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LANCASTER GENERAL HOSPITAL

General Acute Care Hospital·LANCASTER, PA·NPI: 1104875103Share

Compared to General Acute Care Hospital Peers

Total spending distribution among 156 providers in this specialty

P25MedianP75P90

This provider's total spending of $33.8M is at the below 25th percentile among 156 General Acute Care Hospital providers.

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

Total Paid

$33.8M

$33,780,541

Total Claims

1.1M

Beneficiaries

944K

1.2 claims/patient

Avg Cost/Claim

$31

Monthly Spending Trend

Yearly Spending

2018
$126K
+28%
2019
$162K
+2358%
2020
$4.0M
+278%
2021
$15.1M
-68%
2022
$4.9M
-8%
2023
$4.5M
+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 14% of total spending.

99284Top 25%

Emergency dept visit, high complexity

$4.9M

44K claims · 14.4%

Your Cost: $109.91/claim|Median: $69.51
1.6× median
99283Top 25%

Emergency dept visit, moderate complexity

$4.3M

42K claims · 12.8%

Your Cost: $102.08/claim|Median: $42.48
2.4× median
G0378Top 10%

Hospital observation service, per hour

$3.4M

4,308 claims · 9.9%

Your Cost: $778.51/claim|Median: $99.39
7.8× median
U0003Normal range

Infectious disease detection (COVID-19)

$3.2M

42K claims · 9.3%

Your Cost: $75.61/claim|Median: $63.08
1.2× median
99285Normal range

Emergency dept visit, high/urgent complexity

$2.8M

26K claims · 8.4%

Your Cost: $109.28/claim|Median: $85.65
1.3× median
T1015Normal range

Clinic visit/encounter, all-inclusive

$1.2M

31K claims · 3.5%

Your Cost: $37.26/claim|Median: $121.16
0.3× median
J9271Normal range

Injection, pembrolizumab, 1 mg

$1.1M

444 claims · 3.2%

Your Cost: $2,471.40/claim|Median: $5,391.55
0.5× median
0241UNormal range

Proprietary lab analysis, genomic sequencing

$709K

10K claims · 2.1%

Your Cost: $70.09/claim|Median: $91.47
0.8× median
80053Normal range

Comprehensive metabolic panel

$644K

80K claims · 1.9%

Your Cost: $8.10/claim|Median: $7.24
1.1× median
74177Normal range

CT abdomen and pelvis with contrast

$508K

4,171 claims · 1.5%

Your Cost: $121.83/claim|Median: $65.76
1.9× median
76816Normal range

Ultrasound, pregnant uterus, follow-up

$473K

11K claims · 1.4%

Your Cost: $41.41/claim|Median: $58.55
0.7× median
99214Normal range

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

$415K

7,664 claims · 1.2%

Your Cost: $54.16/claim|Median: $53.41
1.0× median
99213Normal range

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

$401K

11K claims · 1.2%

Your Cost: $37.38/claim|Median: $37.81
1.0× median
76811Normal range

Ultrasound, pregnant uterus, detailed, single fetus

$389K

3,943 claims · 1.2%

Your Cost: $98.67/claim|Median: $106.79
0.9× median
76819Normal range

Fetal biophysical profile with non-stress test

$370K

7,460 claims · 1.1%

Your Cost: $49.66/claim|Median: $49.45
1.0× median
G0480Normal range

Drug test, definitive, 1-7 drug classes

$317K

6,983 claims · 0.9%

Your Cost: $45.45/claim|Median: $37.56
1.2× median
85025Normal range

Complete blood count (CBC) with differential, automated

$283K

70K claims · 0.8%

Your Cost: $4.06/claim|Median: $4.71
0.9× median
80307Normal range

Drug test, presumptive, by chemistry analyzers

$260K

5,884 claims · 0.8%

Your Cost: $44.19/claim|Median: $35.43
1.2× median
96413Normal range

Chemotherapy administration, IV infusion, up to 1 hour

$220K

2,108 claims · 0.7%

Your Cost: $104.50/claim|Median: $75.28
1.4× median
87536Top 5%

HIV-1 detection by nucleic acid, quantitative

$211K

1,874 claims · 0.6%

Your Cost: $112.34/claim|Median: $51.73
2.2× median
71275Normal range

CT angiography, chest, with contrast

$204K

1,534 claims · 0.6%

Your Cost: $133.22/claim|Median: $92.96
1.4× median
70450Normal range

CT head/brain without contrast

$193K

4,296 claims · 0.6%

Your Cost: $45.02/claim|Median: $45.53
1.0× median
77067Top 25%

Screening mammography, bilateral, including CAD

$193K

2,460 claims · 0.6%

Your Cost: $78.41/claim|Median: $39.33
2.0× median
84443Top 10%

Thyroid stimulating hormone (TSH)

