Lenox Hill Hospital


2016 Age Distribution

2016 Patient Race:

Black/African American5,327
Multi-racial15
Other Race9,088
White16,779

2016 Payers:

Blue Cross/Blue Shield 4,986
Managed Care, Unspecified 1
Medicaid 4,801
Medicare 10,904
Private Health Insurance 10,475
Self-Pay 40
Unknown 2

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 3429 $14,206 $3,031 $48,713,870 $10,393,111 2.52
Vaginal delivery 2357 $25,259 $4,541 $59,536,479 $10,703,494 2.49
Cesarean delivery 1536 $49,436 $10,057 $75,934,234 $15,447,002 4.24
Percutaneous coronary intervention w/o AMI 1382 $83,322 $22,778 $115,150,708 $31,479,010 1.91
Septicemia & disseminated infections 973 $76,306 $18,768 $74,246,118 $18,261,679 5.52
Knee joint replacement 864 $83,809 $20,693 $72,410,865 $17,878,674 3.66
Hip joint replacement 680 $76,767 $19,376 $52,201,779 $13,175,809 3.24
Procedures for obesity 549 $42,635 $10,805 $23,406,718 $5,931,716 2.13
OTHER VASCULAR PROCEDURES 518 $98,352 $26,917 $50,946,499 $13,942,822 3.13
Heart failure 448 $75,259 $19,140 $33,715,842 $8,574,934 5.32
Dorsal & lumbar fusion proc except for curvature of back 356 $164,303 $41,271 $58,491,883 $14,692,452 5.82
Cardiac arrhythmia & conduction disorders 344 $50,282 $11,480 $17,296,927 $3,949,017 2.90
Uterine & adnexa procedures for leiomyoma 326 $41,108 $10,606 $13,401,276 $3,457,583 2.14
Cellulitis & other skin infections 292 $35,167 $7,217 $10,268,752 $2,107,441 3.05
RENAL FAILURE 280 $52,894 $12,590 $14,810,396 $3,525,077 4.32
Uterine & adnexa procedures for non-malignancy except leiomyoma 278 $42,230 $11,100 $11,740,001 $3,085,672 1.74
Percutaneous coronary intervention w AMI 266 $98,612 $26,278 $26,230,792 $6,989,980 3.15
Appendectomy 266 $39,363 $9,191 $10,470,628 $2,444,796 1.83
Cardiac catheterization for other non-coronary conditions 254 $52,729 $14,398 $13,393,122 $3,657,053 1.77
Infectious & parasitic diseases including HIV w O.R. procedure 244 $199,410 $53,575 $48,656,007 $13,072,221 12.11
Seizure 234 $41,514 $7,192 $9,714,246 $1,682,974 3.29
Major small & large bowel procedures 232 $126,026 $28,818 $29,238,064 $6,685,684 7.81
Other digestive system diagnoses 227 $42,398 $8,805 $9,624,426 $1,998,735 2.80
Chronic obstructive pulmonary disease 226 $56,849 $18,613 $12,847,850 $4,206,542 4.16
Kidney & urinary tract infections 211 $39,300 $7,288 $8,292,386 $1,537,701 3.24
Laparoscopic cholecystectomy 210 $56,350 $13,068 $11,833,484 $2,744,350 2.95
Coronary bypass w/o AMI or complex PDX 207 $144,663 $38,582 $29,945,156 $7,986,405 6.53
Other anemia & disorders of blood & blood-forming organs 202 $40,935 $9,278 $8,268,897 $1,874,244 2.28
Other gastroenteritis, nausa & vomiting 196 $31,211 $5,963 $6,117,275 $1,168,726 2.19
Other pneumonia 194 $57,880 $16,117 $11,228,679 $3,126,701 4.26
Syncope & collapse 193 $36,817 $7,405 $7,105,592 $1,429,144 2.12
Angina pectoris & coronary atherosclerosis 190 $31,078 $6,420 $5,904,825 $1,219,741 1.66
Peripheral & other vascular disorders 187 $47,216 $10,785 $8,829,368 $2,016,813 2.79
Cervical spinal fusion & other back/neck proc exc disc excis/decomp 186 $86,367 $22,850 $16,064,287 $4,250,148 2.90
Craniotomy except for trauma 185 $197,261 $50,714 $36,493,295 $9,382,059 8.83
Transurethral prostatectomy 184 $36,459 $9,168 $6,708,546 $1,686,970 1.78
Other male reproductive system & related procedures 184 $46,355 $11,762 $8,529,232 $2,164,243 2.20
CVA & precerebral occlusion w infarct 177 $94,806 $19,180 $16,780,701 $3,394,853 5.23
Other & unspecified gastrointestinal hemorrhage 174 $60,557 $13,871 $10,537,003 $2,413,505 3.82
Thyroid, parathyroid & thyroglossal procedures 174 $42,548 $12,096 $7,403,423 $2,104,770 1.55
Chest pain 173 $30,409 $6,054 $5,260,680 $1,047,414 1.42
Major respiratory & chest procedures 167 $109,050 $27,375 $18,211,327 $4,571,671 5.78
