Maimonides Medical Center


2016 Age Distribution

2016 Patient Race:

Black/African American4,593
Multi-racial63
Other Race13,069
White23,800

2016 Payers:

Blue Cross/Blue Shield 2,676
Federal/State/Local/VA 33
Medicaid 21,989
Medicare 12,135
Miscellaneous/Other 153
Private Health Insurance 4,114
Self-Pay 425

Conditions treated in 2016

Click on a column header to sort ascending or descending.
DRG Count Avg. Charge Avg. Cost Sum all Charges Sum all Costs Avg. LOS
Neonate birthwt >2499g, normal newborn or neonate w other problem 7489 $8,216 $1,579 $61,529,757 $11,823,110 2.31
Vaginal delivery 6025 $19,574 $6,205 $117,932,654 $37,387,904 2.34
Cesarean delivery 2049 $25,263 $7,809 $51,762,944 $16,000,658 3.75
Septicemia & disseminated infections 1939 $81,052 $22,707 $157,159,167 $44,029,665 7.78
Heart failure 953 $62,145 $19,359 $59,223,723 $18,449,461 5.49
Schizophrenia 629 $35,696 $19,630 $22,452,709 $12,347,548 21.00
Percutaneous coronary intervention w/o AMI 507 $125,062 $38,372 $63,406,673 $19,454,408 3.05
Cardiac arrhythmia & conduction disorders 481 $41,286 $13,701 $19,858,464 $6,590,420 3.30
Percutaneous coronary intervention w AMI 475 $111,073 $33,769 $52,759,636 $16,040,310 3.35
Other pneumonia 469 $34,271 $12,308 $16,073,269 $5,772,226 4.05
CVA & precerebral occlusion w infarct 430 $63,990 $19,867 $27,515,777 $8,542,676 5.01
Cellulitis & other skin infections 428 $27,332 $9,147 $11,698,151 $3,914,826 3.92
RENAL FAILURE 423 $48,716 $14,916 $20,606,793 $6,309,501 5.52
Respiratory Failure 389 $54,602 $22,981 $21,240,333 $8,939,691 5.04
Kidney & urinary tract infections 381 $28,722 $9,477 $10,943,192 $3,610,664 4.12
Chronic obstructive pulmonary disease 377 $34,971 $10,608 $13,184,135 $3,999,296 4.32
Acute myocardial infarction 351 $57,365 $18,654 $20,135,202 $6,547,633 4.25
Infectious & parasitic diseases including HIV w O.R. procedure 348 $174,016 $47,591 $60,557,424 $16,561,521 14.03
Other antepartum diagnoses 335 $14,209 $3,955 $4,759,925 $1,324,937 2.89
Uterine & adnexa procedures for leiomyoma 331 $38,226 $12,407 $12,652,823 $4,106,767 2.31
Other gastroenteritis, nausa & vomiting 317 $22,477 $9,113 $7,125,135 $2,888,846 3.18
Other digestive system diagnoses 315 $28,005 $9,208 $8,821,548 $2,900,374 3.38
Other & unspecified gastrointestinal hemorrhage 314 $53,114 $15,521 $16,677,898 $4,873,607 4.82
Neonate bwt 2000-2499g, normal newborn or neonate w other problem 304 $24,017 $4,184 $7,301,150 $1,271,788 3.62
Bipolar disorders 267 $27,805 $15,257 $7,423,942 $4,073,723 15.81
Bronchiolitis & RSV pneumonia 249 $32,383 $19,407 $8,063,378 $4,832,367 3.73
Disorders of gallbladder & biliary tract 244 $33,787 $11,630 $8,244,090 $2,837,620 3.27
Neonate birthwt >2499g w other significant condition 234 $30,857 $5,821 $7,220,603 $1,362,113 3.82
Major small & large bowel procedures 229 $90,135 $26,494 $20,640,902 $6,067,105 7.09
Procedures for obesity 225 $35,288 $9,934 $7,939,867 $2,235,107 1.52
Appendectomy 221 $34,120 $12,778 $7,540,571 $2,823,891 3.16
Intestinal obstruction 220 $34,247 $10,774 $7,534,258 $2,370,177 4.55
Seizure 214 $33,536 $11,895 $7,176,627 $2,545,439 3.60
Major depressive disorders & other/unspecified psychoses 214 $27,065 $15,170 $5,791,999 $3,246,337 13.00
Cardiac catheterization for other non-coronary conditions 197 $37,607 $13,186 $7,408,591 $2,597,697 2.02
Hip and femur fracture repair 193 $67,038 $21,193 $12,938,287 $4,090,262 5.87
Asthma 192 $27,839 $11,029 $5,345,047 $2,117,600 2.92
Diabetes 189 $32,961 $9,951 $6,229,710 $1,880,729 3.87
Cardiac catheterization for coronary artery disease 187 $80,861 $25,993 $15,121,075 $4,860,704 5.51
Laparoscopic cholecystectomy 181 $43,078 $14,564 $7,797,100 $2,636,080 3.54
Knee joint replacement 179 $58,456 $18,450 $10,463,614 $3,302,631 3.46
OTHER VASCULAR PROCEDURES 178 $93,035 $27,693 $16,560,179 $4,929,436 5.33
Electrolyte disorders except hypovolemia related 176 $34,295 $10,275 $6,035,921 $1,808,418 3.86
Disorders of pancreas except malignancy 171 $31,635 $10,543 $5,409,647 $1,802,781 3.87
Major respiratory infections & inflammations 162 $70,693 $22,209 $11,452,293 $3,597,794 9.17
Diverticulitis & diverticulosis 158 $36,566 $10,901 $5,777,412 $1,722,334 4.03
Infections of upper respiratory tract 157 $20,139 $8,983 $3,161,834 $1,410,396 2.46
