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MERITER HOSPITAL, INC.

General Acute Care Hospital·MADISON, WI·NPI: 1114920048Share

Compared to General Acute Care Hospital Peers

Total spending distribution among 156 providers in this specialty

P25MedianP75P90

This provider's total spending of $25.4M is at the below 25th percentile among 156 General Acute Care Hospital providers.

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

Total Paid

$25.4M

$25,440,983

Total Claims

1.1M

Beneficiaries

837K

1.3 claims/patient

Avg Cost/Claim

$23

Monthly Spending Trend

Yearly Spending

2018
$2.9M
+14%
2019
$3.3M
-11%
2020
$2.9M
+12%
2021
$3.3M
+8%
2022
$3.5M
+45%
2023
$5.1M
-11%
2024
$4.5M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 50 distinct procedure codes. The top code (96361 (IV infusion, hydration, each additional hour)) accounts for 10% of total spending.

96361Normal range

IV infusion, hydration, each additional hour

$2.5M

23K claims · 9.8%

Your Cost: $109.00/claim|Median: $38.92
2.8× median
99283Normal range

Emergency dept visit, moderate complexity

$2.5M

40K claims · 9.6%

Your Cost: $60.89/claim|Median: $42.48
1.4× median
99284Normal range

Emergency dept visit, high complexity

$2.2M

41K claims · 8.8%

Your Cost: $54.68/claim|Median: $69.51
0.8× median
99285Normal range

Emergency dept visit, high/urgent complexity

$964K

21K claims · 3.8%

Your Cost: $45.10/claim|Median: $85.65
0.5× median
41899Normal range

Unlisted procedure, dentoalveolar structures

$841K

2,718 claims · 3.3%

Your Cost: $309.36/claim|Median: $763.43
0.4× median
96365Normal range

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

$770K

16K claims · 3.0%

Your Cost: $48.79/claim|Median: $54.77
0.9× median
J2350Normal range

Ocrelizumab (Ocrevus) injection, 1 mg

$638K

173 claims · 2.5%

Your Cost: $3,688.54/claim|Median: $17,264.74
0.2× median
80053Top 25%

Comprehensive metabolic panel

$546K

39K claims · 2.1%

Your Cost: $14.14/claim|Median: $7.24
2.0× median
90853Top 25%

Group psychotherapy

$525K

13K claims · 2.1%

Your Cost: $41.54/claim|Median: $25.02
1.7× median
99213Top 25%

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

$516K

9,178 claims · 2.0%

Your Cost: $56.25/claim|Median: $37.81
1.5× median
96360Normal range

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

$514K

6,880 claims · 2.0%

Your Cost: $74.67/claim|Median: $61.57
1.2× median
Q5104Normal range

$501K

1,935 claims · 2.0%

Your Cost: $258.98/claim|Median: $1,412.69
0.2× median
59025Top 25%

Fetal non-stress test

$498K

9,611 claims · 2.0%

Your Cost: $51.86/claim|Median: $26.45
2.0× median
99214Normal range

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

$473K

11K claims · 1.9%

Your Cost: $42.70/claim|Median: $53.41
0.8× median
76816Normal range

Ultrasound, pregnant uterus, follow-up

$432K

9,607 claims · 1.7%

Your Cost: $44.97/claim|Median: $58.55
0.8× median
J1569Normal range

$430K

2,326 claims · 1.7%

Your Cost: $184.69/claim|Median: $1,387.65
0.1× median
99282Normal range

Emergency dept visit, low complexity

$428K

6,826 claims · 1.7%

Your Cost: $62.75/claim|Median: $37.72
1.7× median
96366Normal range

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

$400K

5,959 claims · 1.6%

Your Cost: $67.09/claim|Median: $40.12
1.7× median
96040Top 25%

$376K

4,927 claims · 1.5%

Your Cost: $76.41/claim|Median: $32.05
2.4× median
80307Normal range

Drug test, presumptive, by chemistry analyzers

$374K

9,623 claims · 1.5%

Your Cost: $38.87/claim|Median: $35.43
1.1× median
76811Normal range

Ultrasound, pregnant uterus, detailed, single fetus

$371K

5,665 claims · 1.5%

Your Cost: $65.47/claim|Median: $106.79
0.6× median
70450Normal range

CT head/brain without contrast

$353K

5,764 claims · 1.4%