$193K

8,782 claims · 0.6%

Your Cost: $21.94/claim|Median: $9.87
2.2× median
87636Normal range

Respiratory virus detection, 6-11 targets, nucleic acid

$168K

3,207 claims · 0.5%

Your Cost: $52.32/claim|Median: $97.61
0.5× median
80050Top 25%

General health panel

$165K

3,679 claims · 0.5%

Your Cost: $44.96/claim|Median: $25.59
1.8× median
82306Top 25%

Vitamin D, 25 hydroxy

$162K

4,934 claims · 0.5%

Your Cost: $32.77/claim|Median: $18.18
1.8× median
93005Normal range

Electrocardiogram, tracing only, without interpretation

$161K

25K claims · 0.5%

Your Cost: $6.51/claim|Median: $7.50
0.9× median
36415Normal range

Collection of venous blood by venipuncture

$160K

67K claims · 0.5%

Your Cost: $2.38/claim|Median: $1.57
1.5× median
80061Top 25%

Lipid panel

$153K

11K claims · 0.5%

Your Cost: $13.71/claim|Median: $8.41
1.6× median
71046Normal range

Chest X-ray, 2 views

$149K

13K claims · 0.4%

Your Cost: $11.72/claim|Median: $8.92
1.3× median
96374Normal range

Therapeutic/prophylactic/diagnostic IV push, single substance

$149K

8,704 claims · 0.4%

Your Cost: $17.07/claim|Median: $21.76
0.8× median
X0621Top 25%

$137K

598 claims · 0.4%

Your Cost: $228.53/claim|Median: $212.75
1.1× median
87491Normal range

Chlamydia detection, nucleic acid, amplified probe

$130K

5,842 claims · 0.4%

Your Cost: $22.21/claim|Median: $24.95
0.9× median
93306Normal range

Echocardiography, transthoracic, complete, with Doppler

$129K

1,778 claims · 0.4%

Your Cost: $72.36/claim|Median: $54.68
1.3× median
87591Normal range

Neisseria gonorrhoeae detection, nucleic acid, amplified probe

$121K

5,819 claims · 0.4%

Your Cost: $20.82/claim|Median: $23.39
0.9× median
99282Normal range

Emergency dept visit, low complexity

$114K

1,625 claims · 0.3%

Your Cost: $70.46/claim|Median: $37.72
1.9× median
0225UNormal range

$100K

1,163 claims · 0.3%

Your Cost: $86.03/claim|Median: $81.81
1.1× median
95810Normal range

Polysomnography, sleep study, 6+ hours

$94K

363 claims · 0.3%

Your Cost: $259.84/claim|Median: $233.73
1.1× median
95811Normal range

Sleep study with CPAP titration, polysomnography

$92K

213 claims · 0.3%

Your Cost: $432.06/claim|Median: $255.03
1.7× median
76700Normal range

Ultrasound, abdominal, complete

$86K

1,671 claims · 0.3%

Your Cost: $51.76/claim|Median: $50.69
1.0× median
87651Normal range

Streptococcus Group A detection, nucleic acid, amplified probe

$85K

4,191 claims · 0.3%

Your Cost: $20.19/claim|Median: $28.46
0.7× median
76830Normal range

Ultrasound, transvaginal

$81K

1,940 claims · 0.2%

Your Cost: $41.91/claim|Median: $57.47
0.7× median
76817Normal range

Ultrasound, pregnant uterus, transvaginal

$81K

1,530 claims · 0.2%

Your Cost: $52.88/claim|Median: $47.65
1.1× median
96365Normal range

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

$75K

3,237 claims · 0.2%

Your Cost: $23.32/claim|Median: $54.77
0.4× median
96372Normal range

Therapeutic injection, subcutaneous/intramuscular

$75K

8,281 claims · 0.2%

Your Cost: $9.04/claim|Median: $9.56
0.9× median
84484Normal range

Troponin, quantitative

$74K

11K claims · 0.2%

Your Cost: $6.65/claim|Median: $4.84
1.4× median
87389Top 25%

HIV-1 antigen with HIV-1 and HIV-2 antibodies

$73K

2,728 claims · 0.2%

Your Cost: $26.59/claim|Median: $18.03
1.5× median
76856Normal range

Ultrasound, pelvic, complete

$72K

1,951 claims · 0.2%

Your Cost: $37.05/claim|Median: $47.58
0.8× median
J1745Normal range

Injection, infliximab, excludes biosimilar, 10 mg

$71K

40 claims · 0.2%

Your Cost: $1,775.51/claim|Median: $1,587.53
1.1× median