*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| C257 - Malignant neoplasm of other parts of pancreas - as a primary diagnosis code | C257 - Malignant neoplasm of other parts of pancreas - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 6.76 | |
| Readmission Rate (%) | 28.91 | |
| Unplanned Readmission Rate (%) | 18.05 | |
| 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 435: MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 436: MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH COMPLICATION OR COMORBIDITY (CC) | DRG 406: PANCREAS, LIVER AND SHUNT PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 405: PANCREAS, LIVER AND SHUNT PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 407: PANCREAS, LIVER AND SHUNT PROCEDURES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 40,116 | ||||
| Total Hospitalizations with ICD C257 - Malignant neoplasm of other parts of pancreas | 372 | ||||
| DRG Share of Total Hospitalizations | 0.12 | ||||
| % of Total ICD C257 - Malignant neoplasm of other parts of pancreas in DRG | 34.96 | ||||
| Avg LOS at DRG | 6.14 | ||||
| Avg LOS with ICD C257 - Malignant neoplasm of other parts of pancreas | 6.47 | ||||
| Readmission Rate at DRG | 26.88 | ||||
| Readmission Rate with ICD C257 - Malignant neoplasm of other parts of pancreas | 28.06 | ||||
| Unplanned Readmission Rate at DRG | 18.3 | ||||
| Unplanned Readmission Rate with ICD C257 - Malignant neoplasm of other parts of pancreas | 18.71 | ||||
| Total Medicare payments at DRG | $472,915,537 | ||||
| Total Medicare payments with ICD C257 - Malignant neoplasm of other parts of pancreas | $4,557,435 | ||||
| Total Medicare payment per Day at DRG | $1,921 | ||||
| Total Medicare payment per Day with ICD C257 - Malignant neoplasm of other parts of pancreas | $1,893 | ||||
| Total Medicare payment per Hospitalization at DRG | $11,789 | ||||
| Total Medicare payment per Hospitalization with ICD C257 - Malignant neoplasm of other parts of pancreas | $12,251 | ||||
| Total Medicare Charges at DRG | $2,356,079,688 | ||||
| Total Medicare Charges with ICD C257 - Malignant neoplasm of other parts of pancreas | $23,645,737 | ||||
| Avg Charges at DRG | $58,732 | ||||
| Avg Charges with ICD C257 - Malignant neoplasm of other parts of pancreas | $63,564 | ||||
| Mortality Rate at DRG | 10.79 | ||||
| Mortality Rate with ICD C257 - Malignant neoplasm of other parts of pancreas | 8.6 | ||||
| SNF Discharge Rate at DRG | 10.16 | ||||
| SNF Discharge Rate with ICD C257 - Malignant neoplasm of other parts of pancreas | 10.48 | ||||
| Home Discharge Rate at DRG | 35.89 | ||||
| Home Discharge Rate with ICD C257 - Malignant neoplasm of other parts of pancreas | 40.32 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 437: MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 421: HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 408: BILIARY TRACT PROCEDURE EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 423: OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 420: HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 3,104 | ||||
| Total Hospitalizations with ICD C257 - Malignant neoplasm of other parts of pancreas | 33 | ||||
| DRG Share of Total Hospitalizations | 0.01 | ||||
| % of Total ICD C257 - Malignant neoplasm of other parts of pancreas in DRG | 3.1 | ||||
| Avg LOS at DRG | 2.98 | ||||
| Avg LOS with ICD C257 - Malignant neoplasm of other parts of pancreas | 3.64 | ||||
| Readmission Rate at DRG | 27.23 | ||||
| Readmission Rate with ICD C257 - Malignant neoplasm of other parts of pancreas | NA | ||||
| Unplanned Readmission Rate at DRG | 14.59 | ||||
| Unplanned Readmission Rate with ICD C257 - Malignant neoplasm of other parts of pancreas | NA | ||||
