Mount Sinai Beth Israel


2016 Age Distribution

2016 Patient Race:

Black/African American11,249
Multi-racial1
Other Race9,794
White8,967

2016 Payers:

Blue Cross/Blue Shield 2,425
Federal/State/Local/VA 206
Medicaid 13,002
Medicare 9,837
Miscellaneous/Other 74
Private Health Insurance 4,198
Self-Pay 269

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 3099 $9,862 $1,282 $30,562,502 $3,973,142 2.20
Vaginal delivery 2367 $19,805 $9,633 $46,878,325 $22,800,846 2.28
Opioid abuse & dependence 1254 $18,742 $4,642 $23,502,554 $5,821,442 4.27
Septicemia & disseminated infections 955 $71,814 $22,364 $68,582,630 $21,358,056 7.25
Schizophrenia 880 $60,236 $18,645 $53,007,298 $16,407,215 15.28
Alcohol abuse & dependence 749 $20,922 $5,366 $15,670,489 $4,019,168 4.00
Cesarean delivery 678 $31,106 $10,970 $21,089,804 $7,437,494 3.47
Alcohol & drug dependence w rehab or rehab/detox therapy 613 $56,121 $15,994 $34,401,875 $9,804,571 13.64
Knee joint replacement 602 $76,504 $21,227 $46,055,338 $12,778,722 3.21
Seizure 589 $22,159 $7,575 $13,051,461 $4,461,415 2.20
Depression except major depressive disorder 553 $24,531 $7,319 $13,565,763 $4,047,427 5.86
Percutaneous coronary intervention w/o AMI 429 $48,982 $13,290 $21,013,465 $5,701,286 2.84
Heart failure 422 $53,281 $16,370 $22,484,606 $6,908,152 6.24
Cocaine abuse & dependence 416 $14,933 $3,741 $6,212,159 $1,556,201 3.24
Major depressive disorders & other/unspecified psychoses 370 $43,004 $13,161 $15,911,435 $4,869,644 10.66
Bipolar disorders 361 $40,100 $12,193 $14,476,137 $4,401,736 10.06
Hip joint replacement 317 $78,392 $21,858 $24,850,289 $6,928,996 3.48
Cellulitis & other skin infections 293 $35,915 $12,037 $10,523,029 $3,526,931 3.86
RENAL FAILURE 286 $49,981 $15,010 $14,294,455 $4,292,916 5.53
OTHER VASCULAR PROCEDURES 278 $94,641 $28,788 $26,310,088 $8,002,951 6.67
Cardiac arrhythmia & conduction disorders 273 $34,803 $10,164 $9,501,340 $2,774,777 3.45
Drug & alcohol abuse or dependence, left against medical advice 256 $12,119 $3,056 $3,102,570 $782,399 2.25
Kidney & urinary tract infections 247 $47,008 $14,255 $11,610,866 $3,520,961 5.02
CVA & precerebral occlusion w infarct 239 $58,681 $14,621 $14,024,796 $3,494,332 5.18
Chronic obstructive pulmonary disease 230 $41,694 $13,523 $9,589,582 $3,110,365 4.45
Percutaneous coronary intervention w AMI 226 $82,698 $23,449 $18,689,841 $5,299,497 5.42
Other pneumonia 218 $38,992 $12,557 $8,500,318 $2,737,355 4.39
Major small & large bowel procedures 208 $94,247 $28,004 $19,603,290 $5,824,828 7.72
Other digestive system diagnoses 206 $37,609 $11,076 $7,747,510 $2,281,560 3.70
Asthma 201 $25,599 $10,711 $5,145,435 $2,152,999 2.86
Infectious & parasitic diseases including HIV w O.R. procedure 180 $157,950 $50,567 $28,431,034 $9,102,023 13.42
Other disorders of nervous system 178 $53,862 $15,054 $9,587,488 $2,679,625 7.30
Cardiac catheterization for coronary artery disease 168 $69,131 $20,317 $11,614,035 $3,413,265 6.85
Cardiac catheterization for other non-coronary conditions 167 $34,710 $10,083 $5,796,643 $1,683,846 2.64
Signs, symptoms & other factors influencing health status 159 $30,831 $9,880 $4,902,059 $1,570,948 3.43
Electrolyte disorders except hypovolemia related 158 $45,216 $13,933 $7,144,061 $2,201,336 4.89
Intestinal obstruction 156 $43,621 $11,921 $6,804,801 $1,859,745 4.39
Disorders of pancreas except malignancy 154 $39,755 $11,507 $6,122,324 $1,772,033 3.98
Acute myocardial infarction 151 $57,046 $16,629 $8,613,935 $2,510,919 5.20
Major respiratory infections & inflammations 150 $56,792 $16,941 $8,518,763 $2,541,136 6.43
Rehabilitation 149 $68,076 $20,095 $10,143,291 $2,994,156 10.93
Diabetes 144 $40,580 $11,965 $5,843,561 $1,723,011 3.93
