*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| C384 - Malignant neoplasm of pleura - as a primary diagnosis code | C384 - Malignant neoplasm of pleura - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 6.61 | |
| Readmission Rate (%) | 29.1 | |
| Unplanned Readmission Rate (%) | 21.33 | |
| 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 167: OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 180: RESPIRATORY NEOPLASMS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 181: RESPIRATORY NEOPLASMS WITH COMPLICATION OR COMORBIDITY (CC) | DRG 164: MAJOR CHEST PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 166: OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 36,636 | ||||
| Total Hospitalizations with ICD C384 - Malignant neoplasm of pleura | 162 | ||||
| DRG Share of Total Hospitalizations | 0.11 | ||||
| % of Total ICD C384 - Malignant neoplasm of pleura in DRG | 22.38 | ||||
| Avg LOS at DRG | 5.73 | ||||
| Avg LOS with ICD C384 - Malignant neoplasm of pleura | 4.59 | ||||
| Readmission Rate at DRG | 21.72 | ||||
| Readmission Rate with ICD C384 - Malignant neoplasm of pleura | 21.88 | ||||
| Unplanned Readmission Rate at DRG | 14.08 | ||||
| Unplanned Readmission Rate with ICD C384 - Malignant neoplasm of pleura | 16.25 | ||||
| Total Medicare payments at DRG | $448,734,039 | ||||
| Total Medicare payments with ICD C384 - Malignant neoplasm of pleura | $1,852,503 | ||||
| Total Medicare payment per Day at DRG | $2,137 | ||||
| Total Medicare payment per Day with ICD C384 - Malignant neoplasm of pleura | $2,493 | ||||
| Total Medicare payment per Hospitalization at DRG | $12,248 | ||||
| Total Medicare payment per Hospitalization with ICD C384 - Malignant neoplasm of pleura | $11,435 | ||||
| Total Medicare Charges at DRG | $2,388,208,589 | ||||
| Total Medicare Charges with ICD C384 - Malignant neoplasm of pleura | $9,446,495 | ||||
| Avg Charges at DRG | $65,187 | ||||
| Avg Charges with ICD C384 - Malignant neoplasm of pleura | $58,312 | ||||
| Mortality Rate at DRG | 0.77 | ||||
| Mortality Rate with ICD C384 - Malignant neoplasm of pleura | NA | ||||
| SNF Discharge Rate at DRG | 10.73 | ||||
| SNF Discharge Rate with ICD C384 - Malignant neoplasm of pleura | NA | ||||
| Home Discharge Rate at DRG | 59.85 | ||||
| Home Discharge Rate with ICD C384 - Malignant neoplasm of pleura | 48.15 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 163: MAJOR CHEST PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 168: OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 165: MAJOR CHEST PROCEDURES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 182: RESPIRATORY NEOPLASMS WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|
| Total Hospitalizations at DRG | 37,276 | |||
| Total Hospitalizations with ICD C384 - Malignant neoplasm of pleura | 60 | |||
| DRG Share of Total Hospitalizations | 0.11 | |||
| % of Total ICD C384 - Malignant neoplasm of pleura in DRG | 8.29 | |||
| Avg LOS at DRG | 12.15 | |||
| Avg LOS with ICD C384 - Malignant neoplasm of pleura | 12.03 | |||
| Readmission Rate at DRG | 27.64 | |||
| Readmission Rate with ICD C384 - Malignant neoplasm of pleura | 38.89 | |||
| Unplanned Readmission Rate at DRG | 14.04 | |||
| Unplanned Readmission Rate with ICD C384 - Malignant neoplasm of pleura | 24.07 | |||
| Total Medicare payments at DRG | $1,238,611,931 | |||
| Total Medicare payments with ICD C384 - Malignant neoplasm of pleura | $1,925,818 | |||
| Total Medicare payment per Day at DRG | $2,735 | |||
| Total Medicare payment per Day with ICD C384 - Malignant neoplasm of pleura | $2,667 | |||
| Total Medicare payment per Hospitalization at DRG | $33,228 | |||
| Total Medicare payment per Hospitalization with ICD C384 - Malignant neoplasm of pleura | $32,097 | |||
| Total Medicare Charges at DRG | $5,969,079,351 | |||
| Total Medicare Charges with ICD C384 - Malignant neoplasm of pleura | $8,971,198 | |||
| Avg Charges at DRG | $160,132 | |||
| Avg Charges with ICD C384 - Malignant neoplasm of pleura | $149,520 | |||
| Mortality Rate at DRG | 8.94 | |||
| Mortality Rate with ICD C384 - Malignant neoplasm of pleura | NA | |||
