Bellevue Hospital Center


2016 Age Distribution

2016 Patient Race:

Black/African American7,181
Other Race15,253
White4,492

2016 Payers:

Blue Cross/Blue Shield 722
Department of Corrections 1,405
Federal/State/Local/VA 28
Managed Care, Unspecified 126
Medicaid 14,333
Medicare 4,728
Miscellaneous/Other 377
Private Health Insurance 2,009
Self-Pay 3,198

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
Schizophrenia 2217 $33,823 $17,580 $74,984,624 $38,974,057 22.25
Neonate birthwt >2499g, normal newborn or neonate w other problem 1146 $6,460 $3,357 $7,402,843 $3,847,670 2.48
Bipolar disorders 1081 $19,045 $9,899 $20,588,161 $10,700,927 12.41
Procedures for obesity 969 $15,398 $8,003 $14,920,539 $7,755,111 2.47
Major depressive disorders & other/unspecified psychoses 889 $23,584 $12,258 $20,966,341 $10,897,489 15.28
Vaginal delivery 876 $12,689 $6,595 $11,115,379 $5,777,365 2.74
Alcohol abuse & dependence 695 $13,916 $7,233 $9,671,357 $5,026,816 3.71
Alcohol & drug dependence w rehab or rehab/detox therapy 634 $6,642 $3,452 $4,210,785 $2,188,628 3.12
Opioid abuse & dependence 564 $6,094 $3,168 $3,437,105 $1,786,507 3.13
Septicemia & disseminated infections 496 $61,342 $31,883 $30,425,601 $15,814,045 10.30
Cesarean delivery 403 $19,665 $10,221 $7,924,842 $4,119,030 4.31
Seizure 384 $23,452 $12,190 $9,005,718 $4,680,826 3.09
Cellulitis & other skin infections 379 $23,890 $12,417 $9,054,482 $4,706,167 3.91
Adjustment disorders & neuroses except depressive diagnoses 351 $12,781 $6,643 $4,486,161 $2,331,738 8.32
Heart failure 343 $46,370 $24,101 $15,904,776 $8,266,681 7.24
Rehabilitation 301 $60,583 $31,488 $18,235,340 $9,478,018 18.78
Percutaneous coronary intervention w/o AMI 297 $25,435 $13,220 $7,554,287 $3,926,420 3.89
Angina pectoris & coronary atherosclerosis 284 $22,386 $11,636 $6,357,753 $3,304,515 3.18
Cocaine abuse & dependence 278 $5,529 $2,874 $1,537,032 $798,901 2.84
CHEMOTHERAPY 276 $26,213 $13,625 $7,234,886 $3,760,411 4.61
Cardiac arrhythmia & conduction disorders 273 $25,820 $13,420 $7,048,796 $3,663,698 4.04
Drug & alcohol abuse or dependence, left against medical advice 265 $4,998 $2,598 $1,324,383 $688,387 1.77
Depression except major depressive disorder 242 $10,283 $5,345 $2,488,537 $1,293,446 6.35
Other digestive system diagnoses 237 $21,715 $11,286 $5,146,384 $2,674,895 3.54
Chest pain 230 $17,940 $9,325 $4,126,240 $2,144,658 2.50
Chronic obstructive pulmonary disease 203 $27,934 $14,519 $5,670,631 $2,947,378 4.53
Head trauma w coma >1 hr or hemorrhage 196 $28,583 $14,856 $5,602,238 $2,911,817 3.52
Kidney & urinary tract infections 195 $30,997 $16,111 $6,044,335 $3,141,611 4.98
Other anemia & disorders of blood & blood-forming organs 193 $17,423 $9,056 $3,362,707 $1,747,808 2.66
Other pneumonia 192 $27,609 $14,350 $5,300,951 $2,755,235 4.54
Behavioral disorders 187 $24,049 $12,500 $4,497,143 $2,337,440 17.12
Asthma 184 $18,342 $9,533 $3,374,903 $1,754,143 2.97
Syncope & collapse 184 $22,984 $11,946 $4,229,101 $2,198,128 3.26
Percutaneous coronary intervention w AMI 183 $30,844 $16,032 $5,644,493 $2,933,788 4.20
RENAL FAILURE 173 $55,640 $28,919 $9,625,656 $5,003,038 7.58
Acute myocardial infarction 165 $36,634 $19,041 $6,044,577 $3,141,734 5.47
Diabetes 163 $35,318 $18,357 $5,756,800 $2,992,158 5.09
Other gastroenteritis, nausa & vomiting 160 $15,382 $7,995 $2,461,088 $1,279,176 2.27
Cardiac catheterization for other non-coronary conditions 149 $21,527 $11,189 $3,207,513 $1,667,134 3.19
Signs, symptoms & other factors influencing health status 149 $24,863 $12,923 $3,704,534 $1,925,472 3.66
Laparoscopic cholecystectomy 143 $21,757 $11,308 $3,111,258 $1,617,104 3.36
Other drug abuse & dependence 137 $9,337 $4,853 $1,279,166 $664,861 5.47
Cardiac catheterization for coronary artery disease 135 $51,068 $26,543 $6,894,127 $3,583,296 8.16
