| Heart Attack | Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD) |
62 |
95% |
87% |
87% |
100% |
| Patients Given Aspirin at Arrival |
186 |
93% |
92% |
93% |
100% |
| Patients Given Aspirin at Discharge |
169 |
93% |
89% |
91% |
100% |
| Patients Given Beta Blocker at Arrival |
141 |
97% |
86% |
89% |
100% |
| Patients Given Beta Blocker at Discharge |
165 |
99% |
90% |
91% |
100% |
| Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival |
2 |
50% 1 |
35% |
39% |
100% |
| Patients Given PCI Within 90 Minutes Of Arrival |
17 |
59% 1 |
59% |
63% |
90% |
| Patients Given Smoking Cessation Advice/Counseling |
33 |
88% |
94% |
92% |
100% |
| Heart Failure | Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD) |
111 |
94% 2 |
87% |
85% |
100% |
| Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function |
303 |
96% 2 |
85% |
86% |
100% |
| Patients Given Discharge Instructions |
282 |
94% 2 |
67% |
68% |
96% |
| Patients Given Smoking Cessation Advice/Counseling |
35 |
94% 2 |
88% |
88% |
100% |
| Pneumonia | Patients Assessed and Given Influenza Vaccination |
40 |
35% |
78% |
75% |
98% |
| Patients Assessed and Given Pneumococcal Vaccination |
132 |
29% 2 |
77% |
77% |
96% |
| Patients Given Initial Antibiotic(s) within 6 Hours After Arrival |
36 |
86% 2 |
93% |
93% |
100% |
| Patients Given Oxygenation Assessment |
104 |
98% 2 |
100% |
99% |
100% |
| Patients Given Smoking Cessation Advice/Counseling |
27 |
74% 2 |
85% |
85% |
100% |
| Patients Given the Most Appropriate Initial Antibiotic(s) |
51 |
90% 2 |
85% |
87% |
97% |
| Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics |
74 |
84% 2 |
90% |
90% |
100% |
| Surgical Infection Prevention | Patients Who Received Preventative Antibiotic(s) One Hour Before Incision |
176 |
75% 2 |
77% |
83% |
97% |
| Patients Who Received the Appropriate Preventative Antibiotic(s) for Their Surgery |
174 |
95% 2 |
87% |
90% |
99% |
| Patients Who Received Treatment To Prevent Blood Clots Within 24 Hours Before or After Selected Surgeries to Prevent Blood Clots |
123 |
28% 2 |
69% |
76% |
95% |
| Patients Whose Doctors Ordered Treatments to Prevent Blood Clots (Venous Thromboembolism) For Certain Types of Surgeries |
123 |
34% 2 |
74% |
80% |
97% |
| Patients Whose Preventative Antibiotic(s) are Stopped Within 24 hours After Surgery |
170 |
67% 2 |
76% |
80% |
97% |
| Diagnosis related group |
Avg. payment |
# of cases |
State payments |
State # of cases |
US payments |
US # of cases |
| Chronic Lung Disease |
$6,694 |
90 |
$4,557 - $5,218 |
25,100 |
$4,524 - $5,484 |
374,599 |
| Pneumonia and Pleurisy in Adults With Complications or Preexisting Conditions |
$8,226 |
146 |
$5,288 - $6,091 |
32,899 |
$5,244 - $6,415 |
468,862 |
| Heart Valve Operations |
$42,171 |
0 |
$31,473 - $38,292 |
1,619 |
$30,907 - $43,013 |
32,048 |
| Major Heart and Blood Vessel Procedures with Complications or Preexisting Conditions |
$29,596 |
14 |
$20,138 - $24,375 |
4,006 |
$20,391 - $27,367 |
56,507 |
| Heart Attack with Major Complications |
$12,896 |
100 |
$8,202 - $9,650 |
8,363 |
$8,003 - $10,049 |
131,892 |
| Heart Attack without Complications |
$7,520 |
31 |
$4,971 - $5,889 |
2,885 |
$4,841 - $6,123 |
47,503 |
| Heart Failure |
$7,986 |
196 |
$5,331 - $6,231 |
45,853 |
$5,295 - $6,566 |
626,051 |
| Chest Pain |
$5,384 |
24 |
$2,968 - $3,474 |
11,979 |
$2,964 - $3,755 |
219,457 |
| Major Small & Large Intestine Operations |
$11,039 |
0 |
$7,449 - $8,657 |
1,436 |
$7,459 - $9,180 |
18,656 |
| Minor Small and Large Bowel Procedures With Complications |
$30,288 |
27 |
$17,756 - $21,179 |
8,586 |
$17,600 - $22,617 |
128,011 |
| Stomach & Esophagus Operations in Adults with Complications or Preexisting Conditions |
$31,155 |
0 |
