Mount Sinai Hospital


2016 Age Distribution

2016 Patient Race:

Black/African American10,327
Other Race20,644
White25,230

2016 Payers:

Blue Cross/Blue Shield 7,701
Federal/State/Local/VA 455
Managed Care, Unspecified 644
Medicaid 14,526
Medicare 17,913
Miscellaneous/Other 305
Private Health Insurance 13,913
Self-Pay 744

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 6942 $11,191 $3,277 $77,684,563 $22,751,395 2.31
Vaginal delivery 5130 $20,894 $8,133 $107,185,192 $41,720,719 2.29
Cesarean delivery 2397 $36,216 $14,411 $86,810,638 $34,542,530 3.78
Percutaneous coronary intervention w/o AMI 2209 $71,471 $25,045 $157,879,395 $55,323,325 2.51
Septicemia & disseminated infections 1334 $77,638 $27,183 $103,568,490 $36,261,462 8.09
OTHER VASCULAR PROCEDURES 1184 $75,269 $29,957 $89,117,934 $35,469,279 4.18
Major small & large bowel procedures 1104 $79,232 $30,774 $87,471,833 $33,974,292 7.85
Heart failure 805 $53,659 $17,422 $43,195,533 $14,025,006 6.11
Other disorders of nervous system 614 $85,953 $27,048 $52,774,850 $16,607,301 12.19
Procedures for obesity 606 $29,174 $12,888 $17,679,690 $7,810,160 1.74
Craniotomy except for trauma 581 $108,389 $43,606 $62,973,784 $25,335,032 6.89
Dorsal & lumbar fusion proc except for curvature of back 558 $92,547 $46,920 $51,641,485 $26,181,460 4.11
Cardiac catheterization for coronary artery disease 516 $68,501 $21,173 $35,346,773 $10,925,444 6.33
RENAL FAILURE 493 $50,905 $17,349 $25,096,088 $8,552,948 5.66
Other cardiothoracic & thoracic vascular procedures 489 $105,267 $36,407 $51,475,357 $17,802,956 6.99
Seizure 460 $27,222 $10,074 $12,522,020 $4,634,257 3.22
Cardiac valve procedures w/o AMI or complex PDX 448 $124,431 $43,452 $55,745,231 $19,466,634 8.44
CHEMOTHERAPY 416 $83,452 $32,696 $34,715,933 $13,601,534 8.97
Other digestive system diagnoses 413 $43,084 $15,294 $17,793,570 $6,316,453 4.79
Cardiac arrhythmia & conduction disorders 402 $38,029 $12,018 $15,287,584 $4,831,224 3.94
Percutaneous coronary intervention w AMI 392 $70,918 $20,249 $27,799,823 $7,937,521 3.08
Malfunction, reaction, complic of genitourinary device or proc 392 $59,630 $21,061 $23,374,903 $8,255,725 6.36
Infectious & parasitic diseases including HIV w O.R. procedure 388 $172,554 $62,644 $66,951,042 $24,305,822 15.61
Neonate bwt 2000-2499g, normal newborn or neonate w other problem 387 $25,462 $9,727 $9,853,695 $3,764,517 3.66
Major male pelvic procedures 365 $31,307 $13,927 $11,427,042 $5,083,513 1.28
Cervical spinal fusion & other back/neck proc exc disc excis/decomp 362 $52,826 $25,021 $19,122,837 $9,057,616 2.47
Other pneumonia 358 $33,145 $12,451 $11,865,746 $4,457,480 3.73
Asthma 358 $23,036 $10,494 $8,246,861 $3,756,774 2.52
CVA & precerebral occlusion w infarct 357 $65,294 $21,639 $23,309,963 $7,725,265 6.01
Cardiac catheterization for other non-coronary conditions 347 $30,080 $9,487 $10,437,793 $3,292,000 2.09
Cellulitis & other skin infections 341 $32,458 $12,040 $11,068,055 $4,105,631 4.07
Knee joint replacement 333 $56,823 $27,055 $18,921,961 $9,009,413 3.44
Hip joint replacement 330 $67,303 $31,061 $22,210,032 $10,250,065 4.32
Uterine & adnexa procedures for leiomyoma 328 $26,012 $10,481 $8,532,012 $3,437,801 1.93
Extracranial vascular procedures 317 $89,488 $40,322 $28,367,702 $12,782,223 3.98
Kidney & urinary tract procedures for nonmalignancy 315 $56,519 $22,296 $17,803,484 $7,023,350 4.88
Inflammatory bowel disease 312 $41,639 $15,070 $12,991,305 $4,701,842 4.50
Kidney & urinary tract infections 287 $37,495 $14,517 $10,761,112 $4,166,285 4.50
Peripheral & other vascular disorders 279 $41,253 $14,249 $11,509,566 $3,975,339 4.25
Schizophrenia 276 $78,227 $40,048 $21,590,527 $11,053,173 19.87
Sickle cell anemia crisis 275 $46,372 $19,677 $12,752,279 $5,411,146 5.68
Other small & large bowel procedures 271 $59,091 $22,628 $16,013,794 $6,132,179 6.09
Major depressive disorders & other/unspecified psychoses 261 $65,906 $33,161 $17,201,450 $8,654,999 16.80
