| Heart Attack | Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD) |
92 |
100% |
85% |
87% |
100% |
| Patients Given Aspirin at Arrival |
151 |
100% |
93% |
93% |
100% |
| Patients Given Aspirin at Discharge |
420 |
100% |
90% |
91% |
100% |
| Patients Given Beta Blocker at Arrival |
148 |
100% |
87% |
89% |
100% |
| Patients Given Beta Blocker at Discharge |
421 |
100% |
90% |
91% |
100% |
| Patients Given PCI Within 90 Minutes Of Arrival |
26 |
73% |
71% |
63% |
90% |
| Patients Given Smoking Cessation Advice/Counseling |
179 |
100% |
90% |
92% |
100% |
| Heart Failure | Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD) |
82 |
99% |
81% |
85% |
100% |
| Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function |
215 |
99% |
86% |
86% |
100% |
| Patients Given Discharge Instructions |
173 |
97% |
70% |
68% |
96% |
| Patients Given Smoking Cessation Advice/Counseling |
45 |
100% |
88% |
88% |
100% |
| Pneumonia | Patients Assessed and Given Influenza Vaccination |
78 |
82% |
73% |
75% |
98% |
| Patients Assessed and Given Pneumococcal Vaccination |
175 |
83% |
75% |
77% |
96% |
| Patients Given Initial Antibiotic(s) within 6 Hours After Arrival |
70 |
91% |
91% |
93% |
100% |
| Patients Given Oxygenation Assessment |
209 |
100% |
99% |
99% |
100% |
| Patients Given Smoking Cessation Advice/Counseling |
119 |
100% |
81% |
85% |
100% |
| Patients Given the Most Appropriate Initial Antibiotic(s) |
71 |
92% |
85% |
87% |
97% |
| Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics |
128 |
97% |
90% |
90% |
100% |
| Surgical Infection Prevention | Patients Who Received Preventative Antibiotic(s) One Hour Before Incision |
472 |
88% 2 |
76% |
83% |
97% |
| Patients Who Received the Appropriate Preventative Antibiotic(s) for Their Surgery |
473 |
97% 2 |
84% |
90% |
99% |
| Patients Who Received Treatment To Prevent Blood Clots Within 24 Hours Before or After Selected Surgeries to Prevent Blood Clots |
288 |
92% 2 |
78% |
76% |
95% |
| Patients Whose Doctors Ordered Treatments to Prevent Blood Clots (Venous Thromboembolism) For Certain Types of Surgeries |
288 |
94% 2 |
81% |
80% |
97% |
| Patients Whose Preventative Antibiotic(s) are Stopped Within 24 hours After Surgery |
452 |
87% 2 |
74% |
80% |
97% |
| Diagnosis related group |
Avg. payment |
# of cases |
State payments |
State # of cases |
US payments |
US # of cases |
| Chronic Lung Disease |
$6,778 |
96 |
$4,308 - $4,742 |
6,135 |
$4,524 - $5,484 |
374,599 |
| Pneumonia and Pleurisy in Adults With Complications or Preexisting Conditions |
$7,589 |
151 |
$4,969 - $5,593 |
5,655 |
$5,244 - $6,415 |
468,862 |
| Heart Valve Operations |
$45,946 |
32 |
$28,976 - $37,634 |
191 |
$30,907 - $43,013 |
32,048 |
| Major Heart and Blood Vessel Procedures with Complications or Preexisting Conditions |
$32,534 |
55 |
$19,029 - $21,521 |
459 |
$20,391 - $27,367 |
56,507 |
| Heart Attack with Major Complications |
$13,325 |
85 |
$7,596 - $9,008 |
1,623 |
$8,003 - $10,049 |
131,892 |
| Heart Attack without Complications |
$7,341 |
34 |
$4,534 - $5,336 |
654 |
$4,841 - $6,123 |
47,503 |
| Heart Failure |
$7,797 |
152 |
$4,999 - $5,588 |
7,108 |
$5,295 - $6,566 |
626,051 |
| Chest Pain |
$4,208 |
33 |
$2,777 - $3,115 |
2,086 |
$2,964 - $3,755 |
219,457 |
| Major Small & Large Intestine Operations |
$10,651 |
0 |
$7,030 - $7,997 |
156 |
$7,459 - $9,180 |
18,656 |
| Minor Small and Large Bowel Procedures With Complications |
$29,688 |
42 |
$16,757 - $19,315 |
1,160 |
$17,600 - $22,617 |
128,011 |
| Stomach & Esophagus Operations in Adults with Complications or Preexisting Conditions |
$40,667 |
16 |
$19,826 - $22,791 |
224 |
$21,087 - $28,876 |
26,335 |
| Hernia Operations in Adults with Complications or Preexisting Conditions |
$10,470 |
0 |
$6,780 - $7,861 |
161 |
$7,377 - $9,317 |
19,026 |
| Hernia Operations in Adults |
$6,269 |
0 |
$4,139 - $4,715 |
68 |
$4,400 - $5,498 |
10,839 |