Major depressive disorders & other/unspecified psychoses 167 $84,779 $25,492 $14,158,033 $4,257,088 13.23
Schizophrenia 161 $98,003 $29,532 $15,778,500 $4,754,589 15.78
Other back & neck disorders, fractures & injuries 155 $44,907 $7,963 $6,960,648 $1,234,267 3.59
Other antepartum diagnoses 154 $41,134 $7,328 $6,334,711 $1,128,517 4.44
Cardiac catheterization for coronary artery disease 153 $102,398 $26,028 $15,666,892 $3,982,334 5.05
Pulmonary embolism 152 $57,885 $12,825 $8,798,469 $1,949,334 3.23
Major male pelvic procedures 152 $46,698 $11,821 $7,098,140 $1,796,801 2.26
Diverticulitis & diverticulosis 149 $46,229 $9,556 $6,888,173 $1,423,867 3.13
Other musculoskeletal system & connective tissue diagnoses 142 $43,915 $8,626 $6,235,918 $1,224,829 3.56
Intervertebral disc excision & decompression 141 $51,175 $13,119 $7,215,670 $1,849,789 2.62
Diabetes 139 $34,430 $7,093 $4,785,792 $985,968 2.45
Moderately extensive procedure unrelated to principal diagnosis 139 $142,857 $39,467 $19,857,119 $5,485,914 8.71
Alcohol abuse & dependence 138 $44,392 $9,119 $6,126,086 $1,258,417 3.95
Disorders of pancreas except malignancy 137 $42,221 $7,865 $5,784,211 $1,077,563 2.98
Neonate bwt 2000-2499g, normal newborn or neonate w other problem 134 $48,713 $8,537 $6,527,564 $1,143,964 4.53
Bipolar disorders 133 $65,998 $20,161 $8,777,780 $2,681,462 10.74
Intestinal obstruction 130 $43,763 $7,228 $5,689,171 $939,640 3.30
Asthma 129 $38,055 $14,182 $4,909,031 $1,829,442 2.56
Cardiac valve procedures w/o AMI or complex PDX 126 $243,292 $65,983 $30,654,840 $8,313,870 8.40
Urinary stones & acquired upper urinary tract obstruction 122 $33,154 $7,201 $4,044,847 $878,503 1.58
Shoulder, upper arm & forearm procedures except joint replacement 121 $79,226 $19,994 $9,586,311 $2,419,280 3.21
Signs, symptoms & other factors influencing health status 120 $33,000 $6,209 $3,960,018 $745,021 2.64
Acute myocardial infarction 119 $78,969 $20,249 $9,397,294 $2,409,654 4.07
Knee & lower leg procedures except foot 119 $89,121 $21,267 $10,605,418 $2,530,717 5.48
Other musculoskeletal system & connective tissue procedures 118 $71,452 $16,950 $8,431,298 $2,000,047 4.32
Extensive procedure unrelated to principal diagnosis 118 $162,485 $45,145 $19,173,269 $5,327,102 9.17
Neonate birthwt >2499g w other significant condition 117 $33,688 $6,068 $3,941,487 $709,993 3.39
Other disorders of nervous system 116 $47,268 $8,890 $5,483,109 $1,031,271 3.20
Hypovolemia & related electrolyte disorders 114 $42,253 $8,080 $4,816,793 $921,079 3.32
Hernia procedures except inguinal, femoral & umbilical 110 $63,626 $15,784 $6,998,900 $1,736,273 3.19
Extracranial vascular procedures 106 $112,377 $29,357 $11,911,958 $3,111,827 3.95
Spinal procedures 105 $78,534 $21,015 $8,246,117 $2,206,546 2.57
Kidney & urinary tract procedures for nonmalignancy 105 $72,157 $17,493 $7,576,481 $1,836,783 4.12
Major stomach, esophageal & duodenal procedures 102 $135,312 $34,366 $13,801,831 $3,505,359 7.35
Hip and femur fracture repair 102 $113,655 $26,670 $11,592,772 $2,720,325 7.72
Neonate birthwt >2499g w major anomaly 100 $31,490 $6,184 $3,148,978 $618,423 3.36
Other kidney & urinary tract diagnoses, signs & symptoms 99 $46,843 $9,878 $4,637,492 $977,877 3.24
Hypertension 98 $36,844 $6,979 $3,610,746 $683,972 2.16
Urethral & transurethral procedures 98 $41,632 $10,287 $4,079,895 $1,008,084 1.90
Coronary bypass w AMI or complex PDX 95 $219,484 $60,311 $20,850,948 $5,729,522 9.26
Major pancreas, liver & shunt procedures 94 $97,590 $22,695 $9,173,467 $2,133,358 4.18
Other ear, nose, mouth & throat procedures 94 $54,241 $14,076 $5,098,629 $1,323,153 2.64
Peptic ulcer & gastritis 93 $48,030 $10,483 $4,466,813 $974,919 2.97
