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MERCY HEALTH SYSTEM CORPORATION

General Acute Care Hospital·JANESVILLE, WI·NPI: 1093768962Share

Compared to General Acute Care Hospital Peers

Total spending distribution among 156 providers in this specialty

P25MedianP75P90

This provider's total spending of $25.5M is at the below 25th percentile among 156 General Acute Care Hospital providers.

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

Total Paid

$25.5M

$25,459,016

Total Claims

1.3M

Beneficiaries

1.0M

1.3 claims/patient

Avg Cost/Claim

$19

Monthly Spending Trend

Yearly Spending

2018
$4.6M
-27%
2019
$3.4M
-3%
2020
$3.3M
+16%
2021
$3.8M
-9%
2022
$3.4M
+11%
2023
$3.8M
-18%
2024
$3.1M

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 8% of total spending.

99283Normal range

Emergency dept visit, moderate complexity

$1.9M

33K claims · 7.5%

Your Cost: $58.21/claim|Median: $42.48
1.4× median
96361Top 25%

IV infusion, hydration, each additional hour

$1.5M

13K claims · 5.7%

Your Cost: $116.01/claim|Median: $38.92
3.0× median
99284Normal range

Emergency dept visit, high complexity

$1.3M

26K claims · 5.1%

Your Cost: $49.73/claim|Median: $69.51
0.7× median
80053Top 25%

Comprehensive metabolic panel

$1.2M

58K claims · 4.6%

Your Cost: $20.21/claim|Median: $7.24
2.8× median
80307Top 25%

Drug test, presumptive, by chemistry analyzers

$890K

15K claims · 3.5%

Your Cost: $60.85/claim|Median: $35.43
1.7× median
U0003Top 25%

Infectious disease detection (COVID-19)

$788K

9,018 claims · 3.1%

Your Cost: $87.35/claim|Median: $63.08
1.4× median
99285Normal range

Emergency dept visit, high/urgent complexity

$683K

15K claims · 2.7%

Your Cost: $44.96/claim|Median: $85.65
0.5× median
87633Top 25%

Respiratory virus detection, 12-25 targets, nucleic acid

$603K

2,022 claims · 2.4%

Your Cost: $298.11/claim|Median: $169.17
1.8× median
99282Normal range

Emergency dept visit, low complexity

$596K

9,836 claims · 2.3%

Your Cost: $60.61/claim|Median: $37.72
1.6× median
96365Normal range

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

$579K

11K claims · 2.3%

Your Cost: $54.02/claim|Median: $54.77
1.0× median
87491Top 25%

Chlamydia detection, nucleic acid, amplified probe

$569K

15K claims · 2.2%

Your Cost: $38.90/claim|Median: $24.95
1.6× median
C9803Top 25%

$561K

20K claims · 2.2%

Your Cost: $28.26/claim|Median: $13.20
2.1× median
87502Top 25%

Influenza virus detection, reverse transcription, amplified probe

$492K

5,692 claims · 1.9%

Your Cost: $86.52/claim|Median: $65.64
1.3× median
87591Top 25%

Neisseria gonorrhoeae detection, nucleic acid, amplified probe

$483K

15K claims · 1.9%

Your Cost: $33.23/claim|Median: $23.39
1.4× median
74177Normal range

CT abdomen and pelvis with contrast

$469K

6,968 claims · 1.8%

Your Cost: $67.26/claim|Median: $65.76
1.0× median
70450Normal range

CT head/brain without contrast

$424K

6,812 claims · 1.7%

Your Cost: $62.30/claim|Median: $45.53
1.4× median
G0480Normal range

Drug test, definitive, 1-7 drug classes

$419K

10K claims · 1.6%

Your Cost: $41.19/claim|Median: $37.56
1.1× median
G0463Normal range

Hospital outpatient clinic visit

$401K

52K claims · 1.6%

Your Cost: $7.67/claim|Median: $26.41
0.3× median
85025Top 25%

Complete blood count (CBC) with differential, automated

$368K

48K claims · 1.4%

Your Cost: $7.70/claim|Median: $4.71
1.6× median
43239Normal range

Upper GI endoscopy with biopsy

$339K

1,929 claims · 1.3%

Your Cost: $175.98/claim|Median: $151.68
1.2× median
87661Top 25%

Trichomonas vaginalis detection, nucleic acid, amplified probe

$300K

9,746 claims · 1.2%

Your Cost: $30.80/claim|Median: $21.08
1.5× median
87635Normal range

COVID-19 SARS-CoV-2 amplified probe detection

$300K

7,340 claims · 1.2%

Your Cost: $40.88/claim|Median: $39.70
1.0× median
93306Normal range

Echocardiography, transthoracic, complete, with Doppler

$298K

3,194 claims · 1.2%

Your Cost: $93.17/claim|Median: $54.68
1.7× median
84443Top 25%

Thyroid stimulating hormone (TSH)

