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WELLMONT HEALTH SYSTEM

General Acute Care Hospital·BRISTOL, TN·NPI: 1124058615Share

Compared to General Acute Care Hospital Peers

Total spending distribution among 156 providers in this specialty

P25MedianP75P90

This provider's total spending of $27.3M is at the below 25th percentile among 156 General Acute Care Hospital providers.

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

Total Paid

$27.3M

$27,347,125

Total Claims

593K

Beneficiaries

462K

1.3 claims/patient

Avg Cost/Claim

$46

Monthly Spending Trend

Yearly Spending

2018
$2.9M
+17%
2019
$3.3M
+3%
2020
$3.4M
+19%
2021
$4.1M
+5%
2022
$4.3M
+16%
2023
$5.0M
-12%
2024
$4.4M

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 31% of total spending.

99284Top 10%

Emergency dept visit, high complexity

$8.5M

43K claims · 31.1%

Your Cost: $198.77/claim|Median: $69.51
2.9× median
99285Top 25%

Emergency dept visit, high/urgent complexity

$3.9M

20K claims · 14.3%

Your Cost: $197.70/claim|Median: $85.65
2.3× median
99283Top 25%

Emergency dept visit, moderate complexity

$2.8M

20K claims · 10.1%

Your Cost: $140.21/claim|Median: $42.48
3.3× median
96361Top 25%

IV infusion, hydration, each additional hour

$1.6M

6,477 claims · 5.9%

Your Cost: $250.15/claim|Median: $38.92
6.4× median
74177Top 25%

CT abdomen and pelvis with contrast

$915K

4,682 claims · 3.3%

Your Cost: $195.37/claim|Median: $65.76
3.0× median
41899Normal range

Unlisted procedure, dentoalveolar structures

$834K

948 claims · 3.0%

Your Cost: $879.36/claim|Median: $763.43
1.2× median
70450Top 25%

CT head/brain without contrast

$728K

4,294 claims · 2.7%

Your Cost: $169.53/claim|Median: $45.53
3.7× median
G0378Normal range

Hospital observation service, per hour

$605K

5,741 claims · 2.2%

Your Cost: $105.30/claim|Median: $99.39
1.1× median
99282Top 25%

Emergency dept visit, low complexity

$504K

4,953 claims · 1.8%

Your Cost: $101.69/claim|Median: $37.72
2.7× median
97110Top 25%

Therapeutic exercises, each 15 min

$446K

10K claims · 1.6%

Your Cost: $42.51/claim|Median: $24.49
1.7× median
74176Top 25%

CT abdomen and pelvis without contrast

$361K

1,782 claims · 1.3%

Your Cost: $202.34/claim|Median: $60.19
3.4× median
93306Top 10%

Echocardiography, transthoracic, complete, with Doppler

$359K

1,341 claims · 1.3%

Your Cost: $267.57/claim|Median: $54.68
4.9× median
29581Top 10%

$340K

2,487 claims · 1.2%

Your Cost: $136.84/claim|Median: $41.19
3.3× median
97530Normal range

Therapeutic activities, each 15 min

$296K

6,238 claims · 1.1%

Your Cost: $47.41/claim|Median: $33.11
1.4× median
0202UNormal range

Proprietary lab analysis, human genomic sequencing

$288K

2,874 claims · 1.1%

Your Cost: $100.29/claim|Median: $144.30
0.7× median
78452Top 5%

Myocardial perfusion imaging, SPECT, multiple studies

$282K

484 claims · 1.0%

Your Cost: $582.51/claim|Median: $106.14
5.5× median
97602Top 10%

$275K

1,538 claims · 1.0%

Your Cost: $178.85/claim|Median: $51.00
3.5× median
96360Top 25%

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

$231K

1,813 claims · 0.8%

Your Cost: $127.63/claim|Median: $61.57
2.1× median
G0463Top 25%

Hospital outpatient clinic visit

$228K

2,889 claims · 0.8%

Your Cost: $78.99/claim|Median: $26.41
3.0× median
0241UNormal range

Proprietary lab analysis, genomic sequencing

$221K

4,161 claims · 0.8%

Your Cost: $53.07/claim|Median: $91.47
0.6× median
96365Top 25%

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

$206K

2,071 claims · 0.8%

Your Cost: $99.25/claim|Median: $54.77
1.8× median
94640Top 10%

Pressurized or nonpressurized inhalation treatment

