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COMMUNITY MEDICAL CENTER INC

General Acute Care Hospital·TOMS RIVER, NJ·NPI: 1013010917Share

Compared to General Acute Care Hospital Peers

Total spending distribution among 156 providers in this specialty

P25MedianP75P90

This provider's total spending of $88.2M is at the below 25th percentile among 156 General Acute Care Hospital providers.

Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$88.2M

$88,246,780

Total Claims

1.4M

Beneficiaries

1.1M

1.3 claims/patient

Avg Cost/Claim

$64

Monthly Spending Trend

Yearly Spending

2018
$13.3M
-3%
2019
$13.0M
-24%
2020
$9.8M
+32%
2021
$12.9M
+8%
2022
$14.0M
-2%
2023
$13.7M
-17%
2024
$11.4M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 50 distinct procedure codes. The top code (G0378 (Hospital observation service, per hour)) accounts for 19% of total spending.

G0378Top 10%

Hospital observation service, per hour

$16.6M

24K claims · 18.8%

Your Cost: $704.23/claim|Median: $99.39
7.1× median
99284Top 5%

Emergency dept visit, high complexity

$13.2M

32K claims · 15.0%

Your Cost: $412.04/claim|Median: $69.51
5.9× median
99283Top 5%

Emergency dept visit, moderate complexity

$13.1M

36K claims · 14.8%

Your Cost: $365.56/claim|Median: $42.48
8.6× median
99285Top 10%

Emergency dept visit, high/urgent complexity

$11.8M

39K claims · 13.4%

Your Cost: $302.87/claim|Median: $85.65
3.5× median
93306Top 1%

Echocardiography, transthoracic, complete, with Doppler

$4.3M

4,295 claims · 4.9%

Your Cost: $1,009.30/claim|Median: $54.68
18.5× median
99282Top 5%

Emergency dept visit, low complexity

$2.5M

10K claims · 2.8%

Your Cost: $241.24/claim|Median: $37.72
6.4× median
80053Top 10%

Comprehensive metabolic panel

$1.8M

80K claims · 2.0%

Your Cost: $21.97/claim|Median: $7.24
3.0× median
93017Top 1%

$1.2M

1,950 claims · 1.3%

Your Cost: $606.57/claim|Median: $56.03
10.8× median
96413Top 5%

Chemotherapy administration, IV infusion, up to 1 hour

$1.1M

3,381 claims · 1.3%

Your Cost: $336.19/claim|Median: $75.28
4.5× median
OP250Top 25%

Orthotic or prosthetic procedure, not otherwise classified

$1.1M

100K claims · 1.3%

Your Cost: $11.27/claim|Median: $1.68
6.7× median
97110Top 25%

Therapeutic exercises, each 15 min

$1.1M

25K claims · 1.2%

Your Cost: $41.88/claim|Median: $24.49
1.7× median
78452Top 5%

Myocardial perfusion imaging, SPECT, multiple studies

$889K

1,594 claims · 1.0%

Your Cost: $557.49/claim|Median: $106.14
5.3× median
71046Top 10%

Chest X-ray, 2 views

$786K

16K claims · 0.9%

Your Cost: $49.57/claim|Median: $8.92
5.6× median
71045Top 5%

Chest X-ray, single view

$759K

16K claims · 0.9%

Your Cost: $48.54/claim|Median: $4.93
9.8× median
96367Top 1%

$689K

2,568 claims · 0.8%

Your Cost: $268.18/claim|Median: $29.27
9.2× median
93005Normal range

Electrocardiogram, tracing only, without interpretation

$642K

35K claims · 0.7%

Your Cost: $18.17/claim|Median: $7.50
2.4× median
74177Normal range

CT abdomen and pelvis with contrast

$608K

6,150 claims · 0.7%

Your Cost: $98.87/claim|Median: $65.76
1.5× median
77067Top 10%

Screening mammography, bilateral, including CAD

$580K

4,812 claims · 0.7%

Your Cost: $120.61/claim|Median: $39.33
3.1× median
36415Top 10%

Collection of venous blood by venipuncture

$564K

99K claims · 0.6%

Your Cost: $5.70/claim|Median: $1.57
3.6× median
85025Normal range

Complete blood count (CBC) with differential, automated

$506K

75K claims · 0.6%

Your Cost: $6.75/claim|Median: $4.71
1.4× median
95800Top 1%

$488K

542 claims · 0.6%

Your Cost: $900.03/claim|Median: $86.65
10.4× median
96365Normal range

IV infusion, therapeutic/prophylactic/diagnostic, initial, up to 1 hour

$473K

5,331 claims · 0.5%

Your Cost: $88.80/claim|Median: $54.77
1.6× median
70450Normal range

CT head/brain without contrast

$389K

9,790 claims · 0.4%

Your Cost: $39.72/claim|Median: $45.53
0.9× median
97140Top 5%

Manual therapy techniques, per 15 minutes

$348K

7,295 claims · 0.4%

Your Cost: $47.73/claim|Median: $16.79
2.8× median
96374Normal range

Therapeutic/prophylactic/diagnostic IV push, single substance