Respiratory Failure 142 $61,535 $20,132 $8,737,998 $2,858,788 6.21
Other antepartum diagnoses 142 $26,273 $8,105 $3,730,733 $1,150,878 4.34
Appendectomy 140 $36,932 $10,392 $5,170,416 $1,454,870 1.86
Other & unspecified gastrointestinal hemorrhage 136 $40,457 $12,633 $5,502,107 $1,718,046 3.89
Procedures for obesity 134 $48,556 $13,885 $6,506,438 $1,860,615 1.96
Poisoning of medicinal agents 133 $35,509 $10,603 $4,722,735 $1,410,231 3.25
Laparoscopic cholecystectomy 130 $55,078 $15,902 $7,160,080 $2,067,202 4.18
Dorsal & lumbar fusion proc except for curvature of back 130 $133,387 $37,886 $17,340,262 $4,925,185 4.40
Other anemia & disorders of blood & blood-forming organs 129 $40,934 $13,315 $5,280,438 $1,717,653 3.98
Other gastroenteritis, nausa & vomiting 128 $33,204 $9,878 $4,250,167 $1,264,427 3.20
Disorders of gallbladder & biliary tract 128 $41,818 $11,582 $5,352,673 $1,482,539 3.84
Other musculoskeletal system & connective tissue diagnoses 127 $37,623 $11,114 $4,778,113 $1,411,421 4.11
Peripheral & other vascular disorders 120 $43,393 $13,042 $5,207,205 $1,565,052 4.56
Vaginal delivery w complicating procedures exc sterilization &/or D&C 118 $21,722 $10,516 $2,563,137 $1,240,911 2.47
Peptic ulcer & gastritis 115 $41,725 $12,692 $4,798,424 $1,459,596 3.77
Uterine & adnexa procedures for leiomyoma 112 $31,068 $9,518 $3,479,579 $1,066,008 2.11
Thyroid, parathyroid & thyroglossal procedures 111 $33,220 $9,524 $3,687,451 $1,057,135 1.86
Neonate bwt 2000-2499g, normal newborn or neonate w other problem 110 $25,546 $3,355 $2,810,069 $369,078 3.49
Syncope & collapse 109 $28,079 $7,996 $3,060,628 $871,558 2.68
Infections of upper respiratory tract 104 $27,822 $9,446 $2,893,437 $982,416 2.88
Coronary bypass w AMI or complex PDX 101 $201,639 $64,946 $20,365,511 $6,559,543 13.30
Diverticulitis & diverticulosis 101 $37,290 $10,593 $3,766,298 $1,069,859 3.58
Major stomach, esophageal & duodenal procedures 100 $104,567 $33,301 $10,456,678 $3,330,069 8.89
Digestive malignancy 99 $50,046 $14,513 $4,954,548 $1,436,825 6.10
Sickle cell anemia crisis 99 $43,982 $13,382 $4,354,190 $1,324,834 5.34
Pulmonary embolism 97 $54,754 $15,307 $5,311,183 $1,484,826 5.61
Other aftercare & convalescence 94 $64,807 $18,849 $6,091,821 $1,771,762 9.82
Other hepatobiliary, pancreas & abdominal procedures 93 $86,506 $26,457 $8,045,049 $2,460,539 8.58
Angina pectoris & coronary atherosclerosis 92 $28,928 $8,668 $2,661,420 $797,426 3.05
Extensive procedure unrelated to principal diagnosis 92 $161,571 $51,870 $14,864,506 $4,772,027 12.13
Craniotomy except for trauma 88 $138,288 $41,079 $12,169,344 $3,614,933 8.34
Degenerative nervous system disorders exc mult sclerosis 88 $52,980 $15,863 $4,662,206 $1,395,952 8.45
Post-operative, post-traumatic, other device infections 88 $66,762 $20,430 $5,875,093 $1,797,837 7.28
Bronchiolitis & RSV pneumonia 87 $22,405 $11,830 $1,949,202 $1,029,197 3.11
HIV w multiple major HIV related conditions 85 $89,672 $27,882 $7,622,081 $2,370,008 8.58
Other small & large bowel procedures 84 $75,349 $23,232 $6,329,312 $1,951,451 6.99
Major pancreas, liver & shunt procedures 83 $132,050 $39,463 $10,960,164 $3,275,468 11.19
Moderately extensive procedure unrelated to principal diagnosis 82 $106,010 $33,802 $8,692,784 $2,771,765 9.66
Other circulatory system diagnoses 81 $52,418 $15,747 $4,245,850 $1,275,541 5.30
Hip and femur fracture repair 80 $89,502 $26,821 $7,160,121 $2,145,646 7.75
Post-op, post-trauma, other device infections w O.R. procedure 79 $99,620 $30,902 $7,869,973 $2,441,223 9.08
Other back & neck disorders, fractures & injuries 78 $44,176 $13,672 $3,445,705 $1,066,433 5.08
O.R. procedure for other complications of treatment 78 $77,292 $23,373 $6,028,785 $1,823,098 6.67
