*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| K8067 - Calculus of gallbladder and bile duct with acute and chronic cholecystitis with obstruction - as a primary diagnosis code | K8067 - Calculus of gallbladder and bile duct with acute and chronic cholecystitis with obstruction - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 7.07 | |
| Readmission Rate (%) | 15.16 | |
| Unplanned Readmission Rate (%) | 8.4 | |
| 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 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) | DRG 419: LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 415: CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH COMPLICATION OR COMORBIDITY (CC) | DRG 414: CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 67,988 | ||||
| Total Hospitalizations with ICD K8067 - Calculus of gallbladder and bile duct with acute and chronic cholecystitis with obstruction | 720 | ||||
| DRG Share of Total Hospitalizations | 0.21 | ||||
| % of Total ICD K8067 - Calculus of gallbladder and bile duct with acute and chronic cholecystitis with obstruction in DRG | 28.75 | ||||
| Avg LOS at DRG | 4.31 | ||||
| Avg LOS with ICD K8067 - Calculus of gallbladder and bile duct with acute and chronic cholecystitis with obstruction | 5.07 | ||||
| Readmission Rate at DRG | 12.05 | ||||
| Readmission Rate with ICD K8067 - Calculus of gallbladder and bile duct with acute and chronic cholecystitis with obstruction | 11.6 | ||||
| Unplanned Readmission Rate at DRG | 8.76 | ||||
| Unplanned Readmission Rate with ICD K8067 - Calculus of gallbladder and bile duct with acute and chronic cholecystitis with obstruction | 7.34 | ||||
| Total Medicare payments at DRG | $665,362,889 | ||||
| Total Medicare payments with ICD K8067 - Calculus of gallbladder and bile duct with acute and chronic cholecystitis with obstruction | $7,254,123 | ||||
| Total Medicare payment per Day at DRG | $2,271 | ||||
| Total Medicare payment per Day with ICD K8067 - Calculus of gallbladder and bile duct with acute and chronic cholecystitis with obstruction | $1,988 | ||||
| Total Medicare payment per Hospitalization at DRG | $9,786 | ||||
| Total Medicare payment per Hospitalization with ICD K8067 - Calculus of gallbladder and bile duct with acute and chronic cholecystitis with obstruction | $10,075 | ||||
| Total Medicare Charges at DRG | $4,095,369,652 | ||||
| Total Medicare Charges with ICD K8067 - Calculus of gallbladder and bile duct with acute and chronic cholecystitis with obstruction | $53,243,191 | ||||
| Avg Charges at DRG | $60,237 | ||||
| Avg Charges with ICD K8067 - Calculus of gallbladder and bile duct with acute and chronic cholecystitis with obstruction | $73,949 | ||||
| Mortality Rate at DRG | 0.1 | ||||
| Mortality Rate with ICD K8067 - Calculus of gallbladder and bile duct with acute and chronic cholecystitis with obstruction | NA | ||||
| SNF Discharge Rate at DRG | 8.88 | ||||
| SNF Discharge Rate with ICD K8067 - Calculus of gallbladder and bile duct with acute and chronic cholecystitis with obstruction | 11.94 | ||||
| Home Discharge Rate at DRG | 75.76 | ||||
| Home Discharge Rate with ICD K8067 - Calculus of gallbladder and bile duct with acute and chronic cholecystitis with obstruction | 69.17 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 444: DISORDERS OF THE BILIARY TRACT WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 445: DISORDERS OF THE BILIARY TRACT WITH COMPLICATION OR COMORBIDITY (CC) | DRG 411: CHOLECYSTECTOMY WITH C.D.E. WITH 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 412: CHOLECYSTECTOMY WITH C.D.E. WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 38,405 | ||||
| Total Hospitalizations with ICD K8067 - Calculus of gallbladder and bile duct with acute and chronic cholecystitis with obstruction | 83 | ||||
| DRG Share of Total Hospitalizations | 0.12 | ||||
| % of Total ICD K8067 - Calculus of gallbladder and bile duct with acute and chronic cholecystitis with obstruction in DRG | 3.31 | ||||