Other antepartum diagnoses 259 $25,984 $9,549 $6,729,921 $2,473,303 3.09
Major pancreas, liver & shunt procedures 256 $78,435 $30,653 $20,079,454 $7,847,124 6.35
Post-operative, post-traumatic, other device infections 255 $73,833 $27,077 $18,827,378 $6,904,727 8.26
Moderately extensive procedure unrelated to principal diagnosis 255 $114,881 $41,664 $29,294,731 $10,624,266 10.44
Bone marrow transplant 251 $257,018 $93,280 $64,511,559 $23,413,278 22.01
Other gastroenteritis, nausa & vomiting 248 $31,949 $11,960 $7,923,281 $2,966,128 3.37
Diabetes 245 $33,534 $11,799 $8,215,906 $2,890,679 3.46
Major respiratory & chest procedures 241 $72,592 $26,103 $17,494,649 $6,290,725 6.17
Chronic obstructive pulmonary disease 236 $41,134 $13,935 $9,707,706 $3,288,685 4.75
Rehabilitation 234 $115,938 $34,240 $27,129,588 $8,012,133 17.49
Appendectomy 228 $29,279 $13,642 $6,675,515 $3,110,276 2.25
Intervertebral disc excision & decompression 228 $50,998 $19,991 $11,627,441 $4,557,958 3.92
Major abdominal vascular procedures 226 $137,330 $50,901 $31,036,619 $11,503,734 7.02
Other musculoskeletal system & connective tissue diagnoses 225 $57,779 $24,266 $13,000,240 $5,459,822 5.12
Acute myocardial infarction 224 $49,681 $14,726 $11,128,572 $3,298,623 4.54
Signs, symptoms & other factors influencing health status 224 $39,114 $13,535 $8,761,622 $3,031,856 4.39
Extensive procedure unrelated to principal diagnosis 224 $120,158 $45,093 $26,915,312 $10,100,873 9.57
Respiratory Failure 220 $59,479 $20,543 $13,085,383 $4,519,431 6.14
Other hepatobiliary, pancreas & abdominal procedures 219 $99,957 $36,459 $21,890,590 $7,984,420 9.62
Coronary bypass w/o AMI or complex PDX 215 $102,614 $33,847 $22,061,981 $7,277,038 8.31
Other respiratory & chest procedures 207 $76,170 $27,588 $15,767,285 $5,710,764 6.38
Hernia procedures except inguinal, femoral & umbilical 205 $44,888 $17,651 $9,202,045 $3,618,382 3.97
Intestinal obstruction 203 $39,400 $13,577 $7,998,246 $2,756,219 4.56
Major hematologic/immunologic diag exc sickle cell crisis & coagul 201 $80,132 $31,740 $16,106,455 $6,379,754 7.86
Bipolar disorders 199 $59,234 $29,831 $11,787,572 $5,936,344 15.00
Hepatic coma & other major acute liver disorders 191 $78,382 $27,706 $14,970,959 $5,291,848 8.01
Tracheostomy w MV 96+ hours w extensive procedure or ECMO 191 $697,901 $245,062 $133,299,141 $46,806,782 46.01
Post-op, post-trauma, other device infections w O.R. procedure 185 $104,023 $38,231 $19,244,189 $7,072,754 10.25
Major stomach, esophageal & duodenal procedures 184 $79,138 $28,970 $14,561,390 $5,330,442 7.07
Kidney transplant 180 $157,765 $59,221 $28,397,665 $10,659,830 5.84
Neonate birthwt >2499g w major anomaly 179 $45,408 $17,008 $8,128,027 $3,044,462 4.37
Coronary bypass w AMI or complex PDX 176 $137,482 $43,803 $24,196,783 $7,709,296 10.80
Other digestive system & abdominal procedures 172 $64,786 $23,408 $11,143,219 $4,026,258 6.08
Other anemia & disorders of blood & blood-forming organs 171 $33,449 $12,895 $5,719,743 $2,205,124 3.41
Dorsal & lumbar fusion proc for curvature of back 168 $146,707 $78,034 $24,646,835 $13,109,700 6.33
Shoulder, upper arm & forearm procedures except joint replacement 167 $47,953 $21,511 $8,008,145 $3,592,324 3.20
Other O.R. procedures for lymphatic/hematopoietic/other neoplasms 167 $137,431 $49,978 $22,951,033 $8,346,397 12.51
Procedure w diag of rehab, aftercare or oth contact w health service 166 $69,867 $32,008 $11,597,943 $5,313,278 4.58
Cardiac defibrillator & heart assist implant 163 $252,387 $106,327 $41,139,094 $17,331,319 11.68
Peptic ulcer & gastritis 163 $47,897 $17,490 $7,807,249 $2,850,949 4.44
Pituitary & adrenal procedures 162 $46,144 $17,413 $7,475,351 $2,820,871 2.94
Infections of upper respiratory tract 161 $26,041 $11,211 $4,192,634 $1,805,007 2.78
Lymphoma, myeloma & non-acute leukemia 159 $123,253 $44,066 $19,597,296 $7,006,494 12.05
Malfunction, reaction & complication of GI device or procedure 158 $55,034 $20,533 $8,695,327 $3,244,146 6.30