| SNF Discharge Rate at DRG | 17.97 | |||
| SNF Discharge Rate with ICD C384 - Malignant neoplasm of pleura | NA | |||
| Home Discharge Rate at DRG | 31.66 | |||
| Home Discharge Rate with ICD C384 - Malignant neoplasm of pleura | 26.67 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 167: OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 180: RESPIRATORY NEOPLASMS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 164: MAJOR CHEST PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 181: RESPIRATORY NEOPLASMS WITH COMPLICATION OR COMORBIDITY (CC) | DRG 166: OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 36,636 | ||||
| Total Hospitalizations with ICD C384 - Malignant neoplasm of pleura | 190 | ||||
| DRG Share of Total Hospitalizations | 0.11 | ||||
| % of Total ICD C384 - Malignant neoplasm of pleura in DRG | 14.19 | ||||
| Avg LOS at DRG | 5.73 | ||||
| Avg LOS with ICD C384 - Malignant neoplasm of pleura | 4.52 | ||||
| Readmission Rate at DRG | 21.72 | ||||
| Readmission Rate with ICD C384 - Malignant neoplasm of pleura | 20.43 | ||||
| Unplanned Readmission Rate at DRG | 14.08 | ||||
| Unplanned Readmission Rate with ICD C384 - Malignant neoplasm of pleura | 15.05 | ||||
| Total Medicare payments at DRG | $448,734,039 | ||||
| Total Medicare payments with ICD C384 - Malignant neoplasm of pleura | $2,189,185 | ||||
| Total Medicare payment per Day at DRG | $2,137 | ||||
| Total Medicare payment per Day with ICD C384 - Malignant neoplasm of pleura | $2,551 | ||||
| Total Medicare payment per Hospitalization at DRG | $12,248 | ||||
| Total Medicare payment per Hospitalization with ICD C384 - Malignant neoplasm of pleura | $11,522 | ||||
| Total Medicare Charges at DRG | $2,388,208,589 | ||||
| Total Medicare Charges with ICD C384 - Malignant neoplasm of pleura | $11,586,321 | ||||
| Avg Charges at DRG | $65,187 | ||||
| Avg Charges with ICD C384 - Malignant neoplasm of pleura | $60,981 | ||||
| Mortality Rate at DRG | 0.77 | ||||
| Mortality Rate with ICD C384 - Malignant neoplasm of pleura | NA | ||||
| SNF Discharge Rate at DRG | 10.73 | ||||
| SNF Discharge Rate with ICD C384 - Malignant neoplasm of pleura | NA | ||||
| Home Discharge Rate at DRG | 59.85 | ||||
| Home Discharge Rate with ICD C384 - Malignant neoplasm of pleura | 48.95 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 163: MAJOR CHEST PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 871: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 168: OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 194: SIMPLE PNEUMONIA AND PLEURISY WITH COMPLICATION OR COMORBIDITY (CC) | DRG 291: HEART FAILURE AND SHOCK WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 37,276 | ||||
| Total Hospitalizations with ICD C384 - Malignant neoplasm of pleura | 88 | ||||
| DRG Share of Total Hospitalizations | 0.11 | ||||
| % of Total ICD C384 - Malignant neoplasm of pleura in DRG | 6.57 | ||||
| Avg LOS at DRG | 12.15 | ||||
| Avg LOS with ICD C384 - Malignant neoplasm of pleura | 12.15 | ||||
| Readmission Rate at DRG | 27.64 | ||||
| Readmission Rate with ICD C384 - Malignant neoplasm of pleura | 32.91 | ||||
| Unplanned Readmission Rate at DRG | 14.04 | ||||
| Unplanned Readmission Rate with ICD C384 - Malignant neoplasm of pleura | 21.52 | ||||
| Total Medicare payments at DRG | $1,238,611,931 | ||||
| Total Medicare payments with ICD C384 - Malignant neoplasm of pleura | $2,819,857 | ||||
| Total Medicare payment per Day at DRG | $2,735 | ||||
| Total Medicare payment per Day with ICD C384 - Malignant neoplasm of pleura | $2,638 | ||||
| Total Medicare payment per Hospitalization at DRG | $33,228 | ||||
| Total Medicare payment per Hospitalization with ICD C384 - Malignant neoplasm of pleura | $32,044 | ||||
| Total Medicare Charges at DRG | $5,969,079,351 | ||||
| Total Medicare Charges with ICD C384 - Malignant neoplasm of pleura | $13,251,612 | ||||
| Avg Charges at DRG | $160,132 | ||||
| Avg Charges with ICD C384 - Malignant neoplasm of pleura | $150,587 | ||||
| Mortality Rate at DRG | 8.94 | ||||
| Mortality Rate with ICD C384 - Malignant neoplasm of pleura | NA | ||||
| SNF Discharge Rate at DRG | 17.97 | ||||
