*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| C218 - Malignant neoplasm of overlapping sites of rectum, anus and anal canal - as a primary diagnosis code | C218 - Malignant neoplasm of overlapping sites of rectum, anus and anal canal - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 8.04 | |
| Readmission Rate (%) | 26.03 | |
| Unplanned Readmission Rate (%) | 15.34 | |
| Mortality Rate (%) | ||
| SNF Discharge Rate (%) | ||
| Home Discharge Rate (%) | ||
| PAYMENTS AND CHARGES | ||
| Total Medicare Payments | ||
| Payment Per Day | ||
| Payment Per Hospitalization | ||
| Total Medicare Charges | ||
| Avg. Charges | ||
| MARKET SIZING & INCIDENCE RATES | ||
| Total National Projected Hospitalizations - Annualized (Present on Admission - All) | ||
| Total Medicare Hospitalizations - Oct 2015 to Sep 2018 (Present on Admission - All) | ||
| Total National Projected Hospitalizations - Annualized (Present on Admission - Yes) | ||
| Total Medicare Hospitalizations - Oct 2015 to Sep 2018 (Present on Admission - Yes) | ||
| Total National Projected Hospitalizations - Annualized (Present on Admission - Not Y) | ||
| Total Medicare Hospitalizations - Oct 2015 to Sep 2018 (Present on Admission - Not Y) | ||
| Total Medicare Hospitalizations after Exclusion | ||
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 330: MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 375: DIGESTIVE MALIGNANCY WITH COMPLICATION OR COMORBIDITY (CC) | DRG 331: MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 374: DIGESTIVE MALIGNANCY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 329: MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 169,880 | ||||
| Total Hospitalizations with ICD C218 - Malignant neoplasm of overlapping sites of rectum, anus and anal canal | 301 | ||||
| DRG Share of Total Hospitalizations | 0.52 | ||||
| % of Total ICD C218 - Malignant neoplasm of overlapping sites of rectum, anus and anal canal in DRG | 29.86 | ||||
| Avg LOS at DRG | 7.24 | ||||
| Avg LOS with ICD C218 - Malignant neoplasm of overlapping sites of rectum, anus and anal canal | 8.31 | ||||
| Readmission Rate at DRG | 16.58 | ||||
| Readmission Rate with ICD C218 - Malignant neoplasm of overlapping sites of rectum, anus and anal canal | 24.14 | ||||
| Unplanned Readmission Rate at DRG | 10.87 | ||||
| Unplanned Readmission Rate with ICD C218 - Malignant neoplasm of overlapping sites of rectum, anus and anal canal | 14.83 | ||||
| Total Medicare payments at DRG | $2,683,693,576 | ||||
| Total Medicare payments with ICD C218 - Malignant neoplasm of overlapping sites of rectum, anus and anal canal | $5,258,669 | ||||
| Total Medicare payment per Day at DRG | $2,183 | ||||
| Total Medicare payment per Day with ICD C218 - Malignant neoplasm of overlapping sites of rectum, anus and anal canal | $2,102 | ||||
| Total Medicare payment per Hospitalization at DRG | $15,798 | ||||
| Total Medicare payment per Hospitalization with ICD C218 - Malignant neoplasm of overlapping sites of rectum, anus and anal canal | $17,471 | ||||
| Total Medicare Charges at DRG | $13,978,014,634 | ||||
| Total Medicare Charges with ICD C218 - Malignant neoplasm of overlapping sites of rectum, anus and anal canal | $31,633,157 | ||||
| Avg Charges at DRG | $82,282 | ||||
| Avg Charges with ICD C218 - Malignant neoplasm of overlapping sites of rectum, anus and anal canal | $105,094 | ||||
| Mortality Rate at DRG | 0.35 | ||||
| Mortality Rate with ICD C218 - Malignant neoplasm of overlapping sites of rectum, anus and anal canal | NA | ||||
| SNF Discharge Rate at DRG | 14.58 | ||||
| SNF Discharge Rate with ICD C218 - Malignant neoplasm of overlapping sites of rectum, anus and anal canal | 18.27 | ||||
| Home Discharge Rate at DRG | 53.56 | ||||
| Home Discharge Rate with ICD C218 - Malignant neoplasm of overlapping sites of rectum, anus and anal canal | 19.6 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 376: DIGESTIVE MALIGNANCY WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 348: ANAL AND STOMAL PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 333: RECTAL RESECTION WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|
| Total Hospitalizations at DRG | 4,564 | ||
| Total Hospitalizations with ICD C218 - Malignant neoplasm of overlapping sites of rectum, anus and anal canal | 18 | ||