| Avg LOS at DRG | 5.67 | ||||
| Avg LOS with ICD K8067 - Calculus of gallbladder and bile duct with acute and chronic cholecystitis with obstruction | 6.94 | ||||
| Readmission Rate at DRG | 24.55 | ||||
| Readmission Rate with ICD K8067 - Calculus of gallbladder and bile duct with acute and chronic cholecystitis with obstruction | NA | ||||
| Unplanned Readmission Rate at DRG | 16.71 | ||||
| Unplanned Readmission Rate with ICD K8067 - Calculus of gallbladder and bile duct with acute and chronic cholecystitis with obstruction | NA | ||||
| Total Medicare payments at DRG | $413,772,388 | ||||
| Total Medicare payments with ICD K8067 - Calculus of gallbladder and bile duct with acute and chronic cholecystitis with obstruction | $876,381 | ||||
| Total Medicare payment per Day at DRG | $1,899 | ||||
| Total Medicare payment per Day with ICD K8067 - Calculus of gallbladder and bile duct with acute and chronic cholecystitis with obstruction | $1,521 | ||||
| Total Medicare payment per Hospitalization at DRG | $10,774 | ||||
| Total Medicare payment per Hospitalization with ICD K8067 - Calculus of gallbladder and bile duct with acute and chronic cholecystitis with obstruction | $10,559 | ||||
| Total Medicare Charges at DRG | $2,091,472,966 | ||||
| Total Medicare Charges with ICD K8067 - Calculus of gallbladder and bile duct with acute and chronic cholecystitis with obstruction | $5,633,692 | ||||
| Avg Charges at DRG | $54,458 | ||||
| Avg Charges with ICD K8067 - Calculus of gallbladder and bile duct with acute and chronic cholecystitis with obstruction | $67,876 | ||||
| Mortality Rate at DRG | 3.2 | ||||
| Mortality Rate with ICD K8067 - Calculus of gallbladder and bile duct with acute and chronic cholecystitis with obstruction | NA | ||||
| SNF Discharge Rate at DRG | 16.21 | ||||
| SNF Discharge Rate with ICD K8067 - Calculus of gallbladder and bile duct with acute and chronic cholecystitis with obstruction | 24.1 | ||||
| Home Discharge Rate at DRG | 47.16 | ||||
| Home Discharge Rate with ICD K8067 - Calculus of gallbladder and bile duct with acute and chronic cholecystitis with obstruction | 39.76 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 446: DISORDERS OF THE BILIARY TRACT WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 413: CHOLECYSTECTOMY WITH 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 416: CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 410: BILIARY TRACT PROC EXCEPT ONLY CHOLECYST WITH OR WITHOUT C.D.E. WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 25,171 | ||||
| Total Hospitalizations with ICD K8067 - Calculus of gallbladder and bile duct with acute and chronic cholecystitis with obstruction | 31 | ||||
| DRG Share of Total Hospitalizations | 0.08 | ||||
| % of Total ICD K8067 - Calculus of gallbladder and bile duct with acute and chronic cholecystitis with obstruction in DRG | 1.24 | ||||
| Avg LOS at DRG | 2.53 | ||||
| Avg LOS with ICD K8067 - Calculus of gallbladder and bile duct with acute and chronic cholecystitis with obstruction | 2.84 | ||||
| Readmission Rate at DRG | 15.81 | ||||
| Readmission Rate with ICD K8067 - Calculus of gallbladder and bile duct with acute and chronic cholecystitis with obstruction | NA | ||||
| Unplanned Readmission Rate at DRG | 9.94 | ||||
| Unplanned Readmission Rate with ICD K8067 - Calculus of gallbladder and bile duct with acute and chronic cholecystitis with obstruction | NA | ||||
| Total Medicare payments at DRG | $111,440,402 | ||||
| Total Medicare payments with ICD K8067 - Calculus of gallbladder and bile duct with acute and chronic cholecystitis with obstruction | $128,634 | ||||
| Total Medicare payment per Day at DRG | $1,753 | ||||
| Total Medicare payment per Day with ICD K8067 - Calculus of gallbladder and bile duct with acute and chronic cholecystitis with obstruction | $1,462 | ||||
| Total Medicare payment per Hospitalization at DRG | $4,427 | ||||