Kidney & urinary tract procedures for nonmalignancy 77 $60,784 $17,842 $4,680,405 $1,373,839 5.05
Knee & lower leg procedures except foot 76 $81,087 $23,963 $6,162,586 $1,821,164 5.78
Head trauma w coma >1 hr or hemorrhage 76 $53,451 $15,116 $4,062,290 $1,148,836 4.70
Other complications of treatment 75 $40,759 $12,446 $3,056,944 $933,487 4.36
Other digestive system & abdominal procedures 74 $84,792 $25,864 $6,274,594 $1,913,931 7.32
Shoulder, upper arm & forearm procedures except joint replacement 73 $62,959 $17,780 $4,596,005 $1,297,917 2.60
Organic mental health disturbances 73 $63,410 $19,109 $4,628,914 $1,394,973 12.66
Cystic fibrosis - pulmonary disease 72 $74,819 $25,732 $5,386,996 $1,852,676 8.18
Coronary bypass w/o AMI or complex PDX 72 $148,699 $48,398 $10,706,324 $3,484,661 8.93
Other ear, nose, mouth & throat procedures 72 $52,496 $15,721 $3,779,711 $1,131,942 3.85
Hypovolemia & related electrolyte disorders 71 $32,214 $9,311 $2,287,204 $661,065 3.48
Adjustment disorders & neuroses except depressive diagnoses 71 $20,703 $6,146 $1,469,908 $436,347 4.86
Other kidney & urinary tract diagnoses, signs & symptoms 70 $38,721 $11,260 $2,710,445 $788,200 4.13
Hernia procedures except inguinal, femoral & umbilical 69 $55,841 $16,735 $3,853,028 $1,154,740 4.06
Cervical spinal fusion & other back/neck proc exc disc excis/decomp 69 $101,104 $30,284 $6,976,165 $2,089,602 5.39
Other respiratory diagnoses except signs, symptoms & minor diagnoses 68 $33,455 $10,380 $2,274,907 $705,838 3.78
Intracranial hemorrhage 67 $66,308 $19,329 $4,442,629 $1,295,074 6.13
Malignancy of hepatobiliary system & pancreas 66 $59,827 $16,409 $3,948,580 $1,082,987 6.11
Intervertebral disc excision & decompression 66 $59,502 $17,099 $3,927,135 $1,128,553 4.79
Malfunction, reaction, complic of genitourinary device or proc 63 $58,124 $17,241 $3,661,825 $1,086,181 6.92
Hypertension 62 $34,118 $9,690 $2,115,301 $600,802 3.19
Respiratory malignancy 61 $53,755 $14,982 $3,279,077 $913,890 6.89
Mastectomy procedures 60 $38,907 $11,002 $2,334,448 $660,125 1.43
Perm cardiac pacemaker implant w/o AMI, heart failure or shock 58 $61,470 $17,124 $3,565,232 $993,206 3.78
Vaginal delivery w sterilization &/or D&C 57 $21,182 $10,293 $1,207,379 $586,707 2.32
HIV w major HIV related condition 55 $55,730 $16,736 $3,065,132 $920,485 5.65
Uterine & adnexa procedures for non-malignancy except leiomyoma 53 $56,530 $17,601 $2,996,088 $932,850 3.38
Other esophageal disorders 52 $33,035 $9,809 $1,717,838 $510,064 3.12
Inflammatory bowel disease 52 $48,625 $14,255 $2,528,486 $741,242 4.87
Major gastrointestinal & peritoneal infections 52 $47,255 $13,709 $2,457,252 $712,888 4.96
Abdominal pain 52 $33,529 $10,005 $1,743,522 $520,248 2.90
Spinal procedures 51 $70,504 $20,934 $3,595,692 $1,067,640 3.45
Major respiratory & chest procedures 50 $98,604 $30,278 $4,930,182 $1,513,920 8.24
Major biliary tract procedures 50 $69,282 $20,344 $3,464,083 $1,017,188 6.04
Toxic effects of non-medicinal substances 50 $33,773 $9,827 $1,688,673 $491,342 3.16
Other stomach, esophageal & duodenal procedures 49 $61,811 $18,533 $3,028,738 $908,110 5.76
Fractures & dislocations except femur, pelvis & back 49 $40,308 $12,673 $1,975,106 $620,959 4.33
Nontraumatic stupor & coma 49 $48,895 $13,627 $2,395,841 $667,740 5.20
Malfunction, reaction & complication of GI device or procedure 48 $46,011 $13,189 $2,208,506 $633,073 4.94
Breast procedures except mastectomy 48 $60,311 $17,687 $2,894,906 $848,960 2.50
Other endocrine disorders 48 $50,781 $15,220 $2,437,499 $730,548 5.56
Mental illness diagnosis w O.R. procedure 47 $47,708 $14,516 $2,242,283 $682,232 4.66