Other musculoskeletal system & connective tissue diagnoses 152 $28,591 $9,190 $4,345,882 $1,396,834 3.86
Signs, symptoms & other factors influencing health status 152 $28,419 $9,706 $4,319,665 $1,475,254 3.75
Other anemia & disorders of blood & blood-forming organs 147 $33,589 $10,673 $4,937,521 $1,568,947 3.35
Peptic ulcer & gastritis 141 $37,709 $11,480 $5,316,952 $1,618,697 3.47
Hip joint replacement 141 $71,615 $21,873 $10,097,733 $3,084,118 5.13
Peripheral & other vascular disorders 139 $36,429 $11,212 $5,063,676 $1,558,432 4.50
Angina pectoris & coronary atherosclerosis 138 $25,801 $8,751 $3,560,508 $1,207,613 2.09
Syncope & collapse 137 $33,036 $10,651 $4,525,905 $1,459,194 2.82
Moderately extensive procedure unrelated to principal diagnosis 137 $115,770 $34,366 $15,860,459 $4,708,193 10.28
Perm cardiac pacemaker implant w/o AMI, heart failure or shock 129 $89,323 $28,133 $11,522,723 $3,629,157 3.16
Other back & neck disorders, fractures & injuries 129 $31,050 $9,828 $4,005,503 $1,267,827 4.09
Major gastrointestinal & peritoneal infections 128 $40,588 $12,971 $5,195,278 $1,660,240 5.65
Hypovolemia & related electrolyte disorders 126 $31,760 $10,395 $4,001,710 $1,309,724 4.00
Uterine & adnexa procedures for non-malignancy except leiomyoma 123 $35,465 $11,755 $4,362,224 $1,445,918 1.82
Vaginal delivery w complicating procedures exc sterilization &/or D&C 123 $24,957 $8,011 $3,069,733 $985,312 2.66
Postpartum & post abortion diagnoses w/o procedure 113 $14,661 $4,203 $1,656,695 $474,959 2.70
Post-operative, post-traumatic, other device infections 112 $61,898 $18,328 $6,932,582 $2,052,784 6.64
Neonate birthwt >2499g w major anomaly 111 $51,819 $9,419 $5,751,910 $1,045,541 5.63
Intracranial hemorrhage 110 $72,306 $21,543 $7,953,677 $2,369,773 6.07
Other circulatory system diagnoses 107 $41,997 $13,611 $4,493,626 $1,456,399 3.72
Digestive malignancy 107 $53,268 $16,081 $5,699,692 $1,720,707 5.62
Pulmonary embolism 105 $46,104 $12,573 $4,840,907 $1,320,119 4.42
Major stomach, esophageal & duodenal procedures 104 $97,512 $28,667 $10,141,265 $2,981,393 7.24
Fractures & dislocations except femur, pelvis & back 103 $31,167 $9,674 $3,210,174 $996,375 4.00
Alcohol abuse & dependence 102 $66,464 $18,969 $6,779,312 $1,934,886 6.43
Craniotomy except for trauma 101 $123,905 $34,813 $12,514,448 $3,516,161 7.08
Kidney & urinary tract procedures for nonmalignancy 101 $57,300 $20,531 $5,787,273 $2,073,635 4.23
Vaginal delivery w sterilization &/or D&C 101 $26,459 $8,090 $2,672,405 $817,045 2.53
Respiratory malignancy 100 $55,146 $16,672 $5,514,633 $1,667,230 6.67
Mastectomy procedures 100 $44,128 $13,036 $4,412,775 $1,303,600 1.41
Extensive procedure unrelated to principal diagnosis 100 $135,892 $39,696 $13,589,194 $3,969,581 9.70
Coronary bypass w AMI or complex PDX 99 $216,091 $79,962 $21,392,964 $7,916,273 10.89
Extracranial vascular procedures 98 $96,228 $27,163 $9,430,322 $2,661,958 4.85
Cardiac defibrillator & heart assist implant 95 $298,023 $90,105 $28,312,201 $8,559,991 8.62
Tracheostomy w MV 96+ hours w extensive procedure or ECMO 94 $604,418 $170,435 $56,815,260 $16,020,860 35.11
Urinary stones & acquired upper urinary tract obstruction 92 $21,619 $7,023 $1,988,910 $646,159 1.82
Tracheostomy w MV 96+ hours w/o extensive procedure 92 $473,392 $113,344 $43,552,092 $10,427,610 32.88
Preterm labor 90 $11,632 $2,818 $1,046,905 $253,594 2.59
Degenerative nervous system disorders exc mult sclerosis 89 $47,243 $13,689 $4,204,669 $1,218,337 7.02
Head trauma w coma >1 hr or hemorrhage 88 $44,951 $12,390 $3,955,666 $1,090,292 4.27
Depression except major depressive disorder 88 $15,474 $8,410 $1,361,723 $740,104 7.93
Respiratory signs, symptoms & minor diagnoses 87 $21,499 $7,261 $1,870,454 $631,731 2.55
Other respiratory diagnoses except signs, symptoms & minor diagnoses 86 $39,114 $11,954 $3,363,828 $1,028,058 4.22
Other small & large bowel procedures 86 $52,004 $15,871 $4,472,359 $1,364,907 4.40
Major respiratory & chest procedures 83 $78,007 $25,320 $6,474,591 $2,101,600 4.81
Other cardiothoracic & thoracic vascular procedures 83 $188,413 $59,928 $15,638,260 $4,974,035 8.22
Transient ischemia 82 $28,506 $9,288 $2,337,470 $761,630 2.17
Kidney & urinary tract procedures for malignancy 80 $43,796 $13,597 $3,503,648 $1,087,764 1.68