| Total Medicare payment per Hospitalization with ICD K8067 - Calculus of gallbladder and bile duct with acute and chronic cholecystitis with obstruction | $4,149 | ||||
| Total Medicare Charges at DRG | $704,276,552 | ||||
| Total Medicare Charges with ICD K8067 - Calculus of gallbladder and bile duct with acute and chronic cholecystitis with obstruction | $1,384,818 | ||||
| Avg Charges at DRG | $27,980 | ||||
| Avg Charges with ICD K8067 - Calculus of gallbladder and bile duct with acute and chronic cholecystitis with obstruction | $44,672 | ||||
| Mortality Rate at DRG | 0.1 | ||||
| Mortality Rate with ICD K8067 - Calculus of gallbladder and bile duct with acute and chronic cholecystitis with obstruction | NA | ||||
| SNF Discharge Rate at DRG | 5.1 | ||||
| SNF Discharge Rate with ICD K8067 - Calculus of gallbladder and bile duct with acute and chronic cholecystitis with obstruction | NA | ||||
| Home Discharge Rate at DRG | 73.17 | ||||
| Home Discharge Rate with ICD K8067 - Calculus of gallbladder and bile duct with acute and chronic cholecystitis with obstruction | 58.06 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 405: PANCREAS, LIVER AND SHUNT PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|
| Total Hospitalizations at DRG | 12,032 |
| Total Hospitalizations with ICD K8067 - Calculus of gallbladder and bile duct with acute and chronic cholecystitis with obstruction | 11 |
| DRG Share of Total Hospitalizations | 0.04 |
| % of Total ICD K8067 - Calculus of gallbladder and bile duct with acute and chronic cholecystitis with obstruction in DRG | 0.44 |
| Avg LOS at DRG | 12.83 |
| Avg LOS with ICD K8067 - Calculus of gallbladder and bile duct with acute and chronic cholecystitis with obstruction | 14.45 |
| Readmission Rate at DRG | 32.87 |
| Readmission Rate with ICD K8067 - Calculus of gallbladder and bile duct with acute and chronic cholecystitis with obstruction | NA |
| Unplanned Readmission Rate at DRG | 17.21 |
| Unplanned Readmission Rate with ICD K8067 - Calculus of gallbladder and bile duct with acute and chronic cholecystitis with obstruction | NA |
| Total Medicare payments at DRG | $494,323,756 |
| Total Medicare payments with ICD K8067 - Calculus of gallbladder and bile duct with acute and chronic cholecystitis with obstruction | $415,985 |
| Total Medicare payment per Day at DRG | $3,203 |
| Total Medicare payment per Day with ICD K8067 - Calculus of gallbladder and bile duct with acute and chronic cholecystitis with obstruction | $2,616 |
| Total Medicare payment per Hospitalization at DRG | $41,084 |
| Total Medicare payment per Hospitalization with ICD K8067 - Calculus of gallbladder and bile duct with acute and chronic cholecystitis with obstruction | $37,817 |
| Total Medicare Charges at DRG | $2,312,237,801 |
| Total Medicare Charges with ICD K8067 - Calculus of gallbladder and bile duct with acute and chronic cholecystitis with obstruction | $2,551,195 |
| Avg Charges at DRG | $192,174 |
| Avg Charges with ICD K8067 - Calculus of gallbladder and bile duct with acute and chronic cholecystitis with obstruction | $231,927 |
| Mortality Rate at DRG | 6.86 |
| Mortality Rate with ICD K8067 - Calculus of gallbladder and bile duct with acute and chronic cholecystitis with obstruction | NA |
| SNF Discharge Rate at DRG | 17.46 |
| SNF Discharge Rate with ICD K8067 - Calculus of gallbladder and bile duct with acute and chronic cholecystitis with obstruction | NA |
| Home Discharge Rate at DRG | 36.29 |
| Home Discharge Rate with ICD K8067 - Calculus of gallbladder and bile duct with acute and chronic cholecystitis with obstruction | NA |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| AVERA MCKENNAN HOSPITAL & UNIVERSITY HEALTH CENTER | 1325 S CLIFF AVE | SIOUX FALLS | SD | 57105 | 29 |
| SANFORD HEALTH | 801 BROADWAY N | FARGO | ND | 58122 | 17 |