| Total Medicare payments at DRG | $16,802,025 | ||||
| Total Medicare payments with ICD C257 - Malignant neoplasm of other parts of pancreas | $217,814 | ||||
| Total Medicare payment per Day at DRG | $1,818 | ||||
| Total Medicare payment per Day with ICD C257 - Malignant neoplasm of other parts of pancreas | $1,815 | ||||
| Total Medicare payment per Hospitalization at DRG | $5,413 | ||||
| Total Medicare payment per Hospitalization with ICD C257 - Malignant neoplasm of other parts of pancreas | $6,600 | ||||
| Total Medicare Charges at DRG | $99,933,973 | ||||
| Total Medicare Charges with ICD C257 - Malignant neoplasm of other parts of pancreas | $1,273,775 | ||||
| Avg Charges at DRG | $32,195 | ||||
| Avg Charges with ICD C257 - Malignant neoplasm of other parts of pancreas | $38,599 | ||||
| Mortality Rate at DRG | 3.22 | ||||
| Mortality Rate with ICD C257 - Malignant neoplasm of other parts of pancreas | NA | ||||
| SNF Discharge Rate at DRG | 4.67 | ||||
| SNF Discharge Rate with ICD C257 - Malignant neoplasm of other parts of pancreas | NA | ||||
| Home Discharge Rate at DRG | 69.65 | ||||
| Home Discharge Rate with ICD C257 - Malignant neoplasm of other parts of pancreas | 69.7 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| THE JOHNS HOPKINS HOSPITAL | 600 N WOLFE ST | BALTIMORE | MD | 21287 | 16 |
| MEMORIAL SLOAN KETTERING CANCER CENTER | 1275 YORK AVE | NEW YORK | NY | 10065 | 14 |
| UNIVERSITY OF TEXAS MD ANDERSON CANCER CENTER | 1515 HOLCOMBE BLVD | HOUSTON | TX | 77030 | 12 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 435: MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 436: MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH COMPLICATION OR COMORBIDITY (CC) | DRG 406: PANCREAS, LIVER AND SHUNT PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 871: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 405: PANCREAS, LIVER AND SHUNT PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 40,116 | ||||
| Total Hospitalizations with ICD C257 - Malignant neoplasm of other parts of pancreas | 442 | ||||
| DRG Share of Total Hospitalizations | 0.12 | ||||
| % of Total ICD C257 - Malignant neoplasm of other parts of pancreas in DRG | 16.15 | ||||
| Avg LOS at DRG | 6.14 | ||||
| Avg LOS with ICD C257 - Malignant neoplasm of other parts of pancreas | 6.33 | ||||
| Readmission Rate at DRG | 26.88 | ||||
| Readmission Rate with ICD C257 - Malignant neoplasm of other parts of pancreas | 26.95 | ||||
| Unplanned Readmission Rate at DRG | 18.3 | ||||
| Unplanned Readmission Rate with ICD C257 - Malignant neoplasm of other parts of pancreas | 18.33 | ||||
| Total Medicare payments at DRG | $472,915,537 | ||||
| Total Medicare payments with ICD C257 - Malignant neoplasm of other parts of pancreas | $5,361,084 | ||||
| Total Medicare payment per Day at DRG | $1,921 | ||||
| Total Medicare payment per Day with ICD C257 - Malignant neoplasm of other parts of pancreas | $1,915 | ||||
| Total Medicare payment per Hospitalization at DRG | $11,789 | ||||
| Total Medicare payment per Hospitalization with ICD C257 - Malignant neoplasm of other parts of pancreas | $12,129 | ||||
| Total Medicare Charges at DRG | $2,356,079,688 | ||||
| Total Medicare Charges with ICD C257 - Malignant neoplasm of other parts of pancreas | $28,137,737 | ||||
| Avg Charges at DRG | $58,732 | ||||
| Avg Charges with ICD C257 - Malignant neoplasm of other parts of pancreas | $63,660 | ||||
| Mortality Rate at DRG | 10.79 | ||||
| Mortality Rate with ICD C257 - Malignant neoplasm of other parts of pancreas | 8.14 | ||||
| SNF Discharge Rate at DRG | 10.16 | ||||
| SNF Discharge Rate with ICD C257 - Malignant neoplasm of other parts of pancreas | 10.63 | ||||
