Rochester General Hospital


2016 Age Distribution

2016 Patient Race:

Black/African American5,454
Multi-racial588
Other Race5,086
White20,701

2016 Payers:

Blue Cross/Blue Shield 5,312
Department of Corrections 6
Federal/State/Local/VA 245
Medicaid 6,125
Medicare 16,243
Miscellaneous/Other 279
Private Health Insurance 2,795
Self-Pay 824

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
Septicemia & disseminated infections 1957 $24,526 $11,567 $47,997,351 $22,636,715 6.15
Neonate birthwt >2499g, normal newborn or neonate w other problem 1881 $4,751 $3,464 $8,936,650 $6,516,495 2.26
Vaginal delivery 1268 $10,243 $7,076 $12,988,521 $8,972,122 2.48
Heart failure 1082 $17,337 $8,108 $18,758,427 $8,772,675 4.77
Knee joint replacement 740 $35,269 $12,787 $26,099,235 $9,462,663 2.79
Cesarean delivery 676 $13,448 $6,606 $9,091,024 $4,465,596 3.32
Chronic obstructive pulmonary disease 563 $14,043 $6,274 $7,906,376 $3,532,202 3.38
Cardiac arrhythmia & conduction disorders 506 $14,102 $6,099 $7,135,597 $3,085,969 3.22
Cellulitis & other skin infections 500 $12,430 $5,680 $6,214,933 $2,839,921 3.18
Respiratory Failure 496 $22,204 $10,207 $11,013,229 $5,062,517 5.45
CVA & precerebral occlusion w infarct 496 $34,899 $14,062 $17,309,970 $6,974,959 5.48
Percutaneous coronary intervention w/o AMI 489 $67,981 $21,484 $33,242,713 $10,505,583 3.66
Percutaneous coronary intervention w AMI 449 $51,496 $17,020 $23,121,505 $7,641,987 3.61
Other pneumonia 414 $14,307 $6,394 $5,922,992 $2,646,991 3.61
Hip joint replacement 407 $39,443 $14,675 $16,053,305 $5,972,756 3.58
RENAL FAILURE 396 $18,208 $8,521 $7,210,474 $3,374,262 4.63
Major small & large bowel procedures 381 $53,299 $20,972 $20,306,921 $7,990,319 8.39
Infectious & parasitic diseases including HIV w O.R. procedure 372 $77,593 $35,863 $28,864,700 $13,341,118 15.10
Kidney & urinary tract infections 364 $14,236 $6,373 $5,181,819 $2,319,815 3.62
OTHER VASCULAR PROCEDURES 361 $57,944 $23,061 $20,917,865 $8,325,119 6.42
Acute myocardial infarction 326 $20,835 $8,403 $6,792,325 $2,739,331 3.84
Coronary bypass w AMI or complex PDX 325 $104,819 $35,509 $34,066,020 $11,540,501 10.36
Other gastroenteritis, nausa & vomiting 314 $13,089 $5,791 $4,109,920 $1,818,332 2.85
Disorders of pancreas except malignancy 291 $14,158 $6,546 $4,120,056 $1,904,965 3.65
Cardiac catheterization for coronary artery disease 276 $28,683 $11,469 $7,916,454 $3,165,370 4.75
Other musculoskeletal system & connective tissue diagnoses 267 $16,091 $7,063 $4,296,228 $1,885,923 3.87
Syncope & collapse 260 $15,432 $5,762 $4,012,438 $1,498,015 2.55
Other digestive system diagnoses 260 $18,547 $8,861 $4,822,342 $2,303,740 4.52
Diabetes 260 $15,072 $6,602 $3,918,764 $1,716,545 3.50
Schizophrenia 260 $29,987 $12,559 $7,796,701 $3,265,326 15.47
Peptic ulcer & gastritis 255 $17,223 $7,891 $4,391,817 $2,012,303 3.54
Intestinal obstruction 248 $16,313 $8,123 $4,045,638 $2,014,529 4.85
Asthma 246 $11,385 $4,743 $2,800,665 $1,166,718 2.22
Other & unspecified gastrointestinal hemorrhage 244 $19,379 $9,172 $4,728,432 $2,238,009 3.84
Procedures for obesity 231 $40,841 $9,986 $9,434,385 $2,306,751 2.81
Alcohol abuse & dependence 230 $15,117 $6,964 $3,476,952 $1,601,627 4.02
Transient ischemia 227 $18,778 $6,064 $4,262,513 $1,376,587 2.32
Diverticulitis & diverticulosis 217 $15,481 $7,209 $3,359,480 $1,564,293 3.47
Dorsal & lumbar fusion proc except for curvature of back 213 $66,798 $23,044 $14,227,903 $4,908,450 4.25
Extracranial vascular procedures 206 $46,466 $17,025 $9,572,005 $3,507,060 4.60
Cardiac catheterization for other non-coronary conditions 204 $21,163 $7,483 $4,317,277 $1,526,574 2.21