CHEMOTHERAPY 80 $53,422 $15,739 $4,273,760 $1,259,106 5.66
Other endocrine disorders 78 $49,595 $16,770 $3,868,429 $1,308,042 5.90
Other disorders of nervous system 78 $51,479 $16,376 $4,015,388 $1,277,309 5.65
Poisoning of medicinal agents 74 $36,480 $11,005 $2,699,511 $814,406 4.27
Inflammatory bowel disease 73 $39,444 $14,573 $2,879,428 $1,063,863 5.44
Cervical spinal fusion & other back/neck proc exc disc excis/decomp 73 $60,103 $18,556 $4,387,553 $1,354,579 2.85
Other ear, nose, mouth,throat & cranial/facial diagnoses 72 $25,726 $8,746 $1,852,281 $629,721 3.04
Cardiac valve procedures w/o AMI or complex PDX 72 $244,236 $89,816 $17,584,959 $6,466,731 10.58
Osteomyelitis, septic arthritis & other musculoskeletal infections 70 $55,743 $18,536 $3,902,039 $1,297,554 7.31
Connective tissue disorders 70 $52,063 $16,954 $3,644,383 $1,186,774 5.86
Viral illness 70 $19,925 $8,560 $1,394,722 $599,227 2.73
Fever 69 $25,860 $9,882 $1,784,361 $681,838 3.29
Other respiratory & chest procedures 67 $82,076 $24,785 $5,499,067 $1,660,611 6.82
Dorsal & lumbar fusion proc except for curvature of back 67 $82,732 $25,742 $5,543,064 $1,724,722 5.12
Malignancy of hepatobiliary system & pancreas 66 $54,963 $17,065 $3,627,530 $1,126,319 6.45
Shoulder, upper arm & forearm procedures except joint replacement 66 $41,434 $14,387 $2,734,634 $949,536 2.42
Coronary bypass w/o AMI or complex PDX 65 $167,600 $64,902 $10,893,979 $4,218,639 8.38
Organic mental health disturbances 65 $36,516 $14,184 $2,373,562 $921,959 10.89
Knee & lower leg procedures except foot 63 $52,543 $17,812 $3,310,239 $1,122,180 4.03
Malfunction, reaction, complic of genitourinary device or proc 63 $55,668 $17,062 $3,507,077 $1,074,882 6.75
Malnutrition, failure to thrive & other nutritional disorders 62 $36,990 $12,777 $2,293,359 $792,146 5.26
Nervous system malignancy 59 $48,062 $14,643 $2,835,664 $863,945 6.36
Neonate bwt 1500-1999g w or w/o other significant condition 59 $133,012 $20,964 $7,847,703 $1,236,887 12.93
Respiratory system diagnosis w ventilator support 96+ hours 58 $194,902 $63,643 $11,304,296 $3,691,278 15.60
Other skin, subcutaneous tissue & related procedures 58 $37,113 $13,465 $2,152,566 $780,980 4.31
Skin ulcers 58 $34,728 $11,008 $2,014,233 $638,450 4.84
Major biliary tract procedures 57 $80,744 $27,522 $4,602,382 $1,568,750 7.40
Other digestive system & abdominal procedures 56 $79,762 $23,489 $4,466,697 $1,315,410 6.48
Major hematologic/immunologic diag exc sickle cell crisis & coagul 56 $53,009 $15,406 $2,968,500 $862,721 5.66
Intervertebral disc excision & decompression 53 $45,111 $15,203 $2,390,872 $805,760 3.72
Chest pain 51 $20,975 $7,144 $1,069,711 $364,348 1.84
Other hepatobiliary, pancreas & abdominal procedures 51 $83,654 $25,077 $4,266,348 $1,278,949 6.98
Contusion, open wound & other trauma to skin & subcutaneous tissue 51 $26,398 $7,967 $1,346,274 $406,318 3.37
Urethral & transurethral procedures 51 $41,585 $13,152 $2,120,832 $670,738 3.47
Post-op, post-trauma, other device infections w O.R. procedure 51 $136,960 $44,325 $6,984,966 $2,260,595 10.73
Hernia procedures except inguinal, femoral & umbilical 50 $50,943 $16,205 $2,547,140 $810,227 4.02
Major chest & respiratory trauma 49 $37,768 $11,368 $1,850,623 $557,048 4.41
Uterine & adnexa procedures for non-ovarian & non-adnexal malig 48 $48,295 $15,412 $2,318,164 $739,783 2.48
Lymphoma, myeloma & non-acute leukemia 48 $90,472 $24,575 $4,342,678 $1,179,583 8.90
Other kidney & urinary tract diagnoses, signs & symptoms 47 $31,581 $10,490 $1,484,321 $493,053 3.49
Neonate, birthwt >2499g w resp dist synd/oth maj resp cond 47 $84,253 $14,484 $3,959,888 $680,728 7.40
Tonsil & adenoid procedures 47 $20,606 $7,049 $968,502 $331,309 1.64
Cardiac valve procedures w AMI or complex PDX 46 $288,484 $100,826 $13,270,278 $4,638,012 14.22
Malfunction, reaction & complication of GI device or procedure 45 $45,085 $13,742 $2,028,817 $618,377 5.84
Other esophageal disorders 44 $36,592 $11,880 $1,610,032 $522,728 3.80
Hepatic coma & other major acute liver disorders 44 $50,866 $14,522 $2,238,112 $638,957 6.23
Other complications of treatment 44 $33,345 $9,934 $1,467,168 $437,107 3.70
Other stomach, esophageal & duodenal procedures 43 $71,360 $21,398 $3,068,489 $920,103 6.28
