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INDIANA UNIVERSITY HEALTH INC

General Acute Care Hospital, Children·INDIANAPOLIS, IN·NPI: 1114958584Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$75.6M

$75,615,410

Total Claims

468K

Beneficiaries

408K

1.1 claims/patient

Avg Cost/Claim

$162

Monthly Spending Trend

Yearly Spending

2018
$6.5M
+37%
2019
$9.0M
-27%
2020
$6.6M
+65%
2021
$10.8M
+40%
2022
$15.2M
-1%
2023
$15.0M
-16%
2024
$12.6M

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 36% of total spending.

99283Top 5%

Emergency dept visit, moderate complexity

$27.2M

136K claims · 36.0%

Your Cost: $200.19/claim|Median: $42.48
4.7× median
99284Top 10%

Emergency dept visit, high complexity

$9.4M

47K claims · 12.5%

Your Cost: $201.51/claim|Median: $69.51
2.9× median
31622Top 1%

$5.9M

1,911 claims · 7.8%

Your Cost: $3,101.04/claim|Median: $107.57
28.8× median
42820Top 25%

Tonsillectomy and adenoidectomy, under age 12

$4.9M

2,417 claims · 6.5%

Your Cost: $2,018.80/claim|Median: $331.68
6.1× median
99218Top 5%

$2.9M

5,015 claims · 3.9%

Your Cost: $584.02/claim|Median: $51.50
11.3× median
76770Top 5%

Ultrasound, retroperitoneal, complete

$2.0M

10K claims · 2.7%

Your Cost: $194.48/claim|Median: $37.35
5.2× median
71046Top 1%

Chest X-ray, 2 views

$2.0M

12K claims · 2.6%

Your Cost: $160.33/claim|Median: $8.92
18.0× median
64642Top 5%

$1.8M

1,909 claims · 2.4%

Your Cost: $938.78/claim|Median: $81.85
11.5× median
G0463Top 5%

Hospital outpatient clinic visit

$1.6M

13K claims · 2.1%

Your Cost: $119.92/claim|Median: $26.41
4.5× median
99221Top 1%

Initial hospital care, straightforward/low

$1.6M

2,370 claims · 2.1%

Your Cost: $682.47/claim|Median: $39.96
17.1× median
99285Top 25%

Emergency dept visit, high/urgent complexity

$1.3M

7,062 claims · 1.7%

Your Cost: $177.64/claim|Median: $85.65
2.1× median
69436Top 10%

Tympanostomy, general anesthesia

$1.1M

810 claims · 1.5%

Your Cost: $1,395.84/claim|Median: $205.50
6.8× median
94375Top 5%

$1.1M

10K claims · 1.5%

Your Cost: $108.53/claim|Median: $17.23
6.3× median
99282Top 5%

Emergency dept visit, low complexity

$1.0M

4,954 claims · 1.3%

Your Cost: $204.73/claim|Median: $37.72
5.4× median
76816Top 5%

Ultrasound, pregnant uterus, follow-up

$847K

5,009 claims · 1.1%

Your Cost: $169.16/claim|Median: $58.55
2.9× median
16020Top 25%

$805K

3,666 claims · 1.1%

Your Cost: $219.52/claim|Median: $52.02
4.2× median
J0475Top 5%

Injection, baclofen, ten milligrams

$766K

625 claims · 1.0%

Your Cost: $1,225.22/claim|Median: $384.42
3.2× median
95990Top 1%

$523K

611 claims · 0.7%

Your Cost: $855.83/claim|Median: $27.97
30.6× median
76811Top 25%

Ultrasound, pregnant uterus, detailed, single fetus

$500K

2,655 claims · 0.7%

Your Cost: $188.42/claim|Median: $106.79
1.8× median
U0004Top 25%

COVID-19 test, nucleic acid detection, CDC lab only

$478K

6,461 claims · 0.6%

Your Cost: $74.06/claim|Median: $60.05
1.2× median
97110Top 5%

Therapeutic exercises, each 15 min

$472K

4,934 claims · 0.6%

Your Cost: $95.73/claim|Median: $24.49
3.9× median
92567Top 5%

$451K

8,217 claims · 0.6%

Your Cost: $54.93/claim|Median: $11.50
4.8× median
59025Top 1%

Fetal non-stress test

$432K

1,446 claims · 0.6%

