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LESTER E COX MEDICAL CENTERS

General Acute Care Hospital·SPRINGFIELD, MO·NPI: 1093740128Share

Compared to General Acute Care Hospital Peers

Total spending distribution among 156 providers in this specialty

P25MedianP75P90

This provider's total spending of $112.3M is at the below 25th percentile among 156 General Acute Care Hospital providers.

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

Total Paid

$112.3M

$112,331,604

Total Claims

1.0M

Beneficiaries

961K

1.1 claims/patient

Avg Cost/Claim

$110

Monthly Spending Trend

Yearly Spending

2018
$28.7M
-5%
2019
$27.1M
-55%
2020
$12.1M
-70%
2021
$3.6M
+174%
2022
$9.9M
+70%
2023
$16.8M
-16%
2024
$14.2M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 50 distinct procedure codes. The top code (X4011 (Healthcare procedure, code X4011)) accounts for 19% of total spending.

X4011Normal range

Healthcare procedure, code X4011

$20.8M

72K claims · 18.5%

Your Cost: $288.74/claim|Median: $268.66
1.1× median
Y7506Top 25%

Healthcare procedure, code Y7506

$9.6M

22K claims · 8.5%

Your Cost: $443.55/claim|Median: $146.80
3.0× median
99285Top 5%

Emergency dept visit, high/urgent complexity

$8.4M

22K claims · 7.5%

Your Cost: $382.45/claim|Median: $85.65
4.5× median
99284Top 5%

Emergency dept visit, high complexity

$7.7M

28K claims · 6.9%

Your Cost: $272.81/claim|Median: $69.51
3.9× median
G0463Top 25%

Hospital outpatient clinic visit

$6.9M

83K claims · 6.2%

Your Cost: $83.62/claim|Median: $26.41
3.2× median
85025Top 5%

Complete blood count (CBC) with differential, automated

$6.9M

129K claims · 6.1%

Your Cost: $53.25/claim|Median: $4.71
11.3× median
80053Top 5%

Comprehensive metabolic panel

$6.6M

126K claims · 5.9%

Your Cost: $52.49/claim|Median: $7.24
7.3× median
99283Top 5%

Emergency dept visit, moderate complexity

$6.5M

34K claims · 5.8%

Your Cost: $192.52/claim|Median: $42.48
4.5× median
81001Top 1%

Urinalysis, automated, with microscopy

$5.8M

88K claims · 5.1%

Your Cost: $65.46/claim|Median: $2.03
32.2× median
93005Top 10%

Electrocardiogram, tracing only, without interpretation

$2.3M

35K claims · 2.1%

Your Cost: $65.38/claim|Median: $7.50
8.7× median
X4006Top 25%

$2.1M

1,239 claims · 1.8%

Your Cost: $1,655.66/claim|Median: $668.05
2.5× median
96374Top 5%

Therapeutic/prophylactic/diagnostic IV push, single substance

$1.9M

14K claims · 1.7%

Your Cost: $138.95/claim|Median: $21.76
6.4× median
G0480Top 5%

Drug test, definitive, 1-7 drug classes

$1.8M

18K claims · 1.6%

Your Cost: $99.98/claim|Median: $37.56
2.7× median
X4003Normal range

$1.6M

16K claims · 1.4%

Your Cost: $98.75/claim|Median: $74.03
1.3× median
80306Top 5%

$1.5M

24K claims · 1.3%

Your Cost: $62.10/claim|Median: $10.29
6.0× median
D7999Normal range

$1.4M

726 claims · 1.2%

Your Cost: $1,866.46/claim|Median: $981.06
1.9× median
92507Top 5%

Speech/hearing/language treatment

$1.2M

8,372 claims · 1.1%

Your Cost: $147.59/claim|Median: $49.45
3.0× median
71045Top 5%

Chest X-ray, single view

$1.2M

20K claims · 1.1%

Your Cost: $62.30/claim|Median: $4.93
12.6× median
83690Top 5%

$1.1M

33K claims · 1.0%

Your Cost: $35.22/claim|Median: $3.35
10.5× median
87880Top 1%

Streptococcus, Group A, rapid antigen detection

$1.1M

6,949 claims · 1.0%

Your Cost: $157.51/claim|Median: $11.48
13.7× median
87637Normal range

Respiratory virus detection, 3-5 targets, nucleic acid

$1.0M

8,604 claims · 0.9%

Your Cost: $121.32/claim|Median: $100.62
1.2× median
71046Top 1%

Chest X-ray, 2 views

$996K

7,176 claims · 0.9%

Your Cost: $138.74/claim|Median: $8.92
15.6× median
99213Top 5%

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

$789K

7,981 claims · 0.7%

Your Cost: $98.86/claim|Median: $37.81
2.6× median
99214Top 5%

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

$772K

5,819 claims · 0.7%

