*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| K820 - Obstruction of gallbladder - as a primary diagnosis code | K820 - Obstruction of gallbladder - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 8.23 | |
| Readmission Rate (%) | 28.13 | |
| Unplanned Readmission Rate (%) | 13.58 | |
| 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) | |
|---|---|---|---|
| Total Hospitalizations at DRG | 56,656 | ||
| Total Hospitalizations with ICD K820 - Obstruction of gallbladder | 32 | ||
| DRG Share of Total Hospitalizations | 0.17 | ||
| % of Total ICD K820 - Obstruction of gallbladder in DRG | 34.04 | ||
| Avg LOS at DRG | 3.7 | ||
| Avg LOS with ICD K820 - Obstruction of gallbladder | 4.38 | ||
| Readmission Rate at DRG | 21.0 | ||
| Readmission Rate with ICD K820 - Obstruction of gallbladder | NA | ||
| Unplanned Readmission Rate at DRG | 14.31 | ||
| Unplanned Readmission Rate with ICD K820 - Obstruction of gallbladder | NA | ||
| Total Medicare payments at DRG | $374,740,838 | ||
| Total Medicare payments with ICD K820 - Obstruction of gallbladder | $225,802 | ||
| Total Medicare payment per Day at DRG | $1,786 | ||
| Total Medicare payment per Day with ICD K820 - Obstruction of gallbladder | $1,613 | ||
| Total Medicare payment per Hospitalization at DRG | $6,614 | ||
| Total Medicare payment per Hospitalization with ICD K820 - Obstruction of gallbladder | $7,056 | ||
| Total Medicare Charges at DRG | $2,130,704,945 | ||
| Total Medicare Charges with ICD K820 - Obstruction of gallbladder | $1,294,678 | ||
| Avg Charges at DRG | $37,608 | ||
| Avg Charges with ICD K820 - Obstruction of gallbladder | $40,459 | ||
| Mortality Rate at DRG | 0.43 | ||
| Mortality Rate with ICD K820 - Obstruction of gallbladder | NA | ||
| SNF Discharge Rate at DRG | 11.12 | ||
| SNF Discharge Rate with ICD K820 - Obstruction of gallbladder | NA | ||
| Home Discharge Rate at DRG | 60.3 | ||
| Home Discharge Rate with ICD K820 - Obstruction of gallbladder | 59.38 |
*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 445: DISORDERS OF THE BILIARY TRACT WITH COMPLICATION OR COMORBIDITY (CC) | DRG 418: LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH COMPLICATION OR COMORBIDITY (CC) | DRG 444: DISORDERS OF THE BILIARY TRACT WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 853: INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,808,415 | ||||
| Total Hospitalizations with ICD K820 - Obstruction of gallbladder | 225 | ||||
| DRG Share of Total Hospitalizations | 5.5 | ||||
| % of Total ICD K820 - Obstruction of gallbladder in DRG | 10.56 | ||||
| Avg LOS at DRG | 6.34 | ||||
| Avg LOS with ICD K820 - Obstruction of gallbladder | 8.72 | ||||
| Readmission Rate at DRG | 24.2 | ||||
| Readmission Rate with ICD K820 - Obstruction of gallbladder | 36.16 | ||||
| Unplanned Readmission Rate at DRG | 16.78 | ||||
| Unplanned Readmission Rate with ICD K820 - Obstruction of gallbladder | 24.29 | ||||
| Total Medicare payments at DRG | $21,288,214,047 | ||||
| Total Medicare payments with ICD K820 - Obstruction of gallbladder | $2,971,791 | ||||
| Total Medicare payment per Day at DRG | $1,857 | ||||
| Total Medicare payment per Day with ICD K820 - Obstruction of gallbladder | $1,514 | ||||
| Total Medicare payment per Hospitalization at DRG | $11,772 | ||||
| Total Medicare payment per Hospitalization with ICD K820 - Obstruction of gallbladder | $13,208 | ||||
| Total Medicare Charges at DRG | $107,155,481,388 | ||||