$293K

18K claims · 1.2%

Your Cost: $16.53/claim|Median: $9.87
1.7× median
87086Top 10%

Urine culture, colony count, with identification

$265K

20K claims · 1.0%

Your Cost: $13.18/claim|Median: $5.31
2.5× median
80048Top 10%

Basic metabolic panel

$259K

13K claims · 1.0%

Your Cost: $19.37/claim|Median: $5.78
3.4× median
96366Normal range

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

$246K

3,522 claims · 1.0%

Your Cost: $69.96/claim|Median: $40.12
1.7× median
87210Top 5%

$231K

9,248 claims · 0.9%

Your Cost: $24.93/claim|Median: $3.65
6.8× median
87651Top 25%

Streptococcus Group A detection, nucleic acid, amplified probe

$224K

5,750 claims · 0.9%

Your Cost: $39.03/claim|Median: $28.46
1.4× median
80050Normal range

General health panel

$215K

7,689 claims · 0.8%

Your Cost: $27.97/claim|Median: $25.59
1.1× median
80061Normal range

Lipid panel

$208K

17K claims · 0.8%

Your Cost: $12.37/claim|Median: $8.41
1.5× median
64483Normal range

$196K

1,131 claims · 0.8%

Your Cost: $173.66/claim|Median: $124.24
1.4× median
78452Normal range

Myocardial perfusion imaging, SPECT, multiple studies

$191K

1,308 claims · 0.7%

Your Cost: $145.84/claim|Median: $106.14
1.4× median
94640Top 25%

Pressurized or nonpressurized inhalation treatment

$187K

6,154 claims · 0.7%

Your Cost: $30.40/claim|Median: $10.88
2.8× median
88175Normal range

Cytopathology, cervical or vaginal, ThinPrep

$186K

7,608 claims · 0.7%

Your Cost: $24.47/claim|Median: $19.06
1.3× median
84702Top 5%

$184K

5,162 claims · 0.7%

Your Cost: $35.57/claim|Median: $8.25
4.3× median
74176Normal range

CT abdomen and pelvis without contrast

$181K

2,898 claims · 0.7%

Your Cost: $62.58/claim|Median: $60.19
1.0× median
88305Normal range

Surgical pathology, gross and microscopic examination

$172K

7,590 claims · 0.7%

Your Cost: $22.66/claim|Median: $35.80
0.6× median
96360Normal range

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

$171K

3,041 claims · 0.7%

Your Cost: $56.20/claim|Median: $61.57
0.9× median
81001Top 25%

Urinalysis, automated, with microscopy

$163K

38K claims · 0.6%

Your Cost: $4.34/claim|Median: $2.03
2.1× median
70553Normal range

MRI brain without contrast, then with contrast

$162K

1,711 claims · 0.6%

Your Cost: $94.82/claim|Median: $133.68
0.7× median
82306Top 25%

Vitamin D, 25 hydroxy

$155K

4,522 claims · 0.6%

Your Cost: $34.24/claim|Median: $18.18
1.9× median
87624Top 25%

HPV detection, high-risk types, nucleic acid

$150K

4,543 claims · 0.6%

Your Cost: $32.98/claim|Median: $25.57
1.3× median
87811Normal range

SARS-CoV-2 COVID-19 antigen detection, rapid, instrument-read

$146K

5,877 claims · 0.6%

Your Cost: $24.85/claim|Median: $30.53
0.8× median
85027Normal range

Complete blood count (CBC), automated

$139K

25K claims · 0.5%

Your Cost: $5.60/claim|Median: $3.72
1.5× median
76816Normal range

Ultrasound, pregnant uterus, follow-up

$138K

2,836 claims · 0.5%

Your Cost: $48.71/claim|Median: $58.55
0.8× median
83036Top 25%

Hemoglobin A1c (glycated hemoglobin)

$130K

16K claims · 0.5%

Your Cost: $8.23/claim|Median: $5.50
1.5× median
76856Normal range

Ultrasound, pelvic, complete

$128K

2,836 claims · 0.5%

Your Cost: $45.26/claim|Median: $47.58
1.0× median
87077Top 10%

Bacterial culture, aerobic, additional methods required

$127K

7,515 claims · 0.5%

Your Cost: $16.87/claim|Median: $4.52
3.7× median
99281Normal range

Emergency dept visit, minimal complexity

$125K

1,902 claims · 0.5%

Your Cost: $65.57/claim|Median: $52.03
1.3× median

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$1.08B

Montefiore Medical Center

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$961.1M

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$863.5M

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$777.5M

Boston Medical Center Corporation

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$768.5M

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