Other respiratory & chest procedures 91 $91,385 $23,929 $8,316,041 $2,177,579 4.75
Other cardiothoracic & thoracic vascular procedures 88 $186,959 $52,694 $16,452,413 $4,637,031 7.60
Post-op, post-trauma, other device infections w O.R. procedure 88 $130,716 $29,107 $11,503,024 $2,561,405 8.80
Post-operative, post-traumatic, other device infections 88 $58,366 $11,419 $5,136,166 $1,004,866 4.82
Perm cardiac pacemaker implant w/o AMI, heart failure or shock 86 $115,391 $31,076 $9,923,588 $2,672,553 3.85
O.R. procedure for other complications of treatment 86 $88,246 $21,742 $7,589,165 $1,869,830 4.83
Other complications of treatment 80 $46,457 $9,811 $3,716,582 $784,842 3.35
Infections of upper respiratory tract 79 $35,383 $10,008 $2,795,261 $790,649 2.41
Respiratory signs, symptoms & minor diagnoses 79 $35,137 $8,187 $2,775,807 $646,743 2.03
Cardiac defibrillator & heart assist implant 76 $228,208 $60,974 $17,343,799 $4,634,056 5.67
Electrolyte disorders except hypovolemia related 76 $40,394 $9,777 $3,069,953 $743,057 3.09
Poisoning of medicinal agents 76 $53,159 $12,611 $4,040,047 $958,432 3.25
Inflammatory bowel disease 75 $40,454 $7,281 $3,034,045 $546,085 2.75
Head trauma w coma >1 hr or hemorrhage 75 $49,737 $9,221 $3,730,302 $691,551 2.67
Other respiratory diagnoses except signs, symptoms & minor diagnoses 74 $62,688 $14,373 $4,638,900 $1,063,633 4.31
Malfunction, reaction, complic of genitourinary device or proc 74 $60,808 $12,475 $4,499,761 $923,169 5.24
Disorders of gallbladder & biliary tract 73 $43,335 $8,973 $3,163,430 $655,036 2.51
Major abdominal vascular procedures 70 $213,009 $57,899 $14,910,631 $4,052,942 6.69
Other circulatory system diagnoses 68 $60,753 $14,073 $4,131,187 $956,933 3.60
Other small & large bowel procedures 63 $74,283 $17,688 $4,679,842 $1,114,371 4.41
Abdominal pain 62 $31,421 $5,703 $1,948,101 $353,571 2.06
Malignancy of hepatobiliary system & pancreas 62 $68,185 $14,422 $4,227,495 $894,162 4.48
Depression except major depressive disorder 61 $50,951 $15,134 $3,108,008 $923,165 8.51
Major gastrointestinal & peritoneal infections 60 $49,814 $8,903 $2,988,825 $534,183 3.80
Breast procedures except mastectomy 60 $97,797 $27,357 $5,867,793 $1,641,449 2.87
Mastectomy procedures 59 $70,406 $19,312 $4,153,939 $1,139,385 2.15
Digestive malignancy 57 $91,171 $18,542 $5,196,750 $1,056,898 6.89
Malfunction, reaction & complication of GI device or procedure 57 $51,147 $9,073 $2,915,393 $517,182 4.09
Non-bacterial infections of nervous system exc viral meningitis 57 $57,706 $10,538 $3,289,234 $600,640 4.18
Nonextensive procedure unrelated to principal diagnosis 57 $80,414 $18,825 $4,583,621 $1,073,042 4.81
Fractures & dislocations except femur, pelvis & back 55 $37,175 $7,146 $2,044,616 $393,041 3.20
Skin graft for skin & subcutaneous tissue diagnoses 54 $64,604 $15,728 $3,488,627 $849,287 3.52
Other skin, subcutaneous tissue & related procedures 54 $49,683 $10,358 $2,682,857 $559,343 3.54
Respiratory malignancy 53 $101,363 $23,041 $5,372,230 $1,221,178 7.68
Tracheostomy w MV 96+ hours w extensive procedure or ECMO 53 $707,738 $232,749 $37,510,099 $12,335,697 33.40
Penis procedures 53 $70,271 $18,019 $3,724,388 $955,028 1.85
Vaginal delivery w complicating procedures exc sterilization &/or D&C 53 $29,759 $5,601 $1,577,250 $296,869 2.72
Facial bone procedures except major cranial/facial bone procedures 53 $60,192 $16,147 $3,190,176 $855,766 1.85
Vertigo & other labyrinth disorders 51 $33,891 $5,894 $1,728,446 $300,614 1.92
Inguinal, femoral & umbilical hernia procedures 50 $34,824 $9,255 $1,741,220 $462,728 1.58
Transient ischemia 50 $44,514 $7,423 $2,225,686 $371,166 2.12
Procedure w diag of rehab, aftercare or oth contact w health service 50 $129,324 $32,778 $6,466,205 $1,638,922 4.54