Musculoskeletal malignancy & pathol fracture d/t muscskel malig 43 $61,537 $18,204 $2,646,108 $782,757 7.91
Hypertension 42 $32,503 $10,721 $1,365,141 $450,263 3.05
Abdominal pain 42 $19,172 $6,438 $805,235 $270,377 2.62
Coagulation & platelet disorders 42 $39,931 $11,570 $1,677,091 $485,937 4.24
Other infectious & parasitic diseases 42 $29,758 $12,243 $1,249,825 $514,205 4.40
Other disorders of the liver 41 $45,174 $14,076 $1,852,148 $577,098 4.41
Other musculoskeletal system & connective tissue procedures 41 $51,050 $16,345 $2,093,037 $670,148 4.10
Major male pelvic procedures 41 $47,748 $13,994 $1,957,674 $573,766 1.34
Dental & oral diseases & injuries 40 $28,414 $9,443 $1,136,565 $377,721 3.30
Foot & toe procedures 40 $58,357 $18,285 $2,334,283 $731,416 6.73
Migraine & other headaches 40 $28,291 $11,005 $1,131,632 $440,211 2.95
Nonextensive procedure unrelated to principal diagnosis 40 $71,069 $21,171 $2,842,774 $846,832 6.53
Major abdominal vascular procedures 39 $130,609 $42,552 $5,093,741 $1,659,541 5.82
Vertigo & other labyrinth disorders 38 $20,159 $6,561 $766,046 $249,315 2.63
Inguinal, femoral & umbilical hernia procedures 38 $29,437 $9,827 $1,118,602 $373,428 2.08
Other skin, subcutaneous tissue & breast disorders 36 $28,103 $9,683 $1,011,725 $348,591 3.36
Transurethral prostatectomy 36 $27,224 $9,091 $980,075 $327,269 1.89
Neonate bwt 2000-2499g w other significant condition 36 $106,329 $17,667 $3,827,826 $636,009 10.83
Malfunction,reaction,complication of cardiac/vasc device or procedure 35 $65,659 $19,648 $2,298,060 $687,678 6.00
D&C, aspiration curettage or hysterotomy for obstetric diagnoses 35 $31,633 $9,675 $1,107,169 $338,613 2.54
Fracture of pelvis or dislocation of hip 34 $27,456 $8,496 $933,509 $288,855 4.00
Alcoholic liver disease 33 $54,031 $14,443 $1,783,026 $476,624 5.64
Acute anxiety & delirium states 33 $19,026 $9,189 $627,863 $303,230 6.88
Other circulatory system procedures 32 $111,708 $38,213 $3,574,663 $1,222,828 8.69
Amputation of lower limb except toes 32 $64,150 $20,007 $2,052,806 $640,219 7.47
Concussion, closed skull Fx nos,uncomplicated intracranial injury, coma < 1 hr or no coma 31 $18,636 $5,985 $577,714 $185,526 1.94
Drug & alcohol abuse or dependence, left against medical advice 31 $12,181 $4,016 $377,626 $124,496 1.45
Multiple sclerosis & other demyelinating diseases 30 $39,311 $11,292 $1,179,316 $338,773 4.90
Female reproductive system infections 30 $35,536 $10,692 $1,066,077 $320,774 5.07
Sickle cell anemia crisis 30 $44,484 $13,776 $1,334,525 $413,288 6.30
O.R. procedure for other complications of treatment 30 $90,685 $26,484 $2,720,561 $794,521 6.77
Other significant hip and femur surgery 29 $64,788 $22,128 $1,878,863 $641,723 5.69
Other O.R. proc for obstetric diagnoses except delivery diagnoses 29 $26,321 $8,488 $763,307 $246,160 2.28
Peripheral, cranial & autonomic nerve disorders 28 $37,576 $11,732 $1,052,126 $328,509 4.79
Other female reproductive system & related procedures 28 $57,058 $19,236 $1,597,627 $538,621 3.68
Lymphatic & other malignancies & neoplasms of uncertain behavior 28 $44,193 $13,501 $1,237,416 $378,034 5.07
Cardiac pacemaker & defibrillator device replacement 27 $124,339 $37,670 $3,357,162 $1,017,092 3.07
Cardiac structural & valvular disorders 27 $66,347 $20,163 $1,791,367 $544,410 5.15
Spinal procedures 27 $76,631 $24,215 $2,069,043 $653,805 6.26
Cholecystectomy except laparoscopic 27 $66,807 $22,073 $1,803,778 $595,959 5.56
Skin graft for skin & subcutaneous tissue diagnoses 27 $69,058 $20,910 $1,864,577 $564,581 5.70
Nontraumatic stupor & coma 27 $38,253 $12,421 $1,032,833 $335,364 3.63
Major esophageal disorders 26 $61,386 $16,525 $1,596,038 $429,660 5.69
Gastrointestinal vascular insufficiency 26 $39,654 $12,111 $1,031,013 $314,897 4.58
Interstitial & alveolar lung diseases 25 $56,277 $15,666 $1,406,937 $391,658 6.36
Thyroid, parathyroid & thyroglossal procedures 25 $35,210 $11,138 $880,247 $278,458 1.84
Multiple significant trauma w/o O.R. procedure 25 $50,708 $14,095 $1,267,705 $352,363 4.96
Major bladder procedures 24 $101,615 $30,391 $2,438,766 $729,381 5.42
Male reproductive system diagnoses except malignancy 24 $27,017 $8,494 $648,412 $203,859 3.79
HIV w major HIV related condition 24 $60,957 $17,381 $1,462,976 $417,139 5.38
Other male reproductive system & related procedures 23 $44,214 $12,987 $1,016,913 $298,704 1.35