Facial bone procedures except major cranial/facial bone procedures 47 $72,105 $21,368 $3,388,921 $1,004,313 3.77
Respiratory signs, symptoms & minor diagnoses 46 $28,178 $8,075 $1,296,190 $371,439 3.13
Osteomyelitis, septic arthritis & other musculoskeletal infections 46 $50,897 $15,096 $2,341,262 $694,402 5.46
Other drug abuse & dependence 46 $27,656 $6,648 $1,272,192 $305,809 5.59
Peripheral, cranial & autonomic nerve disorders 45 $46,409 $12,538 $2,088,409 $564,230 4.76
Major abdominal vascular procedures 43 $150,838 $45,912 $6,486,024 $1,974,213 8.49
Cardiac valve procedures w/o AMI or complex PDX 42 $208,423 $70,470 $8,753,749 $2,959,749 10.26
Kidney & urinary tract procedures for malignancy 42 $53,923 $16,009 $2,264,752 $672,388 3.55
Other skin, subcutaneous tissue & related procedures 41 $48,943 $15,327 $2,006,682 $628,409 4.68
Neonate birthwt >2499g w other significant condition 41 $70,337 $9,358 $2,883,836 $383,659 6.93
Acute anxiety & delirium states 41 $24,361 $7,340 $998,816 $300,954 4.10
Hepatic coma & other major acute liver disorders 40 $51,036 $14,513 $2,041,420 $580,534 5.98
Major hematologic/immunologic diag exc sickle cell crisis & coagul 40 $56,146 $18,802 $2,245,823 $752,077 5.00
Cardiac defibrillator & heart assist implant 39 $174,479 $48,184 $6,804,677 $1,879,192 7.33
Other disorders of the liver 39 $36,883 $9,933 $1,438,449 $387,380 4.51
Lymphoma, myeloma & non-acute leukemia 38 $82,255 $25,214 $3,125,694 $958,114 7.95
Eye disorders except major infections 38 $32,276 $7,742 $1,226,494 $294,180 2.84
Other musculoskeletal system & connective tissue procedures 37 $52,981 $15,721 $1,960,302 $581,692 3.73
Other skin, subcutaneous tissue & breast disorders 37 $39,670 $12,250 $1,467,788 $453,255 7.03
Nervous system malignancy 37 $90,765 $25,376 $3,358,318 $938,917 8.81
Major cranial/facial bone procedures 37 $131,982 $40,617 $4,883,320 $1,502,812 8.57
Chest pain 36 $20,463 $5,886 $736,655 $211,901 1.97
Pituitary & adrenal procedures 36 $82,974 $24,086 $2,987,081 $867,113 4.86
Migraine & other headaches 36 $23,739 $6,385 $854,620 $229,843 1.94
Other cardiothoracic & thoracic vascular procedures 35 $183,439 $59,297 $6,420,353 $2,075,392 16.17
Skin graft for skin & subcutaneous tissue diagnoses 35 $70,702 $21,118 $2,474,580 $739,146 6.46
Skin ulcers 35 $48,977 $14,119 $1,714,192 $494,162 6.31
Urinary stones & acquired upper urinary tract obstruction 35 $32,740 $8,920 $1,145,892 $312,203 2.29
Other O.R. procedures for lymphatic/hematopoietic/other neoplasms 35 $117,525 $38,245 $4,113,389 $1,338,580 8.69
Other respiratory & chest procedures 34 $98,629 $30,607 $3,353,388 $1,040,627 8.09
Connective tissue disorders 34 $53,597 $15,820 $1,822,296 $537,890 5.29
Disorders of personality & impulse control 34 $19,595 $5,711 $666,223 $194,161 4.53
Malfunction,reaction,complication of cardiac/vasc device or procedure 33 $47,698 $15,443 $1,574,022 $509,605 4.94
Inguinal, femoral & umbilical hernia procedures 33 $43,533 $12,911 $1,436,598 $426,062 3.21
Malnutrition, failure to thrive & other nutritional disorders 33 $47,107 $14,144 $1,554,517 $466,753 5.70
Lymphatic & other malignancies & neoplasms of uncertain behavior 33 $47,583 $16,239 $1,570,246 $535,888 5.61
Viral illness 33 $33,759 $11,623 $1,114,044 $383,550 3.79
Dental & oral diseases & injuries 32 $38,211 $11,005 $1,222,760 $352,160 3.81
Foot & toe procedures 32 $72,121 $21,274 $2,307,868 $680,756 6.41
Hand & wrist procedures 32 $25,418 $8,096 $813,376 $259,073 1.22
Transient ischemia 32 $28,760 $6,108 $920,305 $195,443 2.25
Nonextensive procedure unrelated to principal diagnosis 32 $98,128 $28,857 $3,140,084 $923,416 10.03
Vertigo & other labyrinth disorders 31 $31,776 $8,850 $985,047 $274,352 2.65