| Home Discharge Rate at DRG | 35.89 | ||||
| Home Discharge Rate with ICD C257 - Malignant neoplasm of other parts of pancreas | 40.95 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 407: PANCREAS, LIVER AND SHUNT PROCEDURES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 445: DISORDERS OF THE BILIARY TRACT WITH COMPLICATION OR COMORBIDITY (CC) | DRG 872: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 392: ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 444: DISORDERS OF THE BILIARY TRACT WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 5,745 | ||||
| Total Hospitalizations with ICD C257 - Malignant neoplasm of other parts of pancreas | 70 | ||||
| DRG Share of Total Hospitalizations | 0.02 | ||||
| % of Total ICD C257 - Malignant neoplasm of other parts of pancreas in DRG | 2.56 | ||||
| Avg LOS at DRG | 4.57 | ||||
| Avg LOS with ICD C257 - Malignant neoplasm of other parts of pancreas | 5.51 | ||||
| Readmission Rate at DRG | 12.33 | ||||
| Readmission Rate with ICD C257 - Malignant neoplasm of other parts of pancreas | 17.39 | ||||
| Unplanned Readmission Rate at DRG | 8.29 | ||||
| Unplanned Readmission Rate with ICD C257 - Malignant neoplasm of other parts of pancreas | NA | ||||
| Total Medicare payments at DRG | $80,007,154 | ||||
| Total Medicare payments with ICD C257 - Malignant neoplasm of other parts of pancreas | $1,023,604 | ||||
| Total Medicare payment per Day at DRG | $3,048 | ||||
| Total Medicare payment per Day with ICD C257 - Malignant neoplasm of other parts of pancreas | $2,652 | ||||
| Total Medicare payment per Hospitalization at DRG | $13,926 | ||||
| Total Medicare payment per Hospitalization with ICD C257 - Malignant neoplasm of other parts of pancreas | $14,623 | ||||
| Total Medicare Charges at DRG | $449,200,078 | ||||
| Total Medicare Charges with ICD C257 - Malignant neoplasm of other parts of pancreas | $6,675,708 | ||||
| Avg Charges at DRG | $78,190 | ||||
| Avg Charges with ICD C257 - Malignant neoplasm of other parts of pancreas | $95,367 | ||||
| Mortality Rate at DRG | NA | ||||
| Mortality Rate with ICD C257 - Malignant neoplasm of other parts of pancreas | NA | ||||
| SNF Discharge Rate at DRG | 4.16 | ||||
| SNF Discharge Rate with ICD C257 - Malignant neoplasm of other parts of pancreas | NA | ||||
| Home Discharge Rate at DRG | 74.73 | ||||
| Home Discharge Rate with ICD C257 - Malignant neoplasm of other parts of pancreas | 61.43 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 437: MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 439: DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH COMPLICATION OR COMORBIDITY (CC) | DRG 408: BILIARY TRACT PROCEDURE EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 948: SIGNS AND SYMPTOMS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 421: HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 3,104 | ||||
| Total Hospitalizations with ICD C257 - Malignant neoplasm of other parts of pancreas | 36 | ||||
| DRG Share of Total Hospitalizations | 0.01 | ||||
| % of Total ICD C257 - Malignant neoplasm of other parts of pancreas in DRG | 1.32 | ||||
| Avg LOS at DRG | 2.98 | ||||
| Avg LOS with ICD C257 - Malignant neoplasm of other parts of pancreas | 3.72 | ||||
| Readmission Rate at DRG | 27.23 | ||||
| Readmission Rate with ICD C257 - Malignant neoplasm of other parts of pancreas | NA | ||||
| Unplanned Readmission Rate at DRG | 14.59 | ||||
| Unplanned Readmission Rate with ICD C257 - Malignant neoplasm of other parts of pancreas | NA | ||||
| Total Medicare payments at DRG | $16,802,025 | ||||
| Total Medicare payments with ICD C257 - Malignant neoplasm of other parts of pancreas | $231,710 | ||||
