Statistical flags indicate unusual patterns — not proof of fraud or wrongdoing. Read our methodology

⚖️ Compare🖨️ Print Report

GASTON MEMORIAL HOSPITAL, INCORPORATED

General Acute Care Hospital·GASTONIA, NC·NPI: 1013918960Share

Compared to General Acute Care Hospital Peers

Total spending distribution among 156 providers in this specialty

P25MedianP75P90

This provider's total spending of $49.3M is at the below 25th percentile among 156 General Acute Care Hospital providers.

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

Total Paid

$49.3M

$49,282,634

Total Claims

904K

Beneficiaries

736K

1.2 claims/patient

Avg Cost/Claim

$54

Monthly Spending Trend

Yearly Spending

2018
$4.9M
-0%
2019
$4.9M
-39%
2020
$3.0M
+117%
2021
$6.5M
+39%
2022
$9.0M
+7%
2023
$9.7M
+17%
2024
$11.3M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 50 distinct procedure codes. The top code (99285 (Emergency dept visit, high/urgent complexity)) accounts for 34% of total spending.

99285Top 10%

Emergency dept visit, high/urgent complexity

$16.6M

65K claims · 33.7%

Your Cost: $255.43/claim|Median: $85.65
3.0× median
99283Top 25%

Emergency dept visit, moderate complexity

$11.9M

88K claims · 24.2%

Your Cost: $134.92/claim|Median: $42.48
3.2× median
99284Top 10%

Emergency dept visit, high complexity

$8.7M

39K claims · 17.8%

Your Cost: $225.49/claim|Median: $69.51
3.2× median
87635Top 10%

COVID-19 SARS-CoV-2 amplified probe detection

$1.3M

23K claims · 2.6%

Your Cost: $55.57/claim|Median: $39.70
1.4× median
71045Top 10%

Chest X-ray, single view

$1.1M

34K claims · 2.3%

Your Cost: $32.66/claim|Median: $4.93
6.6× median
41899Normal range

Unlisted procedure, dentoalveolar structures

$1.0M

953 claims · 2.1%

Your Cost: $1,073.00/claim|Median: $763.43
1.4× median
96374Normal range

Therapeutic/prophylactic/diagnostic IV push, single substance

$743K

26K claims · 1.5%

Your Cost: $28.34/claim|Median: $21.76
1.3× median
80053Normal range

Comprehensive metabolic panel

$711K

73K claims · 1.4%

Your Cost: $9.68/claim|Median: $7.24
1.3× median
87400Normal range

$656K

47K claims · 1.3%

Your Cost: $14.03/claim|Median: $8.40
1.7× median
85025Top 25%

Complete blood count (CBC) with differential, automated

$605K

81K claims · 1.2%

Your Cost: $7.45/claim|Median: $4.71
1.6× median
93005Top 25%

Electrocardiogram, tracing only, without interpretation

$585K

25K claims · 1.2%

Your Cost: $22.98/claim|Median: $7.50
3.1× median
96361Normal range

IV infusion, hydration, each additional hour

$426K

20K claims · 0.9%

Your Cost: $21.16/claim|Median: $38.92
0.5× median
59025Top 25%

Fetal non-stress test

$382K

7,186 claims · 0.8%

Your Cost: $53.21/claim|Median: $26.45
2.0× median
J3490Normal range

Unclassified drugs

$363K

59K claims · 0.7%

Your Cost: $6.11/claim|Median: $5.70
1.1× median
96375Normal range

Therapeutic/prophylactic/diagnostic IV push, each additional substance

$360K

14K claims · 0.7%

Your Cost: $25.19/claim|Median: $14.92
1.7× median
80307Top 10%

Drug test, presumptive, by chemistry analyzers

$285K

4,066 claims · 0.6%

Your Cost: $70.06/claim|Median: $35.43
2.0× median
74177Top 5%

CT abdomen and pelvis with contrast

$254K

367 claims · 0.5%

Your Cost: $692.40/claim|Median: $65.76
10.5× median
87430Top 25%

$240K

15K claims · 0.5%

Your Cost: $15.95/claim|Median: $9.41
1.7× median
11042Normal range

Debridement, subcutaneous tissue, first 20 sq cm

$220K

3,252 claims · 0.4%

Your Cost: $67.56/claim|Median: $36.13
1.9× median
99213Normal range

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

$211K

8,997 claims · 0.4%

Your Cost: $23.40/claim|Median: $37.81
0.6× median
84703Top 10%

Human chorionic gonadotropin (hCG) quantitative blood test

$199K

17K claims · 0.4%

Your Cost: $11.87/claim|Median: $4.20
2.8× median
81001Top 25%

Urinalysis, automated, with microscopy

$185K

55K claims · 0.4%

Your Cost: $3.37/claim|Median: $2.03
1.7× median
87070Top 25%

Bacterial culture, any source except blood or urine

$160K

13K claims · 0.3%