Your Cost: $61.16/claim|Median: $45.53
1.3× median
87635Normal range

COVID-19 SARS-CoV-2 amplified probe detection

$329K

7,689 claims · 1.3%

Your Cost: $42.85/claim|Median: $39.70
1.1× median
96413Normal range

Chemotherapy administration, IV infusion, up to 1 hour

$305K

5,344 claims · 1.2%

Your Cost: $57.13/claim|Median: $75.28
0.8× median
76815Normal range

Ultrasound, pregnant uterus, limited

$303K

11K claims · 1.2%

Your Cost: $28.59/claim|Median: $36.79
0.8× median
74177Normal range

CT abdomen and pelvis with contrast

$264K

4,073 claims · 1.0%

Your Cost: $64.93/claim|Median: $65.76
1.0× median
99212Top 25%

Office/outpatient visit, low complexity

$237K

4,296 claims · 0.9%

Your Cost: $55.06/claim|Median: $25.06
2.2× median
J2315Normal range

$232K

1,170 claims · 0.9%

Your Cost: $198.20/claim|Median: $1,045.36
0.2× median
87491Normal range

Chlamydia detection, nucleic acid, amplified probe

$206K

7,083 claims · 0.8%

Your Cost: $29.12/claim|Median: $24.95
1.2× median
85025Normal range

Complete blood count (CBC) with differential, automated

$204K

46K claims · 0.8%

Your Cost: $4.46/claim|Median: $4.71
0.9× median
90837Normal range

Psychotherapy, 60 minutes

$201K

7,974 claims · 0.8%

Your Cost: $25.24/claim|Median: $85.66
0.3× median
80048Top 25%

Basic metabolic panel

$199K

17K claims · 0.8%

Your Cost: $11.66/claim|Median: $5.78
2.0× median
76805Top 25%

Ultrasound, pregnant uterus, complete, single fetus

$175K

1,626 claims · 0.7%

Your Cost: $107.50/claim|Median: $74.78
1.4× median
87591Normal range

Neisseria gonorrhoeae detection, nucleic acid, amplified probe

$167K

7,078 claims · 0.7%

Your Cost: $23.59/claim|Median: $23.39
1.0× median
99215Normal range

Office/outpatient visit, high complexity

$164K

3,559 claims · 0.6%

Your Cost: $46.11/claim|Median: $74.09
0.6× median
96415Normal range

Chemotherapy infusion, each additional hour

$158K

2,219 claims · 0.6%

Your Cost: $71.27/claim|Median: $43.68
1.6× median
G0463Normal range

Hospital outpatient clinic visit

$155K

16K claims · 0.6%

Your Cost: $9.94/claim|Median: $26.41
0.4× median
76801Normal range

Ultrasound, pregnant uterus, single fetus, first trimester

$155K

3,732 claims · 0.6%

Your Cost: $41.41/claim|Median: $58.16
0.7× median
J3380Normal range

Injection, vedolizumab, one milligram

$151K

116 claims · 0.6%

Your Cost: $1,304.91/claim|Median: $4,027.41
0.3× median
99211Top 10%

Office/outpatient visit, minimal complexity

$149K

2,846 claims · 0.6%

Your Cost: $52.27/claim|Median: $12.93
4.0× median
0241UNormal range

Proprietary lab analysis, genomic sequencing

$147K

4,086 claims · 0.6%

Your Cost: $35.96/claim|Median: $91.47
0.4× median
94640Top 25%

Pressurized or nonpressurized inhalation treatment

$140K

4,519 claims · 0.6%

Your Cost: $31.06/claim|Median: $10.88
2.9× median
87210Top 5%

$137K

10K claims · 0.5%

Your Cost: $13.64/claim|Median: $3.65
3.7× median
80305Top 10%

$134K

10K claims · 0.5%

Your Cost: $12.86/claim|Median: $7.44
1.7× median
74176Normal range

CT abdomen and pelvis without contrast

$128K

2,151 claims · 0.5%

Your Cost: $59.66/claim|Median: $60.19
1.0× median
86850Top 25%

$128K

5,703 claims · 0.5%

Your Cost: $22.36/claim|Median: $5.44
4.1× median
82947Top 5%

Blood glucose level test

$125K

12K claims · 0.5%

Your Cost: $10.32/claim|Median: $2.38
4.3× median
G0378Normal range

Hospital observation service, per hour

$122K

6,432 claims · 0.5%

Your Cost: $18.95/claim|Median: $99.39
0.2× median
G0480Normal range

Drug test, definitive, 1-7 drug classes

$112K

4,214 claims · 0.4%

Your Cost: $26.51/claim|Median: $37.56
0.7× median
U0003Normal range

Infectious disease detection (COVID-19)

$110K

2,364 claims · 0.4%

Your Cost: $46.71/claim|Median: $63.08
0.7× median