• Medicare IPPS claims data are for federal fiscal year ending 09/30/2016 (Proposed rule MedPAR).
  • These reports are consistent with CMS cell size suppression policy.
  • The Case Mix Index (CMI) for LTAC hospitals reflects LTAC regulations.
Sample Hospital
Louisville, KY  11111
CMS Certification Number: 000000

Sample Report | Order Information

Inpatient Utilization

Based on Medicare IPPS claims data

Build color coded maps based on more detailed Patient Origin data
More Information | Sample Report

Patient Origin

  • Medicare Hospital Market Service Area file for calendar year ending 12/31/2016 / Definitions
ZIP Code of Residence Discharges Days of Care Charges Discharges Inc/(Dec) Market Share
40219 1,243 6,868 63,174,007 5.9% 56.4%
40216 1,048 5,887 57,470,989 0.3% 36.8%
40165 1,043 5,724 57,261,187 2.9% 55.6%
40229 1,027 5,745 58,443,460 -4.1% 55.5%
40214 851 4,860 48,848,060 -5.0% 37.2%
40272 851 4,591 46,080,599 -5.5% 35.0%
40241 758 3,211 36,931,032 1.5% 55.0%
40291 712 3,496 37,601,911 11.1% 39.8%
40218 670 3,469 31,357,800 -11.3% 43.8%
40211 669 3,841 33,271,041 -9.7% 39.2%
All other ZIP Codes 17,850 93,461 1,039,318,730    
Total 26,722 141,153 1,509,758,816 0.9%  
Analyze the factors that define a hospital’s payment under IPPS
More Information | Sample Report

Trend Report

Inpatient Utilization Statistics FY 2016 FY 2015 FY 2014 FY 2013 FY 2012
Case Mix Index 1.8385 1.8325 1.8405 1.7994 1.7684
Medical MS-DRGs 67.07% 68.30% 67.59% 66.13% 64.40%
Surgical MS-DRGs 32.93% 31.70% 32.41% 33.87% 35.60%
Routine Discharges to home 9,915 10,537 9,415 9,014 9,285
Discharges to other acute care hospitals 58 57 76 95 79
Discharges to Skilled Nursing Facilities (SNF) 4,885 4,988 4,332 4,645 4,235
Deaths 590 615 495 589 607
Other Discharges 3,966 3,304 3,191 4,009 5,148
Total Discharges 19,414 19,501 17,509 18,352 19,354
Psychiatric Discharges (DPU, included in Total) 50 157
Rehabilitation Discharges (DPU, included in Total)
Medicare Advantage (HMO) Discharges (NOT included in Total) 7,032 6,813 5,815 5,200 N/A
Use coding indicators and comparative data to identify areas for improvement
More Information | Sample Report