Major respiratory infections & inflammations 49 $77,336 $17,499 $3,789,445 $857,444 6.65
Other esophageal disorders 48 $36,824 $7,763 $1,767,555 $372,611 2.42
Other O.R. procedures for lymphatic/hematopoietic/other neoplasms 47 $127,901 $31,842 $6,011,338 $1,496,582 7.06
CHEMOTHERAPY 47 $66,408 $14,240 $3,121,199 $669,301 3.55
Peripheral, cranial & autonomic nerve disorders 46 $44,695 $8,334 $2,055,958 $383,381 3.15
Degenerative nervous system disorders exc mult sclerosis 45 $56,762 $10,997 $2,554,273 $494,868 4.84
Migraine & other headaches 45 $35,152 $6,386 $1,581,843 $287,376 2.16
Neonate birthwt >2499g w congenital/perinatal infection 45 $59,380 $9,929 $2,672,111 $446,801 4.58
Uterine & adnexa procedures for non-ovarian & non-adnexal malig 44 $58,214 $15,220 $2,561,406 $669,697 2.36
Major cranial/facial bone procedures 44 $135,514 $36,305 $5,962,597 $1,597,409 4.82
Other stomach, esophageal & duodenal procedures 43 $95,995 $23,806 $4,127,772 $1,023,671 6.02
Other digestive system & abdominal procedures 43 $82,647 $18,604 $3,553,800 $799,953 4.86
Other endocrine disorders 43 $51,747 $10,448 $2,225,134 $449,284 3.74
Intracranial hemorrhage 43 $81,888 $18,801 $3,521,200 $808,427 4.74
Respiratory Failure 42 $76,970 $27,018 $3,232,736 $1,134,775 4.83
Other hepatobiliary, pancreas & abdominal procedures 42 $99,774 $24,266 $4,190,492 $1,019,172 6.52
Viral illness 42 $39,985 $9,188 $1,679,385 $385,909 2.74
Major hematologic/immunologic diag exc sickle cell crisis & coagul 41 $61,537 $12,981 $2,522,997 $532,211 4.24
Cardiac valve procedures w AMI or complex PDX 39 $331,776 $90,167 $12,939,260 $3,516,503 12.31
Neonate, birthwt >2499g w resp dist synd/oth maj resp cond 38 $111,823 $19,637 $4,249,287 $746,198 7.76
Foot & toe procedures 35 $80,340 $18,739 $2,811,893 $655,859 4.83
Other female reproductive system & related procedures 35 $58,075 $14,761 $2,032,639 $516,641 2.31
Other ear, nose, mouth,throat & cranial/facial diagnoses 34 $50,047 $10,230 $1,701,585 $347,814 3.32
Tendon, muscle & other soft tissue procedures 34 $67,528 $18,036 $2,295,946 $613,210 4.62
Other skin, subcutaneous tissue & breast disorders 34 $31,131 $7,216 $1,058,448 $245,331 2.21
Malnutrition, failure to thrive & other nutritional disorders 34 $49,879 $9,404 $1,695,891 $319,749 4.38
Male reproductive system diagnoses except malignancy 34 $32,004 $5,650 $1,088,151 $192,104 2.53
Nervous system malignancy 33 $83,018 $15,904 $2,739,609 $524,817 5.30
Female reproductive system reconstructive procedures 33 $41,722 $11,204 $1,376,814 $369,732 1.45
Menstrual & other female reproductive system disorders 33 $24,695 $4,704 $814,937 $155,226 1.42
Fever 33 $45,851 $8,937 $1,513,081 $294,906 3.09
Neonate bwt 2000-2499g w other significant condition 32 $131,628 $21,395 $4,212,107 $684,655 9.63
Nontraumatic stupor & coma 31 $43,152 $7,932 $1,337,714 $245,897 2.84
Organic mental health disturbances 31 $78,231 $17,790 $2,425,156 $551,497 10.39
Cardiac structural & valvular disorders 30 $74,603 $16,646 $2,238,101 $499,382 4.73
Malfunction,reaction,complication of cardiac/vasc device or procedure 30 $66,970 $14,241 $2,009,085 $427,230 4.33
Fracture of pelvis or dislocation of hip 30 $42,175 $7,839 $1,265,260 $235,181 4.03
Osteomyelitis, septic arthritis & other musculoskeletal infections 30 $51,062 $9,533 $1,531,850 $285,998 4.37
Connective tissue disorders 30 $61,992 $14,575 $1,859,749 $437,239 4.33
Interstitial & alveolar lung diseases 29 $71,159 $19,962 $2,063,611 $578,896 5.69
Peritoneal adhesiolysis 29 $69,971 $14,446 $2,029,163 $418,923 4.00
Acute anxiety & delirium states 29 $29,637 $7,431 $859,470 $215,500 3.07
Vaginal delivery w sterilization &/or D&C 28 $29,823 $5,711 $835,041 $159,913 2.57
Neonate bwt 1500-1999g w or w/o other significant condition 28 $202,607 $32,365 $5,672,982 $906,228 14.46
