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ST JOSEPH MERCY HOSPITAL-SMHC

General Acute Care Hospital·PONTIAC, MI·NPI: 1053356352Share

Compared to General Acute Care Hospital Peers

Total spending distribution among 156 providers in this specialty

P25MedianP75P90

This provider's total spending of $51.9M is at the below 25th percentile among 156 General Acute Care Hospital providers.

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

Total Paid

$51.9M

$51,854,728

Total Claims

1.9M

Beneficiaries

1.7M

1.1 claims/patient

Avg Cost/Claim

$28

Monthly Spending Trend

Yearly Spending

2018
$6.0M
+10%
2019
$6.6M
-9%
2020
$6.0M
+46%
2021
$8.8M
-4%
2022
$8.5M
+1%
2023
$8.6M
-15%
2024
$7.3M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 50 distinct procedure codes. The top code (99284 (Emergency dept visit, high complexity)) accounts for 18% of total spending.

99284Top 5%

Emergency dept visit, high complexity

$9.4M

37K claims · 18.1%

Your Cost: $256.36/claim|Median: $69.51
3.7× median
99285Top 5%

Emergency dept visit, high/urgent complexity

$8.2M

19K claims · 15.8%

Your Cost: $420.84/claim|Median: $85.65
4.9× median
99283Top 25%

Emergency dept visit, moderate complexity

$7.1M

54K claims · 13.8%

Your Cost: $131.80/claim|Median: $42.48
3.1× median
96374Top 25%

Therapeutic/prophylactic/diagnostic IV push, single substance

$3.2M

36K claims · 6.1%

Your Cost: $88.70/claim|Median: $21.76
4.1× median
99282Normal range

Emergency dept visit, low complexity

$2.2M

30K claims · 4.2%

Your Cost: $72.79/claim|Median: $37.72
1.9× median
G0463Top 25%

Hospital outpatient clinic visit

$1.6M

24K claims · 3.1%

Your Cost: $64.88/claim|Median: $26.41
2.5× median
80061Top 5%

Lipid panel

$875K

32K claims · 1.7%

Your Cost: $27.52/claim|Median: $8.41
3.3× median
87637Normal range

Respiratory virus detection, 3-5 targets, nucleic acid

$779K

9,803 claims · 1.5%

Your Cost: $79.42/claim|Median: $100.62
0.8× median
76818Normal range

$751K

12K claims · 1.4%

Your Cost: $60.30/claim|Median: $68.15
0.9× median
96375Normal range

Therapeutic/prophylactic/diagnostic IV push, each additional substance

$742K

27K claims · 1.4%

Your Cost: $27.05/claim|Median: $14.92
1.8× median
76811Normal range

Ultrasound, pregnant uterus, detailed, single fetus

$616K

5,417 claims · 1.2%

Your Cost: $113.63/claim|Median: $106.79
1.1× median
74177Normal range

CT abdomen and pelvis with contrast

$614K

5,226 claims · 1.2%

Your Cost: $117.43/claim|Median: $65.76
1.8× median
71046Top 10%

Chest X-ray, 2 views

$601K

18K claims · 1.2%

Your Cost: $33.34/claim|Median: $8.92
3.7× median
U0003Normal range

Infectious disease detection (COVID-19)

$556K

12K claims · 1.1%

Your Cost: $47.61/claim|Median: $63.08
0.8× median
70450Normal range

CT head/brain without contrast

$505K

6,588 claims · 1.0%

Your Cost: $76.61/claim|Median: $45.53
1.7× median
G0378Normal range

Hospital observation service, per hour

$478K

14K claims · 0.9%

Your Cost: $33.14/claim|Median: $99.39
0.3× median
96365Normal range

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

$466K

5,723 claims · 0.9%

Your Cost: $81.45/claim|Median: $54.77
1.5× median
99281Normal range

Emergency dept visit, minimal complexity

$407K

9,585 claims · 0.8%

Your Cost: $42.49/claim|Median: $52.03
0.8× median
96361Normal range

IV infusion, hydration, each additional hour

$389K

12K claims · 0.8%

Your Cost: $32.60/claim|Median: $38.92
0.8× median
U0002Normal range

COVID-19 lab test, non-CDC, nucleic acid

$346K

16K claims · 0.7%

Your Cost: $22.14/claim|Median: $34.62
0.6× median
87491Normal range

Chlamydia detection, nucleic acid, amplified probe

$320K

19K claims · 0.6%

Your Cost: $16.66/claim|Median: $24.95
0.7× median
82306Normal range

Vitamin D, 25 hydroxy

$319K

20K claims · 0.6%

Your Cost: $15.75/claim|Median: $18.18
0.9× median
87591Normal range

Neisseria gonorrhoeae detection, nucleic acid, amplified probe

$314K

19K claims · 0.6%

Your Cost: $16.46/claim|Median: $23.39
0.7× median
59025Top 25%

Fetal non-stress test

$311K

3,387 claims · 0.6%

Your Cost: $91.93/claim|Median: $26.45
3.5× median
77067Normal range

Screening mammography, bilateral, including CAD

$301K

6,375 claims · 0.6%

Your Cost: $47.28/claim|Median: $39.33
1.2× median
84443Normal range

Thyroid stimulating hormone (TSH)

