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THE MERCY HOSPITAL INC

General Acute Care Hospital·SPRINGFIELD, MA·NPI: 1043204316Share

Compared to General Acute Care Hospital Peers

Total spending distribution among 156 providers in this specialty

P25MedianP75P90

This provider's total spending of $98.9M is at the below 25th percentile among 156 General Acute Care Hospital providers.

Active Billing Period:2018-012024-12(84 months)

Total Paid

$98.9M

$98,916,599

Total Claims

2.0M

Beneficiaries

1.7M

1.2 claims/patient

Avg Cost/Claim

$49

Monthly Spending Trend

Yearly Spending

2018
$17.7M
-16%
2019
$14.9M
-12%
2020
$13.1M
+16%
2021
$15.1M
-1%
2022
$15.0M
-13%
2023
$13.1M
-24%
2024
$10.0M

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 14% of total spending.

99283Top 10%

Emergency dept visit, moderate complexity

$13.6M

90K claims · 13.7%

Your Cost: $150.46/claim|Median: $42.48
3.5× median
99285Top 25%

Emergency dept visit, high/urgent complexity

$12.9M

79K claims · 13.1%

Your Cost: $164.68/claim|Median: $85.65
1.9× median
96361Top 5%

IV infusion, hydration, each additional hour

$10.9M

31K claims · 11.0%

Your Cost: $353.89/claim|Median: $38.92
9.1× median
99284Top 25%

Emergency dept visit, high complexity

$9.2M

61K claims · 9.3%

Your Cost: $151.50/claim|Median: $69.51
2.2× median
45378Top 5%

Colonoscopy, diagnostic

$2.8M

2,708 claims · 2.9%

Your Cost: $1,049.63/claim|Median: $225.49
4.7× median
97110Top 5%

Therapeutic exercises, each 15 min

$2.6M

31K claims · 2.7%

Your Cost: $83.76/claim|Median: $24.49
3.4× median
74177Normal range

CT abdomen and pelvis with contrast

$2.5M

16K claims · 2.6%

Your Cost: $155.69/claim|Median: $65.76
2.4× median
43239Top 10%

Upper GI endoscopy with biopsy

$2.2M

3,579 claims · 2.2%

Your Cost: $616.79/claim|Median: $151.68
4.1× median
70450Top 25%

CT head/brain without contrast

$2.1M

17K claims · 2.1%

Your Cost: $125.96/claim|Median: $45.53
2.8× median
99282Top 10%

Emergency dept visit, low complexity

$1.7M

12K claims · 1.7%

Your Cost: $148.05/claim|Median: $37.72
3.9× median
45385Top 5%

Colonoscopy with polyp removal, snare technique

$1.5M

1,776 claims · 1.5%

Your Cost: $861.39/claim|Median: $255.17
3.4× median
96365Top 25%

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

$1.5M

14K claims · 1.5%

Your Cost: $104.91/claim|Median: $54.77
1.9× median
93306Top 25%

Echocardiography, transthoracic, complete, with Doppler

$1.4M

9,136 claims · 1.4%

Your Cost: $153.74/claim|Median: $54.68
2.8× median
74176Top 25%

CT abdomen and pelvis without contrast

$1.3M

7,732 claims · 1.4%

Your Cost: $174.29/claim|Median: $60.19
2.9× median
96360Top 25%

IV infusion, hydration, initial, 31 minutes to 1 hour

$1.1M

8,693 claims · 1.2%

Your Cost: $131.70/claim|Median: $61.57
2.1× median
93971Top 5%

Duplex scan of extremity veins, unilateral or limited

$1.1M

5,915 claims · 1.1%

Your Cost: $178.17/claim|Median: $25.43
7.0× median
45380Top 5%

Colonoscopy with biopsy

$978K

1,203 claims · 1.0%

Your Cost: $812.79/claim|Median: $200.68
4.1× median
96366Top 25%

IV infusion, therapeutic/prophylactic/diagnostic, each additional hour

$966K

5,026 claims · 1.0%

Your Cost: $192.17/claim|Median: $40.12
4.8× median
77063Top 5%

Screening digital breast tomosynthesis, bilateral

$916K

13K claims · 0.9%

Your Cost: $72.56/claim|Median: $21.41
3.4× median
96413Normal range

Chemotherapy administration, IV infusion, up to 1 hour

$878K

9,251 claims · 0.9%

Your Cost: $94.95/claim|Median: $75.28
1.3× median
80307Normal range

Drug test, presumptive, by chemistry analyzers

$844K

21K claims · 0.9%

Your Cost: $41.08/claim|Median: $35.43
1.2× median
71275Top 25%

CT angiography, chest, with contrast

$776K

4,327 claims · 0.8%

Your Cost: $179.39/claim|Median: $92.96
1.9× median
U0003Normal range

Infectious disease detection (COVID-19)