Infectious & parasitic diseases including HIV w O.R. procedure 135 $157,606 $81,917 $21,276,799 $11,058,854 24.98
Appendectomy 134 $12,546 $6,521 $1,681,197 $873,818 1.87
Knee & lower leg procedures except foot 134 $42,609 $22,147 $5,709,625 $2,967,637 7.12
Contusion, open wound & other trauma to skin & subcutaneous tissue 129 $19,371 $10,068 $2,498,828 $1,298,792 2.31
Poisoning of medicinal agents 129 $25,881 $13,452 $3,338,706 $1,735,329 4.47
Other musculoskeletal system & connective tissue diagnoses 126 $25,075 $13,033 $3,159,422 $1,642,141 3.96
Other antepartum diagnoses 126 $16,822 $8,744 $2,119,599 $1,101,683 3.83
Other disorders of nervous system 120 $35,561 $18,483 $4,267,362 $2,218,010 6.72
CVA & precerebral occlusion w infarct 117 $46,997 $24,427 $5,498,593 $2,857,959 6.20
Other aftercare & convalescence 114 $48,553 $25,236 $5,535,066 $2,876,916 14.89
Craniotomy except for trauma 110 $75,096 $39,032 $8,260,586 $4,293,531 10.32
Facial bone procedures except major cranial/facial bone procedures 109 $23,638 $12,286 $2,576,545 $1,339,181 3.77
Peripheral & other vascular disorders 108 $34,553 $17,959 $3,731,676 $1,939,577 5.47
Fractures & dislocations except femur, pelvis & back 108 $29,192 $15,173 $3,152,689 $1,638,644 4.38
Electrolyte disorders except hypovolemia related 108 $32,324 $16,801 $3,490,956 $1,814,466 5.45
Other circulatory system diagnoses 103 $30,098 $15,644 $3,100,050 $1,611,282 4.37
Shoulder, upper arm & forearm procedures except joint replacement 103 $30,507 $15,856 $3,142,224 $1,633,204 4.75
Infections of upper respiratory tract 102 $14,963 $7,777 $1,526,215 $793,268 2.21
Coronary bypass w/o AMI or complex PDX 99 $97,021 $50,428 $9,605,120 $4,992,361 13.95
Other back & neck disorders, fractures & injuries 98 $29,073 $15,111 $2,849,183 $1,480,892 3.95
Other & unspecified gastrointestinal hemorrhage 97 $23,008 $11,958 $2,231,741 $1,159,973 3.65
Intracranial hemorrhage 96 $52,264 $27,165 $5,017,296 $2,607,792 7.65
Disorders of pancreas except malignancy 94 $32,428 $16,855 $3,048,271 $1,584,369 5.03
OTHER VASCULAR PROCEDURES 93 $67,570 $35,120 $6,283,972 $3,266,168 11.01
Other ear, nose, mouth,throat & cranial/facial diagnoses 92 $23,941 $12,444 $2,202,585 $1,144,814 3.67
Peptic ulcer & gastritis 91 $29,853 $15,516 $2,716,591 $1,411,977 4.80
Hip and femur fracture repair 91 $47,102 $24,482 $4,286,282 $2,227,839 7.42
Abdominal pain 86 $16,376 $8,511 $1,408,301 $731,978 2.35
Disorders of personality & impulse control 84 $7,200 $3,743 $604,831 $314,371 4.13
Hypovolemia & related electrolyte disorders 81 $27,068 $14,069 $2,192,505 $1,139,576 4.60
Other kidney & urinary tract diagnoses, signs & symptoms 80 $49,186 $25,565 $3,934,859 $2,045,187 7.65
Organic mental health disturbances 79 $30,132 $15,662 $2,380,462 $1,237,273 13.27
Respiratory signs, symptoms & minor diagnoses 77 $19,240 $10,000 $1,481,507 $770,032 2.90
Major respiratory infections & inflammations 74 $100,484 $52,228 $7,435,825 $3,864,846 16.51
Hypertension 74 $22,593 $11,743 $1,671,901 $868,987 3.41
Knee joint replacement 74 $15,832 $8,229 $1,171,550 $608,924 2.50
Acute anxiety & delirium states 74 $12,880 $6,694 $953,083 $495,375 7.66
Toxic effects of non-medicinal substances 74 $24,416 $12,690 $1,806,769 $939,089 4.05
Pulmonary embolism 73 $32,796 $17,046 $2,394,072 $1,244,345 5.15
Hip joint replacement 73 $34,983 $18,183 $2,553,770 $1,327,348 5.73
Digestive malignancy 70 $42,815 $22,254 $2,997,062 $1,557,754 7.21
Connective tissue disorders 70 $39,971 $20,775 $2,797,969 $1,454,278 6.69
Other skin, subcutaneous tissue & related procedures 70 $27,985 $14,545 $1,958,935 $1,018,180 4.31
Kidney & urinary tract procedures for nonmalignancy 69 $32,049 $16,658 $2,211,371 $1,149,385 5.58
Major small & large bowel procedures 68 $66,759 $34,699 $4,539,627 $2,359,519 11.29