$205K

3,487 claims · 0.8%

Your Cost: $58.90/claim|Median: $10.88
5.4× median
80307Normal range

Drug test, presumptive, by chemistry analyzers

$195K

4,474 claims · 0.7%

Your Cost: $43.66/claim|Median: $35.43
1.2× median
72148Normal range

MRI lumbar spine without contrast

$192K

1,236 claims · 0.7%

Your Cost: $155.18/claim|Median: $101.03
1.5× median
71275Top 25%

CT angiography, chest, with contrast

$140K

544 claims · 0.5%

Your Cost: $257.85/claim|Median: $92.96
2.8× median
59025Top 5%

Fetal non-stress test

$136K

775 claims · 0.5%

Your Cost: $176.05/claim|Median: $26.45
6.7× median
76705Top 25%

Ultrasound, abdominal, limited

$131K

1,451 claims · 0.5%

Your Cost: $90.43/claim|Median: $23.81
3.8× median
80053Normal range

Comprehensive metabolic panel

$127K

37K claims · 0.5%

Your Cost: $3.46/claim|Median: $7.24
0.5× median
96374Normal range

Therapeutic/prophylactic/diagnostic IV push, single substance

$127K

17K claims · 0.5%

Your Cost: $7.49/claim|Median: $21.76
0.3× median
99213Top 5%

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

$100K

1,133 claims · 0.4%

Your Cost: $88.31/claim|Median: $37.81
2.3× median
71046Normal range

Chest X-ray, 2 views

$100K

11K claims · 0.4%

Your Cost: $8.85/claim|Median: $8.92
1.0× median
99291Top 25%

Critical care, first 30-74 minutes

$99K

538 claims · 0.4%

Your Cost: $184.68/claim|Median: $101.24
1.8× median
97162Top 25%

PT evaluation, moderate complexity

$97K

1,468 claims · 0.4%

Your Cost: $66.08/claim|Median: $46.10
1.4× median
96366Top 10%

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

$96K

392 claims · 0.4%

Your Cost: $245.62/claim|Median: $40.12
6.1× median
85025Normal range

Complete blood count (CBC) with differential, automated

$78K

46K claims · 0.3%

Your Cost: $1.69/claim|Median: $4.71
0.4× median
C8929Normal range

$77K

359 claims · 0.3%

Your Cost: $213.71/claim|Median: $194.95
1.1× median
93017Normal range

$75K

774 claims · 0.3%

Your Cost: $97.28/claim|Median: $56.03
1.7× median
70553Top 25%

MRI brain without contrast, then with contrast

$74K

261 claims · 0.3%

Your Cost: $283.51/claim|Median: $133.68
2.1× median
77067Normal range

Screening mammography, bilateral, including CAD

$74K

1,778 claims · 0.3%

Your Cost: $41.34/claim|Median: $39.33
1.1× median
78306Top 10%

$73K

322 claims · 0.3%

Your Cost: $225.16/claim|Median: $55.24
4.1× median
71260Normal range

CT chest with contrast

$64K

1,018 claims · 0.2%

Your Cost: $62.58/claim|Median: $48.36
1.3× median
72141Normal range

MRI of cervical spine without contrast

$60K

345 claims · 0.2%

Your Cost: $173.84/claim|Median: $112.68
1.5× median
80048Normal range

Basic metabolic panel

$52K

12K claims · 0.2%

Your Cost: $4.26/claim|Median: $5.78
0.7× median
U0003Normal range

Infectious disease detection (COVID-19)

$51K

2,217 claims · 0.2%

Your Cost: $22.88/claim|Median: $63.08
0.4× median
99281Normal range

Emergency dept visit, minimal complexity

$50K

563 claims · 0.2%

Your Cost: $88.66/claim|Median: $52.03
1.7× median
97116Normal range

Gait training

$44K

2,153 claims · 0.2%

Your Cost: $20.40/claim|Median: $12.48
1.6× median
93971Top 25%

Duplex scan of extremity veins, unilateral or limited

$41K

540 claims · 0.2%

Your Cost: $76.56/claim|Median: $25.43
3.0× median
72100Normal range

$40K

2,143 claims · 0.1%

Your Cost: $18.88/claim|Median: $15.14
1.2× median
78815Normal range

PET imaging for limited area

$39K

78 claims · 0.1%

Your Cost: $494.93/claim|Median: $325.10
1.5× median
93005Normal range

Electrocardiogram, tracing only, without interpretation

$37K

15K claims · 0.1%

Your Cost: $2.48/claim|Median: $7.50
0.3× median