Other anemia & disorders of blood & blood-forming organs 196 $16,708 $7,474 $3,274,865 $1,464,882 3.28
Hip and femur fracture repair 194 $37,253 $15,698 $7,227,167 $3,045,394 6.45
Cardiac valve procedures w AMI or complex PDX 188 $144,448 $47,441 $27,156,263 $8,918,957 12.02
Mastectomy procedures 183 $27,566 $9,268 $5,044,491 $1,696,131 1.78
Nontraumatic stupor & coma 183 $19,931 $8,663 $3,647,324 $1,585,384 4.82
Laparoscopic cholecystectomy 182 $26,960 $10,375 $4,906,663 $1,888,247 3.65
Other disorders of nervous system 178 $19,528 $7,279 $3,475,914 $1,295,613 3.45
Pulmonary embolism 176 $23,078 $10,854 $4,061,735 $1,910,239 5.53
Moderately extensive procedure unrelated to principal diagnosis 175 $54,809 $24,691 $9,591,621 $4,320,888 9.63
Other back & neck disorders, fractures & injuries 171 $20,095 $9,023 $3,436,309 $1,542,980 5.38
Major depressive disorders & other/unspecified psychoses 171 $21,050 $8,439 $3,599,509 $1,443,093 10.05
Seizure 170 $19,857 $8,794 $3,375,655 $1,494,901 3.98
Electrolyte disorders except hypovolemia related 166 $15,887 $7,111 $2,637,311 $1,180,379 3.70
Major respiratory & chest procedures 161 $42,353 $14,301 $6,818,855 $2,302,507 5.07
Signs, symptoms & other factors influencing health status 159 $16,011 $6,759 $2,545,791 $1,074,672 3.62
Perm cardiac pacemaker implant w/o AMI, heart failure or shock 155 $38,842 $14,014 $6,020,549 $2,172,222 4.06
Hernia procedures except inguinal, femoral & umbilical 154 $35,946 $13,910 $5,535,727 $2,142,136 4.90
Coronary bypass w/o AMI or complex PDX 152 $86,311 $29,547 $13,119,294 $4,491,086 9.17
Abdominal pain 151 $14,582 $6,268 $2,201,897 $946,535 2.57
Hypovolemia & related electrolyte disorders 150 $14,814 $6,709 $2,222,109 $1,006,331 3.71
Vertigo & other labyrinth disorders 149 $16,521 $5,665 $2,461,625 $844,094 2.58
Urinary stones & acquired upper urinary tract obstruction 147 $11,041 $4,484 $1,622,969 $659,194 1.46
Bipolar disorders 142 $20,931 $8,419 $2,972,223 $1,195,542 10.39
Infections of upper respiratory tract 138 $11,742 $4,837 $1,620,422 $667,492 2.14
Extensive procedure unrelated to principal diagnosis 134 $71,541 $30,697 $9,586,465 $4,113,380 11.61
Cervical spinal fusion & other back/neck proc exc disc excis/decomp 130 $49,699 $16,928 $6,460,902 $2,200,667 3.02
Post-operative, post-traumatic, other device infections 127 $24,592 $11,758 $3,123,191 $1,493,254 6.31
Cardiac valve procedures w/o AMI or complex PDX 123 $130,828 $41,745 $16,091,895 $5,134,628 9.62
Kidney & urinary tract procedures for nonmalignancy 123 $26,886 $10,639 $3,307,025 $1,308,568 3.15
Other antepartum diagnoses 122 $8,830 $4,045 $1,077,270 $493,522 2.15
Intervertebral disc excision & decompression 121 $30,681 $12,360 $3,712,454 $1,495,526 5.31
Major male pelvic procedures 121 $28,865 $10,899 $3,492,646 $1,318,809 1.52
Peripheral & other vascular disorders 120 $19,377 $8,921 $2,325,259 $1,070,570 4.80
Respiratory signs, symptoms & minor diagnoses 118 $14,178 $5,900 $1,673,032 $696,237 2.97
Vaginal delivery w complicating procedures exc sterilization &/or D&C 118 $11,740 $7,937 $1,385,347 $936,525 2.72
Major respiratory infections & inflammations 115 $24,442 $11,858 $2,810,843 $1,363,670 7.14
Migraine & other headaches 114 $16,185 $5,485 $1,845,041 $625,263 2.22
Major abdominal vascular procedures 113 $84,400 $33,056 $9,537,211 $3,735,353 9.11
Other small & large bowel procedures 113 $33,389 $13,934 $3,772,930 $1,574,567 6.61
Malfunction, reaction, complic of genitourinary device or proc 112 $23,153 $11,020 $2,593,127 $1,234,237 5.56
Other musculoskeletal system & connective tissue procedures 110 $19,383 $9,032 $2,132,183 $993,567 3.84