| SARASOTA MEMORIAL HOSPITAL | 1700 S TAMIAMI TRL | SARASOTA | FL | 34239 | 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 417: LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 418: LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH COMPLICATION OR COMORBIDITY (CC) | 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 414: CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 44,451 | ||||
| Total Hospitalizations with ICD K8067 - Calculus of gallbladder and bile duct with acute and chronic cholecystitis with obstruction | 925 | ||||
| DRG Share of Total Hospitalizations | 0.14 | ||||
| % of Total ICD K8067 - Calculus of gallbladder and bile duct with acute and chronic cholecystitis with obstruction in DRG | 25.25 | ||||
| Avg LOS at DRG | 6.55 | ||||
| Avg LOS with ICD K8067 - Calculus of gallbladder and bile duct with acute and chronic cholecystitis with obstruction | 6.99 | ||||
| Readmission Rate at DRG | 16.47 | ||||
| Readmission Rate with ICD K8067 - Calculus of gallbladder and bile duct with acute and chronic cholecystitis with obstruction | 14.11 | ||||
| Unplanned Readmission Rate at DRG | 11.18 | ||||
| Unplanned Readmission Rate with ICD K8067 - Calculus of gallbladder and bile duct with acute and chronic cholecystitis with obstruction | 9.4 | ||||
| Total Medicare payments at DRG | $682,577,748 | ||||
| Total Medicare payments with ICD K8067 - Calculus of gallbladder and bile duct with acute and chronic cholecystitis with obstruction | $14,589,171 | ||||
| Total Medicare payment per Day at DRG | $2,346 | ||||
| Total Medicare payment per Day with ICD K8067 - Calculus of gallbladder and bile duct with acute and chronic cholecystitis with obstruction | $2,257 | ||||
| Total Medicare payment per Hospitalization at DRG | $15,356 | ||||
| Total Medicare payment per Hospitalization with ICD K8067 - Calculus of gallbladder and bile duct with acute and chronic cholecystitis with obstruction | $15,772 | ||||
| Total Medicare Charges at DRG | $3,726,550,994 | ||||
| Total Medicare Charges with ICD K8067 - Calculus of gallbladder and bile duct with acute and chronic cholecystitis with obstruction | $88,039,308 | ||||
| Avg Charges at DRG | $83,835 | ||||
| Avg Charges with ICD K8067 - Calculus of gallbladder and bile duct with acute and chronic cholecystitis with obstruction | $95,178 | ||||
| Mortality Rate at DRG | 1.61 | ||||
| Mortality Rate with ICD K8067 - Calculus of gallbladder and bile duct with acute and chronic cholecystitis with obstruction | 1.41 | ||||
| SNF Discharge Rate at DRG | 14.42 | ||||
| SNF Discharge Rate with ICD K8067 - Calculus of gallbladder and bile duct with acute and chronic cholecystitis with obstruction | 15.68 | ||||
| Home Discharge Rate at DRG | 62.58 | ||||
| Home Discharge Rate with ICD K8067 - Calculus of gallbladder and bile duct with acute and chronic cholecystitis with obstruction | 65.08 |
*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 444: DISORDERS OF THE BILIARY TRACT WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 415: CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH COMPLICATION OR COMORBIDITY (CC) | DRG 445: DISORDERS OF THE BILIARY TRACT WITH COMPLICATION OR COMORBIDITY (CC) | DRG 411: CHOLECYSTECTOMY WITH C.D.E. WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,808,415 | ||||
| Total Hospitalizations with ICD K8067 - Calculus of gallbladder and bile duct with acute and chronic cholecystitis with obstruction | 103 | ||||
| DRG Share of Total Hospitalizations | 5.5 | ||||
| % of Total ICD K8067 - Calculus of gallbladder and bile duct with acute and chronic cholecystitis with obstruction in DRG | 2.81 | ||||
| Avg LOS at DRG | 6.34 | ||||
| Avg LOS with ICD K8067 - Calculus of gallbladder and bile duct with acute and chronic cholecystitis with obstruction | 8.82 | ||||
| Readmission Rate at DRG | 24.2 | ||||
| Readmission Rate with ICD K8067 - Calculus of gallbladder and bile duct with acute and chronic cholecystitis with obstruction | 26.09 | ||||
| Unplanned Readmission Rate at DRG | 16.78 | ||||