Sickle cell anemia crisis 68 $24,872 $12,927 $1,691,296 $879,064 4.26
Cardiac defibrillator & heart assist implant 67 $34,975 $18,179 $2,343,356 $1,217,992 5.27
Dental & oral diseases & injuries 66 $21,429 $11,138 $1,414,298 $735,097 2.94
Other respiratory diagnoses except signs, symptoms & minor diagnoses 66 $34,779 $18,077 $2,295,395 $1,193,059 5.64
Cardiac valve procedures w/o AMI or complex PDX 66 $112,288 $58,363 $7,411,001 $3,851,953 16.83
Thyroid, parathyroid & thyroglossal procedures 65 $12,308 $6,397 $800,014 $415,816 2.11
Hand & wrist procedures 64 $22,412 $11,649 $1,434,355 $745,526 4.08
Major gastrointestinal & peritoneal infections 63 $42,144 $21,905 $2,655,099 $1,380,016 7.43
Other endocrine disorders 63 $30,180 $15,686 $1,901,355 $988,248 5.03
Other esophageal disorders 60 $21,923 $11,395 $1,315,375 $683,681 3.37
Disorders of gallbladder & biliary tract 60 $22,682 $11,790 $1,360,948 $707,371 3.38
Diverticulitis & diverticulosis 59 $24,539 $12,754 $1,447,789 $752,507 3.81
Uterine & adnexa procedures for leiomyoma 59 $11,969 $6,221 $706,182 $367,043 1.97
Perm cardiac pacemaker implant w/o AMI, heart failure or shock 57 $32,662 $16,977 $1,861,740 $967,664 4.75
Degenerative nervous system disorders exc mult sclerosis 57 $70,475 $36,630 $4,017,091 $2,087,929 14.88
Neonate bwt 2000-2499g, normal newborn or neonate w other problem 57 $14,809 $7,697 $844,103 $438,735 4.54
Malignancy of hepatobiliary system & pancreas 56 $38,680 $20,104 $2,166,084 $1,125,848 6.61
Other skin, subcutaneous tissue & breast disorders 56 $20,271 $10,536 $1,135,175 $590,018 3.45
Concussion, closed skull Fx nos,uncomplicated intracranial injury, coma < 1 hr or no coma 56 $20,267 $10,534 $1,134,926 $589,892 2.00
Intestinal obstruction 55 $33,083 $17,195 $1,819,566 $945,741 5.69
Other hepatobiliary, pancreas & abdominal procedures 55 $62,865 $32,675 $3,457,578 $1,797,118 11.02
Alcoholic liver disease 55 $36,470 $18,956 $2,005,839 $1,042,554 6.04
Malnutrition, failure to thrive & other nutritional disorders 54 $51,073 $26,546 $2,757,916 $1,433,457 8.78
Other ear, nose, mouth & throat procedures 54 $18,006 $9,359 $972,310 $505,368 2.87
Osteomyelitis, septic arthritis & other musculoskeletal infections 53 $64,554 $33,553 $3,421,343 $1,778,284 11.77
Tracheostomy w MV 96+ hours w extensive procedure or ECMO 53 $254,762 $132,415 $13,502,398 $7,018,018 35.53
Respiratory Failure 52 $79,522 $41,332 $4,135,121 $2,149,278 11.44
Skin ulcers 50 $27,954 $14,529 $1,397,707 $726,473 4.80
Other respiratory & chest procedures 49 $54,371 $28,260 $2,664,188 $1,384,742 8.65
Eye disorders except major infections 49 $25,105 $13,049 $1,230,161 $639,387 3.49
HIV w major HIV related condition 48 $49,566 $25,763 $2,379,166 $1,236,604 10.94
Vaginal delivery w sterilization &/or D&C 46 $13,585 $7,061 $624,887 $324,792 2.93
Post-operative, post-traumatic, other device infections 46 $47,100 $24,481 $2,166,615 $1,126,119 8.43
Fever 46 $24,003 $12,476 $1,104,156 $573,897 3.78
Cardiac structural & valvular disorders 45 $41,947 $21,803 $1,887,622 $981,115 7.18
Foot & toe procedures 45 $56,218 $29,220 $2,529,805 $1,314,896 9.93
Moderately extensive procedure unrelated to principal diagnosis 45 $82,357 $42,806 $3,706,069 $1,926,274 13.07
Major stomach, esophageal & duodenal procedures 44 $92,973 $48,324 $4,090,822 $2,126,246 10.93
Other small & large bowel procedures 44 $57,828 $30,057 $2,544,420 $1,322,487 9.86
Bronchiolitis & RSV pneumonia 43 $16,386 $8,517 $704,596 $366,221 2.60
Other complications of treatment 43 $34,024 $17,684 $1,463,024 $760,424 5.79
Tendon, muscle & other soft tissue procedures 42 $29,601 $15,386 $1,243,258 $646,197 4.88
Viral illness 42 $16,737 $8,699 $702,971 $365,377 2.45
Major respiratory & chest procedures 41 $55,369 $28,779 $2,270,139 $1,179,928 8.78