Appendectomy 107 $29,649 $10,361 $3,172,486 $1,108,613 3.22
Peripheral, cranial & autonomic nerve disorders 106 $16,368 $6,575 $1,734,973 $696,990 3.33
Poisoning of medicinal agents 106 $18,249 $8,086 $1,934,425 $857,095 3.69
Chest pain 105 $12,772 $4,879 $1,341,078 $512,333 1.85
Angina pectoris & coronary atherosclerosis 104 $12,728 $5,096 $1,323,758 $529,935 2.17
Other kidney & urinary tract diagnoses, signs & symptoms 102 $18,373 $8,421 $1,874,073 $858,964 4.55
Depression except major depressive disorder 100 $13,480 $5,331 $1,348,003 $533,079 6.33
Other circulatory system diagnoses 99 $16,504 $7,175 $1,633,881 $710,306 3.67
Major gastrointestinal & peritoneal infections 99 $19,720 $9,709 $1,952,272 $961,172 5.41
Other complications of treatment 99 $19,457 $8,976 $1,926,281 $888,656 4.16
Major stomach, esophageal & duodenal procedures 96 $48,851 $21,163 $4,689,728 $2,031,632 8.89
Kidney & urinary tract procedures for malignancy 94 $34,544 $11,856 $3,247,119 $1,114,419 2.98
Head trauma w coma >1 hr or hemorrhage 93 $30,452 $13,507 $2,832,081 $1,256,114 6.01
Neonate bwt 2000-2499g, normal newborn or neonate w other problem 88 $11,246 $10,390 $989,626 $914,314 4.50
Disorders of gallbladder & biliary tract 87 $20,325 $8,810 $1,768,292 $766,469 4.11
Hypertension 86 $13,320 $5,124 $1,145,480 $440,661 2.57
Other respiratory & chest procedures 85 $45,597 $18,658 $3,875,741 $1,585,955 7.82
Intracranial hemorrhage 84 $45,639 $19,517 $3,833,637 $1,639,468 6.80
Uterine & adnexa procedures for non-malignancy except leiomyoma 84 $23,862 $9,106 $2,004,424 $764,904 2.42
Bronchiolitis & RSV pneumonia 80 $9,031 $3,785 $722,486 $302,807 2.14
O.R. procedure for other complications of treatment 79 $42,590 $19,223 $3,364,599 $1,518,616 8.19
Fractures & dislocations except femur, pelvis & back 78 $24,600 $11,606 $1,918,816 $905,277 6.60
Other cardiothoracic & thoracic vascular procedures 77 $77,372 $28,394 $5,957,668 $2,186,347 8.53
Major hematologic/immunologic diag exc sickle cell crisis & coagul 77 $27,621 $13,512 $2,126,832 $1,040,392 5.70
Urethral & transurethral procedures 75 $16,869 $6,855 $1,265,145 $514,089 2.13
Inflammatory bowel disease 74 $16,100 $7,522 $1,191,431 $556,626 3.88
Knee & lower leg procedures except foot 74 $31,923 $13,328 $2,362,304 $986,256 5.20
Uterine & adnexa procedures for leiomyoma 74 $19,873 $7,690 $1,470,606 $569,032 2.36
Neonate birthwt >2499g w other significant condition 72 $11,713 $10,402 $843,367 $748,947 4.10
Organic mental health disturbances 72 $23,789 $12,009 $1,712,818 $864,640 8.78
Amputation of lower limb except toes 70 $44,165 $22,611 $3,091,566 $1,582,795 11.87
Other male reproductive system & related procedures 70 $30,040 $11,052 $2,102,798 $773,655 1.60
Nonextensive procedure unrelated to principal diagnosis 70 $37,388 $17,299 $2,617,135 $1,210,948 7.43
Respiratory malignancy 69 $25,457 $10,871 $1,756,509 $750,120 5.35
Other respiratory diagnoses except signs, symptoms & minor diagnoses 65 $19,853 $9,297 $1,290,438 $604,311 4.57
Foot & toe procedures 65 $34,773 $17,074 $2,260,275 $1,109,785 8.94
CHEMOTHERAPY 65 $22,161 $13,017 $1,440,456 $846,075 4.00
Tracheostomy w MV 96+ hours w extensive procedure or ECMO 63 $371,662 $170,887 $23,414,708 $10,765,874 59.02
Craniotomy except for trauma 61 $77,486 $32,056 $4,726,669 $1,955,401 9.89
Other digestive system & abdominal procedures 61 $43,072 $18,751 $2,627,420 $1,143,794 6.98
Post-op, post-trauma, other device infections w O.R. procedure 61 $43,493 $20,848 $2,653,092 $1,271,728 9.75
Cardiac defibrillator & heart assist implant 59 $125,177 $40,274 $7,385,415 $2,376,174 7.44
Malfunction, reaction & complication of GI device or procedure 58 $18,417 $8,868 $1,068,160 $514,356 4.95