Drug & alcohol abuse or dependence, left against medical advice 28 $27,075 $4,912 $758,089 $137,547 1.39
Toxic effects of non-medicinal substances 28 $42,872 $10,544 $1,200,421 $295,236 2.89
Amputation of lower limb except toes 27 $177,911 $44,682 $4,803,605 $1,206,412 12.04
Skin ulcers 27 $38,439 $7,214 $1,037,845 $194,782 3.41
Pituitary & adrenal procedures 27 $121,923 $30,596 $3,291,932 $826,081 5.19
Postpartum & post abortion diagnoses w/o procedure 27 $36,180 $6,701 $976,867 $180,934 2.78
Eye disorders except major infections 27 $46,323 $8,266 $1,250,719 $223,181 2.44
Other major head & neck procedures 27 $157,860 $40,515 $4,262,233 $1,093,917 7.59
Other disorders of the liver 26 $44,048 $9,434 $1,145,247 $245,290 2.92
Kidney & urinary tract procedures for malignancy 26 $97,707 $24,751 $2,540,384 $643,515 4.92
Lymphatic & other malignancies & neoplasms of uncertain behavior 26 $66,529 $13,586 $1,729,752 $353,242 4.27
Other nervous system & related procedures 25 $89,713 $21,830 $2,242,816 $545,758 3.72
Musculoskeletal malignancy & pathol fracture d/t muscskel malig 25 $81,329 $14,673 $2,033,215 $366,820 5.36
Hand & wrist procedures 24 $33,479 $8,152 $803,500 $195,647 1.79
Sickle cell anemia crisis 24 $58,248 $11,443 $1,397,948 $274,631 4.79
HIV w multiple major HIV related conditions 24 $134,020 $36,358 $3,216,487 $872,599 8.83
Major biliary tract procedures 23 $182,826 $45,146 $4,205,006 $1,038,353 10.70
Other significant hip and femur surgery 23 $140,766 $31,415 $3,237,619 $722,535 9.57
Malfunction, reaction, complic of orthopedic device or procedure 23 $50,289 $10,228 $1,156,656 $235,238 4.22
Ectopic pregnancy procedure 23 $36,364 $9,179 $836,374 $211,128 1.65
Coagulation & platelet disorders 23 $90,318 $16,732 $2,077,316 $384,826 4.26
HIV w major HIV related condition 23 $72,813 $14,332 $1,674,702 $329,647 5.22
Major chest & respiratory trauma 22 $49,018 $8,978 $1,078,387 $197,516 3.18
Other circulatory system procedures 22 $88,611 $25,228 $1,949,437 $555,006 4.45
Neonate bwt 1500-1999g w resp dist synd/oth maj resp cond 22 $364,118 $60,381 $8,010,604 $1,328,378 25.68
Lymphoma, myeloma & non-acute leukemia 22 $126,708 $27,433 $2,787,570 $603,533 7.95
Contusion, open wound & other trauma to skin & subcutaneous tissue 21 $45,819 $9,277 $962,207 $194,827 3.62
Major O.R. procedures for lymphatic/hematopoietic/other neoplasms 21 $106,788 $24,628 $2,242,550 $517,187 5.29
Other infectious & parasitic diseases 21 $54,562 $12,738 $1,145,798 $267,492 3.95
Sinus & mastoid procedures 21 $61,746 $15,689 $1,296,676 $329,462 2.67
Opioid abuse & dependence 20 $53,852 $14,402 $1,077,047 $288,035 6.80
Cocaine abuse & dependence 20 $32,368 $8,234 $647,363 $164,687 3.60
Gastrointestinal vascular insufficiency 19 $61,115 $12,076 $1,161,182 $229,452 3.74
Tonsil & adenoid procedures 18 $40,285 $10,046 $725,137 $180,827 1.83
Fracture of femur 17 $49,162 $9,182 $835,749 $156,093 4.18
Multiple sclerosis & other demyelinating diseases 17 $43,620 $6,692 $741,542 $113,761 3.18
Renal dialysis access device procedure only 17 $56,773 $18,000 $965,149 $305,994 3.35
Preterm labor 17 $60,781 $10,270 $1,033,276 $174,595 7.29
Neonate bwt 2000-2499g w resp dist synd/oth maj resp cond 17 $233,201 $39,103 $3,964,415 $664,751 16.41
Allergic reactions 17 $24,939 $6,328 $423,956 $107,571 1.65
Ear, nose, mouth, throat, cranial/facial malignancies 16 $67,198 $13,483 $1,075,172 $215,724 4.63
Anal procedures 16 $66,877 $17,220 $1,070,036 $275,523 3.50
Hepatic coma & other major acute liver disorders 16 $56,495 $9,978 $903,916 $159,641 4.50
Uterine & adnexa procedures for ovarian & adnexal malignancy 16 $127,319 $32,893 $2,037,100 $526,283 6.31
Female reproductive system infections 16 $28,321 $5,117 $453,128 $81,866 2.13