Major hematologic/immunologic diag exc sickle cell crisis & coagul 41 $35,839 $18,628 $1,469,399 $763,736 5.83
Musculoskeletal & other procedures for multiple significant trauma 41 $101,069 $52,532 $4,143,819 $2,153,797 14.63
Multiple significant trauma w/o O.R. procedure 41 $48,622 $25,272 $1,993,520 $1,036,152 5.88
Respiratory malignancy 40 $46,582 $24,212 $1,863,298 $968,467 7.98
Other disorders of the liver 40 $20,082 $10,437 $803,261 $417,499 2.98
Migraine & other headaches 40 $15,676 $8,148 $627,045 $325,916 1.88
Nonextensive procedure unrelated to principal diagnosis 40 $73,847 $38,383 $2,953,894 $1,535,321 13.43
Cardiac valve procedures w AMI or complex PDX 39 $137,378 $71,404 $5,357,752 $2,784,749 21.15
Coronary bypass w AMI or complex PDX 39 $108,249 $56,264 $4,221,729 $2,194,291 15.82
Inguinal, femoral & umbilical hernia procedures 39 $15,692 $8,156 $611,991 $318,087 2.62
Neonate, birthwt >2499g w resp dist synd/oth maj resp cond 39 $50,199 $26,091 $1,957,753 $1,017,563 11.56
Lymphoma, myeloma & non-acute leukemia 39 $69,565 $36,157 $2,713,024 $1,410,123 11.56
Post-op, post-trauma, other device infections w O.R. procedure 39 $142,590 $74,113 $5,561,015 $2,890,397 18.21
Vertigo & other labyrinth disorders 38 $24,962 $12,974 $948,559 $493,022 3.47
Major chest & respiratory trauma 38 $27,184 $14,129 $1,033,005 $536,914 3.47
Other cardiothoracic & thoracic vascular procedures 38 $47,023 $24,440 $1,786,860 $928,737 6.87
Malfunction, reaction & complication of GI device or procedure 38 $35,078 $18,232 $1,332,956 $692,816 5.61
Uterine & adnexa procedures for non-malignancy except leiomyoma 38 $11,591 $6,024 $440,450 $228,929 1.87
Neonate birthwt >2499g w major anomaly 38 $39,435 $20,497 $1,498,517 $778,872 9.37
Extensive procedure unrelated to principal diagnosis 38 $87,614 $45,538 $3,329,313 $1,730,446 14.66
Eye procedures except orbit 37 $27,961 $14,533 $1,034,563 $537,725 5.11
Hernia procedures except inguinal, femoral & umbilical 36 $20,746 $10,783 $746,851 $388,182 3.67
HIV w multiple major HIV related conditions 36 $148,238 $77,049 $5,336,584 $2,773,750 17.58
Hepatic coma & other major acute liver disorders 35 $31,403 $16,322 $1,099,111 $571,274 5.06
Peripheral, cranial & autonomic nerve disorders 35 $41,689 $21,669 $1,459,128 $758,399 6.89
Major cranial/facial bone procedures 35 $37,510 $19,496 $1,312,852 $682,372 6.23
Mastectomy procedures 33 $10,343 $5,376 $341,315 $177,400 1.45
Malfunction, reaction, complic of genitourinary device or proc 33 $38,158 $19,833 $1,259,220 $654,495 6.82
Postpartum & post abortion diagnoses w/o procedure 33 $23,871 $12,407 $787,739 $409,436 3.94
O.R. procedure for other complications of treatment 33 $47,595 $24,738 $1,570,623 $816,350 8.21
Major abdominal vascular procedures 32 $89,005 $46,261 $2,848,161 $1,480,365 12.75
Other O.R. proc for obstetric diagnoses except delivery diagnoses 32 $5,928 $3,081 $189,688 $98,590 1.19
Coagulation & platelet disorders 32 $27,117 $14,094 $867,734 $451,016 4.41
Other digestive system & abdominal procedures 31 $57,601 $29,939 $1,785,624 $928,098 10.16
Other nervous system & related procedures 31 $38,691 $20,110 $1,199,424 $623,414 6.10
Amputation of lower limb except toes 31 $82,110 $42,678 $2,545,412 $1,323,009 14.58
Menstrual & other female reproductive system disorders 31 $11,289 $5,867 $349,950 $181,887 1.65
HIV w one signif HIV cond or w/o signif related cond 31 $27,467 $14,277 $851,492 $442,572 4.61
Urinary stones & acquired upper urinary tract obstruction 30 $13,316 $6,921 $399,471 $207,628 1.93
Vaginal delivery w complicating procedures exc sterilization &/or D&C 30 $12,491 $6,492 $374,735 $194,770 2.70
Other mental health disorders 30 $14,986 $7,789 $449,568 $233,667 9.33
Inflammatory bowel disease 29 $67,558 $35,114 $1,959,176 $1,018,305 10.45