Other endocrine disorders 57 $16,051 $7,173 $914,887 $408,852 4.02
Toxic effects of non-medicinal substances 56 $16,238 $6,741 $909,315 $377,509 2.96
Osteomyelitis, septic arthritis & other musculoskeletal infections 54 $28,098 $13,743 $1,517,302 $742,102 7.50
Other skin, subcutaneous tissue & breast disorders 54 $12,561 $5,627 $678,285 $303,850 3.04
Degenerative nervous system disorders exc mult sclerosis 52 $33,670 $17,437 $1,750,862 $906,716 9.40
Other esophageal disorders 51 $15,204 $6,746 $775,420 $344,059 3.10
Alcoholic liver disease 49 $23,854 $11,791 $1,168,844 $577,763 6.06
Contusion, open wound & other trauma to skin & subcutaneous tissue 49 $14,224 $5,746 $696,967 $281,568 2.59
Malnutrition, failure to thrive & other nutritional disorders 49 $22,826 $11,254 $1,118,486 $551,466 7.73
Other ear, nose, mouth,throat & cranial/facial diagnoses 48 $13,559 $5,781 $650,831 $277,508 2.94
Shoulder, upper arm & forearm procedures except joint replacement 48 $51,131 $18,516 $2,454,292 $888,777 4.46
Postpartum & post abortion diagnoses w/o procedure 48 $9,796 $4,334 $470,207 $208,026 2.35
Acute anxiety & delirium states 48 $18,240 $7,702 $875,537 $369,700 5.00
Nervous system malignancy 46 $28,545 $11,960 $1,313,069 $550,174 6.93
Hepatic coma & other major acute liver disorders 45 $17,093 $7,771 $769,165 $349,678 4.07
Skin ulcers 45 $21,749 $10,719 $978,721 $482,372 6.42
Peritoneal adhesiolysis 44 $32,715 $13,401 $1,439,467 $589,656 6.66
Fracture of pelvis or dislocation of hip 44 $15,764 $7,104 $693,610 $312,558 4.48
Vaginal delivery w sterilization &/or D&C 44 $14,468 $8,681 $636,591 $381,985 2.36
Other hepatobiliary, pancreas & abdominal procedures 43 $34,569 $16,311 $1,486,448 $701,382 7.58
Malfunction,reaction,complication of cardiac/vasc device or procedure 42 $29,798 $13,829 $1,251,511 $580,837 6.05
Skin graft for skin & subcutaneous tissue diagnoses 42 $30,067 $13,902 $1,262,811 $583,900 5.98
Major bladder procedures 41 $47,127 $18,614 $1,932,224 $763,157 6.20
Viral illness 41 $12,832 $5,307 $526,118 $217,589 2.61
Digestive malignancy 39 $26,503 $12,350 $1,033,610 $481,665 6.03
Connective tissue disorders 39 $29,830 $13,968 $1,163,359 $544,760 5.56
Tracheostomy w MV 96+ hours w/o extensive procedure 39 $277,983 $133,487 $10,841,343 $5,205,990 52.85
Other infectious & parasitic diseases 39 $32,482 $16,144 $1,266,808 $629,632 8.23
Other skin, subcutaneous tissue & related procedures 38 $21,408 $10,427 $813,503 $396,233 5.79
Other circulatory system procedures 37 $47,672 $22,318 $1,763,860 $825,777 10.38
Other kidney, urinary tract & related procedures 37 $80,889 $34,786 $2,992,877 $1,287,087 12.92
Major chest & respiratory trauma 36 $20,006 $9,145 $720,226 $329,202 5.36
Sickle cell anemia crisis 36 $12,463 $5,270 $448,651 $189,723 2.47
Cholecystectomy except laparoscopic 34 $39,600 $16,550 $1,346,410 $562,707 8.12
Lymphoma, myeloma & non-acute leukemia 34 $39,808 $20,037 $1,353,487 $681,272 7.68
Tendon, muscle & other soft tissue procedures 33 $26,605 $11,941 $877,968 $394,044 5.82
Eye disorders except major infections 33 $17,816 $6,276 $587,920 $207,103 2.55
Major pancreas, liver & shunt procedures 32 $66,444 $28,343 $2,126,203 $906,971 13.63
Malignancy of hepatobiliary system & pancreas 32 $25,686 $12,315 $821,944 $394,080 6.28
Cocaine abuse & dependence 31 $14,688 $6,551 $455,335 $203,081 3.68
Uterine & adnexa procedures for non-ovarian & non-adnexal malig 30 $36,365 $15,162 $1,090,964 $454,862 4.87
Other female reproductive system & related procedures 30 $31,824 $14,322 $954,711 $429,662 6.07
Neonate birthwt >2499g w major anomaly 29 $15,993 $15,562 $463,801 $451,302 6.72