Other O.R. procedures for lymphatic/hematopoietic/other neoplasms 23 $94,945 $30,404 $2,183,730 $699,283 9.70
Allergic reactions 23 $36,376 $10,541 $836,644 $242,439 3.43
Other ear, nose, mouth & throat procedures 23 $77,210 $30,571 $1,775,827 $703,135 6.00
Fracture of femur 22 $32,642 $9,920 $718,131 $218,243 4.18
Non-bacterial infections of nervous system exc viral meningitis 22 $93,656 $34,098 $2,060,431 $750,161 7.68
Neonate bwt 2000-2499g w resp dist synd/oth maj resp cond 22 $161,189 $26,323 $3,546,159 $579,097 15.27
Neonate bwt 1250-1499g w resp dist synd/oth maj resp or maj anom 21 $451,453 $71,737 $9,480,520 $1,506,484 42.33
Adjustment disorders & neuroses except depressive diagnoses 21 $16,403 $8,997 $344,457 $188,938 8.90
Major skin disorders 20 $28,620 $9,045 $572,409 $180,890 4.05
Bacterial & tuberculous infections of nervous system 20 $114,354 $30,732 $2,287,089 $614,646 11.45
Abortion w/o D&C, aspiration curettage or hysterotomy 20 $13,282 $3,962 $265,632 $79,247 1.35
HIV w multiple major HIV related conditions 20 $151,356 $42,055 $3,027,126 $841,104 12.95
Musculoskeletal & other procedures for multiple significant trauma 20 $159,573 $47,320 $3,191,460 $946,404 12.85
Pituitary & adrenal procedures 19 $48,884 $15,773 $928,803 $299,693 2.63
Neonate bwt 1500-1999g w resp dist synd/oth maj resp cond 19 $335,216 $53,225 $6,369,108 $1,011,267 31.84
Neonate birthwt >2499g w congenital/perinatal infection 19 $71,310 $11,562 $1,354,892 $219,684 6.95
Opioid abuse & dependence 19 $24,224 $8,841 $460,263 $167,980 6.32
Eye disorders except major infections 19 $19,309 $6,675 $366,867 $126,832 2.42
Ear, nose, mouth, throat, cranial/facial malignancies 18 $63,997 $18,595 $1,151,949 $334,718 7.17
Acute leukemia 18 $112,172 $34,040 $2,019,102 $612,717 11.56
Other drug abuse & dependence 18 $21,080 $9,262 $379,447 $166,712 7.28
Major pancreas, liver & shunt procedures 17 $188,665 $55,368 $3,207,297 $941,264 14.35
Tendon, muscle & other soft tissue procedures 17 $55,825 $18,733 $949,026 $318,462 6.18
Ectopic pregnancy procedure 17 $28,296 $9,637 $481,037 $163,834 1.00
Neonate birthwt 750-999g w/o major procedure 17 $810,551 $132,080 $13,779,367 $2,245,361 72.88
Peritoneal adhesiolysis 16 $80,840 $25,993 $1,293,442 $415,881 8.06
Anal procedures 16 $43,165 $13,917 $690,640 $222,669 3.94
Neonate bwt 2000-2499g w major anomaly 16 $134,001 $22,915 $2,144,019 $366,636 12.13
Other mental health disorders 16 $32,240 $15,588 $515,835 $249,405 14.69
Uterine & adnexa procedures for ovarian & adnexal malignancy 15 $63,399 $19,323 $950,988 $289,850 4.73
Female reproductive system reconstructive procedures 15 $33,339 $10,892 $500,085 $163,378 1.40
Major O.R. procedures for lymphatic/hematopoietic/other neoplasms 15 $73,245 $22,804 $1,098,671 $342,057 5.13
Craniotomy for trauma 14 $150,667 $38,153 $2,109,342 $534,142 9.86
Breast procedures except mastectomy 14 $35,915 $11,765 $502,810 $164,714 1.50
Nephritis & nephrosis 14 $44,852 $16,889 $627,933 $236,449 5.36
Penis procedures 14 $36,522 $12,222 $511,307 $171,105 1.36
Pelvic evisceration, radical hysterectomy & other radical GYN procs 14 $52,805 $17,159 $739,263 $240,223 2.07
Menstrual & other female reproductive system disorders 14 $21,040 $6,630 $294,556 $92,815 2.36
Neonate bwt 1000-1249g w resp dist synd/oth maj resp or maj anom 14 $633,478 $101,613 $8,868,688 $1,422,585 57.79
Other injury, poisoning & toxic effect diagnoses 14 $37,050 $17,213 $518,696 $240,987 5.00
Toxic effects of non-medicinal substances 14 $37,597 $14,431 $526,362 $202,037 7.50
HIV w one signif HIV cond or w/o signif related cond 14 $33,420 $10,061 $467,878 $140,854 3.79
Female reproductive system malignancy 13 $39,960 $12,285 $519,484 $159,701 5.23
Neonate birthwt 1500-1999g w major anomaly 13 $292,008 $46,992 $3,796,108 $610,895 28.15
Other procedures of blood & blood-forming organs 13 $137,720 $52,819 $1,790,361 $686,650 12.08
Cardiac arrest and shock 12 $62,095 $18,324 $745,139 $219,887 6.17
Kidney & urinary tract malignancy 12 $56,843 $18,203 $682,121 $218,439 8.08
Viral meningitis 12 $27,510 $10,401 $330,125 $124,807 3.67
Other nervous system & related procedures 11 $85,262 $25,275 $937,879 $278,030 7.27
Malignant breast disorders 11 $57,615 $17,225 $633,760 $189,471 6.91