Skin graft for skin & subcutaneous tissue diagnoses 29 $48,907 $25,420 $1,418,314 $737,186 9.14
Extracranial vascular procedures 27 $45,434 $23,615 $1,226,710 $637,595 6.78
Other musculoskeletal system & connective tissue procedures 27 $36,767 $19,110 $992,698 $515,967 5.93
Nervous system malignancy 27 $66,394 $34,509 $1,792,638 $931,744 11.30
Tracheostomy w MV 96+ hours w/o extensive procedure 27 $244,992 $127,337 $6,614,772 $3,438,102 33.93
Major biliary tract procedures 26 $47,692 $24,788 $1,239,990 $644,496 8.04
Transient ischemia 26 $27,236 $14,156 $708,137 $368,060 3.08
Major esophageal disorders 25 $27,331 $14,206 $683,277 $355,142 4.52
Cervical spinal fusion & other back/neck proc exc disc excis/decomp 25 $53,286 $27,696 $1,332,151 $692,401 8.76
Male reproductive system diagnoses except malignancy 25 $28,025 $14,567 $700,636 $364,164 4.68
Nontraumatic stupor & coma 25 $41,186 $21,407 $1,029,655 $535,175 6.64
Neonate birthwt >2499g w other significant condition 25 $26,362 $13,702 $659,046 $342,548 6.52
Malfunction,reaction,complication of cardiac/vasc device or procedure 24 $30,464 $15,834 $731,147 $380,023 5.00
Major pancreas, liver & shunt procedures 23 $73,580 $38,244 $1,692,332 $879,607 11.43
Neonate bwt 1500-1999g w or w/o other significant condition 23 $45,172 $23,479 $1,038,953 $540,007 11.65
Other O.R. procedures for lymphatic/hematopoietic/other neoplasms 23 $58,991 $30,661 $1,356,786 $705,202 10.43
Skin graft, except hand, for musculoskeletal & connective tissue diagnoses 22 $207,404 $107,801 $4,562,886 $2,371,612 25.00
Interstitial & alveolar lung diseases 21 $45,857 $23,835 $962,997 $500,528 7.71
Kidney & urinary tract procedures for malignancy 21 $29,935 $15,559 $628,630 $326,738 5.00
Testes & scrotal procedures 21 $18,799 $9,771 $394,787 $205,196 2.71
Other female reproductive system & related procedures 21 $20,029 $10,410 $420,615 $218,618 3.48
Ectopic pregnancy procedure 21 $8,779 $4,563 $184,366 $95,827 1.38
Acute leukemia 21 $89,678 $46,611 $1,883,238 $978,836 15.81
Cardiac pacemaker & defibrillator device replacement 20 $53,702 $27,912 $1,074,036 $558,241 8.90
Other stomach, esophageal & duodenal procedures 20 $51,395 $26,713 $1,027,906 $534,265 8.75
Other significant hip and femur surgery 20 $55,357 $28,773 $1,107,145 $575,453 8.80
Breast procedures except mastectomy 20 $21,036 $10,934 $420,716 $218,673 4.20
Malignant breast disorders 20 $51,979 $27,016 $1,039,574 $540,328 8.35
Anal procedures 19 $15,859 $8,243 $301,330 $156,619 2.63
Spinal procedures 18 $70,109 $36,440 $1,261,961 $655,920 11.00
Intervertebral disc excision & decompression 18 $42,742 $22,216 $769,360 $399,886 7.22
Neonate bwt 2000-2499g w major anomaly 18 $95,753 $49,769 $1,723,562 $895,839 24.22
Lymphatic & other malignancies & neoplasms of uncertain behavior 18 $29,989 $15,587 $539,801 $280,569 5.22
Mental illness diagnosis w O.R. procedure 18 $49,688 $25,826 $894,378 $464,863 31.94
Extensive abdominal/thoracic procedures for mult significant trauma 18 $112,415 $58,429 $2,023,469 $1,051,719 16.06
Other circulatory system procedures 17 $127,765 $66,407 $2,171,999 $1,128,921 19.24
Craniotomy for trauma 17 $63,447 $32,977 $1,078,596 $560,611 8.18
Fracture of pelvis or dislocation of hip 17 $44,334 $23,043 $753,674 $391,728 6.88
Uterine & adnexa procedures for non-ovarian & non-adnexal malig 17 $14,801 $7,693 $251,610 $130,777 2.35
D&C, aspiration curettage or hysterotomy for obstetric diagnoses 17 $13,435 $6,983 $228,391 $118,708 2.29
Urethral & transurethral procedures 16 $15,055 $7,825 $240,887 $125,203 2.44
Non-bacterial infections of nervous system exc viral meningitis 16 $66,606 $34,619 $1,065,694 $553,909 11.63
Major male pelvic procedures 15 $19,546 $10,159 $293,187 $152,389 3.27
Bacterial & tuberculous infections of nervous system 15 $62,902 $32,694 $943,526 $490,408 9.53