| Total Medicare Charges with ICD K820 - Obstruction of gallbladder | $19,790,265 | ||||
| Avg Charges at DRG | $59,254 | ||||
| Avg Charges with ICD K820 - Obstruction of gallbladder | $87,957 | ||||
| Mortality Rate at DRG | 12.11 | ||||
| Mortality Rate with ICD K820 - Obstruction of gallbladder | 11.56 | ||||
| SNF Discharge Rate at DRG | 27.18 | ||||
| SNF Discharge Rate with ICD K820 - Obstruction of gallbladder | 29.78 | ||||
| Home Discharge Rate at DRG | 25.81 | ||||
| Home Discharge Rate with ICD K820 - Obstruction of gallbladder | 18.67 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 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) | DRG 435: MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS 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 408: BILIARY TRACT PROCEDURE EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 44,451 | ||||
| Total Hospitalizations with ICD K820 - Obstruction of gallbladder | 74 | ||||
| DRG Share of Total Hospitalizations | 0.14 | ||||
| % of Total ICD K820 - Obstruction of gallbladder in DRG | 3.47 | ||||
| Avg LOS at DRG | 6.55 | ||||
| Avg LOS with ICD K820 - Obstruction of gallbladder | 7.8 | ||||
| Readmission Rate at DRG | 16.47 | ||||
| Readmission Rate with ICD K820 - Obstruction of gallbladder | 19.4 | ||||
| Unplanned Readmission Rate at DRG | 11.18 | ||||
| Unplanned Readmission Rate with ICD K820 - Obstruction of gallbladder | NA | ||||
| Total Medicare payments at DRG | $682,577,748 | ||||
| Total Medicare payments with ICD K820 - Obstruction of gallbladder | $1,199,836 | ||||
| Total Medicare payment per Day at DRG | $2,346 | ||||
| Total Medicare payment per Day with ICD K820 - Obstruction of gallbladder | $2,079 | ||||
| Total Medicare payment per Hospitalization at DRG | $15,356 | ||||
| Total Medicare payment per Hospitalization with ICD K820 - Obstruction of gallbladder | $16,214 | ||||
| Total Medicare Charges at DRG | $3,726,550,994 | ||||
| Total Medicare Charges with ICD K820 - Obstruction of gallbladder | $7,017,105 | ||||
| Avg Charges at DRG | $83,835 | ||||
| Avg Charges with ICD K820 - Obstruction of gallbladder | $94,826 | ||||
| Mortality Rate at DRG | 1.61 | ||||
| Mortality Rate with ICD K820 - Obstruction of gallbladder | NA | ||||
| SNF Discharge Rate at DRG | 14.42 | ||||
| SNF Discharge Rate with ICD K820 - Obstruction of gallbladder | NA | ||||
| Home Discharge Rate at DRG | 62.58 | ||||
| Home Discharge Rate with ICD K820 - Obstruction of gallbladder | 58.11 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 439: DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH COMPLICATION OR COMORBIDITY (CC) | DRG 392: ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 854: INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 981: EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS 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 | 85,343 | ||||
| Total Hospitalizations with ICD K820 - Obstruction of gallbladder | 39 | ||||
| DRG Share of Total Hospitalizations | 0.26 | ||||
| % of Total ICD K820 - Obstruction of gallbladder in DRG | 1.83 | ||||
| Avg LOS at DRG | 3.89 | ||||
| Avg LOS with ICD K820 - Obstruction of gallbladder | 4.72 | ||||
| Readmission Rate at DRG | 21.05 | ||||
| Readmission Rate with ICD K820 - Obstruction of gallbladder | NA | ||||
| Unplanned Readmission Rate at DRG | 15.83 | ||||
| Unplanned Readmission Rate with ICD K820 - Obstruction of gallbladder | NA | ||||
| Total Medicare payments at DRG | $457,925,564 | ||||