HIV w one signif HIV cond or w/o signif related cond 31 $40,238 $11,417 $1,247,393 $353,914 3.84
Coagulation & platelet disorders 30 $47,921 $15,135 $1,437,630 $454,046 5.10
Interstitial & alveolar lung diseases 29 $47,088 $13,613 $1,365,538 $394,771 7.31
Fever 29 $22,729 $7,465 $659,131 $216,479 2.45
Other ear, nose, mouth,throat & cranial/facial diagnoses 27 $34,149 $10,209 $922,035 $275,653 3.33
Fracture of pelvis or dislocation of hip 27 $35,236 $10,607 $951,371 $286,389 4.11
Musculoskeletal malignancy & pathol fracture d/t muscskel malig 27 $80,576 $21,152 $2,175,558 $571,097 8.59
Extracranial vascular procedures 26 $73,668 $22,001 $1,915,376 $572,022 4.31
Other circulatory system procedures 25 $88,136 $26,668 $2,203,402 $666,689 7.96
Malfunction, reaction, complic of orthopedic device or procedure 25 $47,142 $14,413 $1,178,549 $360,324 5.20
Neonate birthwt >2499g w major anomaly 25 $27,324 $4,496 $683,092 $112,400 3.64
Other nervous system & related procedures 24 $86,970 $24,505 $2,087,291 $588,124 7.29
Amputation of lower limb except toes 24 $146,895 $46,022 $3,525,477 $1,104,533 13.75
Tracheostomy w MV 96+ hours w extensive procedure or ECMO 24 $569,957 $201,021 $13,678,977 $4,824,515 41.42
Male reproductive system diagnoses except malignancy 24 $35,212 $10,539 $845,088 $252,927 3.75
Procedure w diag of rehab, aftercare or oth contact w health service 24 $79,521 $23,267 $1,908,498 $558,397 4.96
Tendon, muscle & other soft tissue procedures 23 $62,401 $18,937 $1,435,217 $435,547 6.52
Major male pelvic procedures 23 $41,571 $11,878 $956,127 $273,193 2.57
Postpartum & post abortion diagnoses w/o procedure 23 $30,295 $8,969 $696,793 $206,289 3.96
Alcoholic liver disease 22 $52,249 $14,961 $1,149,480 $329,139 5.91
Preterm labor 22 $16,179 $5,947 $355,942 $130,824 1.95
Anal procedures 21 $45,412 $12,881 $953,644 $270,498 3.95
Multiple sclerosis & other demyelinating diseases 21 $33,888 $7,837 $711,639 $164,587 3.43
Neonate, birthwt >2499g w resp dist synd/oth maj resp cond 21 $42,363 $7,153 $889,614 $150,220 4.14
Other infectious & parasitic diseases 21 $35,999 $11,902 $755,981 $249,935 4.14
Allergic reactions 21 $21,630 $6,722 $454,233 $141,171 2.00
Cardiac arrest and shock 20 $55,484 $18,951 $1,109,679 $379,020 3.45
Major bladder procedures 20 $103,093 $30,657 $2,061,862 $613,143 8.70
Urethral & transurethral procedures 20 $65,301 $19,448 $1,306,023 $388,968 5.45
Skin graft, except hand, for musculoskeletal & connective tissue diagnoses 19 $79,015 $23,190 $1,501,288 $440,608 6.47
Uterine & adnexa procedures for non-ovarian & non-adnexal malig 19 $41,409 $11,795 $786,766 $224,112 3.05
Neonate bwt 1500-1999g w or w/o other significant condition 19 $125,887 $16,558 $2,391,859 $314,603 12.95
CHEMOTHERAPY 19 $77,121 $26,307 $1,465,294 $499,826 7.84
Other major head & neck procedures 19 $107,902 $31,769 $2,050,140 $603,616 8.21
Other female reproductive system & related procedures 18 $73,467 $20,574 $1,322,409 $370,340 6.89
Major chest & respiratory trauma 17 $60,022 $17,467 $1,020,367 $296,940 5.82
Cardiac valve procedures w AMI or complex PDX 17 $354,715 $121,502 $6,030,163 $2,065,537 20.88
Peritoneal adhesiolysis 17 $91,097 $26,521 $1,548,652 $450,864 8.35
Gastrointestinal vascular insufficiency 17 $44,873 $13,603 $762,834 $231,252 3.88
Other significant hip and femur surgery 17 $89,815 $26,265 $1,526,855 $446,510 7.35
Fracture of femur 17 $35,060 $10,327 $596,024 $175,566 4.35
Contusion, open wound & other trauma to skin & subcutaneous tissue 17 $29,901 $8,563 $508,311 $145,567 3.12
Female reproductive system infections 17 $29,813 $8,554 $506,827 $145,423 2.76
Major larynx & trachea procedures 17 $157,463 $47,070 $2,676,870 $800,188 15.18