Disorders of personality & impulse control 11 $27,742 $13,436 $305,162 $147,796 12.73
Procedure w diag of rehab, aftercare or oth contact w health service 11 $43,503 $14,771 $478,534 $162,486 3.55
Cardiac pacemaker & defibrillator revision except device replacement 10 $77,085 $28,618 $770,846 $286,175 4.60
Ventricular shunt procedures 10 $62,075 $20,434 $620,750 $204,342 4.30
Other kidney, urinary tract & related procedures 10 $208,720 $62,015 $2,087,195 $620,149 11.90
Neonate bwt 1250-1499g w or w/o other significant condition 10 $232,876 $36,651 $2,328,759 $366,509 22.50
Skin graft, except hand, for musculoskeletal & connective tissue diagnoses 9 $73,979 $22,209 $665,811 $199,881 8.78
Spinal disorders & injuries 9 $50,682 $15,064 $456,135 $135,576 6.56
Renal dialysis access device procedure only 9 $88,473 $27,859 $796,257 $250,727 8.00
Other procedures for endocrine, nutritional & metabolic disorders 8 $151,005 $45,523 $1,208,039 $364,184 17.50
Dilation & curettage for non-obstetric diagnoses 8 $38,846 $11,608 $310,765 $92,867 3.75
Neonate bwt <1500g w major procedure 8 $1,439,854 $246,904 $11,518,830 $1,975,228 99.13
Behavioral disorders 8 $30,275 $15,894 $242,203 $127,150 16.25
Permanent cardiac pacemaker implant w AMI, heart failure or shock 7 $122,360 $36,692 $856,517 $256,841 4.86
Hand & wrist procedures 7 $43,602 $15,204 $305,215 $106,431 5.29
Other bladder procedures 7 $82,961 $26,396 $580,730 $184,775 7.71
Testes & scrotal procedures 7 $31,763 $10,644 $222,339 $74,506 1.86
Acute major eye infections 7 $20,457 $7,445 $143,200 $52,112 3.14
Cardiomyopathy 6 $27,678 $9,584 $166,065 $57,504 2.83
Neonate, transferred < 5 days old, born here 6 $16,017 $3,324 $96,099 $19,946 1.67
Neonate birthwt 500-749g w/o major procedure 6 $879,527 $144,034 $5,277,159 $864,203 72.67
Cocaine abuse & dependence 6 $17,313 $6,618 $103,877 $39,708 4.50
Major cranial/facial bone procedures 6 $104,471 $27,787 $626,823 $166,724 7.50
Extensive abdominal/thoracic procedures for mult significant trauma 6 $137,319 $40,713 $823,914 $244,278 7.50
Malfunction, reaction, complic of orthopedic device or procedure 5 $89,305 $26,353 $446,525 $131,763 12.80
Neonate bwt <500g or GA <24 weeks 5 $541,780 $90,939 $2,708,899 $454,694 45.20
Major larynx & trachea procedures 5 $210,818 $61,986 $1,054,092 $309,930 15.80
Acute & subacute endocarditis 4 $78,924 $23,946 $315,694 $95,782 7.75
Malignancy, male reproductive system 4 $31,323 $8,983 $125,290 $35,931 3.75
Other major head & neck procedures 4 $73,962 $24,309 $295,847 $97,236 4.75
BPD & oth chronic respiratory diseases arising in perinatal period 3 $64,314 $35,782 $192,943 $107,345 7.67
Inborn errors of metabolism 3 $25,717 $7,653 $77,152 $22,959 3.67
Nonspecific CVA & precerebral occlusion w/o infarct 3 $35,286 $11,345 $105,858 $34,036 3.00
Neonate birthwt 1000-1249g w or w/o other significant condition 3 $352,336 $55,351 $1,057,008 $166,053 33.67
Neonate birthwt >2499g w other major procedure 3 $233,194 $43,274 $699,582 $129,822 18.67
Splenectomy 3 $39,111 $14,856 $117,334 $44,567 2.67
Partial thickness burns without skin graft 3 $15,318 $6,543 $45,953 $19,629 1.67
Other aftercare & convalescence 3 $43,405 $12,308 $130,214 $36,925 3.00
Craniotomy for multiple significant trauma 3 $245,068 $61,845 $735,203 $185,535 11.67
Brain contusion/laceration & complicated skull Fx, coma < 1 hr or no coma 2 $29,923 $7,738 $59,845 $15,476 2.00
False labor 2 $4,341 $1,235 $8,681 $2,469 1.00
Radiotherapy 2 $70,564 $20,873 $141,127 $41,746 12.00
Mental illness diagnosis w O.R. procedure 2 $22,794 $12,811 $45,588 $25,622 12.00
Alcohol & drug dependence w rehab or rehab/detox therapy 2 $24,739 $6,841 $49,478 $13,681 3.00
Facial bone procedures except major cranial/facial bone procedures 2 $64,925 $20,790 $129,850 $41,579 4.50
Cystic fibrosis - pulmonary disease 1 $91,901 $47,096 $91,901 $47,096 9.00
Major cardiothoracic repair of heart anomaly 1 $420,367 $142,254 $420,367 $142,254 17.00
Neonate bwt 1500-2499g w major procedure 1 $110,250 $20,534 $110,250 $20,534 9.00
Orbital procedures 1 $36,258 $10,212 $36,258 $10,212 6.00
Eating disorders 1 $16,768 $10,516 $16,768 $10,516 3.00
Neonatal aftercare 1 $20,459 $3,196 $20,459 $3,196 2.00
Sinus & mastoid procedures 1 $86,670 $39,069 $86,670 $39,069 5.00

