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MERCY HOSPITAL CARTHAGE

General Acute Care Hospital, Critical Access·CARTHAGE, MO·NPI: 1003201955Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$18.8M

$18,776,480

Total Claims

163K

Beneficiaries

139K

1.2 claims/patient

Avg Cost/Claim

$115

Monthly Spending Trend

Yearly Spending

2018
$3.6M
+11%
2019
$4.0M
-41%
2020
$2.3M
-60%
2021
$923K
+108%
2022
$1.9M
+55%
2023
$3.0M
+4%
2024
$3.1M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 50 distinct procedure codes. The top code (99283 (Emergency dept visit, moderate complexity)) accounts for 25% of total spending.

99283Top 25%

Emergency dept visit, moderate complexity

$4.8M

40K claims · 25.5%

Your Cost: $120.91/claim|Median: $42.48
2.8× median
99284Top 25%

Emergency dept visit, high complexity

$2.9M

20K claims · 15.2%

Your Cost: $146.56/claim|Median: $69.51
2.1× median
Y7506Normal range

Healthcare procedure, code Y7506

$2.6M

18K claims · 13.9%

Your Cost: $143.48/claim|Median: $146.80
1.0× median
99285Top 10%

Emergency dept visit, high/urgent complexity

$2.0M

8,761 claims · 10.6%

Your Cost: $226.51/claim|Median: $85.65
2.6× median
X4011Normal range

Healthcare procedure, code X4011

$913K

4,219 claims · 4.9%

Your Cost: $216.32/claim|Median: $268.66
0.8× median
85025Top 5%

Complete blood count (CBC) with differential, automated

$822K

10K claims · 4.4%

Your Cost: $79.53/claim|Median: $4.71
16.9× median
X4006Normal range

$791K

1,097 claims · 4.2%

Your Cost: $721.28/claim|Median: $668.05
1.1× median
80053Top 5%

Comprehensive metabolic panel

$624K

8,233 claims · 3.3%

Your Cost: $75.80/claim|Median: $7.24
10.5× median
87804Top 1%

Influenza virus detection, rapid test

$431K

2,391 claims · 2.3%

Your Cost: $180.11/claim|Median: $12.59
14.3× median
G0463Top 25%

Hospital outpatient clinic visit

$389K

4,615 claims · 2.1%

Your Cost: $84.34/claim|Median: $26.41
3.2× median
X4003Normal range

$300K

3,513 claims · 1.6%

Your Cost: $85.43/claim|Median: $74.03
1.2× median
99213Normal range

Office/outpatient visit, est. patient, low-mod complexity

$238K

8,037 claims · 1.3%

Your Cost: $29.60/claim|Median: $37.81
0.8× median
62323Normal range

Epidural injection of diagnostic or therapeutic substance, lumbar

$229K

1,391 claims · 1.2%

Your Cost: $164.35/claim|Median: $111.02
1.5× median
87880Top 1%

Streptococcus, Group A, rapid antigen detection

$225K

4,155 claims · 1.2%

Your Cost: $54.20/claim|Median: $11.48
4.7× median
87636Normal range

Respiratory virus detection, 6-11 targets, nucleic acid

$195K

2,475 claims · 1.0%

Your Cost: $78.98/claim|Median: $97.61
0.8× median
96374Top 10%

Therapeutic/prophylactic/diagnostic IV push, single substance

$194K

1,620 claims · 1.0%

Your Cost: $119.90/claim|Median: $21.76
5.5× median
99282Top 25%

Emergency dept visit, low complexity

$156K

1,564 claims · 0.8%

Your Cost: $99.95/claim|Median: $37.72
2.6× median
87081Top 1%

Culture screening for pathogenic organisms

$154K

1,437 claims · 0.8%

Your Cost: $107.24/claim|Median: $5.09
21.1× median
99214Normal range

Office/outpatient visit, est. patient, mod-high complexity

$115K

2,737 claims · 0.6%

Your Cost: $41.99/claim|Median: $53.41
0.8× median
71045Top 5%

Chest X-ray, single view

$113K

2,041 claims · 0.6%

Your Cost: $55.36/claim|Median: $4.93
11.2× median
71046Top 1%

Chest X-ray, 2 views

$111K

410 claims · 0.6%

Your Cost: $270.68/claim|Median: $8.92
30.3× median
93005Top 25%

Electrocardiogram, tracing only, without interpretation