Pulmonary embolism 157 $50,030 $17,046 $7,854,733 $2,676,229 5.07
Major respiratory infections & inflammations 157 $72,866 $27,072 $11,439,926 $4,250,243 8.63
Disorders of gallbladder & biliary tract 157 $37,506 $13,343 $5,888,490 $2,094,845 3.90
Other respiratory diagnoses except signs, symptoms & minor diagnoses 155 $40,243 $14,222 $6,237,602 $2,204,456 4.34
Syncope & collapse 154 $31,572 $10,608 $4,862,139 $1,633,564 3.43
Laparoscopic cholecystectomy 153 $44,404 $16,867 $6,793,801 $2,580,629 3.78
Other & unspecified gastrointestinal hemorrhage 152 $49,868 $17,782 $7,579,896 $2,702,903 4.95
Cardiac valve procedures w AMI or complex PDX 149 $173,112 $58,386 $25,793,718 $8,699,507 12.17
Disorders of pancreas except malignancy 148 $42,535 $15,057 $6,295,144 $2,228,417 4.84
Bronchiolitis & RSV pneumonia 147 $31,041 $15,925 $4,563,023 $2,340,943 3.39
Other back & neck disorders, fractures & injuries 147 $47,979 $16,300 $7,052,881 $2,396,063 5.82
Diverticulitis & diverticulosis 146 $38,691 $13,316 $5,648,955 $1,944,145 4.32
Other circulatory system diagnoses 143 $47,134 $15,185 $6,740,190 $2,171,448 4.71
Malignancy of hepatobiliary system & pancreas 143 $74,530 $25,781 $10,657,729 $3,686,734 8.31
Major gastrointestinal & peritoneal infections 142 $52,845 $19,622 $7,504,026 $2,786,264 6.19
Liver transplant &/or intestinal transplant 141 $474,668 $180,748 $66,928,162 $25,485,431 27.56
Uterine & adnexa procedures for non-malignancy except leiomyoma 141 $31,046 $12,744 $4,377,423 $1,796,845 2.18
Degenerative nervous system disorders exc mult sclerosis 140 $83,381 $31,682 $11,673,284 $4,435,423 11.44
O.R. procedure for other complications of treatment 140 $68,647 $25,793 $9,610,601 $3,610,959 5.76
Digestive malignancy 139 $80,010 $27,512 $11,121,334 $3,824,205 9.30
Mastectomy procedures 139 $46,255 $21,023 $6,429,425 $2,922,245 2.18
Poisoning of medicinal agents 136 $38,325 $13,317 $5,212,158 $1,811,120 3.93
Kidney & urinary tract procedures for malignancy 135 $46,932 $19,233 $6,335,881 $2,596,503 3.34
Hypovolemia & related electrolyte disorders 133 $46,125 $18,589 $6,134,684 $2,472,295 5.35
Vaginal delivery w complicating procedures exc sterilization &/or D&C 133 $24,920 $9,720 $3,314,354 $1,292,735 2.66
Spinal procedures 128 $68,823 $29,176 $8,809,374 $3,734,513 4.10
Other disorders of the liver 127 $58,865 $20,789 $7,475,812 $2,640,260 5.80
Perm cardiac pacemaker implant w/o AMI, heart failure or shock 126 $59,453 $19,840 $7,491,028 $2,499,900 3.56
Connective tissue disorders 125 $55,552 $21,809 $6,943,962 $2,726,070 5.76
Postpartum & post abortion diagnoses w/o procedure 123 $23,623 $8,181 $2,905,575 $1,006,216 2.76
Organic mental health disturbances 123 $69,216 $27,901 $8,513,518 $3,431,850 12.89
Electrolyte disorders except hypovolemia related 122 $39,299 $13,419 $4,794,440 $1,637,139 4.43
Nonextensive procedure unrelated to principal diagnosis 115 $95,210 $33,776 $10,949,179 $3,884,202 8.70
Abdominal pain 114 $35,160 $12,522 $4,008,241 $1,427,561 3.88
Other complications of treatment 114 $39,172 $13,881 $4,465,584 $1,582,409 4.07
Neonate birthwt >2499g w other significant condition 113 $42,792 $17,835 $4,835,471 $2,015,339 4.59
Other ear, nose, mouth & throat procedures 112 $54,045 $20,854 $6,053,086 $2,335,660 4.83
Malfunction,reaction,complication of cardiac/vasc device or procedure 108 $60,113 $20,119 $6,492,235 $2,172,895 6.22
Respiratory malignancy 107 $72,378 $24,181 $7,744,455 $2,587,356 8.21
Fever 104 $27,455 $11,897 $2,855,352 $1,237,317 2.95
Other kidney & urinary tract diagnoses, signs & symptoms 103 $45,044 $15,485 $4,639,544 $1,595,005 5.07
Nontraumatic stupor & coma 101 $54,356 $18,415 $5,489,946 $1,859,871 6.10
Other musculoskeletal system & connective tissue procedures 99 $46,391 $17,754 $4,592,750 $1,757,685 3.83
Spinal disorders & injuries 99 $146,841 $43,873 $14,537,237 $4,343,476 21.33
Malnutrition, failure to thrive & other nutritional disorders 99 $54,450 $22,043 $5,390,509 $2,182,303 6.95