Neonate birthwt >2499g w other major procedure 16 $56,906 $11,171 $910,489 $178,741 5.38
Cardiac pacemaker & defibrillator device replacement 15 $142,989 $36,526 $2,144,829 $547,891 4.33
Nonspecific CVA & precerebral occlusion w/o infarct 15 $60,028 $12,141 $900,422 $182,114 3.00
Other procedures of blood & blood-forming organs 15 $78,005 $20,482 $1,170,081 $307,227 3.47
Bronchiolitis & RSV pneumonia 14 $43,276 $18,809 $605,865 $263,323 3.14
Skin graft, except hand, for musculoskeletal & connective tissue diagnoses 14 $149,093 $36,777 $2,087,295 $514,873 10.14
Other drug abuse & dependence 14 $47,735 $13,327 $668,288 $186,574 7.50
Major esophageal disorders 13 $43,768 $9,429 $568,983 $122,583 2.46
Kidney & urinary tract malignancy 13 $32,990 $8,000 $428,876 $104,005 1.62
Adjustment disorders & neuroses except depressive diagnoses 13 $47,092 $13,508 $612,201 $175,601 7.15
Cardiac pacemaker & defibrillator revision except device replacement 12 $106,015 $27,966 $1,272,174 $335,589 3.08
Ventricular shunt procedures 12 $171,837 $34,847 $2,062,041 $418,169 9.58
Alcoholic liver disease 12 $88,398 $19,871 $1,060,774 $238,451 6.50
Dilation & curettage for non-obstetric diagnoses 12 $50,447 $11,584 $605,369 $139,002 2.42
Concussion, closed skull Fx nos,uncomplicated intracranial injury, coma < 1 hr or no coma 12 $50,211 $10,757 $602,535 $129,085 2.25
Cardiac arrest and shock 11 $69,746 $20,961 $767,207 $230,569 4.27
Acute leukemia 11 $95,761 $23,169 $1,053,367 $254,857 6.27
Other aftercare & convalescence 11 $46,894 $10,533 $515,837 $115,859 2.91
Dental & oral diseases & injuries 10 $27,467 $4,917 $274,667 $49,167 2.20
Respiratory system diagnosis w ventilator support 96+ hours 10 $335,056 $114,669 $3,350,563 $1,146,692 21.90
Tracheostomy w MV 96+ hours w/o extensive procedure 10 $411,760 $146,182 $4,117,602 $1,461,815 21.80
Female reproductive system malignancy 10 $61,297 $10,670 $612,973 $106,702 5.40
D&C, aspiration curettage or hysterotomy for obstetric diagnoses 10 $35,709 $8,564 $357,087 $85,642 1.40
Neonate bwt 1250-1499g w resp dist synd/oth maj resp or maj anom 10 $576,295 $96,547 $5,762,947 $965,465 40.40
Major bladder procedures 9 $164,448 $37,782 $1,480,031 $340,034 10.00
Other kidney, urinary tract & related procedures 9 $74,898 $20,880 $674,084 $187,924 3.33
Disorders of personality & impulse control 9 $64,329 $19,763 $578,957 $177,868 11.11
Major larynx & trachea procedures 9 $250,972 $59,371 $2,258,752 $534,337 13.22
Craniotomy for trauma 8 $197,881 $47,683 $1,583,051 $381,465 10.38
Inborn errors of metabolism 8 $56,105 $13,329 $448,836 $106,631 3.38
False labor 8 $18,508 $3,198 $148,064 $25,582 1.88
Cholecystectomy except laparoscopic 7 $110,531 $22,258 $773,714 $155,809 6.71
Spinal disorders & injuries 7 $76,990 $10,507 $538,931 $73,547 5.43
Other bladder procedures 7 $120,259 $26,774 $841,816 $187,419 8.43
Malignancy, male reproductive system 7 $54,105 $8,872 $378,735 $62,103 5.00
Neonate bwt 2000-2499g w major anomaly 7 $326,064 $53,764 $2,282,447 $376,345 23.43
Cardiomyopathy 6 $53,034 $10,852 $318,202 $65,111 4.00
Dorsal & lumbar fusion proc for curvature of back 6 $229,023 $62,012 $1,374,135 $372,074 7.17
Testes & scrotal procedures 6 $42,540 $9,746 $255,238 $58,474 2.33
Neonate bwt <500g or GA <24 weeks 6 $678,126 $131,280 $4,068,757 $787,678 42.17
Neonate birthwt 750-999g w/o major procedure 6 $786,405 $139,524 $4,718,428 $837,145 55.00
HIV w multiple significant HIV related conditions 6 $56,830 $11,606 $340,982 $69,635 3.83
Permanent cardiac pacemaker implant w AMI, heart failure or shock 5 $233,669 $54,003 $1,168,343 $270,016 12.20
Malignant breast disorders 5 $105,487 $24,020 $527,435 $120,098 8.00
Other O.R. proc for obstetric diagnoses except delivery diagnoses 5 $28,124 $6,678 $140,622 $33,391 1.80
