*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| K8021 - Calculus of gallbladder without cholecystitis with obstruction - as a primary diagnosis code | K8021 - Calculus of gallbladder without cholecystitis with obstruction - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 7.11 | |
| Readmission Rate (%) | 25.47 | |
| Unplanned Readmission Rate (%) | 14.71 | |
| 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 445: DISORDERS OF THE BILIARY TRACT WITH COMPLICATION OR COMORBIDITY (CC) | DRG 444: DISORDERS OF THE BILIARY TRACT WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 446: DISORDERS OF THE BILIARY TRACT WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 418: LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH COMPLICATION OR COMORBIDITY (CC) | DRG 417: LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 56,656 | ||||
| Total Hospitalizations with ICD K8021 - Calculus of gallbladder without cholecystitis with obstruction | 419 | ||||
| DRG Share of Total Hospitalizations | 0.17 | ||||
| % of Total ICD K8021 - Calculus of gallbladder without cholecystitis with obstruction in DRG | 33.41 | ||||
| Avg LOS at DRG | 3.7 | ||||
| Avg LOS with ICD K8021 - Calculus of gallbladder without cholecystitis with obstruction | 3.68 | ||||
| Readmission Rate at DRG | 21.0 | ||||
| Readmission Rate with ICD K8021 - Calculus of gallbladder without cholecystitis with obstruction | 25.07 | ||||
| Unplanned Readmission Rate at DRG | 14.31 | ||||
| Unplanned Readmission Rate with ICD K8021 - Calculus of gallbladder without cholecystitis with obstruction | 18.66 | ||||
| Total Medicare payments at DRG | $374,740,838 | ||||
| Total Medicare payments with ICD K8021 - Calculus of gallbladder without cholecystitis with obstruction | $2,697,463 | ||||
| Total Medicare payment per Day at DRG | $1,786 | ||||
| Total Medicare payment per Day with ICD K8021 - Calculus of gallbladder without cholecystitis with obstruction | $1,748 | ||||
| Total Medicare payment per Hospitalization at DRG | $6,614 | ||||
| Total Medicare payment per Hospitalization with ICD K8021 - Calculus of gallbladder without cholecystitis with obstruction | $6,438 | ||||
| Total Medicare Charges at DRG | $2,130,704,945 | ||||
| Total Medicare Charges with ICD K8021 - Calculus of gallbladder without cholecystitis with obstruction | $15,904,554 | ||||
| Avg Charges at DRG | $37,608 | ||||
| Avg Charges with ICD K8021 - Calculus of gallbladder without cholecystitis with obstruction | $37,958 | ||||
| Mortality Rate at DRG | 0.43 | ||||
| Mortality Rate with ICD K8021 - Calculus of gallbladder without cholecystitis with obstruction | NA | ||||
| SNF Discharge Rate at DRG | 11.12 | ||||
| SNF Discharge Rate with ICD K8021 - Calculus of gallbladder without cholecystitis with obstruction | 11.46 | ||||
| Home Discharge Rate at DRG | 60.3 | ||||
| Home Discharge Rate with ICD K8021 - Calculus of gallbladder without cholecystitis with obstruction | 60.86 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 419: LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 409: BILIARY TRACT PROCEDURE EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. 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 415: CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|
| Total Hospitalizations at DRG | 52,342 | |||
| Total Hospitalizations with ICD K8021 - Calculus of gallbladder without cholecystitis with obstruction | 82 | |||
| DRG Share of Total Hospitalizations | 0.16 | |||
| % of Total ICD K8021 - Calculus of gallbladder without cholecystitis with obstruction in DRG | 6.54 | |||
| Avg LOS at DRG | 2.79 | |||
| Avg LOS with ICD K8021 - Calculus of gallbladder without cholecystitis with obstruction | 2.7 | |||
| Readmission Rate at DRG | 7.0 | |||
| Readmission Rate with ICD K8021 - Calculus of gallbladder without cholecystitis with obstruction | NA | |||
| Unplanned Readmission Rate at DRG | 5.26 | |||