Major cranial/facial bone procedures 98 $88,325 $35,176 $8,655,813 $3,447,272 6.80
Angina pectoris & coronary atherosclerosis 97 $25,361 $9,265 $2,460,022 $898,678 2.55
Uterine & adnexa procedures for non-ovarian & non-adnexal malig 97 $42,200 $16,364 $4,093,438 $1,587,299 3.05
Alcohol abuse & dependence 97 $37,800 $13,559 $3,666,634 $1,315,213 5.44
Depression except major depressive disorder 96 $32,790 $16,090 $3,147,842 $1,544,640 7.84
Amputation of lower limb except toes 94 $100,984 $36,556 $9,492,471 $3,436,242 10.82
Respiratory signs, symptoms & minor diagnoses 93 $35,216 $12,795 $3,275,103 $1,189,898 3.43
Knee & lower leg procedures except foot 92 $52,383 $21,463 $4,819,205 $1,974,576 4.65
HIV w multiple major HIV related conditions 92 $131,977 $45,390 $12,141,856 $4,175,875 13.48
Other endocrine disorders 91 $58,073 $20,262 $5,284,598 $1,843,878 6.54
Other major head & neck procedures 91 $66,857 $25,503 $6,083,963 $2,320,776 5.20
Coagulation & platelet disorders 88 $107,507 $51,946 $9,460,626 $4,571,242 4.51
Viral illness 88 $32,048 $13,901 $2,820,236 $1,223,247 3.58
Nervous system malignancy 87 $94,107 $30,658 $8,187,316 $2,667,288 10.45
Other aftercare & convalescence 87 $80,111 $23,624 $6,969,692 $2,055,299 12.21
Tendon, muscle & other soft tissue procedures 84 $60,658 $22,770 $5,095,295 $1,912,693 5.55
Other stomach, esophageal & duodenal procedures 83 $81,192 $31,641 $6,738,901 $2,626,165 8.34
Peripheral, cranial & autonomic nerve disorders 81 $37,869 $13,013 $3,067,421 $1,054,067 3.86
Acute leukemia 81 $300,032 $108,127 $24,302,631 $8,758,272 27.95
Major O.R. procedures for lymphatic/hematopoietic/other neoplasms 80 $125,465 $44,706 $10,037,180 $3,576,471 11.35
Alcoholic liver disease 79 $71,827 $25,408 $5,674,301 $2,007,200 7.37
Cardiac structural & valvular disorders 78 $47,346 $14,588 $3,692,985 $1,137,897 4.85
Intracranial hemorrhage 76 $91,153 $34,770 $6,927,651 $2,642,521 6.51
Vaginal delivery w sterilization &/or D&C 76 $25,035 $9,728 $1,902,683 $739,313 2.47
Migraine & other headaches 74 $29,514 $10,664 $2,184,037 $789,143 3.08
Foot & toe procedures 73 $50,312 $19,272 $3,672,802 $1,406,874 5.01
Musculoskeletal malignancy & pathol fracture d/t muscskel malig 73 $103,077 $33,374 $7,524,601 $2,436,294 11.51
Skin graft for skin & subcutaneous tissue diagnoses 73 $53,127 $22,574 $3,878,288 $1,647,904 4.12
Other skin, subcutaneous tissue & related procedures 73 $51,234 $19,244 $3,740,094 $1,404,784 5.30
Major bladder procedures 73 $94,077 $36,950 $6,867,651 $2,697,331 8.12
Tracheostomy w MV 96+ hours w/o extensive procedure 73 $520,677 $198,326 $38,009,427 $14,477,800 40.44
Peritoneal adhesiolysis 71 $95,182 $34,726 $6,757,925 $2,465,524 9.80
Neonate bwt 1500-1999g w or w/o other significant condition 71 $145,264 $65,029 $10,313,758 $4,617,056 14.00
Other esophageal disorders 68 $53,715 $19,694 $3,652,618 $1,339,164 6.07
Lymphatic & other malignancies & neoplasms of uncertain behavior 67 $83,493 $28,770 $5,594,033 $1,927,608 8.90
Respiratory system diagnosis w ventilator support 96+ hours 66 $178,284 $64,897 $11,766,764 $4,283,226 15.65
Facial bone procedures except major cranial/facial bone procedures 66 $52,526 $22,351 $3,466,706 $1,475,165 4.08
Other significant hip and femur surgery 65 $86,270 $37,591 $5,607,534 $2,443,406 7.32
HIV w major HIV related condition 65 $57,340 $20,404 $3,727,109 $1,326,268 6.06
Hip and femur fracture repair 64 $61,552 $24,210 $3,939,352 $1,549,458 5.53
Osteomyelitis, septic arthritis & other musculoskeletal infections 63 $47,675 $17,542 $3,003,536 $1,105,153 5.56
Other skin, subcutaneous tissue & breast disorders 61 $34,687 $13,071 $2,115,911 $797,350 3.90
Thyroid, parathyroid & thyroglossal procedures 59 $39,130 $14,929 $2,308,694 $880,807 2.92
Other ear, nose, mouth,throat & cranial/facial diagnoses 58 $33,012 $12,499 $1,914,699 $724,970 3.38
Breast procedures except mastectomy 58 $53,701 $22,018 $3,114,648 $1,277,055 3.47
Toxic effects of non-medicinal substances 58 $49,366 $17,391 $2,863,239 $1,008,681 4.95