Neonate birthwt 500-749g w/o major procedure 5 $1,340,720 $245,217 $6,703,602 $1,226,086 92.00
Alcohol & drug dependence w rehab or rehab/detox therapy 5 $72,498 $22,290 $362,491 $111,452 12.80
Acute & subacute endocarditis 4 $104,753 $17,735 $419,012 $70,938 6.75
Major skin disorders 4 $27,239 $5,244 $108,955 $20,975 2.00
Bacterial & tuberculous infections of nervous system 4 $142,435 $31,450 $569,740 $125,800 8.25
Pelvic evisceration, radical hysterectomy & other radical GYN procs 4 $91,029 $23,616 $364,116 $94,465 4.50
Abortion w/o D&C, aspiration curettage or hysterotomy 4 $25,053 $4,834 $100,210 $19,335 1.50
Neonate, transferred < 5 days old, born here 4 $40,936 $7,328 $163,742 $29,310 2.25
Acute major eye infections 4 $19,542 $2,779 $78,167 $11,114 1.50
HIV w one signif HIV cond or w/o signif related cond 4 $49,035 $8,954 $196,139 $35,817 3.50
Nephritis & nephrosis 3 $113,449 $20,008 $340,348 $60,025 11.00
Neonate bwt 2000-2499g w congenital/perinatal infection 3 $96,129 $15,584 $288,387 $46,751 6.67
Orbital procedures 3 $102,360 $21,446 $307,080 $64,338 5.33
Eye procedures except orbit 3 $34,309 $8,671 $102,927 $26,013 1.33
Other injury, poisoning & toxic effect diagnoses 3 $36,033 $8,772 $108,099 $26,317 1.67
Multiple significant trauma w/o O.R. procedure 3 $66,628 $10,702 $199,884 $32,105 5.00
Major cardiothoracic repair of heart anomaly 2 $316,079 $83,419 $632,158 $166,838 9.50
Other procedures for endocrine, nutritional & metabolic disorders 2 $88,129 $25,510 $176,257 $51,019 7.00
Brain contusion/laceration & complicated skull Fx, coma < 1 hr or no coma 2 $30,039 $4,539 $60,078 $9,077 1.50
Neonate bwt 1000-1249g w resp dist synd/oth maj resp or maj anom 2 $918,890 $151,753 $1,837,780 $303,505 67.00
Neonate birthwt 1500-1999g w major anomaly 2 $366,180 $59,198 $732,359 $118,395 26.00
Splenectomy 2 $308,940 $69,133 $617,880 $138,266 16.50
Other mental health disorders 2 $26,632 $4,286 $53,264 $8,571 1.50
Principal diagnosis invalid as discharge diagnosis 2 $33,661 $7,760 $67,322 $15,519 3.50
Viral meningitis 1 $27,572 $4,544 $27,572 $4,544 2.00
Neonate bwt <1500g w major procedure 1 $527,347 $87,421 $527,347 $87,421 37.00
Neonate birthwt 1000-1249g w or w/o other significant condition 1 $794,477 $127,260 $794,477 $127,260 57.00
Neonate bwt 1250-1499g w or w/o other significant condition 1 $413,862 $67,218 $413,862 $67,218 32.00
Neonate bwt 1500-2499g w major procedure 1 $368,581 $65,305 $368,581 $65,305 24.00
Neonate birthwt 1500-1999g w congenital/perinatal infection 1 $518,287 $86,577 $518,287 $86,577 36.00
Neonate birthwt >2499g w major cardiovascular procedure 1 $300,917 $49,787 $300,917 $49,787 21.00
Mental illness diagnosis w O.R. procedure 1 $67,534 $19,881 $67,534 $19,881 11.00
Behavioral disorders 1 $39,892 $12,449 $39,892 $12,449 7.00
Extensive 3rd degree or full thickness burns w/o skin graft 1 $28,235 $4,911 $28,235 $4,911 3.00
Musculoskeletal & other procedures for multiple significant trauma 1 $85,645 $18,533 $85,645 $18,533 5.00
Cleft lip & palate repair 1 $44,923 $11,239 $44,923 $11,239 3.00
Ungroupable 1 $970,397 $163,602 $970,397 $163,602 74.00

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 246 $21,236
Payment for heart failure patients Greater than the National Average Payment 468 $18,524
Payment for pneumonia patients No Different than the National Average Payment 510 $14,700

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 248 11.4
Acute Myocardial Infarction (AMI) 30-Day Readmission Rate No different than the National Rate 330 16.1
Death rate for CABG No different than the National Rate 153 2.4
Death rate for chronic obstructive pulmonary disease (COPD) patients No different than the National Rate 292 6.2
Death rate for stroke patients No different than the National Rate 188 12.7
