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CALDWELL MEMORIAL HOSPITAL, INC.

General Acute Care Hospital·LENOIR, NC·NPI: 1114974029Share

Compared to General Acute Care Hospital Peers

Total spending distribution among 156 providers in this specialty

P25MedianP75P90

This provider's total spending of $28.8M is at the below 25th percentile among 156 General Acute Care Hospital providers.

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

Total Paid

$28.8M

$28,829,367

Total Claims

819K

Beneficiaries

721K

1.1 claims/patient

Avg Cost/Claim

$35

Monthly Spending Trend

Yearly Spending

2018
$2.6M
+8%
2019
$2.8M
-36%
2020
$1.8M
+131%
2021
$4.2M
+37%
2022
$5.7M
+6%
2023
$6.1M
-5%
2024
$5.7M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 50 distinct procedure codes. The top code (G0463 (Hospital outpatient clinic visit)) accounts for 26% of total spending.

G0463Normal range

Hospital outpatient clinic visit

$7.6M

288K claims · 26.2%

Your Cost: $26.29/claim|Median: $26.41
1.0× median
99283Top 5%

Emergency dept visit, moderate complexity

$5.4M

28K claims · 18.6%

Your Cost: $192.39/claim|Median: $42.48
4.5× median
99284Top 10%

Emergency dept visit, high complexity

$3.5M

17K claims · 12.2%

Your Cost: $207.97/claim|Median: $69.51
3.0× median
U0002Top 5%

COVID-19 lab test, non-CDC, nucleic acid

$2.6M

40K claims · 9.0%

Your Cost: $65.24/claim|Median: $34.62
1.9× median
87502Top 25%

Influenza virus detection, reverse transcription, amplified probe

$1.1M

13K claims · 3.9%

Your Cost: $87.87/claim|Median: $65.64
1.3× median
99285Top 10%

Emergency dept visit, high/urgent complexity

$1.1M

4,853 claims · 3.7%

Your Cost: $220.88/claim|Median: $85.65
2.6× median
87651Top 25%

Streptococcus Group A detection, nucleic acid, amplified probe

$931K

23K claims · 3.2%

Your Cost: $40.99/claim|Median: $28.46
1.4× median
87880Top 25%

Streptococcus, Group A, rapid antigen detection

$653K

42K claims · 2.3%

Your Cost: $15.52/claim|Median: $11.48
1.4× median
74177Top 5%

CT abdomen and pelvis with contrast

$628K

870 claims · 2.2%

Your Cost: $721.73/claim|Median: $65.76
11.0× median
87804Top 25%

Influenza virus detection, rapid test

$524K

26K claims · 1.8%

Your Cost: $20.36/claim|Median: $12.59
1.6× median
99282Top 25%

Emergency dept visit, low complexity

$431K

3,648 claims · 1.5%

Your Cost: $118.15/claim|Median: $37.72
3.1× median
70450Top 5%

CT head/brain without contrast

$306K

1,143 claims · 1.1%

Your Cost: $267.59/claim|Median: $45.53
5.9× median
96374Normal range

Therapeutic/prophylactic/diagnostic IV push, single substance

$249K

4,690 claims · 0.9%

Your Cost: $53.12/claim|Median: $21.76
2.4× median
36902Normal range

$245K

1,057 claims · 0.8%

Your Cost: $231.48/claim|Median: $178.61
1.3× median
96372Top 5%

Therapeutic injection, subcutaneous/intramuscular

$219K

2,744 claims · 0.8%

Your Cost: $79.82/claim|Median: $9.56
8.3× median
0241UTop 5%

Proprietary lab analysis, genomic sequencing

$210K

1,316 claims · 0.7%

Your Cost: $159.73/claim|Median: $91.47
1.7× median
93005Top 25%

Electrocardiogram, tracing only, without interpretation

$210K

4,504 claims · 0.7%

Your Cost: $46.60/claim|Median: $7.50
6.2× median
85025Top 25%

Complete blood count (CBC) with differential, automated

$207K

29K claims · 0.7%

Your Cost: $7.04/claim|Median: $4.71
1.5× median
87081Top 25%

Culture screening for pathogenic organisms

$205K

27K claims · 0.7%

Your Cost: $7.51/claim|Median: $5.09
1.5× median
J3490Normal range

Unclassified drugs

$191K

48K claims · 0.7%

Your Cost: $3.97/claim|Median: $5.70
0.7× median
92552Top 10%

Pure tone audiometry, air only, each ear

$185K

6,053 claims · 0.6%

Your Cost: $30.50/claim|Median: $12.63
2.4× median
80053Normal range