Other nervous system & related procedures 57 $108,447 $39,087 $6,181,472 $2,227,931 9.65
Inborn errors of metabolism 57 $49,223 $25,518 $2,805,701 $1,454,502 4.81
Urethral & transurethral procedures 57 $54,813 $19,890 $3,124,331 $1,133,733 5.40
Inguinal, femoral & umbilical hernia procedures 55 $36,823 $14,327 $2,025,271 $787,960 3.02
Multiple sclerosis & other demyelinating diseases 55 $52,149 $16,999 $2,868,172 $934,960 5.40
Neonate, birthwt >2499g w resp dist synd/oth maj resp cond 55 $100,184 $43,436 $5,510,110 $2,388,990 8.44
Ventricular shunt procedures 53 $127,645 $50,737 $6,765,198 $2,689,077 10.26
Skin ulcers 52 $41,381 $14,446 $2,151,790 $751,182 5.08
Urinary stones & acquired upper urinary tract obstruction 52 $25,003 $9,255 $1,300,154 $481,267 2.06
Other circulatory system procedures 51 $104,884 $35,584 $5,349,104 $1,814,789 9.18
Other kidney, urinary tract & related procedures 50 $102,712 $39,719 $5,135,577 $1,985,927 9.48
Uterine & adnexa procedures for ovarian & adnexal malignancy 49 $63,373 $23,161 $3,105,283 $1,134,875 5.78
Hypertension 48 $29,010 $9,869 $1,392,485 $473,726 3.10
Fractures & dislocations except femur, pelvis & back 47 $41,332 $14,366 $1,942,605 $675,210 5.32
Head trauma w coma >1 hr or hemorrhage 47 $64,064 $23,068 $3,011,010 $1,084,208 5.60
Disorders of personality & impulse control 47 $31,313 $15,520 $1,471,705 $729,455 7.79
Chest pain 44 $22,694 $7,866 $998,522 $346,118 2.00
Male reproductive system diagnoses except malignancy 44 $38,826 $14,126 $1,708,325 $621,557 4.00
Other male reproductive system & related procedures 42 $36,870 $15,716 $1,548,531 $660,072 2.19
Eye disorders except major infections 42 $55,586 $19,710 $2,334,624 $827,805 5.38
Anal procedures 41 $46,582 $17,275 $1,909,865 $708,294 4.29
Renal dialysis access device procedure only 41 $82,283 $29,776 $3,373,589 $1,220,825 7.59
Other infectious & parasitic diseases 40 $44,894 $20,156 $1,795,760 $806,224 5.18
Acute anxiety & delirium states 40 $33,805 $14,426 $1,352,201 $577,033 6.35
Major biliary tract procedures 39 $97,817 $37,089 $3,814,864 $1,446,477 9.77
Female reproductive system infections 39 $31,914 $11,642 $1,244,641 $454,048 3.46
Preterm labor 39 $22,503 $8,711 $877,621 $339,746 2.90
Transient ischemia 38 $49,702 $16,496 $1,888,670 $626,856 4.03
Transurethral prostatectomy 37 $36,480 $13,949 $1,349,742 $516,127 3.30
Interstitial & alveolar lung diseases 36 $53,015 $17,599 $1,908,538 $633,548 5.86
Malfunction, reaction, complic of orthopedic device or procedure 35 $42,472 $15,065 $1,486,525 $527,280 4.66
Heart &/or lung transplant 34 $493,808 $155,375 $16,789,482 $5,282,753 27.79
Major larynx & trachea procedures 34 $103,666 $39,521 $3,524,642 $1,343,717 10.12
Major skin disorders 33 $51,080 $20,880 $1,685,648 $689,028 5.76
Adjustment disorders & neuroses except depressive diagnoses 33 $29,707 $14,501 $980,347 $478,530 6.94
HIV w one signif HIV cond or w/o signif related cond 33 $31,887 $10,566 $1,052,268 $348,664 3.45
Cardiac pacemaker & defibrillator device replacement 32 $105,029 $41,736 $3,360,922 $1,335,551 4.75
Dental & oral diseases & injuries 31 $44,697 $17,384 $1,385,613 $538,910 4.16
Allergic reactions 30 $32,976 $13,145 $989,267 $394,344 2.83
Other procedures of blood & blood-forming organs 29 $117,868 $46,352 $3,418,179 $1,344,212 10.21
Tonsil & adenoid procedures 29 $38,717 $15,767 $1,122,784 $457,241 3.10
Other female reproductive system & related procedures 28 $64,647 $23,792 $1,810,111 $666,164 6.25
Neonate bwt 1500-1999g w resp dist synd/oth maj resp cond 28 $311,519 $140,601 $8,722,540 $3,936,820 28.79
Neonate bwt 2000-2499g w major anomaly 28 $156,246 $68,014 $4,374,894 $1,904,382 14.11
Neonate bwt 2000-2499g w other significant condition 28 $130,975 $58,503 $3,667,311 $1,638,086 12.43
Nonspecific CVA & precerebral occlusion w/o infarct 27 $50,336 $17,529 $1,359,085 $473,275 3.89
Neonate bwt 1000-1249g w resp dist synd/oth maj resp or maj anom 27 $656,391 $294,757 $17,722,567 $7,958,435 58.89
