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COUNTY OF SANTA CLARA

General Acute Care Hospital·SAN JOSE, CA·NPI: 1063406551Share

Compared to General Acute Care Hospital Peers

Total spending distribution among 156 providers in this specialty

P25MedianP75P90

This provider's total spending of $94.7M is at the below 25th percentile among 156 General Acute Care Hospital providers.

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

Total Paid

$94.7M

$94,749,944

Total Claims

7.2M

Beneficiaries

6.1M

1.2 claims/patient

Avg Cost/Claim

$13

Monthly Spending Trend

Yearly Spending

2018
$13.5M
+14%
2019
$15.3M
-44%
2020
$8.6M
+101%
2021
$17.2M
-3%
2022
$16.7M
-34%
2023
$11.1M
+11%
2024
$12.3M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 50 distinct procedure codes. The top code (0450 (Emergency room visit)) accounts for 7% of total spending.

0450Normal range

Emergency room visit

$6.3M

272K claims · 6.7%

Your Cost: $23.20/claim|Median: $44.95
0.5× median
0121Normal range

Revenue code, all-inclusive room and board

$5.8M

6,599 claims · 6.2%

Your Cost: $883.54/claim|Median: $2,650.78
0.3× median
87635Normal range

COVID-19 SARS-CoV-2 amplified probe detection

$4.1M

156K claims · 4.4%

Your Cost: $26.52/claim|Median: $39.70
0.7× median
J9271Normal range

Injection, pembrolizumab, 1 mg

$3.0M

1,691 claims · 3.2%

Your Cost: $1,780.55/claim|Median: $5,391.55
0.3× median
0129Normal range

$2.3M

4,599 claims · 2.5%

Your Cost: $509.00/claim|Median: $509.00
1.0× median
99199Top 25%

Unlisted special service, procedure, or report

$2.1M

46K claims · 2.2%

Your Cost: $45.61/claim|Median: $5.39
8.5× median
J9299Normal range

Nivolumab (Opdivo) injection, 1 mg

$2.0M

1,177 claims · 2.1%

Your Cost: $1,684.79/claim|Median: $3,562.28
0.5× median
S3620Top 25%

Newborn metabolic screening panel

$1.9M

19K claims · 2.0%

Your Cost: $98.62/claim|Median: $11.82
8.3× median
Z7502Normal range

$1.8M

47K claims · 1.9%

Your Cost: $37.46/claim|Median: $37.17
1.0× median
0002ANormal range

COVID-19 vaccine admin, Pfizer, 2nd dose

$1.7M

44K claims · 1.8%

Your Cost: $39.86/claim|Median: $36.70
1.1× median
74177Normal range

CT abdomen and pelvis with contrast

$1.7M

22K claims · 1.8%

Your Cost: $77.77/claim|Median: $65.76
1.2× median
0001ANormal range

COVID-19 vaccine admin, Pfizer, 1st dose

$1.5M

40K claims · 1.6%

Your Cost: $37.94/claim|Median: $33.72
1.1× median
0111Normal range

$1.5M

1,354 claims · 1.6%

Your Cost: $1,129.17/claim|Median: $862.89
1.3× median
70450Normal range

CT head/brain without contrast

$1.5M

27K claims · 1.6%

Your Cost: $57.07/claim|Median: $45.53
1.3× median
0241UNormal range

Proprietary lab analysis, genomic sequencing

$1.5M

34K claims · 1.6%

Your Cost: $44.29/claim|Median: $91.47
0.5× median
0123Normal range

$1.5M

1,329 claims · 1.5%

Your Cost: $1,096.19/claim|Median: $3,178.88
0.3× median
0206Normal range

$1.2M

1,843 claims · 1.3%

Your Cost: $666.91/claim|Median: $2,282.75
0.3× median
78815Normal range

PET imaging for limited area

$1.2M

4,237 claims · 1.3%

Your Cost: $286.53/claim|Median: $325.10
0.9× median
96374Normal range

Therapeutic/prophylactic/diagnostic IV push, single substance

$1.1M

38K claims · 1.2%

Your Cost: $29.37/claim|Median: $21.76
1.3× median
90378Normal range

$1.1M

646 claims · 1.1%

Your Cost: $1,654.81/claim|Median: $1,627.19
1.0× median
J0897Normal range

Injection, denosumab, one milligram

$1.1M

3,588 claims · 1.1%

Your Cost: $297.89/claim|Median: $493.25
0.6× median
93005Normal range

Electrocardiogram, tracing only, without interpretation

$1.0M

103K claims · 1.1%

Your Cost: $10.16/claim|Median: $7.50
1.4× median
J1745Normal range

