*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| C419 - Malignant neoplasm of bone and articular cartilage, unspecified - as a primary diagnosis code | C419 - Malignant neoplasm of bone and articular cartilage, unspecified - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 5.66 | |
| Readmission Rate (%) | 29.02 | |
| Unplanned Readmission Rate (%) | 15.93 | |
| 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 543: PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH COMPLICATION OR COMORBIDITY (CC) | DRG 542: PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 544: PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 478: BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|
| Total Hospitalizations at DRG | 47,199 | |||
| Total Hospitalizations with ICD C419 - Malignant neoplasm of bone and articular cartilage, unspecified | 59 | |||
| DRG Share of Total Hospitalizations | 0.14 | |||
| % of Total ICD C419 - Malignant neoplasm of bone and articular cartilage, unspecified in DRG | 29.06 | |||
| Avg LOS at DRG | 4.61 | |||
| Avg LOS with ICD C419 - Malignant neoplasm of bone and articular cartilage, unspecified | 5.15 | |||
| Readmission Rate at DRG | 24.6 | |||
| Readmission Rate with ICD C419 - Malignant neoplasm of bone and articular cartilage, unspecified | 31.91 | |||
| Unplanned Readmission Rate at DRG | 15.23 | |||
| Unplanned Readmission Rate with ICD C419 - Malignant neoplasm of bone and articular cartilage, unspecified | 25.53 | |||
| Total Medicare payments at DRG | $344,528,731 | |||
| Total Medicare payments with ICD C419 - Malignant neoplasm of bone and articular cartilage, unspecified | $486,158 | |||
| Total Medicare payment per Day at DRG | $1,583 | |||
| Total Medicare payment per Day with ICD C419 - Malignant neoplasm of bone and articular cartilage, unspecified | $1,599 | |||
| Total Medicare payment per Hospitalization at DRG | $7,299 | |||
| Total Medicare payment per Hospitalization with ICD C419 - Malignant neoplasm of bone and articular cartilage, unspecified | $8,240 | |||
| Total Medicare Charges at DRG | $1,680,848,591 | |||
| Total Medicare Charges with ICD C419 - Malignant neoplasm of bone and articular cartilage, unspecified | $2,388,516 | |||
| Avg Charges at DRG | $35,612 | |||
| Avg Charges with ICD C419 - Malignant neoplasm of bone and articular cartilage, unspecified | $40,483 | |||
| Mortality Rate at DRG | 0.94 | |||
| Mortality Rate with ICD C419 - Malignant neoplasm of bone and articular cartilage, unspecified | NA | |||
| SNF Discharge Rate at DRG | 39.23 | |||
| SNF Discharge Rate with ICD C419 - Malignant neoplasm of bone and articular cartilage, unspecified | NA | |||
| Home Discharge Rate at DRG | 22.76 | |||
| Home Discharge Rate with ICD C419 - Malignant neoplasm of bone and articular cartilage, unspecified | 38.98 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 871: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 847: CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH COMPLICATION OR COMORBIDITY (CC) | DRG 543: PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH COMPLICATION OR COMORBIDITY (CC) | DRG 948: SIGNS AND SYMPTOMS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 542: PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,808,415 | ||||
| Total Hospitalizations with ICD C419 - Malignant neoplasm of bone and articular cartilage, unspecified | 235 | ||||
| DRG Share of Total Hospitalizations | 5.5 | ||||
| % of Total ICD C419 - Malignant neoplasm of bone and articular cartilage, unspecified in DRG | 7.68 | ||||
| Avg LOS at DRG | 6.34 | ||||
| Avg LOS with ICD C419 - Malignant neoplasm of bone and articular cartilage, unspecified | 6.4 | ||||
| Readmission Rate at DRG | 24.2 | ||||
| Readmission Rate with ICD C419 - Malignant neoplasm of bone and articular cartilage, unspecified | 26.32 | ||||
| Unplanned Readmission Rate at DRG | 16.78 | ||||
| Unplanned Readmission Rate with ICD C419 - Malignant neoplasm of bone and articular cartilage, unspecified | 18.13 | ||||
| Total Medicare payments at DRG | $21,288,214,047 | ||||
| Total Medicare payments with ICD C419 - Malignant neoplasm of bone and articular cartilage, unspecified | $3,040,285 | ||||
| Total Medicare payment per Day at DRG | $1,857 | ||||
| Total Medicare payment per Day with ICD C419 - Malignant neoplasm of bone and articular cartilage, unspecified | $2,020 | ||||