| Total Medicare payments with ICD K820 - Obstruction of gallbladder | $273,517 | ||||
| Total Medicare payment per Day at DRG | $1,380 | ||||
| Total Medicare payment per Day with ICD K820 - Obstruction of gallbladder | $1,487 | ||||
| Total Medicare payment per Hospitalization at DRG | $5,366 | ||||
| Total Medicare payment per Hospitalization with ICD K820 - Obstruction of gallbladder | $7,013 | ||||
| Total Medicare Charges at DRG | $2,522,082,455 | ||||
| Total Medicare Charges with ICD K820 - Obstruction of gallbladder | $1,277,329 | ||||
| Avg Charges at DRG | $29,552 | ||||
| Avg Charges with ICD K820 - Obstruction of gallbladder | $32,752 | ||||
| Mortality Rate at DRG | 0.3 | ||||
| Mortality Rate with ICD K820 - Obstruction of gallbladder | NA | ||||
| SNF Discharge Rate at DRG | 5.52 | ||||
| SNF Discharge Rate with ICD K820 - Obstruction of gallbladder | NA | ||||
| Home Discharge Rate at DRG | 75.74 | ||||
| Home Discharge Rate with ICD K820 - Obstruction of gallbladder | 66.67 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 920: COMPLICATIONS OF TREATMENT WITH COMPLICATION OR COMORBIDITY (CC) | DRG 438: DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 436: MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH COMPLICATION OR COMORBIDITY (CC) | DRG 919: COMPLICATIONS OF TREATMENT WITH 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 | 42,814 | ||||
| Total Hospitalizations with ICD K820 - Obstruction of gallbladder | 23 | ||||
| DRG Share of Total Hospitalizations | 0.13 | ||||
| % of Total ICD K820 - Obstruction of gallbladder in DRG | 1.08 | ||||
| Avg LOS at DRG | 4.26 | ||||
| Avg LOS with ICD K820 - Obstruction of gallbladder | 3.7 | ||||
| Readmission Rate at DRG | 21.39 | ||||
| Readmission Rate with ICD K820 - Obstruction of gallbladder | NA | ||||
| Unplanned Readmission Rate at DRG | 12.66 | ||||
| Unplanned Readmission Rate with ICD K820 - Obstruction of gallbladder | NA | ||||
| Total Medicare payments at DRG | $306,035,736 | ||||
| Total Medicare payments with ICD K820 - Obstruction of gallbladder | $187,907 | ||||
| Total Medicare payment per Day at DRG | $1,677 | ||||
| Total Medicare payment per Day with ICD K820 - Obstruction of gallbladder | $2,211 | ||||
| Total Medicare payment per Hospitalization at DRG | $7,148 | ||||
| Total Medicare payment per Hospitalization with ICD K820 - Obstruction of gallbladder | $8,170 | ||||
| Total Medicare Charges at DRG | $1,526,820,622 | ||||
| Total Medicare Charges with ICD K820 - Obstruction of gallbladder | $848,607 | ||||
| Avg Charges at DRG | $35,662 | ||||
| Avg Charges with ICD K820 - Obstruction of gallbladder | $36,896 | ||||
| Mortality Rate at DRG | 0.24 | ||||
| Mortality Rate with ICD K820 - Obstruction of gallbladder | NA | ||||
| SNF Discharge Rate at DRG | 13.54 | ||||
| SNF Discharge Rate with ICD K820 - Obstruction of gallbladder | NA | ||||
| Home Discharge Rate at DRG | 56.63 | ||||
| Home Discharge Rate with ICD K820 - Obstruction of gallbladder | NA |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| MAYO CLINIC HOSPITAL - SAINT MARYS CAMPUS | 1216 2ND ST SW | ROCHESTER | MN | 55902 | 30 |
| RIVERSIDE METHODIST HOSPITAL | 3535 OLENTANGY RIVER RD | COLUMBUS | OH | 43214 | 15 |
| DELRAY MEDICAL CENTER | 5352 LINTON BLVD | DELRAY BEACH | FL | 33484 | 14 |
| No | ICD Diagnosis Code | Description |
|---|---|---|
| 1 | K810 | Acute cholecystitis |
| 2 | E785 | Hyperlipidemia, unspecified |