| Unplanned Readmission Rate with ICD K8021 - Calculus of gallbladder without cholecystitis with obstruction | NA | |||
| Total Medicare payments at DRG | $366,320,336 | |||
| Total Medicare payments with ICD K8021 - Calculus of gallbladder without cholecystitis with obstruction | $568,231 | |||
| Total Medicare payment per Day at DRG | $2,507 | |||
| Total Medicare payment per Day with ICD K8021 - Calculus of gallbladder without cholecystitis with obstruction | $2,571 | |||
| Total Medicare payment per Hospitalization at DRG | $6,999 | |||
| Total Medicare payment per Hospitalization with ICD K8021 - Calculus of gallbladder without cholecystitis with obstruction | $6,930 | |||
| Total Medicare Charges at DRG | $2,505,114,771 | |||
| Total Medicare Charges with ICD K8021 - Calculus of gallbladder without cholecystitis with obstruction | $4,424,143 | |||
| Avg Charges at DRG | $47,861 | |||
| Avg Charges with ICD K8021 - Calculus of gallbladder without cholecystitis with obstruction | $53,953 | |||
| Mortality Rate at DRG | NA | |||
| Mortality Rate with ICD K8021 - Calculus of gallbladder without cholecystitis with obstruction | NA | |||
| SNF Discharge Rate at DRG | 3.13 | |||
| SNF Discharge Rate with ICD K8021 - Calculus of gallbladder without cholecystitis with obstruction | NA | |||
| Home Discharge Rate at DRG | 89.12 | |||
| Home Discharge Rate with ICD K8021 - Calculus of gallbladder without cholecystitis with obstruction | 95.12 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 445: DISORDERS OF THE BILIARY TRACT WITH COMPLICATION OR COMORBIDITY (CC) | DRG 871: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 444: DISORDERS OF THE BILIARY TRACT WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 435: MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 439: DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 56,656 | ||||
| Total Hospitalizations with ICD K8021 - Calculus of gallbladder without cholecystitis with obstruction | 526 | ||||
| DRG Share of Total Hospitalizations | 0.17 | ||||
| % of Total ICD K8021 - Calculus of gallbladder without cholecystitis with obstruction in DRG | 10.81 | ||||
| Avg LOS at DRG | 3.7 | ||||
| Avg LOS with ICD K8021 - Calculus of gallbladder without cholecystitis with obstruction | 3.81 | ||||
| Readmission Rate at DRG | 21.0 | ||||
| Readmission Rate with ICD K8021 - Calculus of gallbladder without cholecystitis with obstruction | 26.68 | ||||
| Unplanned Readmission Rate at DRG | 14.31 | ||||
| Unplanned Readmission Rate with ICD K8021 - Calculus of gallbladder without cholecystitis with obstruction | 18.44 | ||||
| Total Medicare payments at DRG | $374,740,838 | ||||
| Total Medicare payments with ICD K8021 - Calculus of gallbladder without cholecystitis with obstruction | $3,423,715 | ||||
| Total Medicare payment per Day at DRG | $1,786 | ||||
| Total Medicare payment per Day with ICD K8021 - Calculus of gallbladder without cholecystitis with obstruction | $1,708 | ||||
| Total Medicare payment per Hospitalization at DRG | $6,614 | ||||
| Total Medicare payment per Hospitalization with ICD K8021 - Calculus of gallbladder without cholecystitis with obstruction | $6,509 | ||||
| Total Medicare Charges at DRG | $2,130,704,945 | ||||
| Total Medicare Charges with ICD K8021 - Calculus of gallbladder without cholecystitis with obstruction | $20,677,481 | ||||
| Avg Charges at DRG | $37,608 | ||||
| Avg Charges with ICD K8021 - Calculus of gallbladder without cholecystitis with obstruction | $39,311 | ||||
| Mortality Rate at DRG | 0.43 | ||||
| Mortality Rate with ICD K8021 - Calculus of gallbladder without cholecystitis with obstruction | NA | ||||
| SNF Discharge Rate at DRG | 11.12 | ||||
| SNF Discharge Rate with ICD K8021 - Calculus of gallbladder without cholecystitis with obstruction | 11.41 | ||||
| Home Discharge Rate at DRG | 60.3 | ||||