Payment & Value of Care


The payment measures add up all payments made for care starting the day the patient enters the hospital and continuing for the next 30 days. This can include payments made to the hospital, doctor’s office, skilled nursing facility, hospice, as well as patient co-pays made during this time. Payments can be from Medicare, other health insurers, or the patients themselves. Looking at how payments vary is one way to see differences in how hospitals and other healthcare providers care for patients.
  • The measures include Medicare beneficiaries 65 years or older who were enrolled in Original Medicare for the entire 12 months before their hospitalization, as well as the 30 days after admission.
  • Read more about this measure here.

Measure Compared to National Avg. # Cases Measured Avg. Medicare Payment
Payment for heart attack patients No Different than the National Average Payment 863 $22,282
Payment for heart failure patients Greater than the National Average Payment 1,303 $17,600
Payment for pneumonia patients Greater than the National Average Payment 589 $15,273

Readmissions and Death Rate


The 30-day unplanned readmission measures are estimates of unplanned readmission for any cause to any acute care hospital within 30 days of discharge from a hospitalization. The 30-day death (mortality) measures are estimates of deaths from any cause within 30 days of a hospital admission, for patients hospitalized with one of several medical conditions or surgical procedures.
  • The measures include Medicare beneficiaries 65 years or older who were enrolled in Original Medicare for the entire 12 months before their hospitalization, as well as the 30 days after admission. The unplanned readmission measures do not include patients who died during the index admission, or who left the hospital against medical advice.
  • Read more about this measure here.
Measure Compared to National Avg. # Cases Measured Rate
Acute Myocardial Infarction (AMI) 30-Day Mortality Rate Better than the National Rate 878 11.6
Acute Myocardial Infarction (AMI) 30-Day Readmission Rate No different than the National Rate 903 16.4
Death rate for CABG No different than the National Rate 149 3.0
Death rate for chronic obstructive pulmonary disease (COPD) patients No different than the National Rate 565 6.9
Death rate for stroke patients Better than the National Rate 620 10.1
Heart failure (HF) 30-Day Mortality Rate Better than the National Rate 1342 8.5
Heart failure (HF) 30-Day Readmission Rate Worse than the National Rate 1610 24.9
Pneumonia (PN) 30-Day Mortality Rate Better than the National Rate 603 7.2
Pneumonia (PN) 30-Day Readmission Rate No different than the National Rate 610 17.7
Rate of readmission after discharge from hospital (hospital-wide) Worse than the National Rate 6968 17.4
Rate of readmission after hip/knee surgery No different than the National Rate 118 4.1
Rate of unplanned readmission for CABG No different than the National Rate 147 15.2
Rate of unplanned readmission for chronic obstructive pulmonary disease (COPD) patients No different than the National Rate 644 19.3
Rate of unplanned readmission for stroke patients Worse than the National Rate 608 17.0

