| Heart Attack | Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD) |
26 |
88% 2 |
86% |
87% |
100% |
| Patients Given Aspirin at Arrival |
64 |
92% 2 |
93% |
93% |
100% |
| Patients Given Aspirin at Discharge |
76 |
95% 2 |
91% |
91% |
100% |
| Patients Given Beta Blocker at Arrival |
55 |
87% 2 |
88% |
89% |
100% |
| Patients Given Beta Blocker at Discharge |
73 |
95% 2 |
90% |
91% |
100% |
| Patients Given PCI Within 90 Minutes Of Arrival |
15 |
47% 1,2 |
59% |
63% |
90% |
| Patients Given Smoking Cessation Advice/Counseling |
25 |
84% 2 |
93% |
92% |
100% |
| Heart Failure | Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD) |
123 |
92% 2 |
86% |
85% |
100% |
| Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function |
278 |
98% 2 |
91% |
86% |
100% |
| Patients Given Discharge Instructions |
253 |
28% 2 |
72% |
68% |
96% |
| Patients Given Smoking Cessation Advice/Counseling |
83 |
81% 2 |
87% |
88% |
100% |
| Pneumonia | Patients Assessed and Given Influenza Vaccination |
30 |
60% 2 |
71% |
75% |
98% |
| Patients Assessed and Given Pneumococcal Vaccination |
70 |
63% 2 |
73% |
77% |
96% |
| Patients Given Initial Antibiotic(s) within 6 Hours After Arrival |
59 |
85% 2 |
93% |
93% |
100% |
| Patients Given Oxygenation Assessment |
144 |
99% 2 |
99% |
99% |
100% |
| Patients Given Smoking Cessation Advice/Counseling |
48 |
73% 2 |
86% |
85% |
100% |
| Patients Given the Most Appropriate Initial Antibiotic(s) |
63 |
89% 2 |
87% |
87% |
97% |
| Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics |
120 |
89% 2 |
91% |
90% |
100% |
| Surgical Infection Prevention | Patients Who Received Preventative Antibiotic(s) One Hour Before Incision |
345 |
86% 2 |
82% |
83% |
97% |
| Patients Who Received the Appropriate Preventative Antibiotic(s) for Their Surgery |
338 |
95% 2 |
92% |
90% |
99% |
| Patients Who Received Treatment To Prevent Blood Clots Within 24 Hours Before or After Selected Surgeries to Prevent Blood Clots |
247 |
90% 2 |
78% |
76% |
95% |
| Patients Whose Doctors Ordered Treatments to Prevent Blood Clots (Venous Thromboembolism) For Certain Types of Surgeries |
247 |
94% 2 |
82% |
80% |
97% |
| Patients Whose Preventative Antibiotic(s) are Stopped Within 24 hours After Surgery |
330 |
83% 2 |
76% |
80% |
97% |
| Diagnosis related group |
Avg. payment |
# of cases |
State payments |
State # of cases |
US payments |
US # of cases |
| Chronic Lung Disease |
$8,656 |
45 |
$4,618 - $5,544 |
16,773 |
$4,524 - $5,484 |
374,599 |
| Pneumonia and Pleurisy in Adults With Complications or Preexisting Conditions |
$11,796 |
88 |
$5,297 - $6,302 |
22,700 |
$5,244 - $6,415 |
468,862 |
| Heart Valve Operations |
$57,196 |
0 |
$31,287 - $44,028 |
1,301 |
$30,907 - $43,013 |
32,048 |
| Major Heart and Blood Vessel Procedures with Complications or Preexisting Conditions |
$51,253 |
0 |
$20,962 - $27,068 |
2,461 |
$20,391 - $27,367 |
56,507 |
| Heart Attack with Major Complications |
$15,178 |
11 |
$8,111 - $10,055 |
5,877 |
$8,003 - $10,049 |
131,892 |
| Heart Attack without Complications |
$14,524 |
0 |
$4,947 - $6,186 |
1,638 |
$4,841 - $6,123 |
47,503 |
| Heart Failure |
$10,872 |
151 |
$5,549 - $6,826 |
31,972 |
$5,295 - $6,566 |
626,051 |
| Chest Pain |
$6,272 |
47 |
$3,086 - $3,768 |
12,109 |
$2,964 - $3,755 |
219,457 |
| Major Small & Large Intestine Operations |
$15,365 |
12 |
$7,454 - $9,775 |
655 |
$7,459 - $9,180 |
18,656 |
| Minor Small and Large Bowel Procedures With Complications |
$38,112 |
34 |
$17,926 - $22,959 |
5,882 |
$17,600 - $22,617 |
128,011 |
| Stomach & Esophagus Operations in Adults with Complications or Preexisting Conditions |
$49,878 |
17 |
$22,025 - $30,678 |
1,096 |
$21,087 - $28,876 |
26,335 |
| Hernia Operations in Adults with Complications or Preexisting Conditions |
$17,348 |
12 |
$7,678 - $9,278 |
884 |
$7,377 - $9,317 |
19,026 |
| Hernia Operations in Adults |
$7,078 |
0 |
$4,541 - $5,304 |
431 |
$4,400 - $5,498 |
10,839 |