| Total Medicare payment per Day at DRG | $1,818 | ||||
| Total Medicare payment per Day with ICD C257 - Malignant neoplasm of other parts of pancreas | $1,729 | ||||
| Total Medicare payment per Hospitalization at DRG | $5,413 | ||||
| Total Medicare payment per Hospitalization with ICD C257 - Malignant neoplasm of other parts of pancreas | $6,436 | ||||
| Total Medicare Charges at DRG | $99,933,973 | ||||
| Total Medicare Charges with ICD C257 - Malignant neoplasm of other parts of pancreas | $1,329,131 | ||||
| Avg Charges at DRG | $32,195 | ||||
| Avg Charges with ICD C257 - Malignant neoplasm of other parts of pancreas | $36,920 | ||||
| Mortality Rate at DRG | 3.22 | ||||
| Mortality Rate with ICD C257 - Malignant neoplasm of other parts of pancreas | NA | ||||
| SNF Discharge Rate at DRG | 4.67 | ||||
| SNF Discharge Rate with ICD C257 - Malignant neoplasm of other parts of pancreas | NA | ||||
| Home Discharge Rate at DRG | 69.65 | ||||
| Home Discharge Rate with ICD C257 - Malignant neoplasm of other parts of pancreas | 69.44 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 378: G.I. HEMORRHAGE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 420: HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 919: COMPLICATIONS OF TREATMENT WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 641: MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM , FLUIDS AND ELECTROLYTES WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 640: MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM , FLUIDS AND ELECTROLYTES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 408,103 | ||||
| Total Hospitalizations with ICD C257 - Malignant neoplasm of other parts of pancreas | 28 | ||||
| DRG Share of Total Hospitalizations | 1.24 | ||||
| % of Total ICD C257 - Malignant neoplasm of other parts of pancreas in DRG | 1.02 | ||||
| Avg LOS at DRG | 3.52 | ||||
| Avg LOS with ICD C257 - Malignant neoplasm of other parts of pancreas | 3.93 | ||||
| Readmission Rate at DRG | 17.83 | ||||
| Readmission Rate with ICD C257 - Malignant neoplasm of other parts of pancreas | NA | ||||
| Unplanned Readmission Rate at DRG | 13.81 | ||||
| Unplanned Readmission Rate with ICD C257 - Malignant neoplasm of other parts of pancreas | NA | ||||
| Total Medicare payments at DRG | $2,416,862,532 | ||||
| Total Medicare payments with ICD C257 - Malignant neoplasm of other parts of pancreas | $188,440 | ||||
| Total Medicare payment per Day at DRG | $1,682 | ||||
| Total Medicare payment per Day with ICD C257 - Malignant neoplasm of other parts of pancreas | $1,713 | ||||
| Total Medicare payment per Hospitalization at DRG | $5,922 | ||||
| Total Medicare payment per Hospitalization with ICD C257 - Malignant neoplasm of other parts of pancreas | $6,730 | ||||
| Total Medicare Charges at DRG | $13,267,744,847 | ||||
| Total Medicare Charges with ICD C257 - Malignant neoplasm of other parts of pancreas | $1,009,860 | ||||
| Avg Charges at DRG | $32,511 | ||||
| Avg Charges with ICD C257 - Malignant neoplasm of other parts of pancreas | $36,066 | ||||
| Mortality Rate at DRG | 0.72 | ||||
| Mortality Rate with ICD C257 - Malignant neoplasm of other parts of pancreas | NA | ||||
| SNF Discharge Rate at DRG | 14.1 | ||||
| SNF Discharge Rate with ICD C257 - Malignant neoplasm of other parts of pancreas | NA | ||||
| Home Discharge Rate at DRG | 62.97 | ||||
| Home Discharge Rate with ICD C257 - Malignant neoplasm of other parts of pancreas | 57.14 |
| 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 | 37 |
| UNIVERSITY OF TEXAS MD ANDERSON CANCER CENTER | 1515 HOLCOMBE BLVD | HOUSTON | TX | 77030 | 33 |
| UNIVERSITY OF MIAMI HOSPITAL | 1400 NW 12TH AVE | MIAMI | FL | 33136 | 29 |