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In their 2017 report, the American Heart Association listed cardiovascular diseases—including atri­al fibrillation, congestive heart failure, coronary heart disease, high blood pressure, and stroke—as the primary cause of death for Americans since 1920. Because of its increasing prevalence, the American Heart Association has labelled cardiovascular disease “America’s costliest disease,” estimating direct treatment costs to reach a projected $1 trillion nationwide by 2035.

According to reports from the Centers for Medicare and Medicaid Services (CMS) through July 2019, heart attack patients pay an average of nearly $30,000 for their treatments—an almost $6,000 increase from April 2018. The following list contains the top 25 hospitals with the highest heart attack payments, and the top 25 hospitals with the highest heart attack readmission rates.

Of the top 25 hospitals with the highest heart attack episode payments, 13 hospitals—roughly 52 percent—reported excess readmissions. Excess readmission rates are measured by dividing a hospital’s number of “predicted” 30-day readmissions by an “expected” national average based on performance at similar hospitals. Ratios greater than 1.00 indicate excess readmissions.

For the top 25 hospitals with the highest heart attack readmission rates, the average reported heart attack readmission rate is 18.7 percent—three percentage points higher than the overall average of 15.7 percent. This overall average is calculated based on quality metrics data for the almost 8,000 hospitals that Definitive Healthcare tracks. Note that for this list, VA hospitals have been excluded for financial reporting purposes.

The average reported heart attack mortality rate is 12.65 percent for the top 25 hospitals, which is about a one percent decrease from 2018 data. Though the top five hospitals by heart attack mortal­ity rate reported a slightly lower average, there doesn’t appear to be a strong correlation between high heart attack readmission rates and heart attack mortality rates.

Taking hospital bed count as an indicator of patient volume, we might expect to see a correla­tion between the number of staffed beds and higher heart attack payments or readmission rates. There doesn’t, however, seem to be a connection in either case. In fact, the hospitals with both the highest number of staffed beds and the lowest number of staffed beds appear in the list of top five hospitals by heart attack payment.

25 Hospitals with the Highest Heart Attack Payments

  Hospital Name Definitive ID Average Payment Excess Readmission Ratio Number of Staffed Beds Net Patient Revenue

1.

Weirton Medical Center

4431

$31,190

1.04

127

$167,050,872

2.

Memorial Hermann - Texas Medical Center

4018

$30,986

1.03

993

$1,613,167,123

3.

Cedars-Sinai Medical Center

430

$30,724

0.99

880

$3,140,742,831

4.

CHI Health Nebraska Heart

2548

$30,313

0.86

54

N/A

5.

Westchester Medical Center

2926

$30,224

0.97

383

$1,233,480,843

6.

Kearney Regional Medical Center

800693

$30,188

0.95

94

$118,100,072

7.

Memorial Hospital at Gulfport

2269

$30,174

1.12

281

$488,278,775

8.

Resolute Health Hospital

581941

$30,069

0.99

100

$79,262,829

9.

Faith Regional Health Services

2552

$30,045

0.93

131

$163,380,795

10.

St Elizabeths Medical Center

1972

$30,024

1.13

212

$381,055,490

11.

RWJ University Hospital Hamilton

2675

$29,791

1.01

152

$190,438,200

12.

Sunrise Hospital & Medical Center

2586

$29,733

1.04

554

$590,704,857

13.

AMITA Health Saint Joseph Hospital Elgin

1197

$29,650

0.98

144

$145,086,881

14.

JFK Medical Center

2677

$29,587

1.1

357

$568,071,541

15.

Paris Regional Medical Center

4068

$29,414

0.97

154

$128,963,129

16.

Montefiore New Rochelle Hospital

2923

$29,142

1.02

151

$151,842,996

17.

Bayshore Medical Center

2684

$29,131

0.96

169

$155,534,999

18.

Saint Clares Denville Hospital

2688

$29,076

1.11

264

$276,840,859

19.

Houston Methodist Clear Lake Hospital

3992

$29,075

0.99

178

$160,767,874

20.

Bayhealth Hospital - Sussex Campus

926574

$29,055

N/A

128

$167,123,913

21.

Community Hospital

1340

$29,044

1.04

410

$530,188,660

22.

Tomball Regional Medical Center (AKA HCA Houston Healthcare Tomball)

4000

$28,986

1.01

194

$151,381,291

23.

Kingwood Medical Center (AKA HCA Hous­ton Healthcare Kingwood)

3990

$28,925

1.06

494

$306,660,206

24.

Saint Peters University Hospital

2678

$28,836

1.11

353

$446,763,632

25.

M Health Fairview University of Minne­sota Medical Center West Bank Hospital

2154

$28,789

0.96

778

$1,543,027,683

Fig 1. Quality metrics data from Definitive Healthcare’s Hospital & IDN database. Data sourced from the CMS Quality Metrics report, updated in July 2019—the most recent available.

 

25 Hospitals with the Highest Heart Attack Readmission Rates

  Hospital Name Definitive ID Readmission Rate Mortality Rate Number of Staffed Beds Net Patient Revenue

1.

Oroville Hospital

309

19.70%

12.30%

133

$295,541,066

2.

AdventHealth Heart of Florida

910

19.70%

12.70%

193

$137,893,889

3.

DMC Harper University Hospital

2115

19.70%

11.40%

368

$449,535,924

4.

Garden City Hospital

2100

19.10%

12.00%

130

$153,534,812

5.

Ascension St Vincents Riverside Hos­pital

796

19.00%

12.40%

481

$481,062,346

6.

St Rose Hospital

295

18.90%

13.20%

195

$136,818,602

7.

Jersey City Medical Center

2665

18.90%

12.50%

272

$383,706,286

8.

Medical City Fort Worth

4135

18.90%

12.20%

200

$260,204,837

9.

Northside Hospital

897

18.80%

13.40%

221

$162,882,287

10.

Providence Medical Center

1630

18.60%

11.50%

171

$146,545,382

11.

Pikeville Medical Center

1713

18.60%

12.90%

268

$495,427,340

12.

Aventura Hospital and Medical Center

859

18.50%

13.60%

351

$348,730,460

13.

Emory Saint Josephs Hospital (AKA St Josephs Hospital of Atlanta)

997

18.50%

13.50%

274

$370,174,991

14.

Capital Regional Medical Center

833

18.50%

11.80%

242

$223,356,245

15.

Norwegian American Hospital

1126

18.50%

11.90%

173

$74,149,985

16.

National Park Medical Center

248

18.50%

14.90%

126

$111,045,040

17.

Mount Sinai St Lukes

2850

18.50%

11.30%

485

$1,060,187,386

18.

AllianceHealth Midwest

3330

18.40%

14.50%

223

$104,775,063

19.

TriStar Centennial Medical Center

3746

18.40%

11.70%

472

$803,613,914

20.

Emanuel Medical Center

618

18.40%

11.60%

209

$254,150,353

21.

Saline Memorial Hospital

280

18.30%

13.70%

130

$105,759,092

22.

Eastside Medical Center

1008

18.30%

14.20%

206

$205,521,403

23.

Tufts Medical Center

1966

18.30%

13.30%

364

$732,796,429

24.

Beth Israel Deaconess Medical Center

1970

18.30%

11.10%

679

$1,394,488,878

25.

St Elizabeths Medical Center

1972

18.20%

12.60%

212

$381,055,490

Fig 2. Quality metrics data from Definitive Healthcare’s Hospital & IDN database. Data sourced from the CMS Quality Metrics report, updated in July 2019—the most recent available.