| Gallbladder Removal Except By (non) Laparoscope with Complications or Preexisting Conditions |
$68,663 |
0 |
$13,350 - $16,839 |
676 |
$13,082 - $16,537 |
15,127 |
| Sample of Bone Removed for Evaluation of Cancer, Infections or Other Bone Disorders |
$24,638 |
0 |
$10,377 - $12,670 |
707 |
$9,837 - $11,873 |
19,735 |
| Major Arm & Shoulder Operations with Complications or Preexisting Conditions |
$10,993 |
0 |
$6,013 - $6,957 |
567 |
$5,804 - $7,121 |
11,947 |
| Other Bone, Joint & Organ Operations with Complications or Preexisting Conditions |
$25,467 |
0 |
$10,461 - $12,704 |
892 |
$9,905 - $12,052 |
22,382 |
| Diabetes in Adults |
$7,345 |
24 |
$4,172 - $5,381 |
4,931 |
$3,970 - $5,196 |
93,811 |
| Kidney and Bladder Operations for Cancer |
$21,818 |
12 |
$12,108 - $17,102 |
1,148 |
$11,881 - $16,024 |
25,089 |
| Kidney and Bladder Operations with Complications or Preexisting Conditions |
$49,745 |
18 |
$12,954 - $18,319 |
649 |
$12,602 - $17,553 |
14,424 |
| Other Bladder Operations Via the Urethra with Complications or Preexisting Conditions |
$12,819 |
0 |
$6,454 - $7,799 |
1,457 |
$6,207 - $7,665 |
24,743 |
| Other Kidney & Urinary Tract Operations |
$23,725 |
11 |
$11,365 - $14,730 |
1,496 |
$11,011 - $14,349 |
34,874 |
| Removal of Prostate Via Urethra with Complications or Preexisting Conditions |
$8,277 |
0 |
$4,589 - $5,523 |
1,339 |
$4,388 - $5,375 |
25,202 |
| Removal of Prostate Via Urethra |
$7,445 |
0 |
$3,096 - $3,806 |
773 |
$3,003 - $3,703 |
19,103 |
| Female Reproductive System Reconstructive Operations |
$16,712 |
0 |
$4,001 - $4,667 |
729 |
$3,868 - $4,694 |
21,517 |
| Uterus & Ovary Operations |
$10,079 |
0 |
$4,263 - $5,463 |
1,019 |
$4,152 - $5,135 |
26,828 |
| Two or More Hip, Knee or Ankle Operations |
$95,917 |
0 |
$16,177 - $19,635 |
850 |
$16,018 - $20,415 |
18,737 |
| Gallbladder Removal by Laparoscope with Complications or Preexisting Conditions |
$25,009 |
0 |
$9,944 - $11,424 |
2,628 |
$9,474 - $11,382 |
59,987 |
| Gallbladder Removal By Laparoscope |
$10,104 |
0 |
$5,541 - $6,280 |
919 |
$5,310 - $6,471 |
22,382 |
| Back Fusion to Join Spine Bones, not Neck, with Complications or Preexisting Conditions |
$84,665 |
0 |
$19,732 - $26,707 |
1,168 |
$18,851 - $24,129 |
32,800 |
| Back Fusion to Join Spine Bones, not Neck |
$27,302 |
0 |
$15,074 - $20,152 |
572 |
$14,411 - $18,341 |
22,370 |
| Back & Neck Operations Except Back or Neck Fusion with Complications or Preexisting Conditions |
$15,940 |
12 |
$7,542 - $9,210 |
1,387 |
$7,259 - $9,018 |
34,496 |
| Back & Neck Operations Except Back or Neck Fusion |
$8,907 |
0 |
$4,928 - $5,691 |
1,317 |
$4,737 - $5,860 |
44,826 |
| Insertion of Heart Defibrillator |
$58,538 |
11 |
$30,102 - $36,761 |
2,292 |
$29,416 - $37,796 |
57,697 |
| Neck Fusion to Join Bones with Complications or Preexisting Conditions |
$32,138 |
0 |
$13,467 - $19,898 |
422 |
$13,059 - $16,860 |
14,002 |
| Neck Fusion to Join Neck Bones |
$17,411 |
12 |
$9,106 - $12,377 |
371 |
$8,768 - $10,983 |
17,623 |
| Head and Neck Blood Vessel Operations |
$10,922 |
0 |
$5,561 - $6,356 |
1,397 |
$5,300 - $6,434 |
38,831 |
| Insertion of Heart Defibrillator with Examination of Heart through a Catheter |
$67,928 |
0 |
$37,738 - $46,043 |
318 |
$37,101 - $48,822 |
7,801 |
| Replacement of Hip, Knee or Ankle or Reattachment of Thigh, Foot or Ankle |
$20,432 |
81 |
$10,574 - $12,106 |
19,598 |
$10,086 - $12,263 |
442,125 |
| Repair of Previous Hip or Knee Replacement |
$30,121 |
16 |
$13,373 - $16,532 |
1,727 |
$12,766 - $16,268 |
40,505 |
| Heart Bypass Surgery with Complications or Preexisting Conditions |
$50,084 |
0 |
$26,698 - $33,947 |
632 |
$26,231 - $34,844 |
12,945 |
| Heart Bypass Surgery |
$35,584 |
0 |
$19,472 - $23,885 |
1,146 |
$18,617 - $23,593 |
29,680 |
| Pacemaker Implant |
$30,895 |
0 |
$11,442 - $13,083 |
2,975 |
$10,958 - $13,379 |
78,212 |
| Angioplasty Procedures and Insertion of Drug Coated Stent into Heart Artery |
$29,155 |
11 |
$12,048 - $13,889 |
7,405 |
$11,529 - $14,587 |
184,545 |