Major cardiothoracic repair of heart anomaly 26 $158,677 $52,610 $4,125,602 $1,367,872 8.77
Major esophageal disorders 26 $59,647 $22,505 $1,550,827 $585,139 6.19
Fracture of femur 26 $50,068 $17,532 $1,301,777 $455,824 6.12
Nephritis & nephrosis 26 $50,120 $20,357 $1,303,129 $529,292 5.88
Vertigo & other labyrinth disorders 25 $32,191 $10,563 $804,772 $264,082 3.32
Other O.R. proc for obstetric diagnoses except delivery diagnoses 25 $28,557 $11,531 $713,933 $288,282 2.36
Neonate bwt 1250-1499g w resp dist synd/oth maj resp or maj anom 25 $427,872 $192,584 $10,696,812 $4,814,604 39.56
Neonate bwt 2000-2499g w resp dist synd/oth maj resp cond 25 $144,840 $64,469 $3,621,003 $1,611,725 13.56
Opioid abuse & dependence 25 $39,679 $16,248 $991,979 $406,202 7.24
Non-bacterial infections of nervous system exc viral meningitis 24 $98,744 $33,963 $2,369,860 $815,100 9.75
Ear, nose, mouth, throat, cranial/facial malignancies 23 $47,354 $16,274 $1,089,142 $374,303 5.09
Gastrointestinal vascular insufficiency 23 $43,084 $14,304 $990,932 $328,988 4.48
Neonate birthwt 750-999g w/o major procedure 23 $773,278 $345,627 $17,785,390 $7,949,432 68.43
Neonate birthwt >2499g w other major procedure 23 $133,135 $61,091 $3,062,097 $1,405,090 12.43
Bacterial & tuberculous infections of nervous system 22 $117,418 $45,096 $2,583,199 $992,102 12.27
Female reproductive system malignancy 22 $64,569 $22,169 $1,420,527 $487,718 7.32
Cocaine abuse & dependence 22 $38,152 $17,678 $839,344 $388,918 8.55
Hand & wrist procedures 21 $32,035 $12,462 $672,733 $261,694 2.90
Other drug abuse & dependence 21 $46,775 $20,441 $982,280 $429,261 9.57
Sinus & mastoid procedures 21 $29,991 $12,809 $629,818 $268,989 1.67
Menstrual & other female reproductive system disorders 20 $24,337 $9,174 $486,741 $183,487 2.25
D&C, aspiration curettage or hysterotomy for obstetric diagnoses 20 $31,103 $11,338 $622,059 $226,752 2.35
Fracture of pelvis or dislocation of hip 19 $30,416 $10,414 $577,910 $197,862 3.89
Kidney & urinary tract malignancy 19 $79,426 $26,900 $1,509,097 $511,093 9.00
Pelvic evisceration, radical hysterectomy & other radical GYN procs 19 $47,197 $17,768 $896,748 $337,601 3.63
Other mental health disorders 19 $40,466 $17,524 $768,847 $332,950 8.00
Other bladder procedures 16 $76,078 $31,725 $1,217,242 $507,598 7.63
Mental illness diagnosis w O.R. procedure 16 $60,474 $30,380 $967,576 $486,074 10.06
Cardiac pacemaker & defibrillator revision except device replacement 15 $104,513 $32,543 $1,567,691 $488,146 8.73
Cardiac arrest and shock 15 $62,759 $20,387 $941,386 $305,803 5.53
Craniotomy for trauma 15 $167,884 $64,530 $2,518,261 $967,952 13.33
Skin graft, except hand, for musculoskeletal & connective tissue diagnoses 15 $96,487 $37,244 $1,447,301 $558,658 8.80
Neonate birthwt >2499g w major cardiovascular procedure 15 $249,392 $85,483 $3,740,883 $1,282,244 15.00
Malignant breast disorders 14 $78,829 $26,189 $1,103,603 $366,650 8.71
False labor 14 $45,478 $17,786 $636,691 $248,998 6.57
Neonate birthwt 1500-1999g w major anomaly 14 $477,294 $212,481 $6,682,111 $2,974,739 42.00
Behavioral disorders 14 $41,933 $20,701 $587,066 $289,818 10.21
Other injury, poisoning & toxic effect diagnoses 14 $52,608 $18,707 $736,507 $261,898 5.93
Acute & subacute endocarditis 13 $83,303 $26,233 $1,082,938 $341,026 9.23
Cholecystectomy except laparoscopic 13 $62,406 $23,211 $811,278 $301,748 5.31
Contusion, open wound & other trauma to skin & subcutaneous tissue 13 $35,494 $12,244 $461,421 $159,168 3.77
Other procedures for endocrine, nutritional & metabolic disorders 13 $95,031 $34,997 $1,235,407 $454,958 8.31
Eye procedures except orbit 13 $48,945 $18,572 $636,283 $241,442 4.00
Neonate bwt <1500g w major procedure 12 $1,499,550 $668,252 $17,994,603 $8,019,022 98.42
Neonate bwt 1500-2499g w major procedure 12 $490,025 $216,611 $5,880,296 $2,599,336 38.67
HIV w multiple significant HIV related conditions 12 $39,343 $13,257 $472,121 $159,084 4.50