Fever 29 $10,403 $4,829 $301,673 $140,029 2.31
Other stomach, esophageal & duodenal procedures 28 $45,787 $20,794 $1,282,038 $582,241 10.00
Malfunction, reaction, complic of orthopedic device or procedure 28 $20,205 $9,940 $565,752 $278,330 6.11
Tonsil & adenoid procedures 27 $12,947 $5,846 $349,574 $157,840 1.70
Dental & oral diseases & injuries 26 $29,459 $16,456 $765,926 $427,868 2.19
Male reproductive system diagnoses except malignancy 26 $13,265 $6,027 $344,891 $156,709 3.42
Female reproductive system infections 26 $13,033 $5,817 $338,865 $151,250 2.65
Inguinal, femoral & umbilical hernia procedures 25 $22,216 $9,431 $555,396 $235,763 3.80
Multiple sclerosis & other demyelinating diseases 25 $25,139 $9,887 $628,472 $247,177 5.36
Procedure w diag of rehab, aftercare or oth contact w health service 25 $47,168 $17,048 $1,179,206 $426,201 3.40
Other significant hip and femur surgery 24 $46,298 $18,359 $1,111,161 $440,605 5.96
Other ear, nose, mouth & throat procedures 24 $31,934 $14,955 $766,424 $358,931 7.58
Major biliary tract procedures 23 $47,909 $20,959 $1,101,896 $482,055 7.43
Dorsal & lumbar fusion proc for curvature of back 23 $98,160 $32,791 $2,257,687 $754,189 4.35
Opioid abuse & dependence 23 $12,961 $5,643 $298,104 $129,778 3.26
Fracture of femur 21 $19,995 $9,742 $419,885 $204,574 6.38
Musculoskeletal malignancy & pathol fracture d/t muscskel malig 21 $31,905 $13,735 $670,002 $288,428 7.52
Uterine & adnexa procedures for ovarian & adnexal malignancy 21 $32,948 $14,045 $691,899 $294,942 5.24
Major O.R. procedures for lymphatic/hematopoietic/other neoplasms 21 $78,641 $34,556 $1,651,452 $725,669 10.48
Neonate, birthwt >2499g w resp dist synd/oth maj resp cond 20 $21,895 $19,832 $437,907 $396,644 6.30
Coagulation & platelet disorders 20 $38,217 $21,130 $764,349 $422,597 4.35
Other O.R. procedures for lymphatic/hematopoietic/other neoplasms 20 $46,518 $21,653 $930,353 $433,066 6.90
Spinal procedures 19 $55,638 $19,075 $1,057,126 $362,422 3.32
Gastrointestinal vascular insufficiency 19 $22,154 $9,948 $420,922 $189,014 7.74
Menstrual & other female reproductive system disorders 19 $14,034 $5,769 $266,650 $109,610 2.32
Neonate bwt 2000-2499g w other significant condition 19 $29,672 $28,801 $563,773 $547,220 9.68
Major esophageal disorders 18 $17,688 $8,584 $318,384 $154,517 4.83
Other disorders of the liver 18 $23,792 $11,840 $428,249 $213,115 5.28
Thyroid, parathyroid & thyroglossal procedures 18 $14,831 $5,450 $266,958 $98,105 1.33
Neonate birthwt >2499g w congenital/perinatal infection 18 $16,768 $15,820 $301,821 $284,763 5.22
Lymphatic & other malignancies & neoplasms of uncertain behavior 18 $19,430 $8,776 $349,747 $157,964 4.50
Drug & alcohol abuse or dependence, left against medical advice 18 $8,327 $2,878 $149,889 $51,804 1.39
Allergic reactions 18 $16,293 $6,761 $293,274 $121,696 2.67
Respiratory system diagnosis w ventilator support 96+ hours 17 $93,455 $41,854 $1,588,735 $711,513 14.53
Neonate bwt 1500-1999g w or w/o other significant condition 17 $22,263 $22,457 $378,467 $381,776 8.24
Breast procedures except mastectomy 16 $27,530 $10,419 $440,476 $166,704 4.06
Transurethral prostatectomy 16 $18,964 $7,904 $303,422 $126,460 2.75
HIV w multiple major HIV related conditions 16 $46,357 $22,563 $741,708 $361,006 11.69
Craniotomy for trauma 15 $101,621 $45,556 $1,524,319 $683,347 16.00
Neonate, transferred < 5 days old, born here 15 $6,971 $5,108 $104,560 $76,622 1.53
Multiple significant trauma w/o O.R. procedure 15 $23,011 $9,945 $345,164 $149,179 4.93
Female reproductive system malignancy 14 $21,157 $10,306 $296,191 $144,285 4.64