| DRG Share of Total Hospitalizations | 0.01 | ||
| % of Total ICD C218 - Malignant neoplasm of overlapping sites of rectum, anus and anal canal in DRG | 1.79 | ||
| Avg LOS at DRG | 3.14 | ||
| Avg LOS with ICD C218 - Malignant neoplasm of overlapping sites of rectum, anus and anal canal | 3.44 | ||
| Readmission Rate at DRG | 29.85 | ||
| Readmission Rate with ICD C218 - Malignant neoplasm of overlapping sites of rectum, anus and anal canal | NA | ||
| Unplanned Readmission Rate at DRG | 11.98 | ||
| Unplanned Readmission Rate with ICD C218 - Malignant neoplasm of overlapping sites of rectum, anus and anal canal | NA | ||
| Total Medicare payments at DRG | $25,534,445 | ||
| Total Medicare payments with ICD C218 - Malignant neoplasm of overlapping sites of rectum, anus and anal canal | $112,888 | ||
| Total Medicare payment per Day at DRG | $1,783 | ||
| Total Medicare payment per Day with ICD C218 - Malignant neoplasm of overlapping sites of rectum, anus and anal canal | $1,821 | ||
| Total Medicare payment per Hospitalization at DRG | $5,595 | ||
| Total Medicare payment per Hospitalization with ICD C218 - Malignant neoplasm of overlapping sites of rectum, anus and anal canal | $6,272 | ||
| Total Medicare Charges at DRG | $146,112,254 | ||
| Total Medicare Charges with ICD C218 - Malignant neoplasm of overlapping sites of rectum, anus and anal canal | $919,431 | ||
| Avg Charges at DRG | $32,014 | ||
| Avg Charges with ICD C218 - Malignant neoplasm of overlapping sites of rectum, anus and anal canal | $51,080 | ||
| Mortality Rate at DRG | 1.38 | ||
| Mortality Rate with ICD C218 - Malignant neoplasm of overlapping sites of rectum, anus and anal canal | NA | ||
| SNF Discharge Rate at DRG | 5.89 | ||
| SNF Discharge Rate with ICD C218 - Malignant neoplasm of overlapping sites of rectum, anus and anal canal | NA | ||
| Home Discharge Rate at DRG | 67.2 | ||
| Home Discharge Rate with ICD C218 - Malignant neoplasm of overlapping sites of rectum, anus and anal canal | 66.67 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| MEMORIAL SLOAN KETTERING CANCER CENTER | 1275 YORK AVE | NEW YORK | NY | 10065 | 11 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 330: MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 375: DIGESTIVE MALIGNANCY WITH COMPLICATION OR COMORBIDITY (CC) | DRG 329: MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 374: DIGESTIVE MALIGNANCY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 871: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 169,880 | ||||
| Total Hospitalizations with ICD C218 - Malignant neoplasm of overlapping sites of rectum, anus and anal canal | 343 | ||||
| DRG Share of Total Hospitalizations | 0.52 | ||||
| % of Total ICD C218 - Malignant neoplasm of overlapping sites of rectum, anus and anal canal in DRG | 14.32 | ||||
| Avg LOS at DRG | 7.24 | ||||
| Avg LOS with ICD C218 - Malignant neoplasm of overlapping sites of rectum, anus and anal canal | 8.36 | ||||
| Readmission Rate at DRG | 16.58 | ||||
| Readmission Rate with ICD C218 - Malignant neoplasm of overlapping sites of rectum, anus and anal canal | 24.01 | ||||
| Unplanned Readmission Rate at DRG | 10.87 | ||||
| Unplanned Readmission Rate with ICD C218 - Malignant neoplasm of overlapping sites of rectum, anus and anal canal | 14.89 | ||||
| Total Medicare payments at DRG | $2,683,693,576 | ||||
| Total Medicare payments with ICD C218 - Malignant neoplasm of overlapping sites of rectum, anus and anal canal | $5,932,742 | ||||
| Total Medicare payment per Day at DRG | $2,183 | ||||
| Total Medicare payment per Day with ICD C218 - Malignant neoplasm of overlapping sites of rectum, anus and anal canal | $2,068 | ||||
| Total Medicare payment per Hospitalization at DRG | $15,798 | ||||
| Total Medicare payment per Hospitalization with ICD C218 - Malignant neoplasm of overlapping sites of rectum, anus and anal canal | $17,297 | ||||
| Total Medicare Charges at DRG | $13,978,014,634 | ||||
| Total Medicare Charges with ICD C218 - Malignant neoplasm of overlapping sites of rectum, anus and anal canal | $36,113,204 | ||||
| Avg Charges at DRG | $82,282 | ||||
| Avg Charges with ICD C218 - Malignant neoplasm of overlapping sites of rectum, anus and anal canal | $105,286 | ||||
| Mortality Rate at DRG | 0.35 | ||||
| Mortality Rate with ICD C218 - Malignant neoplasm of overlapping sites of rectum, anus and anal canal | NA | ||||