Testes & scrotal procedures 11 $33,035 $14,749 $363,387 $162,244 2.91
Female reproductive system reconstructive procedures 11 $21,301 $9,116 $234,307 $100,271 1.27
Neonate bwt <500g or GA <24 weeks 11 $126,119 $55,389 $1,387,304 $609,284 10.82
Orbital procedures 11 $57,486 $21,456 $632,350 $236,015 4.55
Major chest & respiratory trauma 10 $41,068 $13,663 $410,677 $136,631 5.20
Cardiomyopathy 10 $48,204 $19,802 $482,041 $198,019 3.80
Neonate birthwt 500-749g w/o major procedure 10 $851,633 $378,288 $8,516,332 $3,782,875 71.10
Neonate bwt 1250-1499g w or w/o other significant condition 10 $257,470 $116,238 $2,574,697 $1,162,380 24.10
Drug & alcohol abuse or dependence, left against medical advice 10 $17,878 $5,910 $178,779 $59,102 1.90
Malignancy, male reproductive system 9 $67,995 $23,368 $611,958 $210,314 8.11
Splenectomy 9 $62,637 $28,290 $563,733 $254,613 4.78
Acute major eye infections 9 $43,928 $17,944 $395,356 $161,492 5.89
BPD & oth chronic respiratory diseases arising in perinatal period 8 $42,794 $24,501 $342,352 $196,007 4.75
Abortion w/o D&C, aspiration curettage or hysterotomy 8 $17,402 $6,303 $139,213 $50,423 1.38
Concussion, closed skull Fx nos,uncomplicated intracranial injury, coma < 1 hr or no coma 8 $21,480 $8,919 $171,840 $71,353 2.25
Pancreas transplant 8 $289,104 $104,003 $2,312,833 $832,022 9.50
Neonate birthwt >2499g w congenital/perinatal infection 8 $81,589 $36,443 $652,713 $291,544 8.13
Viral meningitis 6 $55,060 $20,590 $330,357 $123,541 5.33
Ectopic pregnancy procedure 6 $28,468 $11,122 $170,809 $66,732 1.67
Multiple significant trauma w/o O.R. procedure 6 $53,899 $18,490 $323,391 $110,937 4.67
Cystic fibrosis - pulmonary disease 5 $108,037 $71,702 $540,183 $358,511 13.00
Penis procedures 5 $27,281 $12,937 $136,404 $64,685 2.60
Neonate, transferred < 5 days old, born here 5 $16,504 $6,619 $82,521 $33,095 1.20
Neonate, transferred <5 days old, not born here 4 $15,871 $6,890 $63,483 $27,561 1.25
Neonate w ECMO 4 $1,012,058 $306,833 $4,048,233 $1,227,333 56.50
Dilation & curettage for non-obstetric diagnoses 3 $61,140 $21,430 $183,419 $64,289 5.00
Radiotherapy 3 $193,214 $64,967 $579,643 $194,902 19.00
Eating disorders 3 $30,887 $18,544 $92,661 $55,631 6.33
Permanent cardiac pacemaker implant w AMI, heart failure or shock 2 $84,395 $35,289 $168,789 $70,578 4.00
Neonate bwt 2000-2499g w congenital/perinatal infection 2 $165,143 $73,853 $330,286 $147,706 15.50
Extensive 3rd degree burns w skin graft 2 $67,771 $25,895 $135,542 $51,789 8.00
Extensive 3rd degree or full thickness burns w/o skin graft 2 $65,200 $22,446 $130,399 $44,891 7.00
Partial thickness burns without skin graft 2 $15,790 $5,401 $31,580 $10,802 2.00
Craniotomy for multiple significant trauma 2 $480,637 $248,374 $961,273 $496,747 49.00
Musculoskeletal & other procedures for multiple significant trauma 2 $165,200 $63,412 $330,399 $126,823 14.50
Neonate birthwt 1000-1249g w or w/o other significant condition 1 $211,364 $93,773 $211,364 $93,773 19.00
Alcohol & drug dependence w rehab or rehab/detox therapy 1 $23,236 $7,847 $23,236 $7,847 2.00
Burns with skin graft except extensive 3rd degree burns 1 $86,089 $37,521 $86,089 $37,521 8.00
Cleft lip & palate repair 1 $18,275 $7,867 $18,275 $7,867 1.00
Ungroupable 1 $18,354 $5,649 $18,354 $5,649 2.00

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 366 $21,444
Payment for heart failure patients Greater than the National Average Payment 1,001 $16,700
Payment for pneumonia patients Less than the National Average Payment 783 $13,534

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 373 12.4
Acute Myocardial Infarction (AMI) 30-Day Readmission Rate No different than the National Rate 626 17.8
Death rate for CABG No different than the National Rate 181 2.0
Death rate for chronic obstructive pulmonary disease (COPD) patients No different than the National Rate 551 6.7
Death rate for stroke patients No different than the National Rate 421 12.9
