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MONTEFIORE NYACK HOSPITAL

General Acute Care Hospital·NYACK, NY·NPI: 1104808062Share

Compared to General Acute Care Hospital Peers

Total spending distribution among 156 providers in this specialty

P25MedianP75P90

This provider's total spending of $26.0M is at the below 25th percentile among 156 General Acute Care Hospital providers.

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

Total Paid

$26.0M

$26,040,599

Total Claims

688K

Beneficiaries

554K

1.2 claims/patient

Avg Cost/Claim

$38

Monthly Spending Trend

Yearly Spending

2018
$261K
+527%
2019
$1.6M
+111%
2020
$3.5M
+31%
2021
$4.5M
+12%
2022
$5.1M
+16%
2023
$5.9M
-13%
2024
$5.1M

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 13% of total spending.

99284Top 25%

Emergency dept visit, high complexity

$3.4M

22K claims · 13.2%

Your Cost: $159.75/claim|Median: $69.51
2.3× median
99283Top 10%

Emergency dept visit, moderate complexity

$2.9M

18K claims · 11.2%

Your Cost: $159.93/claim|Median: $42.48
3.8× median
99285Top 25%

Emergency dept visit, high/urgent complexity

$1.9M

12K claims · 7.3%

Your Cost: $155.89/claim|Median: $85.65
1.8× median
96361Top 25%

IV infusion, hydration, each additional hour

$1.4M

5,179 claims · 5.3%

Your Cost: $268.90/claim|Median: $38.92
6.9× median
96365Top 5%

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

$1.3M

6,062 claims · 5.0%

Your Cost: $213.63/claim|Median: $54.77
3.9× median
74177Top 25%

CT abdomen and pelvis with contrast

$1.0M

4,201 claims · 4.0%

Your Cost: $248.56/claim|Median: $65.76
3.8× median
99214Top 10%

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

$1.0M

8,605 claims · 3.9%

Your Cost: $116.59/claim|Median: $53.41
2.2× median
70450Top 5%

CT head/brain without contrast

$964K

3,630 claims · 3.7%

Your Cost: $265.54/claim|Median: $45.53
5.8× median
99282Top 25%

Emergency dept visit, low complexity

$949K

6,994 claims · 3.6%

Your Cost: $135.68/claim|Median: $37.72
3.6× median
36415Top 5%

Collection of venous blood by venipuncture

$932K

104K claims · 3.6%

Your Cost: $8.97/claim|Median: $1.57
5.7× median
99213Top 5%

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

$836K

7,383 claims · 3.2%

Your Cost: $113.21/claim|Median: $37.81
3.0× median
80053Top 25%

Comprehensive metabolic panel

$770K

37K claims · 3.0%

Your Cost: $20.69/claim|Median: $7.24
2.9× median
G0397Normal range

$548K

3,594 claims · 2.1%

Your Cost: $152.36/claim|Median: $142.31
1.1× median
99281Top 25%

Emergency dept visit, minimal complexity

$450K

2,861 claims · 1.7%

Your Cost: $157.19/claim|Median: $52.03
3.0× median
H0005Top 25%

Alcohol and/or drug services, group counseling

$344K

5,754 claims · 1.3%

Your Cost: $59.75/claim|Median: $47.35
1.3× median
59025Top 10%

Fetal non-stress test

$342K

2,030 claims · 1.3%

Your Cost: $168.48/claim|Median: $26.45
6.4× median
G0378Normal range

Hospital observation service, per hour

$334K

2,268 claims · 1.3%

Your Cost: $147.21/claim|Median: $99.39
1.5× median
99212Top 5%

Office/outpatient visit, low complexity

$304K

2,703 claims · 1.2%

Your Cost: $112.52/claim|Median: $25.06
4.5× median
96360Top 25%

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

$243K

1,525 claims · 0.9%

Your Cost: $159.07/claim|Median: $61.57
2.6× median
96413Normal range

Chemotherapy administration, IV infusion, up to 1 hour

$198K

1,684 claims · 0.8%

Your Cost: $117.45/claim|Median: $75.28
1.6× median
87635Normal range

COVID-19 SARS-CoV-2 amplified probe detection

$182K

4,064 claims · 0.7%

Your Cost: $44.76/claim|Median: $39.70
1.1× median
70551Top 10%

MRI brain without contrast

$181K

631 claims · 0.7%

Your Cost: $286.65/claim|Median: $85.39
3.4× median
76856Top 1%

Ultrasound, pelvic, complete

$173K

341 claims · 0.7%