| SNF Discharge Rate at DRG | 14.58 | ||||
| SNF Discharge Rate with ICD C218 - Malignant neoplasm of overlapping sites of rectum, anus and anal canal | 18.95 | ||||
| Home Discharge Rate at DRG | 53.56 | ||||
| Home Discharge Rate with ICD C218 - Malignant neoplasm of overlapping sites of rectum, anus and anal canal | 20.41 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 331: MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 872: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 847: CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH COMPLICATION OR COMORBIDITY (CC) | DRG 809: MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH COMPLICATION OR COMORBIDITY (CC) | DRG 393: OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 82,061 | ||||
| Total Hospitalizations with ICD C218 - Malignant neoplasm of overlapping sites of rectum, anus and anal canal | 129 | ||||
| DRG Share of Total Hospitalizations | 0.25 | ||||
| % of Total ICD C218 - Malignant neoplasm of overlapping sites of rectum, anus and anal canal in DRG | 5.39 | ||||
| Avg LOS at DRG | 4.08 | ||||
| Avg LOS with ICD C218 - Malignant neoplasm of overlapping sites of rectum, anus and anal canal | 5.13 | ||||
| Readmission Rate at DRG | 9.45 | ||||
| Readmission Rate with ICD C218 - Malignant neoplasm of overlapping sites of rectum, anus and anal canal | 15.45 | ||||
| Unplanned Readmission Rate at DRG | 6.69 | ||||
| Unplanned Readmission Rate with ICD C218 - Malignant neoplasm of overlapping sites of rectum, anus and anal canal | 9.76 | ||||
| Total Medicare payments at DRG | $818,105,892 | ||||
| Total Medicare payments with ICD C218 - Malignant neoplasm of overlapping sites of rectum, anus and anal canal | $1,435,075 | ||||
| Total Medicare payment per Day at DRG | $2,445 | ||||
| Total Medicare payment per Day with ICD C218 - Malignant neoplasm of overlapping sites of rectum, anus and anal canal | $2,168 | ||||
| Total Medicare payment per Hospitalization at DRG | $9,969 | ||||
| Total Medicare payment per Hospitalization with ICD C218 - Malignant neoplasm of overlapping sites of rectum, anus and anal canal | $11,125 | ||||
| Total Medicare Charges at DRG | $4,652,792,838 | ||||
| Total Medicare Charges with ICD C218 - Malignant neoplasm of overlapping sites of rectum, anus and anal canal | $10,014,467 | ||||
| Avg Charges at DRG | $56,699 | ||||
| Avg Charges with ICD C218 - Malignant neoplasm of overlapping sites of rectum, anus and anal canal | $77,632 | ||||
| Mortality Rate at DRG | 0.07 | ||||
| Mortality Rate with ICD C218 - Malignant neoplasm of overlapping sites of rectum, anus and anal canal | NA | ||||
| SNF Discharge Rate at DRG | 4.97 | ||||
| SNF Discharge Rate with ICD C218 - Malignant neoplasm of overlapping sites of rectum, anus and anal canal | NA | ||||
| Home Discharge Rate at DRG | 77.96 | ||||
| Home Discharge Rate with ICD C218 - Malignant neoplasm of overlapping sites of rectum, anus and anal canal | 32.56 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 853: INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 378: G.I. HEMORRHAGE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 394: OTHER DIGESTIVE SYSTEM DIAGNOSES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 683: RENAL FAILURE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 948: SIGNS AND SYMPTOMS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 269,064 | ||||
| Total Hospitalizations with ICD C218 - Malignant neoplasm of overlapping sites of rectum, anus and anal canal | 33 | ||||
| DRG Share of Total Hospitalizations | 0.82 | ||||
| % of Total ICD C218 - Malignant neoplasm of overlapping sites of rectum, anus and anal canal in DRG | 1.38 | ||||
| Avg LOS at DRG | 13.18 | ||||
| Avg LOS with ICD C218 - Malignant neoplasm of overlapping sites of rectum, anus and anal canal | 19.09 | ||||
| Readmission Rate at DRG | 37.51 | ||||
| Readmission Rate with ICD C218 - Malignant neoplasm of overlapping sites of rectum, anus and anal canal | NA | ||||
| Unplanned Readmission Rate at DRG | 18.15 | ||||
| Unplanned Readmission Rate with ICD C218 - Malignant neoplasm of overlapping sites of rectum, anus and anal canal | NA | ||||
| Total Medicare payments at DRG | $9,344,186,034 | ||||
