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KETTERING MEDICAL CENTER

General Acute Care Hospital·KETTERING, OH·NPI: 1043233984Share

Compared to General Acute Care Hospital Peers

Total spending distribution among 156 providers in this specialty

P25MedianP75P90

This provider's total spending of $38.0M is at the below 25th percentile among 156 General Acute Care Hospital providers.

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

Total Paid

$38.0M

$37,964,664

Total Claims

983K

Beneficiaries

766K

1.3 claims/patient

Avg Cost/Claim

$39

Monthly Spending Trend

Yearly Spending

2018
$1.5M
+60%
2019
$2.4M
+8%
2020
$2.6M
+32%
2021
$3.5M
+12%
2022
$3.9M
+266%
2023
$14.3M
-32%
2024
$9.7M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 50 distinct procedure codes. The top code (96361 (IV infusion, hydration, each additional hour)) accounts for 16% of total spending.

96361Top 25%

IV infusion, hydration, each additional hour

$6.0M

23K claims · 15.8%

Your Cost: $263.06/claim|Median: $38.92
6.8× median
99283Top 25%

Emergency dept visit, moderate complexity

$5.4M

49K claims · 14.3%

Your Cost: $109.74/claim|Median: $42.48
2.6× median
99284Top 25%

Emergency dept visit, high complexity

$5.0M

40K claims · 13.2%

Your Cost: $126.50/claim|Median: $69.51
1.8× median
99285Top 25%

Emergency dept visit, high/urgent complexity

$2.7M

21K claims · 7.2%

Your Cost: $128.55/claim|Median: $85.65
1.5× median
G0463Top 10%

Hospital outpatient clinic visit

$1.2M

13K claims · 3.2%

Your Cost: $91.60/claim|Median: $26.41
3.5× median
76816Top 5%

Ultrasound, pregnant uterus, follow-up

$1.1M

9,065 claims · 2.9%

Your Cost: $123.31/claim|Median: $58.55
2.1× median
97110Top 10%

Therapeutic exercises, each 15 min

$1.0M

14K claims · 2.7%

Your Cost: $72.32/claim|Median: $24.49
3.0× median
70450Top 10%

CT head/brain without contrast

$1.0M

5,056 claims · 2.7%

Your Cost: $204.42/claim|Median: $45.53
4.5× median
74177Top 25%

CT abdomen and pelvis with contrast

$1.0M

4,878 claims · 2.6%

Your Cost: $205.95/claim|Median: $65.76
3.1× median
G0378Normal range

Hospital observation service, per hour

$944K

13K claims · 2.5%

Your Cost: $70.40/claim|Median: $99.39
0.7× median
74176Top 25%

CT abdomen and pelvis without contrast

$661K

2,900 claims · 1.7%

Your Cost: $228.07/claim|Median: $60.19
3.8× median
77386Normal range

Intensity modulated radiation treatment delivery, complex

$579K

2,145 claims · 1.5%

Your Cost: $270.06/claim|Median: $260.56
1.0× median
U0003Top 5%

Infectious disease detection (COVID-19)