Your Cost: $507.62/claim|Median: $47.58
10.7× median
74176Top 25%

CT abdomen and pelvis without contrast

$172K

731 claims · 0.7%

Your Cost: $235.37/claim|Median: $60.19
3.9× median
71275Top 10%

CT angiography, chest, with contrast

$168K

579 claims · 0.6%

Your Cost: $290.51/claim|Median: $92.96
3.1× median
J1756Top 25%

Injection, iron sucrose, 1 mg

$161K

3,026 claims · 0.6%

Your Cost: $53.11/claim|Median: $4.58
11.6× median
90791Top 25%

Psychiatric diagnostic evaluation

$155K

1,069 claims · 0.6%

Your Cost: $145.32/claim|Median: $99.21
1.5× median
86900Top 10%

$150K

4,645 claims · 0.6%

Your Cost: $32.38/claim|Median: $2.55
12.7× median
86885Top 25%

$145K

3,300 claims · 0.6%

Your Cost: $44.07/claim|Median: $5.28
8.3× median
82306Normal range

Vitamin D, 25 hydroxy

$138K

5,219 claims · 0.5%

Your Cost: $26.49/claim|Median: $18.18
1.5× median
76819Normal range

Fetal biophysical profile with non-stress test

$119K

1,824 claims · 0.5%

Your Cost: $65.18/claim|Median: $49.45
1.3× median
G0396Top 25%

Alcohol/substance abuse structured assessment, 15-30 minutes

$119K

1,096 claims · 0.5%

Your Cost: $108.29/claim|Median: $40.58
2.7× median
12001Top 5%

$118K

256 claims · 0.5%

Your Cost: $460.10/claim|Median: $64.99
7.1× median
99231Top 25%

Subsequent hospital care, per day, low complexity

$115K

4,078 claims · 0.4%

Your Cost: $28.30/claim|Median: $16.77
1.7× median
59050Top 25%

$111K

480 claims · 0.4%

Your Cost: $231.81/claim|Median: $68.34
3.4× median
C1713Normal range

Anchor or screw for tissue to bone fixation

$108K

198 claims · 0.4%

Your Cost: $544.56/claim|Median: $123.40
4.4× median
76801Top 10%

Ultrasound, pregnant uterus, single fetus, first trimester

$105K

911 claims · 0.4%

Your Cost: $114.97/claim|Median: $58.16
2.0× median
93975Top 1%

Duplex scan of arterial inflow and venous outflow, complete

$102K

198 claims · 0.4%

Your Cost: $517.48/claim|Median: $79.28
6.5× median
80048Top 10%

Basic metabolic panel

$102K

5,192 claims · 0.4%

Your Cost: $19.66/claim|Median: $5.78
3.4× median
80307Normal range

Drug test, presumptive, by chemistry analyzers

$100K

2,354 claims · 0.4%

Your Cost: $42.58/claim|Median: $35.43
1.2× median
0241UNormal range

Proprietary lab analysis, genomic sequencing

$97K

11K claims · 0.4%

Your Cost: $8.69/claim|Median: $91.47
0.1× median
77067Normal range

Screening mammography, bilateral, including CAD

$97K

1,559 claims · 0.4%

Your Cost: $62.26/claim|Median: $39.33
1.6× median
99232Top 10%

Subsequent hospital care, per day, moderate complexity

$95K

1,863 claims · 0.4%

Your Cost: $51.09/claim|Median: $23.99
2.1× median
76817Top 10%

Ultrasound, pregnant uterus, transvaginal

$94K

956 claims · 0.4%

Your Cost: $98.68/claim|Median: $47.65
2.1× median
76816Normal range

Ultrasound, pregnant uterus, follow-up

$86K

1,291 claims · 0.3%

Your Cost: $66.97/claim|Median: $58.55
1.1× median
93970Top 1%

Duplex scan of extremity veins, complete, bilateral

$79K

152 claims · 0.3%

Your Cost: $521.00/claim|Median: $43.07
12.1× median
90853Top 25%

Group psychotherapy

$77K

1,378 claims · 0.3%

Your Cost: $55.95/claim|Median: $25.02
2.2× median
96372Normal range

Therapeutic injection, subcutaneous/intramuscular

$75K

6,257 claims · 0.3%

Your Cost: $11.95/claim|Median: $9.56
1.2× median
88305Normal range

Surgical pathology, gross and microscopic examination

$70K

1,792 claims · 0.3%

Your Cost: $39.28/claim|Median: $35.80
1.1× median
76705Top 25%

Ultrasound, abdominal, limited

$69K

1,207 claims · 0.3%

Your Cost: $57.29/claim|Median: $23.81
2.4× median

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$1.08B

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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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