Other information is taken from public data sources maintained by the American Hospital Directory:
Utilization statistics and volumes by type of payer are obtained from a hospital's most recent Medicare cost report. Data are updated on a quarterly basis as more recent information becomes available:
| Beds: | W/S S-3, part I, col 1 |
| Inpatient Days: | W/S S-3, part I, col 4-6 |
| Discharges: | W/S S-3, part I, col 15 |
| Average Length of Stay: | Calculated: Days / Discharges |
| Average Daily Census: | Calculated: Days / 365 |
The presence of a clinical service is determined using data from a hospital's most recent Medicare Cost Report, Medicare inpatient claims data, Medicare outpatient claims data, and other sources.
The following specifications are based on the most common procedures within a clinical service and may not include less common procedures (i.e. the presence of the more common procedures was used to test for the presence of a service). Due to AMA copyright restrictions CPT procedure codes for outpatient services are not published on the website.
The following is a list of all services that may be reported for a hospital:
| Cardiovascular Services | ||
| Cardiac Rehab | More than ten Medicare outpatient claims for outpatient cardiac rehabilitation | |
| Cardiac Cath Lab | More than ten Medicare outpatient claims for left heart catheterization AND/OR more than ten Medicare inpatient claims for left or combined right and left heart catheterization (ICD 37.22-37.23) | |
| Carotid Stenting | Hospital meets the CMS minimum facility standards for performing carotid artery stenting for high risk patients. | |
| Coronary Interventions | More than ten Medicare inpatient claims for removal of coronary artery obstruction and insertion of stent(s) (ICD 36.0x and 00.66) | |
| Cardiac Surgery | More than ten Medicare inpatient claims for bypass anastomosis for heart revascularization (ICD 36.1x) | |
| Electrophysiology | More than ten Medicare inpatient or outpatient claims for comprehensive electrophysiologic evaluation (ICD 37.26 or selected CPT codes) | |
| Vascular Surgery | More than ten Medicare inpatient claims for resection of vessel with replacement (ICD 38.44-38.45) and/or aortic-iliac-femoral bypass (ICD 39.25) | |
| Vascular Intervention | More than ten Medicare outpatient claims for percutaneous transluminal balloon angioplasty. | |
| Emergency Services | ||
| Emergency Department | More than 50 emergency department visits (based on estimated volumes reported elsewhere on the hospital profile). | |
| ACS/COT Approved Trauma Program | Verification status provided by The American College of Surgeons (ACS) Committee on Trauma (COT) Verificatio Program. | |
| Neurosciences | ||
| Electroencephalography (EEG) | More than ten Medicare outpatient claims for routine EEG and/or special EEG tests. | |
| Sleep Studies | More than ten Medicare outpatient claims for sleep testing AND/OR more than ten Medicare inpatient claims for polysomnogram (ICD 89.17) | |
| Oncology Services | ||
| Radiation Therapy | More than ten Medicare outpatient claims for delivery of radiation therapy (6-19 MeV) | |
| Chemotherapy | More than ten Medicare outpatient claims for chemotherapy (HCPCS C8953-C8955. J9000, J9999, and/or selected CPT codes) | |
| Orthopedic Services | ||
| Arthroscopy | More than ten Medicare outpatient claims for arthroscopy with meniscectomy (medial or lateral) | |
| Joint Replacement | More than ten Medicare inpatient claims for total hip replacement (ICD 81.51) and more than ten Medicare inpatient claims for total knee replacement (ICD 81.54). | |
| Spine Surgery | More than ten Medicare inpatient claims for spinal fusion (ICD 81.00-81.08), refusion of spine (ICD 81.30-81.39), and/or certain other procedures on spine (ICD 81.63-81.66) | |
| Organ Transplant (Medicare certified) | ||
| Heart | Medicare certification date as reported in the hospital's most recent cost report (W/S S-2, part I, line 127, column 2) | |
| Intestinal | Medicare certification date as reported in the hospital's most recent cost report (W/S S-2, part I, line 131, column 2) | |
| Kidney | Medicare certification date as reported in the hospital's most recent cost report (W/S S-2, part I, line 126, column 2) | |
| Liver | Medicare certification date as reported in the hospital's most recent cost report (W/S S-2, part I, line 128, column 2) | |
| Lung | Medicare certification date as reported in the hospital's most recent cost report (W/S S-2, part I, line 129, column 2) | |
| Pancreas | Medicare certification date as reported in the hospital's most recent cost report (W/S S-2, part I, line 130, column 2) | |
| Radiology / Nuclear Medicine / Imaging | ||
| Computed Tomography (CT) Scanner | More than ten Medicare outpatient claims for CT of head or brain, pelvis, or abdomen | |