Neonate birthwt >2499g w congenital/perinatal infection 15 $35,251 $18,322 $528,763 $274,828 9.27
Allergic reactions 15 $11,889 $6,179 $178,334 $92,688 1.67
Major skin disorders 14 $44,095 $22,919 $617,331 $320,865 7.93
Female reproductive system infections 14 $19,946 $10,367 $279,250 $145,142 3.00
Neonate birthwt >2499g w other major procedure 14 $151,685 $78,840 $2,123,594 $1,103,762 37.93
Other infectious & parasitic diseases 14 $26,427 $13,736 $369,984 $192,305 4.21
Procedure w diag of rehab, aftercare or oth contact w health service 14 $69,570 $36,160 $973,979 $506,237 20.21
Acute & subacute endocarditis 13 $90,400 $46,986 $1,175,198 $610,823 16.00
Ventricular shunt procedures 13 $32,931 $17,116 $428,104 $222,512 4.54
Musculoskeletal malignancy & pathol fracture d/t muscskel malig 13 $50,672 $26,337 $658,739 $342,386 7.92
Malfunction, reaction, complic of orthopedic device or procedure 13 $41,467 $21,553 $539,071 $280,188 7.77
Multiple sclerosis & other demyelinating diseases 13 $36,297 $18,866 $471,866 $245,256 5.31
Tonsil & adenoid procedures 13 $8,291 $4,310 $107,786 $56,026 1.31
Ear, nose, mouth, throat, cranial/facial malignancies 12 $30,520 $15,863 $366,237 $190,355 5.17
Peritoneal adhesiolysis 12 $151,023 $78,496 $1,812,278 $941,951 16.50
Nephritis & nephrosis 12 $19,590 $10,182 $235,084 $122,187 3.25
Abortion w/o D&C, aspiration curettage or hysterotomy 12 $8,813 $4,580 $105,753 $54,965 1.50
Neonate bwt 1000-1249g w resp dist synd/oth maj resp or maj anom 12 $218,564 $113,601 $2,622,766 $1,363,211 48.33
Acute major eye infections 12 $107,905 $56,085 $1,294,857 $673,015 19.42
HIV w multiple significant HIV related conditions 12 $47,477 $24,677 $569,726 $296,121 8.50
Cardiomyopathy 11 $36,004 $18,713 $396,042 $205,846 5.09
Transurethral prostatectomy 11 $12,325 $6,406 $135,579 $70,471 1.91
Female reproductive system malignancy 11 $20,087 $10,440 $220,955 $114,843 3.00
Respiratory system diagnosis w ventilator support 96+ hours 10 $213,546 $110,993 $2,135,458 $1,109,929 25.20
Dorsal & lumbar fusion proc except for curvature of back 10 $70,123 $36,447 $701,231 $364,473 12.20
Other kidney, urinary tract & related procedures 10 $193,586 $100,619 $1,935,860 $1,006,185 31.70
Cholecystectomy except laparoscopic 9 $35,069 $18,228 $315,625 $164,049 5.67
Fracture of femur 9 $27,749 $14,423 $249,738 $129,804 4.22
Spinal disorders & injuries 9 $39,196 $20,372 $352,764 $183,352 5.89
Inborn errors of metabolism 9 $20,752 $10,786 $186,768 $97,075 3.44
Preterm labor 9 $7,953 $4,134 $71,581 $37,206 1.67
Neonate bwt 2000-2499g w resp dist synd/oth maj resp cond 9 $58,132 $30,214 $523,184 $271,930 13.89
Orbital procedures 9 $22,072 $11,472 $198,649 $103,250 3.22
False labor 8 $8,883 $4,617 $71,060 $36,934 2.00
Neonate bwt 1250-1499g w resp dist synd/oth maj resp or maj anom 8 $111,412 $57,907 $891,293 $463,259 28.63
Neonate bwt 1500-1999g w resp dist synd/oth maj resp cond 8 $73,168 $38,030 $585,343 $304,239 18.75
Major O.R. procedures for lymphatic/hematopoietic/other neoplasms 8 $70,674 $36,734 $565,393 $293,869 11.25
Other injury, poisoning & toxic effect diagnoses 8 $22,217 $11,548 $177,736 $92,380 3.25
Pituitary & adrenal procedures 7 $46,307 $24,069 $324,148 $168,481 6.14
Renal dialysis access device procedure only 7 $66,889 $34,766 $468,224 $243,365 13.14
Malignancy, male reproductive system 7 $49,380 $25,666 $345,662 $179,661 8.71
Neonate bwt <1500g w major procedure 7 $493,041 $256,263 $3,451,286 $1,793,842 92.29
Neonate birthwt 750-999g w/o major procedure 7 $223,724 $116,283 $1,566,071 $813,983 57.00
Cardiac arrest and shock 6 $30,457 $15,831 $182,742 $94,983 3.83
Other procedures for endocrine, nutritional & metabolic disorders 6 $93,854 $48,781 $563,122 $292,688 16.17
Nonspecific CVA & precerebral occlusion w/o infarct 6 $20,857 $10,841 $125,141 $65,044 2.83