Heart failure (HF) 30-Day Mortality Rate Better than the National Rate 1072 9.6
Heart failure (HF) 30-Day Readmission Rate Worse than the National Rate 1354 24.4
Pneumonia (PN) 30-Day Mortality Rate No different than the National Rate 822 9.8
Pneumonia (PN) 30-Day Readmission Rate No different than the National Rate 831 16.5
Rate of readmission after discharge from hospital (hospital-wide) Worse than the National Rate 10597 16.0
Rate of readmission after hip/knee surgery No different than the National Rate 660 5.2
Rate of unplanned readmission for CABG No different than the National Rate 177 14.3
Rate of unplanned readmission for chronic obstructive pulmonary disease (COPD) patients No different than the National Rate 697 21.9
Rate of unplanned readmission for stroke patients No different than the National Rate 420 14.9

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
89 994
ICU venous thromboembolism prophylaxis
04/01/2014 - 03/31/2015
84 97
Anticoagulation overlap therapy
04/01/2014 - 03/31/2015
91 334
Unfractionated heparin with dosages/platelet count monitoring
04/01/2014 - 03/31/2015
99 295
Warfarin therapy discharge instructions
04/01/2014 - 03/31/2015
99 209
Hospital acquired potentially preventable venous thromboembolism
04/01/2014 - 03/31/2015
7 182
Emergency Department
ED1
04/01/2014 - 03/31/2015
538 1529
ED2
04/01/2014 - 03/31/2015
306 1528
Emergency department volume
01/01/2013 - 12/31/2013
Very High (60,000+ patients annually)
OP 18
04/01/2014 - 03/31/2015
200 759
Door to diagnostic eval
04/01/2014 - 03/31/2015
42 814
Median time to pain med
04/01/2014 - 03/31/2015
72 178
Left before being seen
01/01/2013 - 12/31/2013
3 149796
Head CT results
04/01/2014 - 03/31/2015
73 15
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
Not Available Not Available
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
57 21
Aspirin at Arrival
04/01/2014 - 03/31/2015
90 62
Median Time to ECG
04/01/2014 - 03/31/2015
8 63
Heart Failure
Evaluation of LVS Function
04/01/2014 - 03/31/2015
100 428
Pneumonia
Initial antibiotic selection for CAP in immunocompetent patient
04/01/2014 - 03/31/2015
97 113
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
3 77
Preventive Care
Immunization for influenza
10/01/2014 - 03/31/2015
99 1062
Healthcare workers given influenza vaccination
10/01/2014 - 03/31/2015
90 20116
Stroke Care
Venous Thromboembolism (VTE) Prophylaxis
04/01/2014 - 03/31/2015
97 631
Assessed for Rehabilitation
04/01/2014 - 03/31/2015
99 569
Discharged on Antithrombotic Therapy
04/01/2014 - 03/31/2015
100 431
Anticoagulation Therapy for Atrial Fibrillation/Flutter
04/01/2014 - 03/31/2015
100 71
Thrombolytic Therapy
04/01/2014 - 03/31/2015
83 29
Antithrombotic Therapy by End of Hospital Day 2
04/01/2014 - 03/31/2015
96 388
Discharged on Statin Medication
04/01/2014 - 03/31/2015
99 343
Stroke Education
04/01/2014 - 03/31/2015
100 288
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
98 248
Prophylactic antibiotic received within 1 hour prior to surgical incision
04/01/2014 - 03/31/2015
100 558
Prophylactic Antibiotic Selection for Surgical Patients
04/01/2014 - 03/31/2015
99 558
Prophylactic antibiotics discontinued within 24 hours after surgery end time
04/01/2014 - 03/31/2015
98 536
Postoperative Urinary Catheter Removal
04/01/2014 - 03/31/2015
99 372
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
100 552

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 641 3.8
Serious blood clots after surgery Worse than the National Rate 12647 5.72
A wound that splits open after surgery on the abdomen or pelvis No different than the National Rate 1535 1.37
Accidental cuts and tears from medical treatment Better than the National Rate 31268 1.01
Deaths among Patients with Serious Treatable Complications after Surgery No different than the National Rate 454 125.41
Collapsed lung due to medical treatment No different than the National Rate 29058 0.40
Serious complications No different than the National Rate Not Available 0.80