Your Cost: $12.04/claim|Median: $5.89
2.0× median
96413Normal range

Chemotherapy administration, IV infusion, up to 1 hour

$126K

1,247 claims · 0.3%

Your Cost: $101.07/claim|Median: $75.28
1.3× median
84484Normal range

Troponin, quantitative

$118K

15K claims · 0.2%

Your Cost: $7.97/claim|Median: $4.84
1.6× median
J7120Top 25%

Ringer's lactate infusion, up to 1000 cc

$116K

7,792 claims · 0.2%

Your Cost: $14.83/claim|Median: $1.51
9.8× median
70450Top 10%

CT head/brain without contrast

$115K

614 claims · 0.2%

Your Cost: $187.48/claim|Median: $45.53
4.1× median
87426Top 10%

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

$112K

2,496 claims · 0.2%

Your Cost: $44.82/claim|Median: $30.04
1.5× median
95810Normal range

Polysomnography, sleep study, 6+ hours

$92K

259 claims · 0.2%

Your Cost: $355.80/claim|Median: $233.73
1.5× median
J7030Top 25%

Normal saline solution infusion, 1000 cc

$87K

5,400 claims · 0.2%

Your Cost: $16.07/claim|Median: $1.53
10.5× median
99281Normal range

Emergency dept visit, minimal complexity

$85K

2,566 claims · 0.2%

Your Cost: $32.97/claim|Median: $52.03
0.6× median
96372Top 25%

Therapeutic injection, subcutaneous/intramuscular

$81K

4,385 claims · 0.2%

Your Cost: $18.48/claim|Median: $9.56
1.9× median
83690Top 25%

$80K

11K claims · 0.2%

Your Cost: $7.43/claim|Median: $3.35
2.2× median
87086Top 25%

Urine culture, colony count, with identification

$72K

7,646 claims · 0.1%

Your Cost: $9.45/claim|Median: $5.31
1.8× median
G0480Normal range

Drug test, definitive, 1-7 drug classes

$68K

2,606 claims · 0.1%

Your Cost: $26.14/claim|Median: $37.56
0.7× median
71046Top 10%

Chest X-ray, 2 views

$65K

2,025 claims · 0.1%

Your Cost: $32.08/claim|Median: $8.92
3.6× median
J1885Top 10%

Injection, ketorolac tromethamine, fifteen milligrams

$64K

7,568 claims · 0.1%

Your Cost: $8.49/claim|Median: $0.91
9.3× median
J7050Top 25%

Normal saline solution infusion, 250 cc

$55K

4,465 claims · 0.1%

Your Cost: $12.22/claim|Median: $0.82
14.9× median
95811Normal range

Sleep study with CPAP titration, polysomnography

$48K

115 claims · 0.1%

Your Cost: $418.22/claim|Median: $255.03
1.6× median
88305Top 25%

Surgical pathology, gross and microscopic examination

$39K

655 claims · 0.1%

Your Cost: $59.43/claim|Median: $35.80
1.7× median
J2405Top 25%

Injection, ondansetron HCl, per one milligram

$36K

5,585 claims · 0.1%

Your Cost: $6.50/claim|Median: $0.58
11.2× median
80048Top 25%

Basic metabolic panel

$36K

2,373 claims · 0.1%

Your Cost: $15.29/claim|Median: $5.78
2.6× median
83605Top 25%

$35K

3,248 claims · 0.1%

Your Cost: $10.68/claim|Median: $4.66
2.3× median
99214Normal range

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

$31K

926 claims · 0.1%

Your Cost: $33.68/claim|Median: $53.41
0.6× median
81025Top 10%

Urine pregnancy test

$29K

3,042 claims · 0.1%

Your Cost: $9.56/claim|Median: $4.81
2.0× median
87420Top 25%

$28K

1,504 claims · 0.1%

Your Cost: $18.89/claim|Median: $9.78
1.9× median
87536Normal range

HIV-1 detection by nucleic acid, quantitative

$27K

467 claims · 0.1%

Your Cost: $57.71/claim|Median: $51.73
1.1× median
A9270Normal range

$26K

65K claims · 0.1%

Your Cost: $0.39/claim|Median: $0.20
2.0× median
87077Top 25%

Bacterial culture, aerobic, additional methods required

$25K

2,497 claims · 0.1%

Your Cost: $10.07/claim|Median: $4.52
2.2× median
84443Top 25%

Thyroid stimulating hormone (TSH)

$23K

1,264 claims · 0.0%

Your Cost: $17.98/claim|Median: $9.87
1.8× median

Other Top Providers in North Carolina

View all →

Laboratory Corporation of America Holdings

Clinical Medical Laboratory

$1.44B

Aeroflow INC

Durable Medical Equipment & Medical Supplies

$571.7M

Abound Health, LLC

In Home Supportive Care

$324.3M

Laboratory Corporation of America Holdings

Clinical Medical Laboratory

$281.4M

Laboratory Corporation of America Holdings

Clinical Medical Laboratory

$264.3M

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

← All providersAll providers in North Carolina →How we detect fraud →