Viral meningitis 6 $32,213 $16,743 $193,276 $100,457 5.33
Permanent cardiac pacemaker implant w AMI, heart failure or shock 5 $60,741 $31,571 $303,704 $157,854 10.00
Cardiac pacemaker & defibrillator revision except device replacement 5 $124,355 $64,635 $621,773 $323,173 23.60
Gastrointestinal vascular insufficiency 5 $27,125 $14,098 $135,626 $70,492 4.40
Major bladder procedures 5 $136,562 $70,980 $682,811 $354,899 25.60
Uterine & adnexa procedures for ovarian & adnexal malignancy 5 $18,309 $9,516 $91,545 $47,582 3.00
Female reproductive system reconstructive procedures 5 $7,510 $3,903 $37,552 $19,517 1.20
Dilation & curettage for non-obstetric diagnoses 5 $10,803 $5,615 $54,017 $28,077 1.60
Neonate birthwt 500-749g w/o major procedure 5 $323,005 $167,885 $1,615,027 $839,427 61.60
Neonate bwt 1250-1499g w or w/o other significant condition 5 $127,585 $66,314 $637,923 $331,569 32.80
Neonate bwt 2000-2499g w other significant condition 5 $33,797 $17,566 $168,986 $87,831 8.60
Splenectomy 5 $52,370 $27,220 $261,851 $136,100 8.20
Other procedures of blood & blood-forming organs 5 $40,293 $20,942 $201,463 $104,712 6.80
Craniotomy for multiple significant trauma 5 $143,017 $74,335 $715,084 $371,673 17.00
Sinus & mastoid procedures 5 $98,506 $51,200 $492,530 $255,998 17.20
Other bladder procedures 4 $28,075 $14,593 $112,301 $58,371 5.25
Kidney & urinary tract malignancy 4 $24,655 $12,815 $98,620 $51,258 3.75
Other male reproductive system & related procedures 4 $70,946 $36,875 $283,782 $147,498 14.00
Neonate, transferred < 5 days old, born here 4 $9,728 $5,056 $38,910 $20,225 1.50
Neonate bwt <500g or GA <24 weeks 4 $191,696 $99,636 $766,784 $398,545 46.25
Radiotherapy 4 $71,451 $37,137 $285,803 $148,549 13.00
Other major head & neck procedures 4 $25,187 $13,091 $100,748 $52,365 4.25
Penis procedures 3 $15,017 $7,805 $45,051 $23,415 2.67
Brain contusion/laceration & complicated skull Fx, coma < 1 hr or no coma 3 $27,305 $14,192 $81,915 $42,576 4.33
Neonate, transferred <5 days old, not born here 3 $10,492 $5,453 $31,477 $16,360 2.00
Neonate birthwt 1000-1249g w or w/o other significant condition 3 $143,174 $74,416 $429,521 $223,248 37.00
Neonate bwt 1500-2499g w major procedure 3 $215,691 $112,108 $647,073 $336,323 54.33
Neonate birthwt 1500-1999g w major anomaly 3 $195,476 $101,601 $586,428 $304,802 49.67
Major larynx & trachea procedures 3 $53,418 $27,764 $160,254 $83,293 9.00
Major cardiothoracic repair of heart anomaly 2 $38,517 $20,020 $77,034 $40,039 5.00
Pelvic evisceration, radical hysterectomy & other radical GYN procs 2 $15,245 $7,924 $30,490 $15,847 2.00
Neonate birthwt 1500-1999g w congenital/perinatal infection 2 $65,550 $34,070 $131,099 $68,140 17.00
Neonate bwt 2000-2499g w congenital/perinatal infection 2 $31,036 $16,131 $62,071 $32,262 8.00
Eating disorders 1 $15,479 $8,045 $15,479 $8,045 10.00
Partial thickness burns without skin graft 1 $18,750 $9,745 $18,750 $9,745 3.00
Principal diagnosis invalid as discharge diagnosis 1 $2,545 $1,323 $2,545 $1,323 1.00

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 63 $20,846
Payment for heart failure patients No Different than the National Average Payment 74 $15,218
Payment for pneumonia patients No Different than the National Average Payment 82 $13,598

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 No different than the National Rate 66 14.8
Acute Myocardial Infarction (AMI) 30-Day Readmission Rate No different than the National Rate 121 19.3
Death rate for CABG Number of Cases Too Small Not Available Not Available
Death rate for chronic obstructive pulmonary disease (COPD) patients No different than the National Rate 73 6.8
Death rate for stroke patients No different than the National Rate 64 17.5
Heart failure (HF) 30-Day Mortality Rate No different than the National Rate 81 10.4