Heart failure (HF) 30-Day Mortality Rate Better than the National Rate 484 8.5
Heart failure (HF) 30-Day Readmission Rate No different than the National Rate 610 23.4
Pneumonia (PN) 30-Day Mortality Rate Better than the National Rate 520 7.9
Pneumonia (PN) 30-Day Readmission Rate Worse than the National Rate 563 20.3
Rate of readmission after discharge from hospital (hospital-wide) No different than the National Rate 5873 15.9
Rate of readmission after hip/knee surgery No different than the National Rate 822 4.6
Rate of unplanned readmission for CABG No different than the National Rate 152 15.6
Rate of unplanned readmission for chronic obstructive pulmonary disease (COPD) patients No different than the National Rate 337 19.5
Rate of unplanned readmission for stroke patients No different than the National Rate 190 12.2

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
94 367
ICU venous thromboembolism prophylaxis
04/01/2014 - 03/31/2015
93 61
Anticoagulation overlap therapy
04/01/2014 - 03/31/2015
87 127
Unfractionated heparin with dosages/platelet count monitoring
04/01/2014 - 03/31/2015
99 136
Warfarin therapy discharge instructions
04/01/2014 - 03/31/2015
36 81
Hospital acquired potentially preventable venous thromboembolism
04/01/2014 - 03/31/2015
16 63
Emergency Department
ED1
04/01/2014 - 03/31/2015
417 552
ED2
04/01/2014 - 03/31/2015
156 551
Emergency department volume
01/01/2013 - 12/31/2013
High (40,000 - 59,999 patients annually)
OP 18
04/01/2014 - 03/31/2015
183 373
Door to diagnostic eval
04/01/2014 - 03/31/2015
21 396
Median time to pain med
04/01/2014 - 03/31/2015
64 58
Left before being seen
01/01/2013 - 12/31/2013
0 56589
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
80 20
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
100 220
Pneumonia
Initial antibiotic selection for CAP in immunocompetent patient
04/01/2014 - 03/31/2015
100 51
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
11 97
Preventive Care
Immunization for influenza
10/01/2014 - 03/31/2015
65 522
Healthcare workers given influenza vaccination
10/01/2014 - 03/31/2015
90 5668
Stroke Care
Venous Thromboembolism (VTE) Prophylaxis
04/01/2014 - 03/31/2015
98 145
Assessed for Rehabilitation
04/01/2014 - 03/31/2015
99 98
Discharged on Antithrombotic Therapy
04/01/2014 - 03/31/2015
100 73
Anticoagulation Therapy for Atrial Fibrillation/Flutter
04/01/2014 - 03/31/2015
82 11
Thrombolytic Therapy
04/01/2014 - 03/31/2015
91 11
Antithrombotic Therapy by End of Hospital Day 2
04/01/2014 - 03/31/2015
93 70
Discharged on Statin Medication
04/01/2014 - 03/31/2015
100 82
Stroke Education
04/01/2014 - 03/31/2015
47 70
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
97 210
Prophylactic antibiotic received within 1 hour prior to surgical incision
04/01/2014 - 03/31/2015
98 366
Prophylactic Antibiotic Selection for Surgical Patients
04/01/2014 - 03/31/2015
96 366
Prophylactic antibiotics discontinued within 24 hours after surgery end time
04/01/2014 - 03/31/2015
97 355
Postoperative Urinary Catheter Removal
04/01/2014 - 03/31/2015
99 190
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
100 287

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 878 2.9
Serious blood clots after surgery Worse than the National Rate 5849 7.27
A wound that splits open after surgery on the abdomen or pelvis No different than the National Rate 563 1.98
Accidental cuts and tears from medical treatment No different than the National Rate 15184 1.45
Deaths among Patients with Serious Treatable Complications after Surgery Better than the National Rate 302 72.91
Collapsed lung due to medical treatment No different than the National Rate 14264 0.36
Serious complications No different than the National Rate Not Available 0.97