| Gallbladder Removal Except By (non) Laparoscope with Complications or Preexisting Conditions |
$18,895 |
0 |
$12,484 - $14,194 |
178 |
$13,082 - $16,537 |
15,127 |
| Sample of Bone Removed for Evaluation of Cancer, Infections or Other Bone Disorders |
$14,207 |
29 |
$9,580 - $10,793 |
155 |
$9,837 - $11,873 |
19,735 |
| Major Arm & Shoulder Operations with Complications or Preexisting Conditions |
$13,941 |
0 |
$5,479 - $6,232 |
101 |
$5,804 - $7,121 |
11,947 |
| Other Bone, Joint & Organ Operations with Complications or Preexisting Conditions |
$14,266 |
19 |
$9,275 - $10,747 |
135 |
$9,905 - $12,052 |
22,382 |
| Diabetes in Adults |
$5,692 |
29 |
$3,755 - $4,133 |
895 |
$3,970 - $5,196 |
93,811 |
| Kidney and Bladder Operations for Cancer |
$18,118 |
44 |
$11,051 - $16,436 |
200 |
$11,881 - $16,024 |
25,089 |
| Kidney and Bladder Operations with Complications or Preexisting Conditions |
$18,211 |
34 |
$11,919 - $17,605 |
104 |
$12,602 - $17,553 |
14,424 |
| Other Bladder Operations Via the Urethra with Complications or Preexisting Conditions |
$8,837 |
0 |
$5,783 - $6,448 |
272 |
$6,207 - $7,665 |
24,743 |
| Other Kidney & Urinary Tract Operations |
$18,514 |
48 |
$10,219 - $11,665 |
353 |
$11,011 - $14,349 |
34,874 |
| Removal of Prostate Via Urethra with Complications or Preexisting Conditions |
$6,273 |
0 |
$4,135 - $4,458 |
348 |
$4,388 - $5,375 |
25,202 |
| Removal of Prostate Via Urethra |
$4,272 |
0 |
$2,825 - $3,065 |
225 |
$3,003 - $3,703 |
19,103 |
| Female Reproductive System Reconstructive Operations |
$5,510 |
0 |
$3,645 - $4,161 |
219 |
$3,868 - $4,694 |
21,517 |
| Uterus & Ovary Operations |
$6,556 |
11 |
$3,903 - $4,484 |
275 |
$4,152 - $5,135 |
26,828 |
| Two or More Hip, Knee or Ankle Operations |
$21,967 |
0 |
$15,191 - $15,778 |
116 |
$16,018 - $20,415 |
18,737 |
| Gallbladder Removal by Laparoscope with Complications or Preexisting Conditions |
$13,623 |
0 |
$8,997 - $10,232 |
607 |
$9,474 - $11,382 |
59,987 |
| Gallbladder Removal By Laparoscope |
$7,664 |
0 |
$4,999 - $5,583 |
191 |
$5,310 - $6,471 |
22,382 |
| Back Fusion to Join Spine Bones, not Neck, with Complications or Preexisting Conditions |
$28,622 |
30 |
$17,804 - $27,030 |
110 |
$18,851 - $24,129 |
32,800 |
| Back Fusion to Join Spine Bones, not Neck |
$26,530 |
18 |
$14,175 - $20,591 |
62 |
$14,411 - $18,341 |
22,370 |
| Back & Neck Operations Except Back or Neck Fusion with Complications or Preexisting Conditions |
$10,286 |
20 |
$6,926 - $7,748 |
217 |
$7,259 - $9,018 |
34,496 |
| Back & Neck Operations Except Back or Neck Fusion |
$6,718 |
47 |
$4,547 - $6,603 |
275 |
$4,737 - $5,860 |
44,826 |
| Insertion of Heart Defibrillator |
$41,648 |
43 |
$27,448 - $30,925 |
494 |
$29,416 - $37,796 |
57,697 |
| Neck Fusion to Join Bones with Complications or Preexisting Conditions |
$24,978 |
24 |
$12,126 - $18,297 |
81 |
$13,059 - $16,860 |
14,002 |
| Neck Fusion to Join Neck Bones |
$12,567 |
21 |
$8,084 - $12,254 |
106 |
$8,768 - $10,983 |
17,623 |
| Head and Neck Blood Vessel Operations |
$7,585 |
26 |
$5,014 - $5,695 |
432 |
$5,300 - $6,434 |
38,831 |
| Insertion of Heart Defibrillator with Examination of Heart through a Catheter |
$51,413 |
0 |
$33,294 - $40,863 |
114 |
$37,101 - $48,822 |
7,801 |
| Replacement of Hip, Knee or Ankle or Reattachment of Thigh, Foot or Ankle |
$16,686 |
82 |
$9,497 - $10,966 |
3,456 |
$10,086 - $12,263 |
442,125 |
| Repair of Previous Hip or Knee Replacement |
$18,361 |
16 |
$11,951 - $13,860 |
184 |
$12,766 - $16,268 |
40,505 |
| Heart Bypass Surgery with Complications or Preexisting Conditions |
$37,171 |
25 |
$24,929 - $30,890 |
147 |
$26,231 - $34,844 |
12,945 |
| Heart Bypass Surgery |
$26,860 |
37 |
$18,853 - $20,251 |
318 |
$18,617 - $23,593 |
29,680 |
| Pacemaker Implant |
$15,629 |
15 |
$10,107 - $11,721 |
619 |
$10,958 - $13,379 |
78,212 |
| Angioplasty Procedures and Insertion of Drug Coated Stent into Heart Artery |
$16,636 |
230 |
$10,643 - $12,385 |
1,629 |
$11,529 - $14,587 |
184,545 |