Heart failure (HF) 30-Day Readmission Rate No different than the National Rate 113 22.4
Pneumonia (PN) 30-Day Mortality Rate No different than the National Rate 83 12.0
Pneumonia (PN) 30-Day Readmission Rate No different than the National Rate 88 17.3
Rate of readmission after discharge from hospital (hospital-wide) Worse than the National Rate 1317 17.0
Rate of readmission after hip/knee surgery Number of Cases Too Small Not Available Not Available
Rate of unplanned readmission for CABG Number of Cases Too Small Not Available Not Available
Rate of unplanned readmission for chronic obstructive pulmonary disease (COPD) patients No different than the National Rate 87 20.1
Rate of unplanned readmission for stroke patients No different than the National Rate 57 14.8

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
95 401
ICU venous thromboembolism prophylaxis
04/01/2014 - 03/31/2015
97 86
Anticoagulation overlap therapy
04/01/2014 - 03/31/2015
95 126
Unfractionated heparin with dosages/platelet count monitoring
04/01/2014 - 03/31/2015
31 49
Warfarin therapy discharge instructions
04/01/2014 - 03/31/2015
88 91
Hospital acquired potentially preventable venous thromboembolism
04/01/2014 - 03/31/2015
0 49
Emergency Department
ED1
04/01/2014 - 03/31/2015
530 570
ED2
04/01/2014 - 03/31/2015
181 570
Emergency department volume
01/01/2013 - 12/31/2013
Very High (60,000+ patients annually)
OP 18
04/01/2014 - 03/31/2015
202 350
Door to diagnostic eval
04/01/2014 - 03/31/2015
78 408
Median time to pain med
04/01/2014 - 03/31/2015
62 143
Left before being seen
01/01/2013 - 12/31/2013
6 106936
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
97 31
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
100 323
Pneumonia
Initial antibiotic selection for CAP in immunocompetent patient
04/01/2014 - 03/31/2015
98 64
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
0 34
Preventive Care
Immunization for influenza
10/01/2014 - 03/31/2015
98 529
Healthcare workers given influenza vaccination
10/01/2014 - 03/31/2015
90 6820
Stroke Care
Venous Thromboembolism (VTE) Prophylaxis
04/01/2014 - 03/31/2015
99 191
Assessed for Rehabilitation
04/01/2014 - 03/31/2015
95 126
Discharged on Antithrombotic Therapy
04/01/2014 - 03/31/2015
100 61
Anticoagulation Therapy for Atrial Fibrillation/Flutter
04/01/2014 - 03/31/2015
Not Available Not Available
Thrombolytic Therapy
04/01/2014 - 03/31/2015
Not Available Not Available
Antithrombotic Therapy by End of Hospital Day 2
04/01/2014 - 03/31/2015
100 54
Discharged on Statin Medication
04/01/2014 - 03/31/2015
99 73
Stroke Education
04/01/2014 - 03/31/2015
85 68
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
96 106
Prophylactic antibiotic received within 1 hour prior to surgical incision
04/01/2014 - 03/31/2015
99 322
Prophylactic Antibiotic Selection for Surgical Patients
04/01/2014 - 03/31/2015
99 321
Prophylactic antibiotics discontinued within 24 hours after surgery end time
04/01/2014 - 03/31/2015
98 312
Postoperative Urinary Catheter Removal
04/01/2014 - 03/31/2015
100 267
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
100 206

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 Number of Cases Too Small Not Available Not Available
Serious blood clots after surgery No different than the National Rate 666 5.34
A wound that splits open after surgery on the abdomen or pelvis No different than the National Rate 72 1.63
Accidental cuts and tears from medical treatment No different than the National Rate 4030 1.03
Deaths among Patients with Serious Treatable Complications after Surgery No different than the National Rate 45 136.48
Collapsed lung due to medical treatment No different than the National Rate 3757 0.35
Serious complications No different than the National Rate Not Available 0.78