American Hospital Directory - Profile Compare

Profile Compare

Estimated Patient Volumes

Patient volumes are estimated using data from a hospital's most recent Medicare Cost Report, Medicare inpatient claims data (MedPAR), and Medicare outpatient claims data (OPPS). Estimates are rounded to the nearest hundred.

Inpatient Surgeries = MedicareSurgeries / (MedicareDischarges / TotalDischarges)
	where: MedicareSurgeries = number of Medicare inpatient claims for surgical DRGs (MedPAR) MedicareDischarges = total number of Medicare discharges per the hospital's most recent cost report (W/S S-3, part 1, line 12, column 13) TotalDischarges = total number of discharges (all payors) per the hospital's most recent cost report (W/S S-3, part 1, line 12, column 15)
Outpatient Surgeries = MedicareSurgeries / (MedicareDays / TotalDays)
	where: MedicareSurgeries = number of Medicare outpatient claims with revenue code 360 or 361 (OPPS) MedicareDays = total Medicare patient days per the hospital's most recent cost report (W/S S-3, part 1, line 5, column 4) TotalDays = total patient days (all payors) per the hospital's most recent cost report (W/S S-3, part 1, line 5, column 6)
Births = NurseryDays / AvgLOS
	where: NurseryDays = number of patient days for nursery per the hospital's most recent cost report (W/S S-3, part 1, line 11, column 6) AvgLOS = national average length of stay for normal newborns (MS-DRG 795) and prematurity without major problems (MS-DRG 792) = 2.0 ^* * per AHRQ/HCUP statistics for year 2018 (most current available as of 8/8/2022).
Outpatient Claims = MedicareClaims / (MedicareDays / TotalDays)
	where: MedicareClaims = total number of Medicare outpatient claims (OPPS) MedicareDays = total Medicare patient days per the hospital's most recent cost report (W/S S-3, part 1, line 5, column 4) TotalDays = total patient days (all payors) per the hospital's most recent cost report (W/S S-3, part 1, line 5, column 6)
Emergency Room Visits (not admitted) = MedicareERClaims / (MedicareDays / TotalDays)
	where: MedicareERClaims = total number of Medicare outpatient claims with revenue code 45x (OPPS) MedicareDays = total Medicare patient days per the hospital's most recent cost report (W/S S-3, part 1, line 5, column 4) TotalDays = total patient days (all payors) per the hospital's most recent cost report (W/S S-3, part 1, line 5, column 6)
Emergency Room Visits (admitted) = MedicareIPClaimsWithER / (MedicareDischarges / TotalDischarges)
	where: MedicareIPClaimsWithER = Number of Medicare inpatient claims with charges for emergency services (MedPAR) MedicareDischarges = total number of Medicare discharges per the hospital's most recent cost report (W/S S-3, part 1, line 12, column 13) TotalDischarges = total number of discharges (all payors) per the hospital's most recent cost report (W/S S-3, part 1, line 12, column 15)