| Total Medicare payment per Hospitalization at DRG | $11,772 | ||||
| Total Medicare payment per Hospitalization with ICD C419 - Malignant neoplasm of bone and articular cartilage, unspecified | $12,937 | ||||
| Total Medicare Charges at DRG | $107,155,481,388 | ||||
| Total Medicare Charges with ICD C419 - Malignant neoplasm of bone and articular cartilage, unspecified | $15,041,035 | ||||
| Avg Charges at DRG | $59,254 | ||||
| Avg Charges with ICD C419 - Malignant neoplasm of bone and articular cartilage, unspecified | $64,004 | ||||
| Mortality Rate at DRG | 12.11 | ||||
| Mortality Rate with ICD C419 - Malignant neoplasm of bone and articular cartilage, unspecified | 19.57 | ||||
| SNF Discharge Rate at DRG | 27.18 | ||||
| SNF Discharge Rate with ICD C419 - Malignant neoplasm of bone and articular cartilage, unspecified | 17.45 | ||||
| Home Discharge Rate at DRG | 25.81 | ||||
| Home Discharge Rate with ICD C419 - Malignant neoplasm of bone and articular cartilage, unspecified | 16.6 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 682: RENAL FAILURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 291: HEART FAILURE AND SHOCK WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 194: SIMPLE PNEUMONIA AND PLEURISY WITH COMPLICATION OR COMORBIDITY (CC) | DRG 392: ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 872: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 365,119 | ||||
| Total Hospitalizations with ICD C419 - Malignant neoplasm of bone and articular cartilage, unspecified | 57 | ||||
| DRG Share of Total Hospitalizations | 1.11 | ||||
| % of Total ICD C419 - Malignant neoplasm of bone and articular cartilage, unspecified in DRG | 1.86 | ||||
| Avg LOS at DRG | 5.91 | ||||
| Avg LOS with ICD C419 - Malignant neoplasm of bone and articular cartilage, unspecified | 6.68 | ||||
| Readmission Rate at DRG | 27.73 | ||||
| Readmission Rate with ICD C419 - Malignant neoplasm of bone and articular cartilage, unspecified | NA | ||||
| Unplanned Readmission Rate at DRG | 20.3 | ||||
| Unplanned Readmission Rate with ICD C419 - Malignant neoplasm of bone and articular cartilage, unspecified | NA | ||||
| Total Medicare payments at DRG | $3,552,910,533 | ||||
| Total Medicare payments with ICD C419 - Malignant neoplasm of bone and articular cartilage, unspecified | $625,185 | ||||
| Total Medicare payment per Day at DRG | $1,646 | ||||
| Total Medicare payment per Day with ICD C419 - Malignant neoplasm of bone and articular cartilage, unspecified | $1,641 | ||||
| Total Medicare payment per Hospitalization at DRG | $9,731 | ||||
| Total Medicare payment per Hospitalization with ICD C419 - Malignant neoplasm of bone and articular cartilage, unspecified | $10,968 | ||||
| Total Medicare Charges at DRG | $16,860,985,198 | ||||
| Total Medicare Charges with ICD C419 - Malignant neoplasm of bone and articular cartilage, unspecified | $3,276,142 | ||||
| Avg Charges at DRG | $46,179 | ||||
| Avg Charges with ICD C419 - Malignant neoplasm of bone and articular cartilage, unspecified | $57,476 | ||||
| Mortality Rate at DRG | 5.06 | ||||
| Mortality Rate with ICD C419 - Malignant neoplasm of bone and articular cartilage, unspecified | NA | ||||
| SNF Discharge Rate at DRG | 28.7 | ||||
| SNF Discharge Rate with ICD C419 - Malignant neoplasm of bone and articular cartilage, unspecified | 22.81 | ||||
| Home Discharge Rate at DRG | 32.16 | ||||
| Home Discharge Rate with ICD C419 - Malignant neoplasm of bone and articular cartilage, unspecified | 29.82 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 885: PSYCHOSES | DRG 180: RESPIRATORY NEOPLASMS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 683: RENAL FAILURE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 641: MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM , FLUIDS AND ELECTROLYTES WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 193: SIMPLE PNEUMONIA AND PLEURISY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,100,860 | ||||
| Total Hospitalizations with ICD C419 - Malignant neoplasm of bone and articular cartilage, unspecified | 49 | ||||
| DRG Share of Total Hospitalizations | 3.35 | ||||
| % of Total ICD C419 - Malignant neoplasm of bone and articular cartilage, unspecified in DRG | 1.6 | ||||
| Avg LOS at DRG | 11.86 | ||||
| Avg LOS with ICD C419 - Malignant neoplasm of bone and articular cartilage, unspecified | 12.47 | ||||
| Readmission Rate at DRG | 27.58 | ||||