Statistics for the Top 20 Base MS-DRGs

  • Costs calculated per hospital's cost report for the period ending 12/31/2015. / Definitions
Base MS-DRG Base MS-DRG Description IPPS Cases ALOS Average Charges Average Payment Average Cost Case Mix Index CC/MCC Rate MCC Rate
293-292-291 Heart failure & shock 964 5.0 $33,686 $7,717 $7,624 1.1745 87.6% 47.2%
470-469 Major joint replacement or reattachment of lower extremity 943 2.7 $89,008 $14,116 $20,270 2.1692 7.2% 7.2%
872-871 Septicemia or severe sepsis w/o MV 96+ hours 941 6.4 $48,639 $10,870 $10,724 1.6476 80.7% 80.7%
195-194-193 Simple pneumonia & pleurisy 695 4.6 $31,859 $7,750 $7,105 1.1652 86.5% 50.5%
192-191-190 Chronic obstructive pulmonary disease 660 4.4 $29,823 $6,853 $6,884 1.0319 86.7% 56.1%
684-683-682 Renal failure 624 4.5 $28,873 $7,261 $6,573 1.1485 90.5% 41.8%
690-689 Kidney & urinary tract infections 545 3.4 $21,940 $6,135 $4,716 0.9228 46.8% 46.8%
310-309-308 Cardiac arrhythmia & conduction disorders 511 3.6 $26,303 $5,641 $5,525 0.8674 66.9% 36.4%
066-065-064 Intracranial hemorrhage or cerebral infarction 499 4.2 $43,757 $8,136 $7,907 1.2168 79.8% 32.5%
392-391 Esophagitis, gastroent & misc digest disorders 444 3.5 $22,903 $5,366 $4,797 0.8266 19.1% 19.1%
379-378-377 G.I. hemorrhage 432 4.3 $32,764 $7,608 $7,490 1.1712 86.3% 29.2%
179-178-177 Respiratory infections & inflammations 428 5.9 $40,886 $10,639 $9,367 1.6822 93.7% 64.0%
460-459 Spinal fusion except cervical 329 3.9 $139,036 $28,425 $30,529 4.2220 9.7% 9.7%
641-640 Misc disorders of nutrition,metabolism,fluids/electrolytes 304 3.5 $22,092 $4,808 $4,968 0.9526 56.3% 56.3%
247-246 Percutaneous cardiovascular proc w drug-eluting stent 303 3.8 $90,667 $14,125 $15,309 2.4113 25.1% 25.1%
254-253-252 Other vascular procedures 242 5.7 $78,519 $16,362 $17,702 2.8546 85.5% 55.4%
331-330-329 Major small & large bowel procedures 239 9.2 $75,751 $19,889 $17,527 3.1267 76.2% 31.4%
473-472-471 Cervical spinal fusion 231 2.5 $89,055 $17,883 $19,143 2.6352 40.3% 5.6%
603-602 Cellulitis 230 4.5 $21,777 $6,344 $5,600 0.9669 20.9% 20.9%
983-982-981 Extensive O.R. procedure unrelated to principal diagnosis 217 9.2 $85,588 $23,613 $19,201 4.0105 88.5% 65.4%
All Other Base MS-DRGs 9,633 5.7 $60,242 $13,194 $13,137 2.0827
T O T A L S 19,414 5.1 $54,217 $11,721 $11,844 1.8385

Search for Individual MS-DRGs

  • Enter MS-DRG desired and statistics will appear in a new window.
  • (Only MS-DRGs representing more than 10 patients are reported.)
  • Click here for MS-DRG Definitions (pdf or Excel). / Definitions

Search for Prior DRGs and Statistics (FY 2003-2007)

  • Enter DRG desired and statistics will appear in a new window.
  • (Only DRGs representing more than 10 patients are reported.)
  • Please note that Prior DRGs numbers do not correspond to MS-DRGs.
  • Also please note that "Average Reimbursement" for DRGs is different than "Average Payment" now reported for MS-DRGs.
  • Click here for DRG Definitions (pdf or Excel). / Definitions
Explore online costs by MS-DRG, medical service, routine service, or department
More Information | Sample Report

Statistics by Medical Service

  • Costs calculated per hospital's cost report for the period ending 12/31/2015. / Definitions
  Number Medicare Inpatients Average Length of Stay Average Charges Average Cost Medicare CMI CMI Adjusted Avg. Cost
Cardiology 2,530 4.3 $33,915 $7,072 1.0906 $6,484
Cardiovascular Surgery 873 5.9 $132,386 $26,369 3.9270 $6,715
Gynecology 109 3.9 $48,276 $9,798 1.2850 $7,625
Medicine 4,283 4.9 $34,381 $7,678 1.2401 $6,191
Neurology 1,331 3.9 $36,217 $6,822 1.1310 $6,032
Neurosurgery 221 5.0 $114,782 $25,547 3.5548 $7,187
Obstetrics 78 5.2 $24,431 $6,271 0.8336 $7,523
Oncology 304 6.0 $46,305 $9,583 1.6821 $5,697
Orthopedic Surgery 2,433 3.8 $100,343 $22,495 2.8660 $7,849
Orthopedics 410 3.7 $24,809 $5,250 1.0346 $5,075
Psychiatry 265 6.2 $19,881 $7,179 0.9743 $7,368
Pulmonology 2,490 5.2 $37,560 $8,408 1.3558 $6,202
Surgery 1,997 9.1 $84,371 $18,945 3.4649 $5,468
Surgery for Malignancy 143 5.5 $69,530 $14,212 1.9897 $7,143
Urology 1,572 4.4 $30,605 $6,859 1.2177 $5,633
Vascular Surgery 375 5.8 $78,646 $17,549 2.7675 $6,341
Burns 0 0.0 $0 $0 0.0000 $0
TOTAL 19,414 5.13 $54,217 $11,844 1.8385 $6,442