Your Cost: $132.60/claim|Median: $53.41
2.5× median
99212Top 10%

Office/outpatient visit, low complexity

$744K

12K claims · 0.7%

Your Cost: $64.48/claim|Median: $25.06
2.6× median
J3490Normal range

Unclassified drugs

$677K

40K claims · 0.6%

Your Cost: $16.77/claim|Median: $5.70
2.9× median
81003Top 1%

Urinalysis, automated without microscopy

$676K

11K claims · 0.6%

Your Cost: $63.28/claim|Median: $1.48
42.8× median
87081Top 5%

Culture screening for pathogenic organisms

$631K

16K claims · 0.6%

Your Cost: $39.33/claim|Median: $5.09
7.7× median
X4014Normal range

$560K

1,066 claims · 0.5%

Your Cost: $525.45/claim|Median: $424.85
1.2× median
84484Top 5%

Troponin, quantitative

$518K

16K claims · 0.5%

Your Cost: $32.63/claim|Median: $4.84
6.7× median
82044Top 1%

$512K

2,514 claims · 0.5%

Your Cost: $203.83/claim|Median: $2.74
74.4× median
97530Top 5%

Therapeutic activities, each 15 min

$499K

4,167 claims · 0.4%

Your Cost: $119.65/claim|Median: $33.11
3.6× median
G0378Top 25%

Hospital observation service, per hour

$469K

800 claims · 0.4%

Your Cost: $586.00/claim|Median: $99.39
5.9× median
81025Top 5%

Urine pregnancy test

$459K

12K claims · 0.4%

Your Cost: $39.08/claim|Median: $4.81
8.1× median
99282Top 25%

Emergency dept visit, low complexity

$434K

4,097 claims · 0.4%

Your Cost: $105.98/claim|Median: $37.72
2.8× median
96375Top 25%

Therapeutic/prophylactic/diagnostic IV push, each additional substance

$410K

9,359 claims · 0.4%

Your Cost: $43.82/claim|Median: $14.92
2.9× median
76816Top 10%

Ultrasound, pregnant uterus, follow-up

$395K

3,833 claims · 0.4%

Your Cost: $103.03/claim|Median: $58.55
1.8× median
Y7507Normal range

$375K

1,809 claims · 0.3%

Your Cost: $207.48/claim|Median: $172.12
1.2× median
87804Top 1%

Influenza virus detection, rapid test

$357K

1,839 claims · 0.3%

Your Cost: $194.33/claim|Median: $12.59
15.4× median
76819Top 10%

Fetal biophysical profile with non-stress test

$336K

3,297 claims · 0.3%

Your Cost: $102.06/claim|Median: $49.45
2.1× median
96365Top 10%

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

$301K

2,041 claims · 0.3%

Your Cost: $147.63/claim|Median: $54.77
2.7× median
96413Top 25%

Chemotherapy administration, IV infusion, up to 1 hour

$297K

1,888 claims · 0.3%

Your Cost: $157.08/claim|Median: $75.28
2.1× median
87086Top 5%

Urine culture, colony count, with identification

$222K

7,067 claims · 0.2%

Your Cost: $31.45/claim|Median: $5.31
5.9× median
U0003Normal range

Infectious disease detection (COVID-19)

$212K

8,474 claims · 0.2%

Your Cost: $25.07/claim|Median: $63.08
0.4× median
43239Top 25%

Upper GI endoscopy with biopsy

$196K

445 claims · 0.2%

Your Cost: $439.96/claim|Median: $151.68
2.9× median
74177Top 25%

CT abdomen and pelvis with contrast

$193K

767 claims · 0.2%

Your Cost: $251.20/claim|Median: $65.76
3.8× median
77386Normal range

Intensity modulated radiation treatment delivery, complex

$176K

493 claims · 0.2%

Your Cost: $357.87/claim|Median: $260.56
1.4× median
88305Top 25%

Surgical pathology, gross and microscopic examination

$170K

2,476 claims · 0.2%

Your Cost: $68.79/claim|Median: $35.80
1.9× median
69436Top 10%

Tympanostomy, general anesthesia

$166K

119 claims · 0.1%

Your Cost: $1,399.15/claim|Median: $205.50
6.8× median
94640Top 1%

Pressurized or nonpressurized inhalation treatment

$145K

728 claims · 0.1%

Your Cost: $199.77/claim|Median: $10.88
18.4× median

Other Top Providers in Missouri

View all →

Compass Health Inc.

Community/Behavioral Health

$1.28B

Medical Transportation Management Inc.

Transportation Broker

$894.4M

Burrell Inc.

Community/Behavioral Health

$759.7M

Access2care LLC

Transportation Broker

$600.9M

State of Missouri

Psychologist, Rehabilitation

$493.6M

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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