Statistical flags indicate unusual patterns — not proof of fraud or wrongdoing. Read our methodology

⚖️ Compare🖨️ Print Report

DUBOIS REGIONAL MEDICAL CENTER

General Acute Care Hospital·DU BOIS, PA·NPI: 1144249657Share

Compared to General Acute Care Hospital Peers

Total spending distribution among 156 providers in this specialty

P25MedianP75P90

This provider's total spending of $18.8M is at the below 25th percentile among 156 General Acute Care Hospital providers.

Active Billing Period:2018-01→2024-12(81 months)

Total Paid

$18.8M

$18,770,242

Total Claims

572K

Beneficiaries

505K

1.1 claims/patient

Avg Cost/Claim

$33

Monthly Spending Trend

Yearly Spending

2018
$30K
+91%
2019
$58K
+2110%
2020
$1.3M
+449%
2021
$7.1M
-53%
2022
$3.3M
+15%
2023
$3.9M
-19%
2024
$3.1M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 50 distinct procedure codes. The top code (T1015 (Clinic visit/encounter, all-inclusive)) accounts for 54% of total spending.

T1015Normal range

Clinic visit/encounter, all-inclusive

$10.1M

189K claims · 53.6%

Your Cost: $53.30/claim|Median: $121.16
0.4× median
99284Top 25%

Emergency dept visit, high complexity

$1.0M

8,768 claims · 5.3%

Your Cost: $114.41/claim|Median: $69.51
1.6× median
G0378Top 5%

Hospital observation service, per hour

$835K

540 claims · 4.4%

Your Cost: $1,545.55/claim|Median: $99.39
15.6× median
99283Top 25%

Emergency dept visit, moderate complexity

$667K

8,301 claims · 3.6%

Your Cost: $80.38/claim|Median: $42.48
1.9× median
99285Top 25%

Emergency dept visit, high/urgent complexity

$591K

4,032 claims · 3.1%

Your Cost: $146.53/claim|Median: $85.65
1.7× median
87631Top 10%

Respiratory virus detection, 3-5 targets, multiplex

$449K

3,055 claims · 2.4%

Your Cost: $146.93/claim|Median: $65.45
2.2× median
X0621Normal range

$284K

1,380 claims · 1.5%

Your Cost: $205.86/claim|Median: $212.75
1.0× median
87636Normal range

Respiratory virus detection, 6-11 targets, nucleic acid

$216K

1,735 claims · 1.2%

Your Cost: $124.57/claim|Median: $97.61
1.3× median
96413Normal range

Chemotherapy administration, IV infusion, up to 1 hour

$163K

1,699 claims · 0.9%

Your Cost: $95.87/claim|Median: $75.28
1.3× median
76817Normal range

Ultrasound, pregnant uterus, transvaginal

$155K

2,847 claims · 0.8%

Your Cost: $54.55/claim|Median: $47.65
1.1× median
X0620Top 1%

$153K

520 claims · 0.8%

Your Cost: $294.61/claim|Median: $191.98
1.5× median
87426Normal range

SARS-CoV-2 COVID-19 antigen detection, immunoassay

$142K

4,210 claims · 0.8%

Your Cost: $33.70/claim|Median: $30.04
1.1× median
U0003Top 25%

Infectious disease detection (COVID-19)