| SNF Discharge Rate with ICD C384 - Malignant neoplasm of pleura | 13.64 | ||||
| Home Discharge Rate at DRG | 31.66 | ||||
| Home Discharge Rate with ICD C384 - Malignant neoplasm of pleura | 30.68 |
*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 189: PULMONARY EDEMA AND RESPIRATORY FAILURE | DRG 165: MAJOR CHEST PROCEDURES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 208: RESPIRATORY SYSTEM DIAGNOSIS W VENTILATOR SUPPORT <=96 HOURS | DRG 308: CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 269,064 | ||||
| Total Hospitalizations with ICD C384 - Malignant neoplasm of pleura | 16 | ||||
| DRG Share of Total Hospitalizations | 0.82 | ||||
| % of Total ICD C384 - Malignant neoplasm of pleura in DRG | 1.19 | ||||
| Avg LOS at DRG | 13.18 | ||||
| Avg LOS with ICD C384 - Malignant neoplasm of pleura | 17.94 | ||||
| Readmission Rate at DRG | 37.51 | ||||
| Readmission Rate with ICD C384 - Malignant neoplasm of pleura | NA | ||||
| Unplanned Readmission Rate at DRG | 18.15 | ||||
| Unplanned Readmission Rate with ICD C384 - Malignant neoplasm of pleura | NA | ||||
| Total Medicare payments at DRG | $9,344,186,034 | ||||
| Total Medicare payments with ICD C384 - Malignant neoplasm of pleura | $655,338 | ||||
| Total Medicare payment per Day at DRG | $2,635 | ||||
| Total Medicare payment per Day with ICD C384 - Malignant neoplasm of pleura | $2,283 | ||||
| Total Medicare payment per Hospitalization at DRG | $34,728 | ||||
| Total Medicare payment per Hospitalization with ICD C384 - Malignant neoplasm of pleura | $40,959 | ||||
| Total Medicare Charges at DRG | $44,371,117,432 | ||||
| Total Medicare Charges with ICD C384 - Malignant neoplasm of pleura | $3,497,770 | ||||
| Avg Charges at DRG | $164,909 | ||||
| Avg Charges with ICD C384 - Malignant neoplasm of pleura | $218,611 | ||||
| Mortality Rate at DRG | 14.37 | ||||
| Mortality Rate with ICD C384 - Malignant neoplasm of pleura | NA | ||||
| SNF Discharge Rate at DRG | 31.8 | ||||
| SNF Discharge Rate with ICD C384 - Malignant neoplasm of pleura | NA | ||||
| Home Discharge Rate at DRG | 14.61 | ||||
| Home Discharge Rate with ICD C384 - Malignant neoplasm of pleura | 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 182: RESPIRATORY NEOPLASMS WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|
| Total Hospitalizations at DRG | 2,867 |
| Total Hospitalizations with ICD C384 - Malignant neoplasm of pleura | 11 |
| DRG Share of Total Hospitalizations | 0.01 |
| % of Total ICD C384 - Malignant neoplasm of pleura in DRG | 0.82 |
| Avg LOS at DRG | 2.88 |
| Avg LOS with ICD C384 - Malignant neoplasm of pleura | 3.36 |
| Readmission Rate at DRG | 21.82 |
| Readmission Rate with ICD C384 - Malignant neoplasm of pleura | NA |
| Unplanned Readmission Rate at DRG | 12.98 |
| Unplanned Readmission Rate with ICD C384 - Malignant neoplasm of pleura | NA |
| Total Medicare payments at DRG | $14,698,542 |
| Total Medicare payments with ICD C384 - Malignant neoplasm of pleura | $48,629 |
| Total Medicare payment per Day at DRG | $1,783 |
| Total Medicare payment per Day with ICD C384 - Malignant neoplasm of pleura | $1,314 |
| Total Medicare payment per Hospitalization at DRG | $5,127 |
| Total Medicare payment per Hospitalization with ICD C384 - Malignant neoplasm of pleura | $4,421 |
| Total Medicare Charges at DRG | $81,510,360 |
| Total Medicare Charges with ICD C384 - Malignant neoplasm of pleura | $516,262 |
| Avg Charges at DRG | $28,431 |
| Avg Charges with ICD C384 - Malignant neoplasm of pleura | $46,933 |
| Mortality Rate at DRG | 4.53 |
| Mortality Rate with ICD C384 - Malignant neoplasm of pleura | NA |
| SNF Discharge Rate at DRG | 6.59 |
| SNF Discharge Rate with ICD C384 - Malignant neoplasm of pleura | NA |
| Home Discharge Rate at DRG | 62.33 |
| Home Discharge Rate with ICD C384 - Malignant neoplasm of pleura | NA |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| BRIGHAM AND WOMEN'S HOSPITAL | 75 FRANCIS ST | BOSTON | MA | 02115 | 14 |
| NEWYORK PRESBYTERIAN - WEILL CORNELL MEDICAL CENTER | 525 E 68TH ST | NEW YORK | NY | 10021 | 11 |
| MEMORIAL SLOAN KETTERING CANCER CENTER | 1275 YORK AVE | NEW YORK | NY | 10065 | 11 |