| Unplanned Readmission Rate with ICD K8067 - Calculus of gallbladder and bile duct with acute and chronic cholecystitis with obstruction | 15.22 | ||||
| Total Medicare payments at DRG | $21,288,214,047 | ||||
| Total Medicare payments with ICD K8067 - Calculus of gallbladder and bile duct with acute and chronic cholecystitis with obstruction | $1,375,420 | ||||
| Total Medicare payment per Day at DRG | $1,857 | ||||
| Total Medicare payment per Day with ICD K8067 - Calculus of gallbladder and bile duct with acute and chronic cholecystitis with obstruction | $1,515 | ||||
| Total Medicare payment per Hospitalization at DRG | $11,772 | ||||
| Total Medicare payment per Hospitalization with ICD K8067 - Calculus of gallbladder and bile duct with acute and chronic cholecystitis with obstruction | $13,354 | ||||
| Total Medicare Charges at DRG | $107,155,481,388 | ||||
| Total Medicare Charges with ICD K8067 - Calculus of gallbladder and bile duct with acute and chronic cholecystitis with obstruction | $10,257,207 | ||||
| Avg Charges at DRG | $59,254 | ||||
| Avg Charges with ICD K8067 - Calculus of gallbladder and bile duct with acute and chronic cholecystitis with obstruction | $99,585 | ||||
| Mortality Rate at DRG | 12.11 | ||||
| Mortality Rate with ICD K8067 - Calculus of gallbladder and bile duct with acute and chronic cholecystitis with obstruction | NA | ||||
| SNF Discharge Rate at DRG | 27.18 | ||||
| SNF Discharge Rate with ICD K8067 - Calculus of gallbladder and bile duct with acute and chronic cholecystitis with obstruction | 30.1 | ||||
| Home Discharge Rate at DRG | 25.81 | ||||
| Home Discharge Rate with ICD K8067 - Calculus of gallbladder and bile duct with acute and chronic cholecystitis with obstruction | 29.13 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 408: BILIARY TRACT PROCEDURE EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH 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 412: CHOLECYSTECTOMY WITH 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 413: CHOLECYSTECTOMY WITH C.D.E. WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 7,399 | ||||
| Total Hospitalizations with ICD K8067 - Calculus of gallbladder and bile duct with acute and chronic cholecystitis with obstruction | 42 | ||||
| DRG Share of Total Hospitalizations | 0.02 | ||||
| % of Total ICD K8067 - Calculus of gallbladder and bile duct with acute and chronic cholecystitis with obstruction in DRG | 1.15 | ||||
| Avg LOS at DRG | 10.08 | ||||
| Avg LOS with ICD K8067 - Calculus of gallbladder and bile duct with acute and chronic cholecystitis with obstruction | 13.26 | ||||
| Readmission Rate at DRG | 30.77 | ||||
| Readmission Rate with ICD K8067 - Calculus of gallbladder and bile duct with acute and chronic cholecystitis with obstruction | 27.5 | ||||
| Unplanned Readmission Rate at DRG | 18.51 | ||||
| Unplanned Readmission Rate with ICD K8067 - Calculus of gallbladder and bile duct with acute and chronic cholecystitis with obstruction | NA | ||||
| Total Medicare payments at DRG | $196,785,449 | ||||
| Total Medicare payments with ICD K8067 - Calculus of gallbladder and bile duct with acute and chronic cholecystitis with obstruction | $1,323,690 | ||||
| Total Medicare payment per Day at DRG | $2,637 | ||||
| Total Medicare payment per Day with ICD K8067 - Calculus of gallbladder and bile duct with acute and chronic cholecystitis with obstruction | $2,376 | ||||
| Total Medicare payment per Hospitalization at DRG | $26,596 | ||||
| Total Medicare payment per Hospitalization with ICD K8067 - Calculus of gallbladder and bile duct with acute and chronic cholecystitis with obstruction | $31,516 | ||||
| Total Medicare Charges at DRG | $810,338,749 | ||||
| Total Medicare Charges with ICD K8067 - Calculus of gallbladder and bile duct with acute and chronic cholecystitis with obstruction | $7,049,338 | ||||
| Avg Charges at DRG | $109,520 | ||||
| Avg Charges with ICD K8067 - Calculus of gallbladder and bile duct with acute and chronic cholecystitis with obstruction | $167,841 | ||||