Acute leukemia 14 $112,013 $58,082 $1,568,181 $813,149 19.50
Cardiac pacemaker & defibrillator device replacement 13 $88,533 $32,303 $1,150,930 $419,936 8.46
Acute & subacute endocarditis 13 $38,179 $18,297 $496,333 $237,860 10.38
Cardiac structural & valvular disorders 13 $19,459 $8,687 $252,969 $112,935 4.00
Other nervous system & related procedures 13 $75,564 $35,373 $982,328 $459,848 15.54
Nonspecific CVA & precerebral occlusion w/o infarct 13 $38,085 $13,882 $495,105 $180,460 3.69
Kidney & urinary tract malignancy 12 $34,022 $15,296 $408,263 $183,552 7.67
Non-bacterial infections of nervous system exc viral meningitis 12 $31,320 $14,853 $375,839 $178,233 8.58
Concussion, closed skull Fx nos,uncomplicated intracranial injury, coma < 1 hr or no coma 12 $17,130 $6,648 $205,560 $79,781 3.67
Adjustment disorders & neuroses except depressive diagnoses 12 $11,157 $3,756 $133,883 $45,066 2.92
Ventricular shunt procedures 11 $44,177 $16,752 $485,943 $184,267 6.55
Renal dialysis access device procedure only 11 $32,338 $14,829 $355,714 $163,118 4.36
Penis procedures 11 $45,809 $15,279 $503,900 $168,071 2.27
Interstitial & alveolar lung diseases 10 $33,128 $16,991 $331,279 $169,907 11.60
Anal procedures 10 $15,561 $6,287 $155,611 $62,868 2.00
Skin graft, except hand, for musculoskeletal & connective tissue diagnoses 10 $49,553 $25,483 $495,527 $254,832 14.40
Spinal disorders & injuries 10 $30,204 $12,376 $302,039 $123,757 6.30
Other procedures for endocrine, nutritional & metabolic disorders 10 $64,017 $29,781 $640,168 $297,805 14.70
Neonatal aftercare 10 $41,064 $42,964 $410,640 $429,639 13.60
Musculoskeletal & other procedures for multiple significant trauma 10 $43,284 $16,834 $432,839 $168,341 5.40
Facial bone procedures except major cranial/facial bone procedures 10 $37,513 $13,736 $375,133 $137,358 3.80
Permanent cardiac pacemaker implant w AMI, heart failure or shock 9 $56,105 $22,811 $504,944 $205,301 8.44
Cardiac pacemaker & defibrillator revision except device replacement 9 $41,254 $17,282 $371,283 $155,534 7.00
Other mental health disorders 9 $15,061 $6,575 $135,552 $59,176 5.89
Cardiac arrest and shock 8 $21,124 $8,789 $168,988 $70,313 2.88
Ectopic pregnancy procedure 8 $20,215 $7,197 $161,718 $57,572 2.38
Disorders of personality & impulse control 8 $19,015 $8,652 $152,120 $69,218 8.00
Other drug abuse & dependence 8 $12,827 $4,678 $102,612 $37,425 2.63
HIV w major HIV related condition 8 $20,445 $10,264 $163,563 $82,112 4.75
Hand & wrist procedures 7 $31,979 $15,587 $223,855 $109,108 8.43
Malignant breast disorders 7 $22,318 $10,172 $156,223 $71,207 5.57
Bacterial & tuberculous infections of nervous system 7 $65,574 $32,671 $459,017 $228,696 7.57
Pelvic evisceration, radical hysterectomy & other radical GYN procs 7 $23,846 $8,678 $166,922 $60,747 2.86
Female reproductive system reconstructive procedures 7 $49,187 $22,537 $344,308 $157,761 7.86
D&C, aspiration curettage or hysterotomy for obstetric diagnoses 7 $14,638 $6,128 $102,466 $42,898 1.00
Major skin disorders 6 $10,139 $4,731 $60,836 $28,386 3.00
Dilation & curettage for non-obstetric diagnoses 6 $20,494 $9,172 $122,964 $55,030 3.00
Preterm labor 6 $4,100 $2,222 $24,599 $13,332 1.17
Neonate bwt <500g or GA <24 weeks 6 $819 $868 $4,913 $5,205 1.00
Other aftercare & convalescence 6 $13,965 $7,034 $83,788 $42,204 4.50
Inborn errors of metabolism 5 $12,350 $4,999 $61,750 $24,995 2.60
Other bladder procedures 5 $46,927 $18,888 $234,637 $94,440 6.60
False labor 5 $2,235 $1,293 $11,176 $6,464 1.00
Other procedures of blood & blood-forming organs 5 $17,646 $7,797 $88,231 $38,985 2.20
Acute major eye infections 5 $13,411 $6,059 $67,054 $30,294 3.60