| Readmission Rate with ICD C419 - Malignant neoplasm of bone and articular cartilage, unspecified | 25.0 | ||||
| Unplanned Readmission Rate at DRG | 13.34 | ||||
| Unplanned Readmission Rate with ICD C419 - Malignant neoplasm of bone and articular cartilage, unspecified | NA | ||||
| Total Medicare payments at DRG | $9,312,828,663 | ||||
| Total Medicare payments with ICD C419 - Malignant neoplasm of bone and articular cartilage, unspecified | $376,594 | ||||
| Total Medicare payment per Day at DRG | $713 | ||||
| Total Medicare payment per Day with ICD C419 - Malignant neoplasm of bone and articular cartilage, unspecified | $616 | ||||
| Total Medicare payment per Hospitalization at DRG | $8,460 | ||||
| Total Medicare payment per Hospitalization with ICD C419 - Malignant neoplasm of bone and articular cartilage, unspecified | $7,686 | ||||
| Total Medicare Charges at DRG | $32,341,464,302 | ||||
| Total Medicare Charges with ICD C419 - Malignant neoplasm of bone and articular cartilage, unspecified | $1,277,297 | ||||
| Avg Charges at DRG | $29,378 | ||||
| Avg Charges with ICD C419 - Malignant neoplasm of bone and articular cartilage, unspecified | $26,067 | ||||
| Mortality Rate at DRG | 0.04 | ||||
| Mortality Rate with ICD C419 - Malignant neoplasm of bone and articular cartilage, unspecified | NA | ||||
| SNF Discharge Rate at DRG | 5.83 | ||||
| SNF Discharge Rate with ICD C419 - Malignant neoplasm of bone and articular cartilage, unspecified | NA | ||||
| Home Discharge Rate at DRG | 79.47 | ||||
| Home Discharge Rate with ICD C419 - Malignant neoplasm of bone and articular cartilage, unspecified | 73.47 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 809: MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH COMPLICATION OR COMORBIDITY (CC) | DRG 189: PULMONARY EDEMA AND RESPIRATORY FAILURE | DRG 853: INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 309: CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH COMPLICATION OR COMORBIDITY (CC) | DRG 690: KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 45,432 | ||||
| Total Hospitalizations with ICD C419 - Malignant neoplasm of bone and articular cartilage, unspecified | 41 | ||||
| DRG Share of Total Hospitalizations | 0.14 | ||||
| % of Total ICD C419 - Malignant neoplasm of bone and articular cartilage, unspecified in DRG | 1.34 | ||||
| Avg LOS at DRG | 4.42 | ||||
| Avg LOS with ICD C419 - Malignant neoplasm of bone and articular cartilage, unspecified | 4.05 | ||||
| Readmission Rate at DRG | 30.74 | ||||
| Readmission Rate with ICD C419 - Malignant neoplasm of bone and articular cartilage, unspecified | 35.9 | ||||
| Unplanned Readmission Rate at DRG | 18.94 | ||||
| Unplanned Readmission Rate with ICD C419 - Malignant neoplasm of bone and articular cartilage, unspecified | NA | ||||
| Total Medicare payments at DRG | $376,347,273 | ||||
| Total Medicare payments with ICD C419 - Malignant neoplasm of bone and articular cartilage, unspecified | $321,282 | ||||
| Total Medicare payment per Day at DRG | $1,873 | ||||
| Total Medicare payment per Day with ICD C419 - Malignant neoplasm of bone and articular cartilage, unspecified | $1,935 | ||||
| Total Medicare payment per Hospitalization at DRG | $8,284 | ||||
| Total Medicare payment per Hospitalization with ICD C419 - Malignant neoplasm of bone and articular cartilage, unspecified | $7,836 | ||||
| Total Medicare Charges at DRG | $1,794,383,177 | ||||
| Total Medicare Charges with ICD C419 - Malignant neoplasm of bone and articular cartilage, unspecified | $1,232,095 | ||||
| Avg Charges at DRG | $39,496 | ||||
| Avg Charges with ICD C419 - Malignant neoplasm of bone and articular cartilage, unspecified | $30,051 | ||||
| Mortality Rate at DRG | 0.61 | ||||
| Mortality Rate with ICD C419 - Malignant neoplasm of bone and articular cartilage, unspecified | NA | ||||
| SNF Discharge Rate at DRG | 7.48 | ||||
| SNF Discharge Rate with ICD C419 - Malignant neoplasm of bone and articular cartilage, unspecified | NA | ||||
| Home Discharge Rate at DRG | 67.79 | ||||
| Home Discharge Rate with ICD C419 - Malignant neoplasm of bone and articular cartilage, unspecified | 80.49 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| ATRIUM HEALTH'S CAROLINAS MEDICAL CENTER | 1000 BLYTHE BLVD | CHARLOTTE | NC | 28203 | 15 |
| OROVILLE HOSPITAL | 2767 OLIVE HWY | OROVILLE | CA | 95966 | 14 |
| CLEVELAND CLINIC | 9500 EUCLID AVE | CLEVELAND | OH | 44195 | 14 |