$307K

23K claims · 0.3%

Your Cost: $13.06/claim|Median: $21.76
0.6× median
87636Normal range

Respiratory virus detection, 6-11 targets, nucleic acid

$305K

18K claims · 0.3%

Your Cost: $16.57/claim|Median: $97.61
0.2× median
96361Normal range

IV infusion, hydration, each additional hour

$302K

17K claims · 0.3%

Your Cost: $17.39/claim|Median: $38.92
0.4× median
76830Top 10%

Ultrasound, transvaginal

$299K

2,572 claims · 0.3%

Your Cost: $116.43/claim|Median: $57.47
2.0× median
C1713Top 25%

Anchor or screw for tissue to bone fixation

$296K

380 claims · 0.3%

Your Cost: $778.63/claim|Median: $123.40
6.3× median
96375Normal range

Therapeutic/prophylactic/diagnostic IV push, each additional substance

$287K

13K claims · 0.3%

Your Cost: $21.51/claim|Median: $14.92
1.4× median
90791Normal range

Psychiatric diagnostic evaluation

$274K

10K claims · 0.3%

Your Cost: $26.41/claim|Median: $99.21
0.3× median
93970Top 10%

Duplex scan of extremity veins, complete, bilateral

$265K

1,488 claims · 0.3%

Your Cost: $177.77/claim|Median: $43.07
4.1× median
G0480Normal range

Drug test, definitive, 1-7 drug classes

$264K

10K claims · 0.3%

Your Cost: $26.10/claim|Median: $37.56
0.7× median
80307Normal range

Drug test, presumptive, by chemistry analyzers

$244K

14K claims · 0.3%

Your Cost: $17.66/claim|Median: $35.43
0.5× median
99281Top 5%

Emergency dept visit, minimal complexity

$242K

1,048 claims · 0.3%

Your Cost: $230.65/claim|Median: $52.03
4.4× median
76705Top 25%

Ultrasound, abdominal, limited

$235K

3,371 claims · 0.3%

Your Cost: $69.64/claim|Median: $23.81
2.9× median
92507Normal range

Speech/hearing/language treatment

$221K

3,388 claims · 0.3%

Your Cost: $65.33/claim|Median: $49.45
1.3× median
76642Top 5%

$215K

1,791 claims · 0.2%

Your Cost: $120.18/claim|Median: $32.06
3.7× median
74176Normal range

CT abdomen and pelvis without contrast

$212K

2,860 claims · 0.2%

Your Cost: $74.15/claim|Median: $60.19
1.2× median
96372Top 25%

Therapeutic injection, subcutaneous/intramuscular

$202K

14K claims · 0.2%

Your Cost: $14.47/claim|Median: $9.56
1.5× median
73564Top 10%

$197K

3,166 claims · 0.2%

Your Cost: $62.12/claim|Median: $15.00
4.1× median
80048Top 25%

Basic metabolic panel

$189K

12K claims · 0.2%

Your Cost: $16.04/claim|Median: $5.78
2.8× median
11042Top 25%

Debridement, subcutaneous tissue, first 20 sq cm

$187K

1,393 claims · 0.2%

Your Cost: $134.42/claim|Median: $36.13
3.7× median
OP710Normal range

$185K

6,701 claims · 0.2%

Your Cost: $27.57/claim|Median: $68.93
0.4× median
77063Top 25%

Screening digital breast tomosynthesis, bilateral

$170K

3,861 claims · 0.2%

Your Cost: $44.12/claim|Median: $21.41
2.1× median
87635Normal range

COVID-19 SARS-CoV-2 amplified probe detection

$166K

5,197 claims · 0.2%

Your Cost: $31.90/claim|Median: $39.70
0.8× median
97530Normal range

Therapeutic activities, each 15 min

$162K

4,852 claims · 0.2%

Your Cost: $33.42/claim|Median: $33.11
1.0× median
93971Top 25%

Duplex scan of extremity veins, unilateral or limited

$160K

1,802 claims · 0.2%

Your Cost: $89.02/claim|Median: $25.43
3.5× median
76700Top 10%

Ultrasound, abdominal, complete

$152K

1,030 claims · 0.2%

Your Cost: $147.32/claim|Median: $50.69
2.9× median
76817Top 10%

Ultrasound, pregnant uterus, transvaginal

$150K

1,622 claims · 0.2%

Your Cost: $92.54/claim|Median: $47.65
1.9× median

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$717.5M

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$708.7M

Quest Diagnostics Incorporated

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Bioreference Health LLC

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$620.1M

Similar Providers

Other top providers in General Acute Care Hospital

Yale New Haven Hospital

New Haven, CT

$1.08B

Montefiore Medical Center

Bronx, NY

$961.1M

The Cleveland Clinic Foundation

Cleveland, OH

$863.5M

Nationwide Children's Hospital

Columbus, OH

$777.5M

Boston Medical Center Corporation

Boston, MA

$768.5M

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