Cardiac pacemaker & defibrillator device replacement 16 $125,379 $34,410 $2,006,066 $550,567 6.06
Dorsal & lumbar fusion proc for curvature of back 16 $224,528 $63,414 $3,592,455 $1,014,626 5.06
Menstrual & other female reproductive system disorders 16 $28,609 $9,799 $457,737 $156,791 3.81
Major O.R. procedures for lymphatic/hematopoietic/other neoplasms 16 $87,748 $24,530 $1,403,963 $392,479 6.81
Cholecystectomy except laparoscopic 15 $83,101 $24,791 $1,246,521 $371,858 7.20
Ear, nose, mouth, throat, cranial/facial malignancies 14 $54,678 $16,325 $765,485 $228,555 6.07
Craniotomy for trauma 14 $179,277 $58,822 $2,509,874 $823,508 13.07
Major esophageal disorders 14 $50,064 $15,128 $700,896 $211,794 6.00
Tracheostomy w MV 96+ hours w/o extensive procedure 14 $348,717 $124,412 $4,882,044 $1,741,773 29.57
Other mental health disorders 14 $30,218 $9,059 $423,045 $126,828 6.21
Transurethral prostatectomy 13 $36,755 $11,650 $477,810 $151,445 3.31
Bacterial & tuberculous infections of nervous system 13 $77,014 $25,759 $1,001,185 $334,872 7.77
Neonate, transferred < 5 days old, born here 13 $17,431 $3,317 $226,598 $43,124 1.46
Acute major eye infections 13 $43,543 $10,905 $566,062 $141,769 4.46
Non-bacterial infections of nervous system exc viral meningitis 12 $97,225 $31,020 $1,166,701 $372,237 9.42
HIV w multiple significant HIV related conditions 12 $71,732 $20,831 $860,783 $249,974 7.83
Tonsil & adenoid procedures 12 $41,428 $12,226 $497,131 $146,709 2.67
Major skin disorders 11 $37,361 $10,871 $410,974 $119,581 4.73
Malignant breast disorders 11 $33,194 $9,654 $365,138 $106,196 4.45
Uterine & adnexa procedures for ovarian & adnexal malignancy 11 $61,538 $18,086 $676,916 $198,950 4.55
Neonate bwt 2000-2499g w resp dist synd/oth maj resp cond 11 $116,394 $19,310 $1,280,332 $212,410 11.73
Behavioral disorders 11 $52,515 $16,219 $577,663 $178,409 13.55
Sinus & mastoid procedures 11 $85,088 $25,179 $935,973 $276,970 5.27
Respiratory system diagnosis w ventilator support 96+ hours 10 $177,498 $65,002 $1,774,982 $650,017 14.40
Other kidney, urinary tract & related procedures 10 $146,678 $45,414 $1,466,783 $454,143 13.00
Kidney & urinary tract malignancy 10 $64,069 $19,057 $640,688 $190,565 6.80
Penis procedures 10 $57,733 $16,183 $577,326 $161,825 3.50
D&C, aspiration curettage or hysterotomy for obstetric diagnoses 10 $22,003 $7,723 $220,033 $77,226 2.30
Neonate bwt 2000-2499g w other significant condition 10 $92,524 $11,953 $925,244 $119,531 8.70
Radiotherapy 10 $30,418 $8,512 $304,176 $85,115 3.10
Cardiac structural & valvular disorders 9 $39,288 $10,870 $353,594 $97,829 5.22
Neonate birthwt >2499g w congenital/perinatal infection 9 $34,508 $6,315 $310,571 $56,832 4.00
Other injury, poisoning & toxic effect diagnoses 9 $26,232 $8,250 $236,089 $74,248 2.67
Acute & subacute endocarditis 8 $82,210 $24,543 $657,678 $196,340 10.13
Ventricular shunt procedures 8 $91,156 $26,064 $729,247 $208,511 6.13
Female reproductive system malignancy 8 $65,781 $20,046 $526,251 $160,367 7.25
Neonate bwt 1500-1999g w resp dist synd/oth maj resp cond 8 $222,766 $28,296 $1,782,130 $226,365 21.38
Neonate bwt 2000-2499g w major anomaly 8 $84,313 $13,558 $674,504 $108,463 9.38
Renal dialysis access device procedure only 7 $79,227 $24,886 $554,586 $174,199 7.43
Other male reproductive system & related procedures 7 $34,180 $10,008 $239,262 $70,057 2.29
Female reproductive system reconstructive procedures 7 $28,737 $8,301 $201,156 $58,109 1.29
Neonate bwt 1250-1499g w resp dist synd/oth maj resp or maj anom 7 $352,812 $44,480 $2,469,684 $311,362 33.14
Nonspecific CVA & precerebral occlusion w/o infarct 6 $34,438 $6,537 $206,629 $39,222 2.00