HIV w one signif HIV cond or w/o signif related cond 5 $9,146 $3,525 $45,732 $17,624 1.60
Pituitary & adrenal procedures 4 $21,612 $9,080 $86,449 $36,320 2.25
Nephritis & nephrosis 4 $52,344 $26,336 $209,374 $105,345 10.25
Testes & scrotal procedures 4 $12,855 $5,215 $51,419 $20,861 1.75
Other O.R. proc for obstetric diagnoses except delivery diagnoses 4 $18,966 $7,307 $75,864 $29,227 2.50
Neonate bwt 2000-2499g w resp dist synd/oth maj resp cond 4 $36,768 $33,571 $147,072 $134,283 10.50
Splenectomy 4 $69,087 $30,639 $276,347 $122,554 13.75
Eye procedures except orbit 4 $25,069 $10,358 $100,275 $41,431 4.25
Other injury, poisoning & toxic effect diagnoses 4 $8,175 $4,117 $32,699 $16,467 2.25
Major larynx & trachea procedures 4 $50,212 $25,155 $200,846 $100,620 14.75
Malignancy, male reproductive system 3 $24,158 $8,973 $72,475 $26,920 4.67
Viral meningitis 3 $12,357 $4,314 $37,070 $12,941 2.00
Abortion w/o D&C, aspiration curettage or hysterotomy 3 $11,243 $4,324 $33,728 $12,971 1.00
Mental illness diagnosis w O.R. procedure 3 $42,977 $19,213 $128,932 $57,639 12.33
Other major head & neck procedures 3 $62,462 $27,114 $187,387 $81,341 11.67
Brain contusion/laceration & complicated skull Fx, coma < 1 hr or no coma 2 $32,721 $13,851 $65,442 $27,701 5.00
Neonate bwt 1250-1499g w or w/o other significant condition 2 $43,363 $43,193 $86,726 $86,386 18.00
Neonate bwt 2000-2499g w major anomaly 2 $43,332 $43,778 $86,664 $87,556 13.00
Partial thickness burns without skin graft 2 $11,534 $5,409 $23,067 $10,817 3.50
Major cranial/facial bone procedures 2 $17,400 $7,216 $34,799 $14,431 1.50
HIV w multiple significant HIV related conditions 2 $56,255 $32,910 $112,510 $65,820 22.00
Sinus & mastoid procedures 2 $26,776 $8,402 $53,551 $16,803 2.50
Liver transplant &/or intestinal transplant 1 $42,750 $24,498 $42,750 $24,498 17.00
Ear, nose, mouth, throat, cranial/facial malignancies 1 $6,305 $2,452 $6,305 $2,452 4.00
Major cardiothoracic repair of heart anomaly 1 $55,191 $16,886 $55,191 $16,886 4.00
Neonate birthwt 1500-1999g w major anomaly 1 $3,339 $3,064 $3,339 $3,064 3.00
Neonate bwt 2000-2499g w congenital/perinatal infection 1 $30,670 $28,703 $30,670 $28,703 8.00
Neonate birthwt >2499g w other major procedure 1 $4,959 $4,492 $4,959 $4,492 2.00
Orbital procedures 1 $21,162 $8,173 $21,162 $8,173 1.00
Behavioral disorders 1 $8,853 $2,881 $8,853 $2,881 2.00
Eating disorders 1 $7,489 $3,002 $7,489 $3,002 2.00
Alcohol & drug dependence w rehab or rehab/detox therapy 1 $7,646 $3,086 $7,646 $3,086 2.00
Extensive 3rd degree or full thickness burns w/o skin graft 1 $13,482 $6,636 $13,482 $6,636 5.00
Extensive abdominal/thoracic procedures for mult significant trauma 1 $64,912 $27,447 $64,912 $27,447 9.00

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 338 $21,418
Payment for heart failure patients No Different than the National Average Payment 576 $15,662
Payment for pneumonia patients Less than the National Average Payment 193 $12,943

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 347 12.8
Acute Myocardial Infarction (AMI) 30-Day Readmission Rate No different than the National Rate 447 16.9
Death rate for CABG No different than the National Rate 145 3.2
Death rate for chronic obstructive pulmonary disease (COPD) patients No different than the National Rate 227 7.1
Death rate for stroke patients No different than the National Rate 271 13.6
Heart failure (HF) 30-Day Mortality Rate No different than the National Rate 603 9.8
Heart failure (HF) 30-Day Readmission Rate Worse than the National Rate 799 25.2
Pneumonia (PN) 30-Day Mortality Rate No different than the National Rate 197 8.8
