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ST CLAIRE MEDICAL CENTER INC

General Acute Care Hospital·MOREHEAD, KY·NPI: 1124078696Share

Compared to General Acute Care Hospital Peers

Total spending distribution among 156 providers in this specialty

P25MedianP75P90

This provider's total spending of $71.3M is at the below 25th percentile among 156 General Acute Care Hospital providers.

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

Total Paid

$71.3M

$71,265,060

Total Claims

1.9M

Beneficiaries

1.4M

1.3 claims/patient

Avg Cost/Claim

$38

Monthly Spending Trend

Yearly Spending

2018
$9.6M
+4%
2019
$10.0M
-15%
2020
$8.5M
+19%
2021
$10.1M
+6%
2022
$10.7M
+6%
2023
$11.3M
-2%
2024
$11.1M

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 10% of total spending.

99284Top 10%

Emergency dept visit, high complexity

$6.9M

41K claims · 9.7%

Your Cost: $169.13/claim|Median: $69.51
2.4× median
99283Top 25%

Emergency dept visit, moderate complexity

$4.1M

33K claims · 5.8%

Your Cost: $123.87/claim|Median: $42.48
2.9× median
G0483Top 25%

Drug test, definitive, 22+ drug classes

$2.7M

18K claims · 3.8%

Your Cost: $148.26/claim|Median: $90.89
1.6× median
0202UTop 25%

Proprietary lab analysis, human genomic sequencing

$2.3M

6,948 claims · 3.2%

Your Cost: $328.91/claim|Median: $144.30
2.3× median
74177Top 25%

CT abdomen and pelvis with contrast

$2.1M

9,576 claims · 2.9%

Your Cost: $216.33/claim|Median: $65.76
3.3× median
99285Top 10%

Emergency dept visit, high/urgent complexity

$2.0M

9,109 claims · 2.8%

Your Cost: $218.17/claim|Median: $85.65
2.5× median
99211Top 25%

Office/outpatient visit, minimal complexity

$1.9M

69K claims · 2.6%

Your Cost: $27.07/claim|Median: $12.93
2.1× median
99212Normal range

Office/outpatient visit, low complexity

$1.8M

66K claims · 2.6%

Your Cost: $27.93/claim|Median: $25.06
1.1× median
80307Top 25%

Drug test, presumptive, by chemistry analyzers

$1.7M

34K claims · 2.4%

Your Cost: $51.50/claim|Median: $35.43
1.5× median
99213Normal range

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

$1.3M

45K claims · 1.8%

Your Cost: $28.91/claim|Median: $37.81
0.8× median
99214Normal range

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

$1.3M

46K claims · 1.8%

Your Cost: $27.48/claim|Median: $53.41
0.5× median
G0480Top 10%

Drug test, definitive, 1-7 drug classes

$1.2M

14K claims · 1.7%

Your Cost: $86.72/claim|Median: $37.56
2.3× median
70450Top 25%

CT head/brain without contrast

$1.2M

7,815 claims · 1.7%

Your Cost: $152.69/claim|Median: $45.53
3.4× median
93306Top 10%

Echocardiography, transthoracic, complete, with Doppler

$1.2M

5,396 claims · 1.7%

Your Cost: $219.89/claim|Median: $54.68
4.0× median
96361Normal range

IV infusion, hydration, each additional hour

$1.1M

27K claims · 1.6%

Your Cost: $43.22/claim|Median: $38.92
1.1× median
97110Top 10%

Therapeutic exercises, each 15 min

$1.1M

15K claims · 1.5%

Your Cost: $70.18/claim|Median: $24.49
2.9× median
92507Top 25%

Speech/hearing/language treatment

$1.0M

14K claims · 1.4%

Your Cost: $72.97/claim|Median: $49.45
1.5× median
93458Normal range

Left heart catheterization with imaging

$979K

1,164 claims · 1.4%

Your Cost: $840.73/claim|Median: $183.33
4.6× median
80053Normal range

Comprehensive metabolic panel

$914K

90K claims · 1.3%

Your Cost: $10.18/claim|Median: $7.24
1.4× median
96374Normal range

Therapeutic/prophylactic/diagnostic IV push, single substance

$902K

17K claims · 1.3%

Your Cost: $53.22/claim|Median: $21.76
2.4× median
78452Top 25%

Myocardial perfusion imaging, SPECT, multiple studies

$893K

2,475 claims · 1.3%

Your Cost: $360.72/claim|Median: $106.14
3.4× median
74176Top 25%

CT abdomen and pelvis without contrast

$890K

5,686 claims · 1.2%

Your Cost: $156.59/claim|Median: $60.19
2.6× median
43239Normal range

Upper GI endoscopy with biopsy