$294K

35K claims · 0.6%

Your Cost: $8.48/claim|Median: $9.87
0.9× median
97110Normal range

Therapeutic exercises, each 15 min

$292K

10K claims · 0.6%

Your Cost: $28.61/claim|Median: $24.49
1.2× median
96413Top 25%

Chemotherapy administration, IV infusion, up to 1 hour

$291K

1,959 claims · 0.6%

Your Cost: $148.32/claim|Median: $75.28
2.0× median
96360Normal range

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

$286K

3,014 claims · 0.6%

Your Cost: $94.80/claim|Median: $61.57
1.5× median
71045Top 10%

Chest X-ray, single view

$285K

9,132 claims · 0.5%

Your Cost: $31.19/claim|Median: $4.93
6.3× median
74176Normal range

CT abdomen and pelvis without contrast

$281K

3,000 claims · 0.5%

Your Cost: $93.74/claim|Median: $60.19
1.6× median
82947Top 5%

Blood glucose level test

$258K

8,228 claims · 0.5%

Your Cost: $31.33/claim|Median: $2.38
13.2× median
93975Normal range

Duplex scan of arterial inflow and venous outflow, complete

$252K

2,261 claims · 0.5%

Your Cost: $111.31/claim|Median: $79.28
1.4× median
80053Normal range

Comprehensive metabolic panel

$228K

54K claims · 0.4%

Your Cost: $4.18/claim|Median: $7.24
0.6× median
70553Normal range

MRI brain without contrast, then with contrast

$219K

1,119 claims · 0.4%

Your Cost: $195.79/claim|Median: $133.68
1.5× median
93306Top 25%

Echocardiography, transthoracic, complete, with Doppler

$215K

1,375 claims · 0.4%

Your Cost: $156.02/claim|Median: $54.68
2.9× median
76830Normal range

Ultrasound, transvaginal

$211K

3,860 claims · 0.4%

Your Cost: $54.74/claim|Median: $57.47
1.0× median
85025Normal range

Complete blood count (CBC) with differential, automated

$205K

97K claims · 0.4%

Your Cost: $2.12/claim|Median: $4.71
0.5× median
76801Normal range

Ultrasound, pregnant uterus, single fetus, first trimester

$188K

3,251 claims · 0.4%

Your Cost: $57.79/claim|Median: $58.16
1.0× median
76816Normal range

Ultrasound, pregnant uterus, follow-up

$179K

9,882 claims · 0.3%

Your Cost: $18.15/claim|Median: $58.55
0.3× median
G0480Normal range

Drug test, definitive, 1-7 drug classes

$174K

12K claims · 0.3%

Your Cost: $14.57/claim|Median: $37.56
0.4× median
76856Normal range

Ultrasound, pelvic, complete

$171K

3,437 claims · 0.3%

Your Cost: $49.85/claim|Median: $47.58
1.0× median
80307Normal range

Drug test, presumptive, by chemistry analyzers

$160K

19K claims · 0.3%

Your Cost: $8.67/claim|Median: $35.43
0.2× median
71260Normal range

CT chest with contrast

$149K

1,400 claims · 0.3%

Your Cost: $106.61/claim|Median: $48.36
2.2× median
78452Normal range

Myocardial perfusion imaging, SPECT, multiple studies

$146K

681 claims · 0.3%

Your Cost: $214.73/claim|Median: $106.14
2.0× median
76700Normal range

Ultrasound, abdominal, complete

$143K

2,397 claims · 0.3%

Your Cost: $59.59/claim|Median: $50.69
1.2× median
97161Normal range

Physical therapy evaluation, low complexity

$138K

2,137 claims · 0.3%

Your Cost: $64.67/claim|Median: $47.89
1.4× median
72148Normal range

MRI lumbar spine without contrast

$135K

1,507 claims · 0.3%

Your Cost: $89.32/claim|Median: $101.03
0.9× median
83036Normal range

Hemoglobin A1c (glycated hemoglobin)

$131K

26K claims · 0.3%

Your Cost: $4.99/claim|Median: $5.50
0.9× median
76705Normal range

Ultrasound, abdominal, limited

$128K

2,624 claims · 0.2%

Your Cost: $48.96/claim|Median: $23.81
2.1× median

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$1.08B

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$961.1M

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$777.5M

Boston Medical Center Corporation

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$768.5M

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