$768K

13K claims · 0.8%

Your Cost: $61.12/claim|Median: $63.08
1.0× median
87635Normal range

COVID-19 SARS-CoV-2 amplified probe detection

$755K

21K claims · 0.8%

Your Cost: $35.76/claim|Median: $39.70
0.9× median
76705Top 10%

Ultrasound, abdominal, limited

$743K

6,863 claims · 0.8%

Your Cost: $108.30/claim|Median: $23.81
4.5× median
94640Top 10%

Pressurized or nonpressurized inhalation treatment

$728K

12K claims · 0.7%

Your Cost: $61.57/claim|Median: $10.88
5.7× median
78452Top 25%

Myocardial perfusion imaging, SPECT, multiple studies

$714K

1,983 claims · 0.7%

Your Cost: $359.99/claim|Median: $106.14
3.4× median
93970Top 5%

Duplex scan of extremity veins, complete, bilateral

$645K

3,006 claims · 0.7%

Your Cost: $214.71/claim|Median: $43.07
5.0× median
85025Normal range

Complete blood count (CBC) with differential, automated

$604K

127K claims · 0.6%

Your Cost: $4.77/claim|Median: $4.71
1.0× median
59025Top 5%

Fetal non-stress test

$594K

2,317 claims · 0.6%

Your Cost: $256.39/claim|Median: $26.45
9.7× median
76856Top 25%

Ultrasound, pelvic, complete

$517K

4,592 claims · 0.5%

Your Cost: $112.52/claim|Median: $47.58
2.4× median
G0480Normal range

Drug test, definitive, 1-7 drug classes

$510K

15K claims · 0.5%

Your Cost: $34.68/claim|Median: $37.56
0.9× median
71046Normal range

Chest X-ray, 2 views

$479K

48K claims · 0.5%

Your Cost: $9.94/claim|Median: $8.92
1.1× median
97035Top 5%

Ultrasound therapy

$465K

5,675 claims · 0.5%

Your Cost: $81.96/claim|Median: $7.31
11.2× median
J9271Top 25%

Injection, pembrolizumab, 1 mg

$418K

52 claims · 0.4%

Your Cost: $8,032.87/claim|Median: $5,391.55
1.5× median
97597Top 25%

$416K

5,769 claims · 0.4%

Your Cost: $72.12/claim|Median: $21.22
3.4× median
76830Top 10%

Ultrasound, transvaginal

$411K

3,870 claims · 0.4%

Your Cost: $106.19/claim|Median: $57.47
1.8× median
J2350Normal range

Ocrelizumab (Ocrevus) injection, 1 mg

$388K

60 claims · 0.4%

Your Cost: $6,471.44/claim|Median: $17,264.74
0.4× median
97162Normal range

PT evaluation, moderate complexity

$386K

6,438 claims · 0.4%

Your Cost: $59.95/claim|Median: $46.10
1.3× median
92507Top 5%

Speech/hearing/language treatment

$381K

2,731 claims · 0.4%

Your Cost: $139.56/claim|Median: $49.45
2.8× median
97140Top 25%

Manual therapy techniques, per 15 minutes

$371K

11K claims · 0.4%

Your Cost: $33.11/claim|Median: $16.79
2.0× median
96415Top 25%

Chemotherapy infusion, each additional hour

$347K

1,595 claims · 0.4%

Your Cost: $217.53/claim|Median: $43.68
5.0× median
80053Normal range

Comprehensive metabolic panel

$345K

66K claims · 0.3%

Your Cost: $5.25/claim|Median: $7.24
0.7× median
99213Top 5%

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

$345K

2,448 claims · 0.3%

Your Cost: $140.81/claim|Median: $37.81
3.7× median
G0378Normal range

Hospital observation service, per hour

$344K

15K claims · 0.3%

Your Cost: $22.49/claim|Median: $99.39
0.2× median
99214Top 5%

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

$330K

2,218 claims · 0.3%

Your Cost: $148.75/claim|Median: $53.41
2.8× median
97530Top 25%

Therapeutic activities, each 15 min

$328K

4,064 claims · 0.3%

Your Cost: $80.82/claim|Median: $33.11
2.4× median
S9485Normal range

Crisis intervention mental health services, per diem

$319K

693 claims · 0.3%

Your Cost: $460.15/claim|Median: $501.33
0.9× median
93017Normal range

$313K

3,686 claims · 0.3%

Your Cost: $84.79/claim|Median: $56.03
1.5× median
47562Top 25%

$308K

98 claims · 0.3%

Your Cost: $3,143.93/claim|Median: $731.87
4.3× median