| Home Discharge Rate with ICD K8021 - Calculus of gallbladder without cholecystitis with obstruction | 61.03 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 436: MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH COMPLICATION OR COMORBIDITY (CC) | DRG 418: LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH COMPLICATION OR COMORBIDITY (CC) | DRG 446: DISORDERS OF THE BILIARY TRACT WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 417: LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH 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 | 25,894 | ||||
| Total Hospitalizations with ICD K8021 - Calculus of gallbladder without cholecystitis with obstruction | 226 | ||||
| DRG Share of Total Hospitalizations | 0.08 | ||||
| % of Total ICD K8021 - Calculus of gallbladder without cholecystitis with obstruction in DRG | 4.64 | ||||
| Avg LOS at DRG | 4.56 | ||||
| Avg LOS with ICD K8021 - Calculus of gallbladder without cholecystitis with obstruction | 5.07 | ||||
| Readmission Rate at DRG | 28.1 | ||||
| Readmission Rate with ICD K8021 - Calculus of gallbladder without cholecystitis with obstruction | 23.15 | ||||
| Unplanned Readmission Rate at DRG | 20.72 | ||||
| Unplanned Readmission Rate with ICD K8021 - Calculus of gallbladder without cholecystitis with obstruction | 12.32 | ||||
| Total Medicare payments at DRG | $195,828,532 | ||||
| Total Medicare payments with ICD K8021 - Calculus of gallbladder without cholecystitis with obstruction | $1,560,412 | ||||
| Total Medicare payment per Day at DRG | $1,657 | ||||
| Total Medicare payment per Day with ICD K8021 - Calculus of gallbladder without cholecystitis with obstruction | $1,362 | ||||
| Total Medicare payment per Hospitalization at DRG | $7,563 | ||||
| Total Medicare payment per Hospitalization with ICD K8021 - Calculus of gallbladder without cholecystitis with obstruction | $6,904 | ||||
| Total Medicare Charges at DRG | $1,026,791,842 | ||||
| Total Medicare Charges with ICD K8021 - Calculus of gallbladder without cholecystitis with obstruction | $12,524,087 | ||||
| Avg Charges at DRG | $39,654 | ||||
| Avg Charges with ICD K8021 - Calculus of gallbladder without cholecystitis with obstruction | $55,416 | ||||
| Mortality Rate at DRG | 5.45 | ||||
| Mortality Rate with ICD K8021 - Calculus of gallbladder without cholecystitis with obstruction | NA | ||||
| SNF Discharge Rate at DRG | 9.23 | ||||
| SNF Discharge Rate with ICD K8021 - Calculus of gallbladder without cholecystitis with obstruction | 8.41 | ||||
| Home Discharge Rate at DRG | 45.39 | ||||
| Home Discharge Rate with ICD K8021 - Calculus of gallbladder without cholecystitis with obstruction | 55.75 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 438: DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 853: INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 419: LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 408: BILIARY TRACT PROCEDURE EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 441: DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 46,074 | ||||
| Total Hospitalizations with ICD K8021 - Calculus of gallbladder without cholecystitis with obstruction | 117 | ||||
| DRG Share of Total Hospitalizations | 0.14 | ||||
| % of Total ICD K8021 - Calculus of gallbladder without cholecystitis with obstruction in DRG | 2.4 | ||||
| Avg LOS at DRG | 6.4 | ||||
| Avg LOS with ICD K8021 - Calculus of gallbladder without cholecystitis with obstruction | 7.15 | ||||
| Readmission Rate at DRG | 30.1 | ||||
| Readmission Rate with ICD K8021 - Calculus of gallbladder without cholecystitis with obstruction | 29.79 | ||||
| Unplanned Readmission Rate at DRG | 22.25 | ||||
| Unplanned Readmission Rate with ICD K8021 - Calculus of gallbladder without cholecystitis with obstruction | 13.83 | ||||
| Total Medicare payments at DRG | $521,643,628 | ||||
| Total Medicare payments with ICD K8021 - Calculus of gallbladder without cholecystitis with obstruction | $1,330,929 | ||||
| Total Medicare payment per Day at DRG | $1,770 | ||||
| Total Medicare payment per Day with ICD K8021 - Calculus of gallbladder without cholecystitis with obstruction | $1,592 | ||||