Comprehensive metabolic panel

$166K

22K claims · 0.6%

Your Cost: $7.66/claim|Median: $7.24
1.1× median
96127Top 25%

Brief emotional/behavioral assessment, per standardized instrument

$152K

20K claims · 0.5%

Your Cost: $7.62/claim|Median: $3.67
2.1× median
96375Top 10%

Therapeutic/prophylactic/diagnostic IV push, each additional substance

$150K

2,237 claims · 0.5%

Your Cost: $67.13/claim|Median: $14.92
4.5× median
96361Normal range

IV infusion, hydration, each additional hour

$108K

3,049 claims · 0.4%

Your Cost: $35.40/claim|Median: $38.92
0.9× median
71046Top 10%

Chest X-ray, 2 views

$83K

2,268 claims · 0.3%

Your Cost: $36.50/claim|Median: $8.92
4.1× median
88305Top 5%

Surgical pathology, gross and microscopic examination

$77K

614 claims · 0.3%

Your Cost: $125.31/claim|Median: $35.80
3.5× median
80307Top 25%

Drug test, presumptive, by chemistry analyzers

$74K

1,312 claims · 0.3%

Your Cost: $56.05/claim|Median: $35.43
1.6× median
36415Normal range

Collection of venous blood by venipuncture

$67K

35K claims · 0.2%

Your Cost: $1.94/claim|Median: $1.57
1.2× median
90837Normal range

Psychotherapy, 60 minutes

$60K

1,578 claims · 0.2%

Your Cost: $38.25/claim|Median: $85.66
0.4× median
81001Top 25%

Urinalysis, automated, with microscopy

$52K

16K claims · 0.2%

Your Cost: $3.18/claim|Median: $2.03
1.6× median
87634Top 5%

$46K

412 claims · 0.2%

Your Cost: $112.49/claim|Median: $48.78
2.3× median
87807Top 5%

$45K

2,498 claims · 0.2%

Your Cost: $18.21/claim|Median: $10.06
1.8× median
71045Top 25%

Chest X-ray, single view

$38K

1,989 claims · 0.1%

Your Cost: $19.23/claim|Median: $4.93
3.9× median
93306Normal range

Echocardiography, transthoracic, complete, with Doppler

$38K

446 claims · 0.1%

Your Cost: $85.58/claim|Median: $54.68
1.6× median
73630Normal range

X-ray, foot, complete, minimum 3 views

$35K

2,312 claims · 0.1%

Your Cost: $15.19/claim|Median: $12.06
1.3× median
96161Top 25%

$35K

5,257 claims · 0.1%

Your Cost: $6.56/claim|Median: $2.49
2.6× median
80048Normal range

Basic metabolic panel

$34K

4,525 claims · 0.1%

Your Cost: $7.56/claim|Median: $5.78
1.3× median
84484Normal range

Troponin, quantitative

$33K

4,616 claims · 0.1%

Your Cost: $7.20/claim|Median: $4.84
1.5× median
99152Top 25%

$31K

1,437 claims · 0.1%

Your Cost: $21.86/claim|Median: $7.34
3.0× median
Q9967Normal range

Low osmolar contrast material, 300-399 mg iodine/ml, per ml

$31K

3,712 claims · 0.1%

Your Cost: $8.39/claim|Median: $3.42
2.5× median
C1725Normal range

$30K

1,245 claims · 0.1%

Your Cost: $24.19/claim|Median: $25.27
1.0× median
96365Normal range

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

$29K

369 claims · 0.1%

Your Cost: $77.52/claim|Median: $54.77
1.4× median
82306Top 25%

Vitamin D, 25 hydroxy

$27K

954 claims · 0.1%

Your Cost: $27.97/claim|Median: $18.18
1.5× median
84443Top 25%

Thyroid stimulating hormone (TSH)

$27K

1,741 claims · 0.1%

Your Cost: $15.27/claim|Median: $9.87
1.5× median
80076Top 25%

Hepatic function panel

$26K

2,504 claims · 0.1%

Your Cost: $10.56/claim|Median: $4.59
2.3× median
J7040Top 25%

Normal saline solution infusion, 500 cc

$26K

2,952 claims · 0.1%

Your Cost: $8.88/claim|Median: $1.11
8.0× median
87086Top 25%

Urine culture, colony count, with identification

$25K

3,125 claims · 0.1%

Your Cost: $8.08/claim|Median: $5.31
1.5× median
G0480Normal range

Drug test, definitive, 1-7 drug classes

$25K

525 claims · 0.1%

Your Cost: $47.33/claim|Median: $37.56
1.3× median
81025Top 10%

Urine pregnancy test

$23K

2,836 claims · 0.1%

Your Cost: $8.23/claim|Median: $4.81
1.7× 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

Boston, MA

$768.5M

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