| Computed Tomography Angiography (CTA) | More than ten Medicare outpatient claims for CTA of chest, abdomen, pelvis, or neck | |
| Digital Mammography | More than ten Medicare outpatient claims for digital mammography (selected CPT codes) | |
| Intensity-Modulated Radiation Therapy (IMRT) | More than ten Medicare outpatient claims for IMRT | |
| Magnetic Resonance Angiography (MRA) | More than ten Medicare outpatient claims for MRA of abdomen (HCPCS C8900-C8902), chest (HCPCS C8909-C8911). or lower extremity (HCPCS C8912-C8914) | |
| Magnetic Resonance Imaging (MRI) | More than ten Medicare outpatient claims for MRI of brain or spinal canal | |
| Positron Emission Tomography (PET) | More than ten Medicare outpatient claims for PET imaging of heart, brain, and/or tumor (selected CPT codes) | |
| Single Photon Emission Computerized Tomography (SPECT) | More than ten Medicare outpatient claims for SPECT single or multiple studies | |
| Rehabilitation Therapies | ||
| Speech Therapy | More than ten Medicare outpatient claims for aural rehabilitation | |
| Physical Therapy | More than ten Medicare outpatient claims for therapeutic exercises to develop strength, endurance, range of motion, and flexibility. | |
| Surgery | ||
| Bariatric Surgery | Hospital meets the CMS minimum facility standards for bariatric surgery and has been certified by ACS and/or ASBS. | |
| Inpatient Surgery | More than ten Medicare inpatient claims for surgical DRGs | |
| Radiosurgery | More than ten Medicare claims for CyberKnife, GammaKnife, SRS, etc. (HCPCS G0339, G0340, G0173, G0251 and selected CPT codes) | |
| Robotic Surgery | More than ten Medicare claims for computer assisted robotic surgery (ICD 17.41-17.49 and selected CPT codes) | |
| Wound Care | ||
| Hyperbaric Oxygen | More than ten Medicare outpatient claims for hyperbaric oxygen (HCPCS C1300) | |
| Wound Care | More than ten Medicare outpatient claims for removal of devitalized tissue from wounds (selected CPT codes) | |
| Other Services | ||
| Hemodialysis | More than ten Medicare inpatient claims for hemodialysis (ICD 39.95) | |
| Home Health | Hospital-based home health agency per the hospital's most recent cost report (W/S S-2, part I, line 12, column 2 or 3) | |
| Hospice | Hospital-based hospice per the hospital's most recent cost report (W/S S-2, part I, line 14, column 2 or 5) | |
| Lithrotripsy (ESWL) | More than ten Medicare outpatient claims for extracorporeal shock wave lithotripsy | |
| Obstetrics | More than 50 births (based on estimated volumes reported elsewhere n the hospital profile). | |
| Subprovider Units | ||
| Psychiatric | Beds designated in a psychiatric distinct part unit (DPU) per the hospital's most recent cost report (W/S S-3, part 1, line 16, column 2) | |
| Rehabilitation | Beds designated in a rehabilitation distinct part unit (DPU) per the hospital's most recent cost report (W/S S-3, part 1, line 17, column 2) | |
| Skilled Nursing (SNF) | Designated skilled nursing beds per the hospital's most recent cost report (W/S S-3, part 1, line 19, column 2) | |
| Nursing Facility (NF) | Designated nursing facility beds per the hospital's most recent cost report (W/S S-3, part 1, line 20, column 2) | |
| Swing Beds - SNF | Designated SNF swing bed revenue per the hospital's most recent cost report (W/S G-2, part 1, line 5, column 3) | |
| Swing Beds - NF | Designated NF swing bed revenue per the hospital's most recent cost report (W/S G-2, part I, line 6, column 3) | |
| Special Care | ||
| Intensive Care Unit (ICU) | Beds designated in an ICU per the hospital's most recent cost report (W/S S-3, part 1, line 8, column 2) | |
| Coronary Intensive Care (CCU) | Beds designated in a CCU per the hospital's most recent cost report (W/S S-3, part 1, line 9, column 2) | |
| Burn Intensive Care (BICU) | Beds designated in a BICU per the hospital's most recent cost report (W/S S-3, part 1, line 10, column 2) | |
| Surgical Intensive Care (SICU) | Beds designated per the hospital's most recent cost report (W/S S-3, part 1, line 11, column 2) | |
| Psychiatric Intensive Care | Beds designated per the hospital's most recent cost report (W/S S-3, part 1, line 12.05, column 2) | |
| Pediatric Intensive Care | Beds designated per the hospital's most recent cost report (W/S S-3, part 1, line 12.10, column 2) | |
| Neonatal Intensive Care | Beds designated per the hospital's most recent cost report (W/S S-3, part 1, line 12.15, column 2) | |
| Trauma Intensive Care | Beds designated per the hospital's most recent cost report (W/S S-3, part 1, line 12.20, column 2) | |
| Detox Intensive Care | Beds designated per the hospital's most recent cost report (W/S S-3, part 1, line 12.25, column 2) | |
| Premature Intensive Care | Beds designated per the hospital's most recent cost report (W/S S-3, part 1, line 12.30, column 2) | |