Other O.R. proc for obstetric diagnoses except delivery diagnoses 6 $13,587 $5,186 $81,521 $31,115 1.33
Concussion, closed skull Fx nos,uncomplicated intracranial injury, coma < 1 hr or no coma 6 $18,650 $5,489 $111,897 $32,931 1.50
Other procedures of blood & blood-forming organs 6 $39,476 $11,285 $236,854 $67,710 3.00
Cardiomyopathy 5 $39,534 $11,912 $197,669 $59,559 5.60
Other procedures for endocrine, nutritional & metabolic disorders 5 $251,104 $81,024 $1,255,522 $405,119 22.20
Nephritis & nephrosis 5 $54,567 $14,982 $272,834 $74,912 6.00
Malignancy, male reproductive system 5 $64,308 $17,384 $321,538 $86,919 6.00
Viral meningitis 5 $29,873 $9,516 $149,367 $47,580 2.60
Ectopic pregnancy procedure 5 $45,432 $13,828 $227,159 $69,142 3.40
Neonate birthwt 1500-1999g w major anomaly 5 $236,605 $30,467 $1,183,023 $152,337 21.60
Orbital procedures 5 $67,136 $18,533 $335,680 $92,665 4.40
Multiple significant trauma w/o O.R. procedure 5 $47,960 $13,463 $239,801 $67,316 4.20
Permanent cardiac pacemaker implant w AMI, heart failure or shock 4 $182,899 $52,274 $731,597 $209,097 12.50
Spinal disorders & injuries 4 $76,700 $21,210 $306,799 $84,838 11.50
Pelvic evisceration, radical hysterectomy & other radical GYN procs 4 $64,973 $18,324 $259,890 $73,294 5.50
Dilation & curettage for non-obstetric diagnoses 4 $134,719 $39,047 $538,877 $156,189 14.25
Burns with skin graft except extensive 3rd degree burns 4 $129,821 $40,087 $519,282 $160,346 12.25
Cardiac pacemaker & defibrillator revision except device replacement 3 $134,087 $39,747 $402,261 $119,241 8.33
Inborn errors of metabolism 3 $31,415 $10,520 $94,245 $31,561 2.33
Other bladder procedures 3 $26,463 $7,801 $79,390 $23,403 2.67
Brain contusion/laceration & complicated skull Fx, coma < 1 hr or no coma 3 $22,047 $4,599 $66,142 $13,798 1.33
Abortion w/o D&C, aspiration curettage or hysterotomy 3 $13,923 $4,104 $41,769 $12,311 1.67
Acute leukemia 3 $84,452 $25,802 $253,355 $77,405 8.67
Testes & scrotal procedures 2 $31,877 $8,712 $63,754 $17,424 2.50
Neonate birthwt 750-999g w/o major procedure 2 $1,008,836 $148,362 $2,017,671 $296,724 89.50
Neonate bwt 1000-1249g w resp dist synd/oth maj resp or maj anom 2 $631,008 $86,204 $1,262,016 $172,408 57.00
Neonate bwt 1250-1499g w or w/o other significant condition 2 $291,071 $36,948 $582,141 $73,896 27.00
Neonate bwt 2000-2499g w congenital/perinatal infection 2 $180,929 $23,461 $361,858 $46,921 16.50
Neonate birthwt >2499g w other major procedure 2 $86,886 $13,881 $173,771 $27,762 6.00
False labor 1 $16,753 $5,817 $16,753 $5,817 2.00
Neonate birthwt 500-749g w/o major procedure 1 $1,022,625 $134,515 $1,022,625 $134,515 98.00
Neonate birthwt 1500-1999g w congenital/perinatal infection 1 $62,381 $10,237 $62,381 $10,237 5.00
Splenectomy 1 $94,786 $26,971 $94,786 $26,971 9.00
Eye procedures except orbit 1 $45,911 $10,836 $45,911 $10,836 2.00
Partial thickness burns without skin graft 1 $75,367 $21,716 $75,367 $21,716 10.00
Musculoskeletal & other procedures for multiple significant trauma 1 $101,274 $27,806 $101,274 $27,806 8.00

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 538 $21,587
Payment for heart failure patients No Different than the National Average Payment 909 $15,184
Payment for pneumonia patients No Different than the National Average Payment 1,164 $14,149

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 553 11.0
Acute Myocardial Infarction (AMI) 30-Day Readmission Rate No different than the National Rate 545 19.2
Death rate for CABG No different than the National Rate 80 2.3
Death rate for chronic obstructive pulmonary disease (COPD) patients No different than the National Rate 748 6.7
Death rate for stroke patients No different than the National Rate 529 13.2
