*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| C7981 - Secondary malignant neoplasm of breast - as a primary diagnosis code | C7981 - Secondary malignant neoplasm of breast - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 6.27 | |
| Readmission Rate (%) | 26.84 | |
| Unplanned Readmission Rate (%) | 19.34 | |
| 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 598: MALIGNANT BREAST DISORDERS WITH COMPLICATION OR COMORBIDITY (CC) | DRG 597: MALIGNANT BREAST DISORDERS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 599: MALIGNANT BREAST DISORDERS WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 580: OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 581: OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 5,262 | ||||
| Total Hospitalizations with ICD C7981 - Secondary malignant neoplasm of breast | 81 | ||||
| DRG Share of Total Hospitalizations | 0.02 | ||||
| % of Total ICD C7981 - Secondary malignant neoplasm of breast in DRG | 34.03 | ||||
| Avg LOS at DRG | 4.89 | ||||
| Avg LOS with ICD C7981 - Secondary malignant neoplasm of breast | 5.09 | ||||
| Readmission Rate at DRG | 26.44 | ||||
| Readmission Rate with ICD C7981 - Secondary malignant neoplasm of breast | 24.32 | ||||
| Unplanned Readmission Rate at DRG | 20.13 | ||||
| Unplanned Readmission Rate with ICD C7981 - Secondary malignant neoplasm of breast | 18.92 | ||||
| Total Medicare payments at DRG | $41,048,461 | ||||
| Total Medicare payments with ICD C7981 - Secondary malignant neoplasm of breast | $577,409 | ||||
| Total Medicare payment per Day at DRG | $1,596 | ||||
| Total Medicare payment per Day with ICD C7981 - Secondary malignant neoplasm of breast | $1,401 | ||||
| Total Medicare payment per Hospitalization at DRG | $7,801 | ||||
| Total Medicare payment per Hospitalization with ICD C7981 - Secondary malignant neoplasm of breast | $7,129 | ||||
| Total Medicare Charges at DRG | $194,001,817 | ||||
| Total Medicare Charges with ICD C7981 - Secondary malignant neoplasm of breast | $3,222,068 | ||||
| Avg Charges at DRG | $36,868 | ||||
| Avg Charges with ICD C7981 - Secondary malignant neoplasm of breast | $39,779 | ||||
| Mortality Rate at DRG | 5.78 | ||||
| Mortality Rate with ICD C7981 - Secondary malignant neoplasm of breast | NA | ||||
| SNF Discharge Rate at DRG | 13.55 | ||||
| SNF Discharge Rate with ICD C7981 - Secondary malignant neoplasm of breast | NA | ||||
| Home Discharge Rate at DRG | 39.22 | ||||
| Home Discharge Rate with ICD C7981 - Secondary malignant neoplasm of breast | 40.74 |
*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 598: MALIGNANT BREAST DISORDERS WITH COMPLICATION OR COMORBIDITY (CC) | DRG 597: MALIGNANT BREAST DISORDERS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 180: RESPIRATORY NEOPLASMS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 194: SIMPLE PNEUMONIA AND PLEURISY WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,808,415 | ||||
| Total Hospitalizations with ICD C7981 - Secondary malignant neoplasm of breast | 313 | ||||
| DRG Share of Total Hospitalizations | 5.5 | ||||
| % of Total ICD C7981 - Secondary malignant neoplasm of breast in DRG | 7.52 | ||||
| Avg LOS at DRG | 6.34 | ||||
| Avg LOS with ICD C7981 - Secondary malignant neoplasm of breast | 6.58 | ||||
| Readmission Rate at DRG | 24.2 | ||||
| Readmission Rate with ICD C7981 - Secondary malignant neoplasm of breast | 23.71 | ||||
| Unplanned Readmission Rate at DRG | 16.78 | ||||
| Unplanned Readmission Rate with ICD C7981 - Secondary malignant neoplasm of breast | 19.4 | ||||
| Total Medicare payments at DRG | $21,288,214,047 | ||||
| Total Medicare payments with ICD C7981 - Secondary malignant neoplasm of breast | $3,885,592 | ||||
| Total Medicare payment per Day at DRG | $1,857 | ||||
| Total Medicare payment per Day with ICD C7981 - Secondary malignant neoplasm of breast | $1,886 | ||||