$527K

3,324 claims · 1.4%

Your Cost: $158.45/claim|Median: $63.08
2.5× median
99282Top 25%

Emergency dept visit, low complexity

$514K

4,599 claims · 1.4%

Your Cost: $111.81/claim|Median: $37.72
3.0× median
76819Top 25%

Fetal biophysical profile with non-stress test

$451K

5,786 claims · 1.2%

Your Cost: $77.97/claim|Median: $49.45
1.6× median
96365Top 25%

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

$448K

4,585 claims · 1.2%

Your Cost: $97.78/claim|Median: $54.77
1.8× median
96360Top 10%

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

$420K

2,349 claims · 1.1%

Your Cost: $178.75/claim|Median: $61.57
2.9× median
96366Top 25%

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

$386K

2,682 claims · 1.0%

Your Cost: $144.03/claim|Median: $40.12
3.6× median
78815Normal range

PET imaging for limited area

$349K

731 claims · 0.9%

Your Cost: $476.75/claim|Median: $325.10
1.5× median
71275Top 25%

CT angiography, chest, with contrast

$321K

1,484 claims · 0.8%

Your Cost: $216.03/claim|Median: $92.96
2.3× median
80048Normal range

Basic metabolic panel

$307K

63K claims · 0.8%

Your Cost: $4.85/claim|Median: $5.78
0.8× median
76811Normal range

Ultrasound, pregnant uterus, detailed, single fetus

$271K

2,744 claims · 0.7%

Your Cost: $98.78/claim|Median: $106.79
0.9× median
C9803Top 25%

$267K

8,237 claims · 0.7%

Your Cost: $32.39/claim|Median: $13.20
2.5× median
99281Top 25%

Emergency dept visit, minimal complexity

$262K

2,273 claims · 0.7%

Your Cost: $115.17/claim|Median: $52.03
2.2× median
94640Top 10%

Pressurized or nonpressurized inhalation treatment

$261K

2,885 claims · 0.7%

Your Cost: $90.63/claim|Median: $10.88
8.3× median
95810Top 25%

Polysomnography, sleep study, 6+ hours

$235K

390 claims · 0.6%

Your Cost: $601.73/claim|Median: $233.73
2.6× median
59025Top 10%

Fetal non-stress test

$218K

1,507 claims · 0.6%

Your Cost: $144.57/claim|Median: $26.45
5.5× median
76817Normal range

Ultrasound, pregnant uterus, transvaginal

$200K

3,728 claims · 0.5%

Your Cost: $53.57/claim|Median: $47.65
1.1× median
77063Top 25%

Screening digital breast tomosynthesis, bilateral

$186K

4,274 claims · 0.5%

Your Cost: $43.59/claim|Median: $21.41
2.0× median
93356Top 5%

$185K

954 claims · 0.5%

Your Cost: $193.81/claim|Median: $9.51
20.4× median
76642Top 10%

$159K

1,380 claims · 0.4%

Your Cost: $115.45/claim|Median: $32.06
3.6× median
87502Normal range

Influenza virus detection, reverse transcription, amplified probe

$157K

10K claims · 0.4%

Your Cost: $15.23/claim|Median: $65.64
0.2× median
93306Normal range

Echocardiography, transthoracic, complete, with Doppler

$155K

1,714 claims · 0.4%

Your Cost: $90.28/claim|Median: $54.68
1.7× median
95811Top 10%

Sleep study with CPAP titration, polysomnography

$149K

231 claims · 0.4%

Your Cost: $645.15/claim|Median: $255.03
2.5× median
95708Top 10%

$147K

212 claims · 0.4%

Your Cost: $692.18/claim|Median: $226.10
3.1× median
71260Top 25%

CT chest with contrast

$141K

945 claims · 0.4%

Your Cost: $149.70/claim|Median: $48.36
3.1× median
77336Top 25%

$140K

1,503 claims · 0.4%

Your Cost: $93.40/claim|Median: $55.04
1.7× median
70496Top 25%

$133K

684 claims · 0.3%

Your Cost: $193.73/claim|Median: $78.92
2.5× median
43239Normal range

Upper GI endoscopy with biopsy

$129K

508 claims · 0.3%

Your Cost: $253.96/claim|Median: $151.68
1.7× median
97162Normal range

PT evaluation, moderate complexity

$126K

2,491 claims · 0.3%

Your Cost: $50.55/claim|Median: $46.10
1.1× median
78452Top 25%

Myocardial perfusion imaging, SPECT, multiple studies

$122K

315 claims · 0.3%

Your Cost: $387.75/claim|Median: $106.14
3.7× median
78431Normal range

$120K

278 claims · 0.3%

Your Cost: $431.48/claim|Median: $174.46
2.5× median
76820Top 25%

$117K

1,947 claims · 0.3%

Your Cost: $60.13/claim|Median: $31.79
1.9× median
77300Top 10%

$110K

329 claims · 0.3%

Your Cost: $333.07/claim|Median: $87.77
3.8× median
70553Normal range

MRI brain without contrast, then with contrast

$100K

526 claims · 0.3%

Your Cost: $190.70/claim|Median: $133.68
1.4× median
97112Top 25%

Therapeutic procedure, neuromuscular reeducation, per 15 minutes

$100K

2,582 claims · 0.3%

Your Cost: $38.69/claim|Median: $20.04
1.9× median
97140Normal range

Manual therapy techniques, per 15 minutes

$94K

4,402 claims · 0.2%

Your Cost: $21.36/claim|Median: $16.79
1.3× median
77334Top 25%

$94K

336 claims · 0.2%

Your Cost: $278.54/claim|Median: $99.06
2.8× median
97530Normal range

Therapeutic activities, each 15 min

$93K

3,050 claims · 0.2%

Your Cost: $30.34/claim|Median: $33.11
0.9× median
76705Top 25%

Ultrasound, abdominal, limited

$89K

1,346 claims · 0.2%

Your Cost: $66.13/claim|Median: $23.81
2.8× median

Other Top Providers in Ohio

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The Cleveland Clinic Foundation

General Acute Care Hospital

$863.5M

Nationwide Children's Hospital

General Acute Care Hospital

$777.5M

Laboratory Corporation of America Holdings

Clinical Medical Laboratory

$617.0M

The Metrohealth System

General Acute Care Hospital

$574.1M

Children's Hospital Medical Center of Akron

General Acute Care Hospital Children

$556.6M

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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