Heart failure (HF) 30-Day Mortality Rate No different than the National Rate 927 10.2
Heart failure (HF) 30-Day Readmission Rate Worse than the National Rate 1125 28.0
Pneumonia (PN) 30-Day Mortality Rate No different than the National Rate 1204 10.3
Pneumonia (PN) 30-Day Readmission Rate Worse than the National Rate 1214 20.7
Rate of readmission after discharge from hospital (hospital-wide) Worse than the National Rate 8840 18.7
Rate of readmission after hip/knee surgery No different than the National Rate 491 5.0
Rate of unplanned readmission for CABG No different than the National Rate 79 16.1
Rate of unplanned readmission for chronic obstructive pulmonary disease (COPD) patients Worse than the National Rate 911 24.9
Rate of unplanned readmission for stroke patients No different than the National Rate 497 15.1

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
92 447
ICU venous thromboembolism prophylaxis
04/01/2014 - 03/31/2015
92 59
Anticoagulation overlap therapy
04/01/2014 - 03/31/2015
94 166
Unfractionated heparin with dosages/platelet count monitoring
04/01/2014 - 03/31/2015
100 122
Warfarin therapy discharge instructions
04/01/2014 - 03/31/2015
98 88
Hospital acquired potentially preventable venous thromboembolism
04/01/2014 - 03/31/2015
3 75
Emergency Department
ED1
04/01/2014 - 03/31/2015
377 641
ED2
04/01/2014 - 03/31/2015
142 640
Emergency department volume
01/01/2013 - 12/31/2013
Very High (60,000+ patients annually)
OP 18
04/01/2014 - 03/31/2015
195 385
Door to diagnostic eval
04/01/2014 - 03/31/2015
24 408
Median time to pain med
04/01/2014 - 03/31/2015
46 108
Left before being seen
01/01/2013 - 12/31/2013
5 116003
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
100 23
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
100 173
Pneumonia
Initial antibiotic selection for CAP in immunocompetent patient
04/01/2014 - 03/31/2015
98 66
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
1 97
Preventive Care
Immunization for influenza
10/01/2014 - 03/31/2015
95 513
Healthcare workers given influenza vaccination
10/01/2014 - 03/31/2015
92 9559
Stroke Care
Venous Thromboembolism (VTE) Prophylaxis
04/01/2014 - 03/31/2015
96 176
Assessed for Rehabilitation
04/01/2014 - 03/31/2015
97 148
Discharged on Antithrombotic Therapy
04/01/2014 - 03/31/2015
100 129
Anticoagulation Therapy for Atrial Fibrillation/Flutter
04/01/2014 - 03/31/2015
100 31
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
99 131
Discharged on Statin Medication
04/01/2014 - 03/31/2015
97 94
Stroke Education
04/01/2014 - 03/31/2015
96 81
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
98 127
Prophylactic antibiotic received within 1 hour prior to surgical incision
04/01/2014 - 03/31/2015
99 264
Prophylactic Antibiotic Selection for Surgical Patients
04/01/2014 - 03/31/2015
100 264
Prophylactic antibiotics discontinued within 24 hours after surgery end time
04/01/2014 - 03/31/2015
97 257
Postoperative Urinary Catheter Removal
04/01/2014 - 03/31/2015
100 235
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
100 227

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 495 2.8
Serious blood clots after surgery Worse than the National Rate 5196 6.23
A wound that splits open after surgery on the abdomen or pelvis No different than the National Rate 643 1.54
Accidental cuts and tears from medical treatment No different than the National Rate 27188 1.22
Deaths among Patients with Serious Treatable Complications after Surgery No different than the National Rate 181 101.98
Collapsed lung due to medical treatment No different than the National Rate 25950 0.27
Serious complications No different than the National Rate Not Available 0.77