| Total Medicare payments with ICD C218 - Malignant neoplasm of overlapping sites of rectum, anus and anal canal | $1,228,152 | ||||
| Total Medicare payment per Day at DRG | $2,635 | ||||
| Total Medicare payment per Day with ICD C218 - Malignant neoplasm of overlapping sites of rectum, anus and anal canal | $1,949 | ||||
| Total Medicare payment per Hospitalization at DRG | $34,728 | ||||
| Total Medicare payment per Hospitalization with ICD C218 - Malignant neoplasm of overlapping sites of rectum, anus and anal canal | $37,217 | ||||
| Total Medicare Charges at DRG | $44,371,117,432 | ||||
| Total Medicare Charges with ICD C218 - Malignant neoplasm of overlapping sites of rectum, anus and anal canal | $7,120,849 | ||||
| Avg Charges at DRG | $164,909 | ||||
| Avg Charges with ICD C218 - Malignant neoplasm of overlapping sites of rectum, anus and anal canal | $215,783 | ||||
| Mortality Rate at DRG | 14.37 | ||||
| Mortality Rate with ICD C218 - Malignant neoplasm of overlapping sites of rectum, anus and anal canal | NA | ||||
| SNF Discharge Rate at DRG | 31.8 | ||||
| SNF Discharge Rate with ICD C218 - Malignant neoplasm of overlapping sites of rectum, anus and anal canal | NA | ||||
| Home Discharge Rate at DRG | 14.61 | ||||
| Home Discharge Rate with ICD C218 - Malignant neoplasm of overlapping sites of rectum, anus and anal canal | NA |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 348: ANAL AND STOMAL PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 682: RENAL FAILURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 640: MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM , FLUIDS AND ELECTROLYTES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 641: MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM , FLUIDS AND ELECTROLYTES WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 690: KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 8,316 | ||||
| Total Hospitalizations with ICD C218 - Malignant neoplasm of overlapping sites of rectum, anus and anal canal | 20 | ||||
| DRG Share of Total Hospitalizations | 0.03 | ||||
| % of Total ICD C218 - Malignant neoplasm of overlapping sites of rectum, anus and anal canal in DRG | 0.84 | ||||
| Avg LOS at DRG | 4.9 | ||||
| Avg LOS with ICD C218 - Malignant neoplasm of overlapping sites of rectum, anus and anal canal | 3.85 | ||||
| Readmission Rate at DRG | 17.02 | ||||
| Readmission Rate with ICD C218 - Malignant neoplasm of overlapping sites of rectum, anus and anal canal | NA | ||||
| Unplanned Readmission Rate at DRG | 12.32 | ||||
| Unplanned Readmission Rate with ICD C218 - Malignant neoplasm of overlapping sites of rectum, anus and anal canal | NA | ||||
| Total Medicare payments at DRG | $76,401,122 | ||||
| Total Medicare payments with ICD C218 - Malignant neoplasm of overlapping sites of rectum, anus and anal canal | $167,445 | ||||
| Total Medicare payment per Day at DRG | $1,873 | ||||
| Total Medicare payment per Day with ICD C218 - Malignant neoplasm of overlapping sites of rectum, anus and anal canal | $2,175 | ||||
| Total Medicare payment per Hospitalization at DRG | $9,187 | ||||
| Total Medicare payment per Hospitalization with ICD C218 - Malignant neoplasm of overlapping sites of rectum, anus and anal canal | $8,372 | ||||
| Total Medicare Charges at DRG | $416,769,489 | ||||
| Total Medicare Charges with ICD C218 - Malignant neoplasm of overlapping sites of rectum, anus and anal canal | $1,037,432 | ||||
| Avg Charges at DRG | $50,117 | ||||
| Avg Charges with ICD C218 - Malignant neoplasm of overlapping sites of rectum, anus and anal canal | $51,872 | ||||
| Mortality Rate at DRG | 0.26 | ||||
| Mortality Rate with ICD C218 - Malignant neoplasm of overlapping sites of rectum, anus and anal canal | NA | ||||
| SNF Discharge Rate at DRG | 11.22 | ||||
| SNF Discharge Rate with ICD C218 - Malignant neoplasm of overlapping sites of rectum, anus and anal canal | NA | ||||
| Home Discharge Rate at DRG | 64.53 | ||||
| Home Discharge Rate with ICD C218 - Malignant neoplasm of overlapping sites of rectum, anus and anal canal | 75.0 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| MEMORIAL SLOAN KETTERING CANCER CENTER | 1275 YORK AVE | NEW YORK | NY | 10065 | 24 |
| BARNES JEWISH HOSPITAL | 1 BARNES-JEWISH HOSPITAL PLZ | SAINT LOUIS | MO | 63110 | 13 |
| CEDARS-SINAI MEDICAL CENTER | 8700 BEVERLY BLVD | LOS ANGELES | CA | 90048 | 12 |