| Total Medicare payment per Hospitalization at DRG | $11,322 | ||||
| Total Medicare payment per Hospitalization with ICD K8021 - Calculus of gallbladder without cholecystitis with obstruction | $11,375 | ||||
| Total Medicare Charges at DRG | $2,529,558,523 | ||||
| Total Medicare Charges with ICD K8021 - Calculus of gallbladder without cholecystitis with obstruction | $8,285,678 | ||||
| Avg Charges at DRG | $54,902 | ||||
| Avg Charges with ICD K8021 - Calculus of gallbladder without cholecystitis with obstruction | $70,818 | ||||
| Mortality Rate at DRG | 3.37 | ||||
| Mortality Rate with ICD K8021 - Calculus of gallbladder without cholecystitis with obstruction | 10.26 | ||||
| SNF Discharge Rate at DRG | 12.08 | ||||
| SNF Discharge Rate with ICD K8021 - Calculus of gallbladder without cholecystitis with obstruction | 14.53 | ||||
| Home Discharge Rate at DRG | 56.72 | ||||
| Home Discharge Rate with ICD K8021 - Calculus of gallbladder without cholecystitis with obstruction | 44.44 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 442: DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH COMPLICATION OR COMORBIDITY (CC) | DRG 409: BILIARY TRACT PROCEDURE EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH COMPLICATION OR COMORBIDITY (CC) | DRG 291: HEART FAILURE AND SHOCK WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 392: ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 405: PANCREAS, LIVER AND SHUNT PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 57,175 | ||||
| Total Hospitalizations with ICD K8021 - Calculus of gallbladder without cholecystitis with obstruction | 54 | ||||
| DRG Share of Total Hospitalizations | 0.17 | ||||
| % of Total ICD K8021 - Calculus of gallbladder without cholecystitis with obstruction in DRG | 1.11 | ||||
| Avg LOS at DRG | 4.07 | ||||
| Avg LOS with ICD K8021 - Calculus of gallbladder without cholecystitis with obstruction | 4.33 | ||||
| Readmission Rate at DRG | 34.07 | ||||
| Readmission Rate with ICD K8021 - Calculus of gallbladder without cholecystitis with obstruction | 31.25 | ||||
| Unplanned Readmission Rate at DRG | 26.53 | ||||
| Unplanned Readmission Rate with ICD K8021 - Calculus of gallbladder without cholecystitis with obstruction | 27.08 | ||||
| Total Medicare payments at DRG | $353,726,509 | ||||
| Total Medicare payments with ICD K8021 - Calculus of gallbladder without cholecystitis with obstruction | $327,591 | ||||
| Total Medicare payment per Day at DRG | $1,519 | ||||
| Total Medicare payment per Day with ICD K8021 - Calculus of gallbladder without cholecystitis with obstruction | $1,400 | ||||
| Total Medicare payment per Hospitalization at DRG | $6,187 | ||||
| Total Medicare payment per Hospitalization with ICD K8021 - Calculus of gallbladder without cholecystitis with obstruction | $6,067 | ||||
| Total Medicare Charges at DRG | $1,770,659,000 | ||||
| Total Medicare Charges with ICD K8021 - Calculus of gallbladder without cholecystitis with obstruction | $1,917,590 | ||||
| Avg Charges at DRG | $30,969 | ||||
| Avg Charges with ICD K8021 - Calculus of gallbladder without cholecystitis with obstruction | $35,511 | ||||
| Mortality Rate at DRG | 1.12 | ||||
| Mortality Rate with ICD K8021 - Calculus of gallbladder without cholecystitis with obstruction | NA | ||||
| SNF Discharge Rate at DRG | 15.97 | ||||
| SNF Discharge Rate with ICD K8021 - Calculus of gallbladder without cholecystitis with obstruction | NA | ||||
| Home Discharge Rate at DRG | 50.7 | ||||
| Home Discharge Rate with ICD K8021 - Calculus of gallbladder without cholecystitis with obstruction | 68.52 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| CEDARS-SINAI MEDICAL CENTER | 8700 BEVERLY BLVD | LOS ANGELES | CA | 90048 | 39 |
| MISSION HOSPITAL | 509 BILTMORE AVE | ASHEVILLE | NC | 28801 | 20 |
| UK HEALTHCARE - ALBERT B. CHANDLER HOSPITAL | 800 ROSE ST | LEXINGTON | KY | 40536 | 20 |