| Mortality Rate at DRG | 5.53 | ||||
| Mortality Rate with ICD K8067 - Calculus of gallbladder and bile duct with acute and chronic cholecystitis with obstruction | NA | ||||
| SNF Discharge Rate at DRG | 19.87 | ||||
| SNF Discharge Rate with ICD K8067 - Calculus of gallbladder and bile duct with acute and chronic cholecystitis with obstruction | 26.19 | ||||
| Home Discharge Rate at DRG | 31.45 | ||||
| Home Discharge Rate with ICD K8067 - Calculus of gallbladder and bile duct with acute and chronic cholecystitis with obstruction | 35.71 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 416: CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 438: DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 410: BILIARY TRACT PROC EXCEPT ONLY CHOLECYST WITH OR WITHOUT C.D.E. WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 405: PANCREAS, LIVER AND SHUNT PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 987: NON-EXTENSIVE O.R. PROC UNRELATED TO PRINCIPAL DIAGNOSIS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 5,326 | ||||
| Total Hospitalizations with ICD K8067 - Calculus of gallbladder and bile duct with acute and chronic cholecystitis with obstruction | 26 | ||||
| DRG Share of Total Hospitalizations | 0.02 | ||||
| % of Total ICD K8067 - Calculus of gallbladder and bile duct with acute and chronic cholecystitis with obstruction in DRG | 0.71 | ||||
| Avg LOS at DRG | 3.76 | ||||
| Avg LOS with ICD K8067 - Calculus of gallbladder and bile duct with acute and chronic cholecystitis with obstruction | 5.15 | ||||
| Readmission Rate at DRG | 8.52 | ||||
| Readmission Rate with ICD K8067 - Calculus of gallbladder and bile duct with acute and chronic cholecystitis with obstruction | NA | ||||
| Unplanned Readmission Rate at DRG | 5.72 | ||||
| Unplanned Readmission Rate with ICD K8067 - Calculus of gallbladder and bile duct with acute and chronic cholecystitis with obstruction | NA | ||||
| Total Medicare payments at DRG | $42,713,164 | ||||
| Total Medicare payments with ICD K8067 - Calculus of gallbladder and bile duct with acute and chronic cholecystitis with obstruction | $246,536 | ||||
| Total Medicare payment per Day at DRG | $2,130 | ||||
| Total Medicare payment per Day with ICD K8067 - Calculus of gallbladder and bile duct with acute and chronic cholecystitis with obstruction | $1,840 | ||||
| Total Medicare payment per Hospitalization at DRG | $8,020 | ||||
| Total Medicare payment per Hospitalization with ICD K8067 - Calculus of gallbladder and bile duct with acute and chronic cholecystitis with obstruction | $9,482 | ||||
| Total Medicare Charges at DRG | $256,373,778 | ||||
| Total Medicare Charges with ICD K8067 - Calculus of gallbladder and bile duct with acute and chronic cholecystitis with obstruction | $1,965,700 | ||||
| Avg Charges at DRG | $48,136 | ||||
| Avg Charges with ICD K8067 - Calculus of gallbladder and bile duct with acute and chronic cholecystitis with obstruction | $75,604 | ||||
| Mortality Rate at DRG | NA | ||||
| Mortality Rate with ICD K8067 - Calculus of gallbladder and bile duct with acute and chronic cholecystitis with obstruction | NA | ||||
| SNF Discharge Rate at DRG | 5.6 | ||||
| SNF Discharge Rate with ICD K8067 - Calculus of gallbladder and bile duct with acute and chronic cholecystitis with obstruction | NA | ||||
| Home Discharge Rate at DRG | 80.47 | ||||
| Home Discharge Rate with ICD K8067 - Calculus of gallbladder and bile duct with acute and chronic cholecystitis with obstruction | 73.08 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| AVERA MCKENNAN HOSPITAL & UNIVERSITY HEALTH CENTER | 1325 S CLIFF AVE | SIOUX FALLS | SD | 57105 | 41 |
| COVENANT MEDICAL CENTER | 3615 19TH ST | LUBBOCK | TX | 79410 | 26 |
| SANFORD HEALTH | 801 BROADWAY N | FARGO | ND | 58122 | 21 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. DAVID ALLEN STRAND | 911 E 20TH ST | SIOUX FALLS | SD | 57105 | 12 |