Timely & Effective care measures

The measures of timely and effective care (also known as “process of care” measures) show
  • The percentage of hospital patients who got treatments known to get the best results for certain common, serious medical conditions or surgical procedures.
  • How quickly hospitals treat patients who come to the hospital with certain medical emergencies, and
  • How well hospitals provide preventive services.
  • Read more about this measure here.
Measure n of Cases reviewed
Blood Clot Prevention and Treatment
Venous thromboembolism prophylaxis
04/01/2014 - 03/31/2015
95 431
ICU venous thromboembolism prophylaxis
04/01/2014 - 03/31/2015
99 84
Anticoagulation overlap therapy
04/01/2014 - 03/31/2015
97 106
Unfractionated heparin with dosages/platelet count monitoring
04/01/2014 - 03/31/2015
100 141
Warfarin therapy discharge instructions
04/01/2014 - 03/31/2015
92 49
Hospital acquired potentially preventable venous thromboembolism
04/01/2014 - 03/31/2015
5 58
Emergency Department
ED1
04/01/2014 - 03/31/2015
559 555
ED2
04/01/2014 - 03/31/2015
178 555
Emergency department volume
01/01/2013 - 12/31/2013
Very High (60,000+ patients annually)
OP 18
04/01/2014 - 03/31/2015
235 374
Door to diagnostic eval
04/01/2014 - 03/31/2015
41 403
Median time to pain med
04/01/2014 - 03/31/2015
51 399
Left before being seen
01/01/2013 - 12/31/2013
2 121900
Head CT results
04/01/2014 - 03/31/2015
Not Available Not Available
Heart Attack or Chest Pain
Fibrinolytic Therapy Received Within 30 Minutes Of Hospital Arrival
04/01/2014 - 03/31/2015
Not Available Not Available
Primary PCI Received Within 90 Minutes of Hospital Arrival
04/01/2014 - 03/31/2015
90 30
Median Time to Fibrinolysis
04/01/2014 - 03/31/2015
Not Available Not Available
Fibrinolytic Therapy Received Within 30 Minutes of ED Arrival
04/01/2014 - 03/31/2015
Not Available Not Available
Median Time to Transfer to Another Facility for Acute Coronary Intervention
04/01/2014 - 03/31/2015
Not Available Not Available
Aspirin at Arrival
04/01/2014 - 03/31/2015
Not Available Not Available
Median Time to ECG
04/01/2014 - 03/31/2015
Not Available Not Available
Heart Failure
Evaluation of LVS Function
04/01/2014 - 03/31/2015
100 224
Pneumonia
Initial antibiotic selection for CAP in immunocompetent patient
04/01/2014 - 03/31/2015
98 43
Pregnancy and Delivery Care
Percent of newborns whose deliveries were scheduled early (1-3 weeks early), when a scheduled delivery was not medically necessary
04/01/2014 - 03/31/2015
2 123
Preventive Care
Immunization for influenza
10/01/2014 - 03/31/2015
63 460
Healthcare workers given influenza vaccination
10/01/2014 - 03/31/2015
74 6698
Stroke Care
Venous Thromboembolism (VTE) Prophylaxis
04/01/2014 - 03/31/2015
96 593
Assessed for Rehabilitation
04/01/2014 - 03/31/2015
100 545
Discharged on Antithrombotic Therapy
04/01/2014 - 03/31/2015
100 481
Anticoagulation Therapy for Atrial Fibrillation/Flutter
04/01/2014 - 03/31/2015
99 88
Thrombolytic Therapy
04/01/2014 - 03/31/2015
100 27
Antithrombotic Therapy by End of Hospital Day 2
04/01/2014 - 03/31/2015
99 460
Discharged on Statin Medication
04/01/2014 - 03/31/2015
99 372
Stroke Education
04/01/2014 - 03/31/2015
96 275
Surgical Care Improvement Project
Surgery Patients on a Beta Blocker Prior to Arrival Who Received a Beta Blocker During the Perioperative Period
04/01/2014 - 03/31/2015
99 243
Prophylactic antibiotic received within 1 hour prior to surgical incision
04/01/2014 - 03/31/2015
100 467
Prophylactic Antibiotic Selection for Surgical Patients
04/01/2014 - 03/31/2015
99 464
Prophylactic antibiotics discontinued within 24 hours after surgery end time
04/01/2014 - 03/31/2015
98 444
Postoperative Urinary Catheter Removal
04/01/2014 - 03/31/2015
99 353
Surgery Patients Who Received Appropriate Venous Thromboembolism Prophylaxis Within 24 Hours Prior to Surgery to 24 Hours After Surgery
04/01/2014 - 03/31/2015
100 362

Complications

Measures of serious complications are drawn from the Agency for Healthcare Research and Quality (AHRQ) Patient Safety Indicators (PSIs). The overall score for serious complications is based on how often adult patients had certain serious, but potentially preventable, complications related to medical or surgical inpatient hospital care.
Measure Compared to National Avg. # Cases Measured Score
Rate of complications for hip/knee replacement patients No different than the National Rate 117 2.8
Serious blood clots after surgery No different than the National Rate 4182 4.21
A wound that splits open after surgery on the abdomen or pelvis No different than the National Rate 467 1.60
Accidental cuts and tears from medical treatment Worse than the National Rate 19550 2.57
Deaths among Patients with Serious Treatable Complications after Surgery No different than the National Rate 174 114.76
Collapsed lung due to medical treatment No different than the National Rate 17783 0.31
Serious complications No different than the National Rate Not Available 0.95