$21,021 - $25,819 |
1,771 |
$21,087 - $28,876 |
26,335 |
| Hernia Operations in Adults with Complications or Preexisting Conditions |
$10,859 |
0 |
$7,450 - $8,846 |
1,358 |
$7,377 - $9,317 |
19,026 |
| Hernia Operations in Adults |
$6,497 |
0 |
$4,419 - $5,125 |
798 |
$4,400 - $5,498 |
10,839 |
| Gallbladder Removal Except By (non) Laparoscope with Complications or Preexisting Conditions |
$19,340 |
0 |
$13,221 - $16,132 |
1,016 |
$13,082 - $16,537 |
15,127 |
| Sample of Bone Removed for Evaluation of Cancer, Infections or Other Bone Disorders |
$14,743 |
0 |
$9,852 - $11,200 |
1,702 |
$9,837 - $11,873 |
19,735 |
| Major Arm & Shoulder Operations with Complications or Preexisting Conditions |
$8,584 |
0 |
$5,753 - $6,756 |
852 |
$5,804 - $7,121 |
11,947 |
| Diabetes in Adults |
$5,967 |
29 |
$3,967 - $4,807 |
6,785 |
$3,970 - $5,196 |
93,811 |
| Kidney and Bladder Operations for Cancer |
$17,095 |
0 |
$11,648 - $13,849 |
1,825 |
$11,881 - $16,024 |
25,089 |
| Other Bladder Operations Via the Urethra with Complications or Preexisting Conditions |
$9,169 |
0 |
$6,208 - $7,116 |
1,452 |
$6,207 - $7,665 |
24,743 |
| Other Kidney & Urinary Tract Operations |
$16,056 |
0 |
$10,988 - $13,212 |
2,967 |
$11,011 - $14,349 |
34,874 |
| Removal of Prostate Via Urethra with Complications or Preexisting Conditions |
$6,507 |
0 |
$4,363 - $5,039 |
1,610 |
$4,388 - $5,375 |
25,202 |
| Removal of Prostate Via Urethra |
$4,429 |
0 |
$2,991 - $3,603 |
1,302 |
$3,003 - $3,703 |
19,103 |
| Female Reproductive System Reconstructive Operations |
$5,737 |
0 |
$3,863 - $4,381 |
1,741 |
$3,868 - $4,694 |
21,517 |
| Uterus & Ovary Operations |
$10,609 |
17 |
$4,194 - $4,976 |
2,094 |
$4,152 - $5,135 |
26,828 |
| Two or More Hip, Knee or Ankle Operations |
$24,138 |
0 |
$16,274 - $18,969 |
1,513 |
$16,018 - $20,415 |
18,737 |
| Gallbladder Removal by Laparoscope with Complications or Preexisting Conditions |
$14,135 |
18 |
$9,610 - $11,226 |
5,256 |
$9,474 - $11,382 |
59,987 |
| Gallbladder Removal By Laparoscope |
$7,943 |
0 |
$5,366 - $6,191 |
1,855 |
$5,310 - $6,471 |
22,382 |
| Back & Neck Operations Except Back or Neck Fusion with Complications or Preexisting Conditions |
$10,654 |
0 |
$7,216 - $8,429 |
2,463 |
$7,259 - $9,018 |
34,496 |
| Back & Neck Operations Except Back or Neck Fusion |
$6,986 |
0 |
$4,672 - $5,410 |
3,629 |
$4,737 - $5,860 |
44,826 |
| Insertion of Heart Defibrillator |
$42,480 |
0 |
$28,980 - $34,680 |
4,160 |
$29,416 - $37,796 |
57,697 |
| Neck Fusion to Join Bones with Complications or Preexisting Conditions |
$19,044 |
0 |
$12,803 - $15,514 |
1,159 |
$13,059 - $16,860 |
14,002 |
| Neck Fusion to Join Neck Bones |
$12,965 |
0 |
$8,646 - $10,320 |
1,615 |
$8,768 - $10,983 |
17,623 |
| Head and Neck Blood Vessel Operations |
$7,878 |
0 |
$5,305 - $5,989 |
3,264 |
$5,300 - $6,434 |
38,831 |
| Insertion of Heart Defibrillator with Examination of Heart through a Catheter |
$53,400 |
0 |
$36,334 - $43,871 |
521 |
$37,101 - $48,822 |
7,801 |
| Replacement of Hip, Knee or Ankle or Reattachment of Thigh, Foot or Ankle |
$14,764 |
39 |
$10,116 - $11,870 |
30,272 |
$10,086 - $12,263 |
442,125 |
| Repair of Previous Hip or Knee Replacement |
$19,174 |
0 |
$12,954 - $15,471 |
2,579 |
$12,766 - $16,268 |
40,505 |
| Heart Bypass Surgery with Complications or Preexisting Conditions |
$39,201 |
0 |
$26,786 - $32,346 |
1,067 |
$26,231 - $34,844 |
12,945 |
| Heart Bypass Surgery |
$27,350 |
0 |
$18,950 - $22,570 |
2,101 |
$18,617 - $23,593 |
29,680 |
| Pacemaker Implant |
$16,164 |
15 |
$10,885 - $12,477 |
5,527 |
$10,958 - $13,379 |
78,212 |
| Angioplasty Procedures and Insertion of Drug Coated Stent into Heart Artery |
$19,970 |
14 |
$11,393 - $13,359 |
12,855 |
$11,529 - $14,587 |
184,545 |