| Total Medicare payment per Hospitalization at DRG | $11,772 | ||||
| Total Medicare payment per Hospitalization with ICD C7981 - Secondary malignant neoplasm of breast | $12,414 | ||||
| Total Medicare Charges at DRG | $107,155,481,388 | ||||
| Total Medicare Charges with ICD C7981 - Secondary malignant neoplasm of breast | $21,032,712 | ||||
| Avg Charges at DRG | $59,254 | ||||
| Avg Charges with ICD C7981 - Secondary malignant neoplasm of breast | $67,197 | ||||
| Mortality Rate at DRG | 12.11 | ||||
| Mortality Rate with ICD C7981 - Secondary malignant neoplasm of breast | 22.68 | ||||
| SNF Discharge Rate at DRG | 27.18 | ||||
| SNF Discharge Rate with ICD C7981 - Secondary malignant neoplasm of breast | 16.29 | ||||
| Home Discharge Rate at DRG | 25.81 | ||||
| Home Discharge Rate with ICD C7981 - Secondary malignant neoplasm of breast | 23.96 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 181: RESPIRATORY NEOPLASMS WITH COMPLICATION OR COMORBIDITY (CC) | DRG 054: NERVOUS SYSTEM NEOPLASMS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 189: PULMONARY EDEMA AND RESPIRATORY FAILURE | DRG 291: HEART FAILURE AND SHOCK WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 948: SIGNS AND SYMPTOMS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 37,484 | ||||
| Total Hospitalizations with ICD C7981 - Secondary malignant neoplasm of breast | 78 | ||||
| DRG Share of Total Hospitalizations | 0.11 | ||||
| % of Total ICD C7981 - Secondary malignant neoplasm of breast in DRG | 1.87 | ||||
| Avg LOS at DRG | 4.49 | ||||
| Avg LOS with ICD C7981 - Secondary malignant neoplasm of breast | 5.51 | ||||
| Readmission Rate at DRG | 27.89 | ||||
| Readmission Rate with ICD C7981 - Secondary malignant neoplasm of breast | 28.99 | ||||
| Unplanned Readmission Rate at DRG | 21.07 | ||||
| Unplanned Readmission Rate with ICD C7981 - Secondary malignant neoplasm of breast | 26.09 | ||||
| Total Medicare payments at DRG | $287,773,529 | ||||
| Total Medicare payments with ICD C7981 - Secondary malignant neoplasm of breast | $627,672 | ||||
| Total Medicare payment per Day at DRG | $1,709 | ||||
| Total Medicare payment per Day with ICD C7981 - Secondary malignant neoplasm of breast | $1,460 | ||||
| Total Medicare payment per Hospitalization at DRG | $7,677 | ||||
| Total Medicare payment per Hospitalization with ICD C7981 - Secondary malignant neoplasm of breast | $8,047 | ||||
| Total Medicare Charges at DRG | $1,483,578,942 | ||||
| Total Medicare Charges with ICD C7981 - Secondary malignant neoplasm of breast | $3,524,179 | ||||
| Avg Charges at DRG | $39,579 | ||||
| Avg Charges with ICD C7981 - Secondary malignant neoplasm of breast | $45,182 | ||||
| Mortality Rate at DRG | 4.3 | ||||
| Mortality Rate with ICD C7981 - Secondary malignant neoplasm of breast | NA | ||||
| SNF Discharge Rate at DRG | 10.7 | ||||
| SNF Discharge Rate with ICD C7981 - Secondary malignant neoplasm of breast | 17.95 | ||||
| Home Discharge Rate at DRG | 44.82 | ||||
| Home Discharge Rate with ICD C7981 - Secondary malignant neoplasm of breast | 35.9 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 872: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 641: MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM , FLUIDS AND ELECTROLYTES WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 543: PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH COMPLICATION OR COMORBIDITY (CC) | DRG 392: ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 193: SIMPLE PNEUMONIA AND PLEURISY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 499,133 | ||||
| Total Hospitalizations with ICD C7981 - Secondary malignant neoplasm of breast | 65 | ||||
| DRG Share of Total Hospitalizations | 1.52 | ||||
| % of Total ICD C7981 - Secondary malignant neoplasm of breast in DRG | 1.56 | ||||
| Avg LOS at DRG | 4.34 | ||||
| Avg LOS with ICD C7981 - Secondary malignant neoplasm of breast | 4.29 | ||||