$56K

1,184 claims · 0.3%

Your Cost: $47.06/claim|Median: $7.50
6.3× median
81001Top 5%

Urinalysis, automated, with microscopy

$54K

1,577 claims · 0.3%

Your Cost: $34.10/claim|Median: $2.03
16.8× median
81003Top 5%

Urinalysis, automated without microscopy

$46K

2,985 claims · 0.2%

Your Cost: $15.54/claim|Median: $1.48
10.5× median
99211Top 25%

Office/outpatient visit, minimal complexity

$38K

1,495 claims · 0.2%

Your Cost: $25.15/claim|Median: $12.93
1.9× median
83690Top 5%

$29K

981 claims · 0.2%

Your Cost: $29.87/claim|Median: $3.35
8.9× median
99204Normal range

Office/outpatient visit, new patient, mod-high complexity

$29K

510 claims · 0.2%

Your Cost: $56.30/claim|Median: $84.03
0.7× median
64615Top 25%

$28K

233 claims · 0.1%

Your Cost: $120.09/claim|Median: $82.82
1.5× median
86140Top 1%

$25K

136 claims · 0.1%

Your Cost: $186.39/claim|Median: $3.02
61.7× median
62321Normal range

$24K

126 claims · 0.1%

Your Cost: $190.31/claim|Median: $132.67
1.4× median
Q9967Top 5%

Low osmolar contrast material, 300-399 mg iodine/ml, per ml

$19K

186 claims · 0.1%

Your Cost: $102.29/claim|Median: $3.42
29.9× median
99212Normal range

Office/outpatient visit, low complexity

$18K

876 claims · 0.1%

Your Cost: $20.02/claim|Median: $25.06
0.8× median
87428Normal range

SARS-CoV-2 COVID-19 antigen detection, immunoassay, each

$16K

524 claims · 0.1%

Your Cost: $30.60/claim|Median: $39.63
0.8× median
96375Top 25%

Therapeutic/prophylactic/diagnostic IV push, each additional substance

$14K

323 claims · 0.1%

Your Cost: $43.13/claim|Median: $14.92
2.9× median
87491Top 5%

Chlamydia detection, nucleic acid, amplified probe

$12K

191 claims · 0.1%

Your Cost: $61.50/claim|Median: $24.95
2.5× median
87591Top 5%

Neisseria gonorrhoeae detection, nucleic acid, amplified probe

$12K

191 claims · 0.1%

Your Cost: $61.47/claim|Median: $23.39
2.6× median
87637Normal range

Respiratory virus detection, 3-5 targets, nucleic acid

$11K

89 claims · 0.1%

Your Cost: $125.72/claim|Median: $100.62
1.2× median
84145Top 1%

$10K

32 claims · 0.1%

Your Cost: $327.33/claim|Median: $6.97
47.0× median
81025Top 10%

Urine pregnancy test

$10K

1,023 claims · 0.1%

Your Cost: $9.82/claim|Median: $4.81
2.0× median
0241UTop 25%

Proprietary lab analysis, genomic sequencing

$9K

66 claims · 0.0%

Your Cost: $132.43/claim|Median: $91.47
1.4× median
98928Normal range

$8K

275 claims · 0.0%

Your Cost: $28.76/claim|Median: $31.88
0.9× median
87807Top 5%

$8K

357 claims · 0.0%

Your Cost: $21.61/claim|Median: $10.06
2.1× median
70450Top 25%

CT head/brain without contrast

$7K

56 claims · 0.0%

Your Cost: $131.69/claim|Median: $45.53
2.9× median
84484Top 10%

Troponin, quantitative

$7K

379 claims · 0.0%

Your Cost: $17.62/claim|Median: $4.84
3.6× median
80048Top 25%

Basic metabolic panel

$6K

334 claims · 0.0%

Your Cost: $18.94/claim|Median: $5.78
3.3× median
87400Top 25%

$5K

357 claims · 0.0%

Your Cost: $14.36/claim|Median: $8.40
1.7× median
74176Top 25%

CT abdomen and pelvis without contrast

$5K

26 claims · 0.0%

Your Cost: $187.93/claim|Median: $60.19
3.1× median
95886Top 1%

$4K

15 claims · 0.0%

Your Cost: $297.41/claim|Median: $67.70
4.4× median
U0003Normal range

Infectious disease detection (COVID-19)

$4K

317 claims · 0.0%

Your Cost: $13.50/claim|Median: $63.08
0.2× median
83735Top 5%

Magnesium blood level test

$4K

44 claims · 0.0%

Your Cost: $88.61/claim|Median: $2.77
32.0× median

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