Your Cost: $298.93/claim|Median: $26.45
11.3× median
72082Top 10%

$410K

4,258 claims · 0.5%

Your Cost: $96.26/claim|Median: $31.02
3.1× median
93306Top 1%

Echocardiography, transthoracic, complete, with Doppler

$399K

703 claims · 0.5%

Your Cost: $567.54/claim|Median: $54.68
10.4× median
93303Top 5%

Echocardiography, transthoracic, limited

$373K

701 claims · 0.5%

Your Cost: $532.45/claim|Median: $112.83
4.7× median
99231Top 1%

Subsequent hospital care, per day, low complexity

$372K

643 claims · 0.5%

Your Cost: $578.68/claim|Median: $16.77
34.5× median
J0585Top 1%

Injection, onabotulinumtoxinA, 1 unit

$294K

68 claims · 0.4%

Your Cost: $4,325.09/claim|Median: $470.36
9.2× median
76819Top 5%

Fetal biophysical profile with non-stress test

$255K

2,166 claims · 0.3%

Your Cost: $117.55/claim|Median: $49.45
2.4× median
95700Top 5%

$241K

513 claims · 0.3%

Your Cost: $469.57/claim|Median: $154.31
3.0× median
93005Top 5%

Electrocardiogram, tracing only, without interpretation

$232K

2,228 claims · 0.3%

Your Cost: $104.08/claim|Median: $7.50
13.9× median
85025Normal range

Complete blood count (CBC) with differential, automated

$179K

27K claims · 0.2%

Your Cost: $6.70/claim|Median: $4.71
1.4× median
31526Normal range

$178K

815 claims · 0.2%

Your Cost: $218.33/claim|Median: $113.38
1.9× median
92604Top 25%

$171K

1,378 claims · 0.2%

Your Cost: $124.12/claim|Median: $62.19
2.0× median
51600Top 5%

$146K

179 claims · 0.2%

Your Cost: $814.70/claim|Median: $72.98
11.2× median
92555Top 10%

$137K

2,580 claims · 0.2%

Your Cost: $53.25/claim|Median: $14.17
3.8× median
99213Top 5%

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

$135K

1,281 claims · 0.2%

Your Cost: $105.51/claim|Median: $37.81
2.8× median
99212Top 5%

Office/outpatient visit, low complexity

$134K

1,286 claims · 0.2%

Your Cost: $103.88/claim|Median: $25.06
4.1× median
80053Normal range

Comprehensive metabolic panel

$127K

14K claims · 0.2%

Your Cost: $9.39/claim|Median: $7.24
1.3× median
87502Top 25%

Influenza virus detection, reverse transcription, amplified probe

$114K

1,248 claims · 0.2%

Your Cost: $91.00/claim|Median: $65.64
1.4× median
70553Top 5%

MRI brain without contrast, then with contrast

$104K

165 claims · 0.1%

Your Cost: $630.85/claim|Median: $133.68
4.7× median
95951Top 25%

$100K

184 claims · 0.1%

Your Cost: $543.58/claim|Median: $183.28
3.0× median
73130Top 10%

$99K

1,891 claims · 0.1%

Your Cost: $52.52/claim|Median: $10.69
4.9× median
51784Top 1%

$97K

380 claims · 0.1%

Your Cost: $255.66/claim|Median: $30.27
8.4× median
U0005Normal range

Infectious disease detection, COVID-19, antigen

$97K

5,124 claims · 0.1%

Your Cost: $18.88/claim|Median: $15.76
1.2× median
36415Top 25%

Collection of venous blood by venipuncture

$95K

28K claims · 0.1%

Your Cost: $3.46/claim|Median: $1.57
2.2× median
90947Normal range

$95K

1,530 claims · 0.1%

Your Cost: $61.92/claim|Median: $58.16
1.1× median
95716Normal range

$91K

370 claims · 0.1%

Your Cost: $245.57/claim|Median: $685.48
0.4× median
74018Top 1%

$86K

499 claims · 0.1%

Your Cost: $172.27/claim|Median: $7.00
24.6× median
72170Top 10%

$82K

1,975 claims · 0.1%

Your Cost: $41.48/claim|Median: $7.99
5.2× median

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