| Readmission Rate at DRG | 17.57 | ||||
| Readmission Rate with ICD C7981 - Secondary malignant neoplasm of breast | 29.51 | ||||
| Unplanned Readmission Rate at DRG | 12.56 | ||||
| Unplanned Readmission Rate with ICD C7981 - Secondary malignant neoplasm of breast | 21.31 | ||||
| Total Medicare payments at DRG | $3,254,711,780 | ||||
| Total Medicare payments with ICD C7981 - Secondary malignant neoplasm of breast | $434,977 | ||||
| Total Medicare payment per Day at DRG | $1,504 | ||||
| Total Medicare payment per Day with ICD C7981 - Secondary malignant neoplasm of breast | $1,559 | ||||
| Total Medicare payment per Hospitalization at DRG | $6,521 | ||||
| Total Medicare payment per Hospitalization with ICD C7981 - Secondary malignant neoplasm of breast | $6,692 | ||||
| Total Medicare Charges at DRG | $16,863,396,143 | ||||
| Total Medicare Charges with ICD C7981 - Secondary malignant neoplasm of breast | $2,353,027 | ||||
| Avg Charges at DRG | $33,785 | ||||
| Avg Charges with ICD C7981 - Secondary malignant neoplasm of breast | $36,200 | ||||
| Mortality Rate at DRG | 1.33 | ||||
| Mortality Rate with ICD C7981 - Secondary malignant neoplasm of breast | NA | ||||
| SNF Discharge Rate at DRG | 19.89 | ||||
| SNF Discharge Rate with ICD C7981 - Secondary malignant neoplasm of breast | NA | ||||
| Home Discharge Rate at DRG | 49.27 | ||||
| Home Discharge Rate with ICD C7981 - Secondary malignant neoplasm of breast | 44.62 |
*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 690: KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 580: OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 683: RENAL FAILURE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 378: G.I. HEMORRHAGE WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 45,432 | ||||
| Total Hospitalizations with ICD C7981 - Secondary malignant neoplasm of breast | 51 | ||||
| DRG Share of Total Hospitalizations | 0.14 | ||||
| % of Total ICD C7981 - Secondary malignant neoplasm of breast in DRG | 1.23 | ||||
| Avg LOS at DRG | 4.42 | ||||
| Avg LOS with ICD C7981 - Secondary malignant neoplasm of breast | 4.22 | ||||
| Readmission Rate at DRG | 30.74 | ||||
| Readmission Rate with ICD C7981 - Secondary malignant neoplasm of breast | NA | ||||
| Unplanned Readmission Rate at DRG | 18.94 | ||||
| Unplanned Readmission Rate with ICD C7981 - Secondary malignant neoplasm of breast | NA | ||||
| Total Medicare payments at DRG | $376,347,273 | ||||
| Total Medicare payments with ICD C7981 - Secondary malignant neoplasm of breast | $374,496 | ||||
| Total Medicare payment per Day at DRG | $1,873 | ||||
| Total Medicare payment per Day with ICD C7981 - Secondary malignant neoplasm of breast | $1,742 | ||||
| Total Medicare payment per Hospitalization at DRG | $8,284 | ||||
| Total Medicare payment per Hospitalization with ICD C7981 - Secondary malignant neoplasm of breast | $7,343 | ||||
| Total Medicare Charges at DRG | $1,794,383,177 | ||||
| Total Medicare Charges with ICD C7981 - Secondary malignant neoplasm of breast | $1,797,560 | ||||
| Avg Charges at DRG | $39,496 | ||||
| Avg Charges with ICD C7981 - Secondary malignant neoplasm of breast | $35,246 | ||||
| Mortality Rate at DRG | 0.61 | ||||
| Mortality Rate with ICD C7981 - Secondary malignant neoplasm of breast | NA | ||||
| SNF Discharge Rate at DRG | 7.48 | ||||
| SNF Discharge Rate with ICD C7981 - Secondary malignant neoplasm of breast | NA | ||||
| Home Discharge Rate at DRG | 67.79 | ||||
| Home Discharge Rate with ICD C7981 - Secondary malignant neoplasm of breast | 80.39 |
| 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 | 43 |
| UNIVERSITY OF TEXAS MD ANDERSON CANCER CENTER | 1515 HOLCOMBE BLVD | HOUSTON | TX | 77030 | 40 |
| UNC REX HOSPITAL | 4420 LAKE BOONE TRL | RALEIGH | NC | 27607 | 30 |
| No | ICD Diagnosis Code | Description |
|---|---|---|
| 1 | C7951 | Secondary malignant neoplasm of bone |