$134K

1,615 claims · 0.7%

Your Cost: $82.82/claim|Median: $63.08
1.3× median
87804Normal range

Influenza virus detection, rapid test

$123K

11K claims · 0.7%

Your Cost: $11.72/claim|Median: $12.59
0.9× median
80053Normal range

Comprehensive metabolic panel

$119K

12K claims · 0.6%

Your Cost: $10.23/claim|Median: $7.24
1.4× median
76816Normal range

Ultrasound, pregnant uterus, follow-up

$108K

2,582 claims · 0.6%

Your Cost: $41.88/claim|Median: $58.55
0.7× median
80050Top 25%

General health panel

$104K

2,252 claims · 0.6%

Your Cost: $46.33/claim|Median: $25.59
1.8× median
69436Top 25%

Tympanostomy, general anesthesia

$103K

179 claims · 0.5%

Your Cost: $574.65/claim|Median: $205.50
2.8× median
82306Top 10%

Vitamin D, 25 hydroxy

$100K

2,629 claims · 0.5%

Your Cost: $37.99/claim|Median: $18.18
2.1× median
76819Normal range

Fetal biophysical profile with non-stress test

$98K

1,899 claims · 0.5%

Your Cost: $51.82/claim|Median: $49.45
1.0× median
74177Normal range

CT abdomen and pelvis with contrast

$90K

570 claims · 0.5%

Your Cost: $158.57/claim|Median: $65.76
2.4× median
85025Normal range

Complete blood count (CBC) with differential, automated

$90K

17K claims · 0.5%

Your Cost: $5.31/claim|Median: $4.71
1.1× median
J9312Normal range

$85K

25 claims · 0.5%

Your Cost: $3,388.05/claim|Median: $2,705.30
1.3× median
76811Normal range

Ultrasound, pregnant uterus, detailed, single fetus

$81K

929 claims · 0.4%

Your Cost: $86.78/claim|Median: $106.79
0.8× median
45380Normal range

Colonoscopy with biopsy

$77K

263 claims · 0.4%

Your Cost: $292.33/claim|Median: $200.68
1.5× median
96374Normal range

Therapeutic/prophylactic/diagnostic IV push, single substance

$71K

2,933 claims · 0.4%

Your Cost: $24.26/claim|Median: $21.76
1.1× median
U0002Normal range

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

$68K

2,435 claims · 0.4%

Your Cost: $28.06/claim|Median: $34.62
0.8× median
T1028Normal range

Assessment of home, physical & family environments

$63K

841 claims · 0.3%

Your Cost: $74.65/claim|Median: $81.30
0.9× median
87811Normal range

SARS-CoV-2 COVID-19 antigen detection, rapid, instrument-read

$58K

4,953 claims · 0.3%

Your Cost: $11.71/claim|Median: $30.53
0.4× median
76830Normal range

Ultrasound, transvaginal

$58K

1,207 claims · 0.3%

Your Cost: $47.69/claim|Median: $57.47
0.8× median
80061Top 25%

Lipid panel

$56K

4,209 claims · 0.3%

Your Cost: $13.30/claim|Median: $8.41
1.6× median
J2323Normal range

Injection, natalizumab, one milligram

$56K

13 claims · 0.3%

Your Cost: $4,269.55/claim|Median: $2,797.07
1.5× median
70553Normal range

MRI brain without contrast, then with contrast

$54K

270 claims · 0.3%

Your Cost: $201.52/claim|Median: $133.68
1.5× median
G0379Top 5%

Direct admission to hospital observation

$53K

29 claims · 0.3%

Your Cost: $1,843.34/claim|Median: $48.25
38.2× median
96372Normal range

Therapeutic injection, subcutaneous/intramuscular

$49K

4,562 claims · 0.3%

Your Cost: $10.85/claim|Median: $9.56
1.1× median
93005Normal range

Electrocardiogram, tracing only, without interpretation

$46K

5,142 claims · 0.2%

Your Cost: $8.95/claim|Median: $7.50
1.2× median
96365Normal range

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

$46K

1,449 claims · 0.2%

Your Cost: $31.67/claim|Median: $54.77
0.6× median
73721Top 25%

MRI joint of lower extremity without contrast

$46K

182 claims · 0.2%

Your Cost: $252.13/claim|Median: $127.34
2.0× median
71275Top 25%

CT angiography, chest, with contrast

$45K

272 claims · 0.2%

Your Cost: $166.04/claim|Median: $92.96
1.8× median
84443Top 10%

Thyroid stimulating hormone (TSH)

$45K

2,243 claims · 0.2%

Your Cost: $20.12/claim|Median: $9.87
2.0× median
80307Top 25%

Drug test, presumptive, by chemistry analyzers

$43K

793 claims · 0.2%

Your Cost: $54.55/claim|Median: $35.43
1.5× median
77067Top 25%

Screening mammography, bilateral, including CAD

$43K

555 claims · 0.2%

Your Cost: $77.84/claim|Median: $39.33
2.0× median
0002ATop 25%

COVID-19 vaccine admin, Pfizer, 2nd dose

$42K

1,035 claims · 0.2%

Your Cost: $40.71/claim|Median: $36.70
1.1× median
87880Normal range

Streptococcus, Group A, rapid antigen detection

$41K

6,412 claims · 0.2%

Your Cost: $6.41/claim|Median: $11.48
0.6× median
93306Normal range

Echocardiography, transthoracic, complete, with Doppler

$40K

505 claims · 0.2%

Your Cost: $79.43/claim|Median: $54.68
1.5× median
0001ANormal range

COVID-19 vaccine admin, Pfizer, 1st dose

$39K

1,178 claims · 0.2%

Your Cost: $32.81/claim|Median: $33.72
1.0× median
43239Normal range

Upper GI endoscopy with biopsy

$38K

165 claims · 0.2%

Your Cost: $227.51/claim|Median: $151.68
1.5× median
96375Normal range

Therapeutic/prophylactic/diagnostic IV push, each additional substance

$36K

2,441 claims · 0.2%

Your Cost: $14.85/claim|Median: $14.92
1.0× median
86003Top 5%

Allergen specific IgE blood test, each allergen

$35K

161 claims · 0.2%

Your Cost: $219.06/claim|Median: $40.67
5.4× median
87591Normal range

Neisseria gonorrhoeae detection, nucleic acid, amplified probe

$32K

1,306 claims · 0.2%

Your Cost: $24.71/claim|Median: $23.39
1.1× median

Other Top Providers in Pennsylvania

View all →

Zoll Services LLC

Durable Medical Equipment & Medical Supplies

$504.0M

Commonwealth of Pennsylvania Department of Education

Local Education Agency (LEA)

$326.0M

Excel Copmanion Care INC

Home Health

$308.4M

Childrens Hospital of Philadelphia

General Acute Care Hospital Children

$286.9M

Procare Pharmacy Direct, Llc.

Pharmacy, Community/Retail Pharmacy

$227.3M

Similar Providers

Other top providers in General Acute Care Hospital

Yale New Haven Hospital

New Haven, CT

$1.08B

Montefiore Medical Center

Bronx, NY

$961.1M

The Cleveland Clinic Foundation

Cleveland, OH

$863.5M

Nationwide Children's Hospital

Columbus, OH

$777.5M

Boston Medical Center Corporation

Boston, MA

$768.5M

← All providersAll providers in Pennsylvania →How we detect fraud →