80$5,324.38$3,950.35
Plains Regional Medical CenterClovis16$18,869.40$5,380.50$4,248.50
San Juan Regional Medical CenterFarmington43$16,667.30$5,426.65$4,285.37
Memorial Medical Center IncLas Cruces36$20,508.50$5,602.58$4,433.47
Artesia General HospitalArtesia17$23,156.80$5,606.06$4,416.41
St Vincent Hospital Santa FeSanta Fe18$14,647.00$5,945.17$4,750.83
Presbyterian HospitalAlbuquerque55$16,583.10$6,243.11$4,533.98
Presbyterian Espanola HospitalEspanola30$19,096.40$6,270.60$5,265.80
Holy Cross Hospital A Div Of Taos Health SystemsTaos21$11,467.40$6,390.00$4,986.43
Crownpoint Healthcare FacilityCrownpoint18$6,116.39$7,218.78$6,207.22
Gallup Indian Medical CenterGallup49$8,715.75$7,227.41$6,266.75
Northern Navajo Medical CenterShiprock30$6,976.33$9,601.53$8,551.93
Unm HospitalAlbuquerque11$12,832.10$10,426.10$7,784.00
Total 21 hospitals519

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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