$812K

3,215 claims · 1.1%

Your Cost: $252.46/claim|Median: $151.68
1.7× median
96375Top 10%

Therapeutic/prophylactic/diagnostic IV push, each additional substance

$776K

12K claims · 1.1%

Your Cost: $64.97/claim|Median: $14.92
4.4× median
Q9967Top 10%

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

$735K

12K claims · 1.0%

Your Cost: $61.59/claim|Median: $3.42
18.0× median
97530Top 25%

Therapeutic activities, each 15 min

$699K

9,235 claims · 1.0%

Your Cost: $75.73/claim|Median: $33.11
2.3× median
93005Top 25%

Electrocardiogram, tracing only, without interpretation

$681K

29K claims · 1.0%

Your Cost: $23.89/claim|Median: $7.50
3.2× median
76705Top 5%

Ultrasound, abdominal, limited

$665K

4,771 claims · 0.9%

Your Cost: $139.47/claim|Median: $23.81
5.9× median
0241UNormal range

Proprietary lab analysis, genomic sequencing

$664K

8,069 claims · 0.9%

Your Cost: $82.23/claim|Median: $91.47
0.9× median
85025Top 25%

Complete blood count (CBC) with differential, automated

$663K

93K claims · 0.9%

Your Cost: $7.11/claim|Median: $4.71
1.5× median
71046Top 10%

Chest X-ray, 2 views

$616K

19K claims · 0.9%

Your Cost: $32.83/claim|Median: $8.92
3.7× median
96360Normal range

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

$589K

8,248 claims · 0.8%

Your Cost: $71.45/claim|Median: $61.57
1.2× median
88305Top 25%

Surgical pathology, gross and microscopic examination

$526K

6,474 claims · 0.7%

Your Cost: $81.23/claim|Median: $35.80
2.3× median
96365Normal range

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

$516K

6,398 claims · 0.7%

Your Cost: $80.58/claim|Median: $54.77
1.5× median
96372Top 25%

Therapeutic injection, subcutaneous/intramuscular

$492K

22K claims · 0.7%

Your Cost: $22.46/claim|Median: $9.56
2.3× median
36415Top 25%

Collection of venous blood by venipuncture

$488K

141K claims · 0.7%

Your Cost: $3.47/claim|Median: $1.57
2.2× median
20610Top 25%

Arthrocentesis, aspiration/injection, major joint

$464K

6,988 claims · 0.7%

Your Cost: $66.36/claim|Median: $29.03
2.3× median
71275Top 25%

CT angiography, chest, with contrast

$450K

2,639 claims · 0.6%

Your Cost: $170.60/claim|Median: $92.96
1.8× median
99282Normal range

Emergency dept visit, low complexity

$442K

5,367 claims · 0.6%

Your Cost: $82.38/claim|Median: $37.72
2.2× median
93017Top 25%

$436K

2,578 claims · 0.6%

Your Cost: $169.28/claim|Median: $56.03
3.0× median
84443Normal range

Thyroid stimulating hormone (TSH)

$425K

29K claims · 0.6%

Your Cost: $14.67/claim|Median: $9.87
1.5× median
76700Top 5%

Ultrasound, abdominal, complete

$421K

2,197 claims · 0.6%

Your Cost: $191.56/claim|Median: $50.69
3.8× median
73630Top 5%

X-ray, foot, complete, minimum 3 views

$416K

5,007 claims · 0.6%

Your Cost: $83.09/claim|Median: $12.06
6.9× median
77067Top 25%

Screening mammography, bilateral, including CAD

$372K

4,190 claims · 0.5%

Your Cost: $88.88/claim|Median: $39.33
2.3× median
S9129Normal range

OT, in the home, per diem

$372K

10K claims · 0.5%

Your Cost: $35.42/claim|Median: $76.61
0.5× median
99219Top 5%

$357K

2,159 claims · 0.5%

Your Cost: $165.43/claim|Median: $63.35
2.6× median
96413Top 25%

Chemotherapy administration, IV infusion, up to 1 hour

$355K

2,268 claims · 0.5%

Your Cost: $156.48/claim|Median: $75.28
2.1× median
72148Top 25%

MRI lumbar spine without contrast

$353K

1,314 claims · 0.5%

Your Cost: $268.77/claim|Median: $101.03
2.7× median
73721Top 25%

MRI joint of lower extremity without contrast

$345K

1,146 claims · 0.5%

Your Cost: $301.22/claim|Median: $127.34
2.4× median
95811Top 25%

Sleep study with CPAP titration, polysomnography

$342K

619 claims · 0.5%

Your Cost: $552.91/claim|Median: $255.03
2.2× median

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Boston Medical Center Corporation

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