Pneumonia (PN) 30-Day Readmission Rate No different than the National Rate 214 16.3
Rate of readmission after discharge from hospital (hospital-wide) No different than the National Rate 3360 15.6
Rate of readmission after hip/knee surgery No different than the National Rate 196 5.2
Rate of unplanned readmission for CABG No different than the National Rate 140 14.3
Rate of unplanned readmission for chronic obstructive pulmonary disease (COPD) patients No different than the National Rate 290 21.2
Rate of unplanned readmission for stroke patients No different than the National Rate 269 12.4

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
94 485
ICU venous thromboembolism prophylaxis
04/01/2014 - 03/31/2015
97 63
Anticoagulation overlap therapy
04/01/2014 - 03/31/2015
94 264
Unfractionated heparin with dosages/platelet count monitoring
04/01/2014 - 03/31/2015
100 120
Warfarin therapy discharge instructions
04/01/2014 - 03/31/2015
95 184
Hospital acquired potentially preventable venous thromboembolism
04/01/2014 - 03/31/2015
14 51
Emergency Department
ED1
04/01/2014 - 03/31/2015
393 785
ED2
04/01/2014 - 03/31/2015
154 785
Emergency department volume
01/01/2013 - 12/31/2013
Very High (60,000+ patients annually)
OP 18
04/01/2014 - 03/31/2015
176 97588
Door to diagnostic eval
04/01/2014 - 03/31/2015
18 104986
Median time to pain med
04/01/2014 - 03/31/2015
42 242
Left before being seen
01/01/2013 - 12/31/2013
1 119192
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
96 73
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 1027
Pneumonia
Initial antibiotic selection for CAP in immunocompetent patient
04/01/2014 - 03/31/2015
98 225
Pregnancy and Delivery Care
Percent of newborns whose deliveries were scheduled early (1-3 weeks early), when a scheduled delivery was not medically necessary
04/01/2014 - 03/31/2015
0 29
Preventive Care
Immunization for influenza
10/01/2014 - 03/31/2015
97 588
Healthcare workers given influenza vaccination
10/01/2014 - 03/31/2015
94 8147
Stroke Care
Venous Thromboembolism (VTE) Prophylaxis
04/01/2014 - 03/31/2015
99 553
Assessed for Rehabilitation
04/01/2014 - 03/31/2015
100 391
Discharged on Antithrombotic Therapy
04/01/2014 - 03/31/2015
100 356
Anticoagulation Therapy for Atrial Fibrillation/Flutter
04/01/2014 - 03/31/2015
100 50
Thrombolytic Therapy
04/01/2014 - 03/31/2015
92 50
Antithrombotic Therapy by End of Hospital Day 2
04/01/2014 - 03/31/2015
100 308
Discharged on Statin Medication
04/01/2014 - 03/31/2015
99 353
Stroke Education
04/01/2014 - 03/31/2015
99 339
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
100 815
Prophylactic antibiotic received within 1 hour prior to surgical incision
04/01/2014 - 03/31/2015
99 1486
Prophylactic Antibiotic Selection for Surgical Patients
04/01/2014 - 03/31/2015
100 1480
Prophylactic antibiotics discontinued within 24 hours after surgery end time
04/01/2014 - 03/31/2015
100 1447
Postoperative Urinary Catheter Removal
04/01/2014 - 03/31/2015
99 855
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 1029

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 195 3.1
Serious blood clots after surgery No different than the National Rate 3293 4.31
A wound that splits open after surgery on the abdomen or pelvis No different than the National Rate 529 1.59
Accidental cuts and tears from medical treatment Worse than the National Rate 11561 2.91
Deaths among Patients with Serious Treatable Complications after Surgery No different than the National Rate 144 103.66
Collapsed lung due to medical treatment No different than the National Rate 10866 0.39
Serious complications Worse than the National Rate Not Available 1.07