Injection, infliximab, excludes biosimilar, 10 mg

$1.0M

803 claims · 1.1%

Your Cost: $1,256.41/claim|Median: $1,587.53
0.8× median
0510Normal range

Revenue code, clinic services

$986K

383K claims · 1.0%

Your Cost: $2.58/claim|Median: $28.38
0.1× median
J9306Normal range

Injection, pertuzumab, one milligram

$893K

469 claims · 0.9%

Your Cost: $1,903.81/claim|Median: $3,571.19
0.5× median
85025Normal range

Complete blood count (CBC) with differential, automated

$888K

303K claims · 0.9%

Your Cost: $2.93/claim|Median: $4.71
0.6× median
Z7500Top 1%

$811K

24K claims · 0.9%

Your Cost: $34.34/claim|Median: $33.71
1.0× median
93306Normal range

Echocardiography, transthoracic, complete, with Doppler

$753K

18K claims · 0.8%

Your Cost: $40.93/claim|Median: $54.68
0.7× median
87633Normal range

Respiratory virus detection, 12-25 targets, nucleic acid

$708K

2,939 claims · 0.7%

Your Cost: $240.96/claim|Median: $169.17
1.4× median
Q5117Normal range

$703K

861 claims · 0.7%

Your Cost: $816.55/claim|Median: $1,034.41
0.8× median
96375Normal range

Therapeutic/prophylactic/diagnostic IV push, each additional substance

$630K

37K claims · 0.7%

Your Cost: $16.83/claim|Median: $14.92
1.1× median
G0463Normal range

Hospital outpatient clinic visit

$622K

22K claims · 0.7%

Your Cost: $28.55/claim|Median: $26.41
1.1× median
J9035Top 10%

Injection, bevacizumab, 10 mg

$595K

4,673 claims · 0.6%

Your Cost: $127.26/claim|Median: $43.71
2.9× median
80051Normal range

Electrolyte panel blood test

$565K

210K claims · 0.6%

Your Cost: $2.69/claim|Median: $1.56
1.7× median
72125Top 25%

CT cervical spine without contrast

$558K

6,865 claims · 0.6%

Your Cost: $81.35/claim|Median: $32.30
2.5× median
J9355Normal range

Injection, trastuzumab, ten milligrams

$549K

643 claims · 0.6%

Your Cost: $853.60/claim|Median: $1,942.13
0.4× median
J9312Normal range

$531K

535 claims · 0.6%

Your Cost: $991.68/claim|Median: $2,705.30
0.4× median
70553Normal range

MRI brain without contrast, then with contrast

$523K

3,948 claims · 0.6%

Your Cost: $132.48/claim|Median: $133.68
1.0× median
80307Normal range

Drug test, presumptive, by chemistry analyzers

$519K

28K claims · 0.5%

Your Cost: $18.32/claim|Median: $35.43
0.5× median
74176Normal range

CT abdomen and pelvis without contrast

$516K

11K claims · 0.5%

Your Cost: $48.83/claim|Median: $60.19
0.8× median
J2505Normal range

$511K

832 claims · 0.5%

Your Cost: $613.64/claim|Median: $1,842.27
0.3× median
87491Normal range

Chlamydia detection, nucleic acid, amplified probe

$510K

38K claims · 0.5%

Your Cost: $13.33/claim|Median: $24.95
0.5× median
87591Normal range

Neisseria gonorrhoeae detection, nucleic acid, amplified probe

$501K

38K claims · 0.5%

Your Cost: $13.23/claim|Median: $23.39
0.6× median
0012ANormal range

COVID-19 vaccine admin, Moderna, 2nd dose

$468K

13K claims · 0.5%

Your Cost: $37.29/claim|Median: $33.85
1.1× median
96365Normal range

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

$464K

19K claims · 0.5%

Your Cost: $24.41/claim|Median: $54.77
0.4× median
Z9725Top 1%

$463K

11K claims · 0.5%

Your Cost: $43.03/claim|Median: $42.99
1.0× median
96372Normal range

Therapeutic injection, subcutaneous/intramuscular

$463K

47K claims · 0.5%

Your Cost: $9.79/claim|Median: $9.56
1.0× median
99212Normal range

Office/outpatient visit, low complexity

$457K

15K claims · 0.5%

Your Cost: $30.36/claim|Median: $25.06
1.2× median
0004ANormal range

$451K

11K claims · 0.5%

Your Cost: $39.91/claim|Median: $35.62
1.1× median
T1999Normal range

Miscellaneous therapeutic items and supplies

$430K

20K claims · 0.5%

Your Cost: $21.50/claim|Median: $28.63
0.8× median