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

MAYO CLINIC HEALTH SYSTEM-SOUTHWEST MINNESOTA REGION

General Acute Care Hospital·MANKATO, MN·NPI: 1154302487Share

Compared to General Acute Care Hospital Peers

Total spending distribution among 156 providers in this specialty

P25MedianP75P90

This provider's total spending of $28.5M is at the below 25th percentile among 156 General Acute Care Hospital providers.

Active Billing Period:2018-012024-11(83 months)

Total Paid

$28.5M

$28,511,681

Total Claims

319K

Beneficiaries

287K

1.1 claims/patient

Avg Cost/Claim

$90

Monthly Spending Trend

Yearly Spending

2018
$1.0M
+163%
2019
$2.7M
+52%
2020
$4.1M
+53%
2021
$6.2M
-8%
2022
$5.7M
-14%
2023
$4.9M
-19%
2024
$3.9M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 50 distinct procedure codes. The top code (99285 (Emergency dept visit, high/urgent complexity)) accounts for 38% of total spending.

99285Top 5%

Emergency dept visit, high/urgent complexity

$10.8M

30K claims · 37.9%

Your Cost: $361.01/claim|Median: $85.65
4.2× median
99284Top 5%

Emergency dept visit, high complexity

$4.7M

20K claims · 16.6%

Your Cost: $237.32/claim|Median: $69.51
3.4× median
U0003Normal range

Infectious disease detection (COVID-19)

$3.1M

44K claims · 11.0%

Your Cost: $71.93/claim|Median: $63.08
1.1× median
99283Top 10%

Emergency dept visit, moderate complexity

$3.0M

17K claims · 10.5%

Your Cost: $176.65/claim|Median: $42.48
4.2× median
G0463Top 25%

Hospital outpatient clinic visit

$2.6M

31K claims · 9.1%

Your Cost: $84.81/claim|Median: $26.41
3.2× median
96374Top 5%

Therapeutic/prophylactic/diagnostic IV push, single substance

$839K

6,094 claims · 2.9%

Your Cost: $137.60/claim|Median: $21.76
6.3× median
U0005Top 25%

Infectious disease detection, COVID-19, antigen

$652K

30K claims · 2.3%

Your Cost: $21.68/claim|Median: $15.76
1.4× median
41899Normal range

Unlisted procedure, dentoalveolar structures

$446K

664 claims · 1.6%

Your Cost: $671.03/claim|Median: $763.43
0.9× median
69436Top 25%

Tympanostomy, general anesthesia

$197K

244 claims · 0.7%

Your Cost: $808.39/claim|Median: $205.50
3.9× median
36415Top 10%

Collection of venous blood by venipuncture

$192K

36K claims · 0.7%

Your Cost: $5.42/claim|Median: $1.57
3.4× median
0241UNormal range

Proprietary lab analysis, genomic sequencing

$183K

1,447 claims · 0.6%

Your Cost: $126.81/claim|Median: $91.47
1.4× median
93005Top 25%

Electrocardiogram, tracing only, without interpretation

$147K

6,726 claims · 0.5%

Your Cost: $21.88/claim|Median: $7.50
2.9× median
96361Normal range

IV infusion, hydration, each additional hour

$145K

2,785 claims · 0.5%

Your Cost: $52.24/claim|Median: $38.92
1.3× median
88305Top 25%

Surgical pathology, gross and microscopic examination

$139K

2,105 claims · 0.5%

Your Cost: $66.15/claim|Median: $35.80
1.8× median
85025Normal range

Complete blood count (CBC) with differential, automated

$105K

30K claims · 0.4%

Your Cost: $3.48/claim|Median: $4.71
0.7× median
71045Top 10%

Chest X-ray, single view

$84K

2,212 claims · 0.3%

Your Cost: $38.14/claim|Median: $4.93
7.7× median
99233Top 25%

Subsequent hospital care, per day, high complexity

$81K

1,279 claims · 0.3%

Your Cost: $63.56/claim|Median: $35.30
1.8× median
42820Top 10%

Tonsillectomy and adenoidectomy, under age 12

$81K

32 claims · 0.3%

Your Cost: $2,537.79/claim|Median: $331.68
7.7× median
96375Top 25%

Therapeutic/prophylactic/diagnostic IV push, each additional substance

$67K

1,241 claims · 0.2%

Your Cost: $54.00/claim|Median: $14.92
3.6× median
C9803Normal range

$67K

4,115 claims · 0.2%

Your Cost: $16.25/claim|Median: $13.20
1.2× median
80053Normal range

Comprehensive metabolic panel

$64K

11K claims · 0.2%

Your Cost: $5.87/claim|Median: $7.24
0.8× median
87636Top 25%

Respiratory virus detection, 6-11 targets, nucleic acid

$58K

444 claims · 0.2%

Your Cost: $131.39/claim|Median: $97.61
1.3× median
99232Top 25%

Subsequent hospital care, per day, moderate complexity

$54K

1,223 claims · 0.2%

Your Cost: $43.75/claim|Median: $23.99
1.8× median
71046Top 10%

Chest X-ray, 2 views

$42K

1,151 claims · 0.1%

Your Cost: $36.57/claim|Median: $8.92
4.1× median
45380Top 10%

Colonoscopy with biopsy

$37K

61 claims · 0.1%

Your Cost: $610.48/claim|Median: $200.68
3.0× median
99282Top 25%

Emergency dept visit, low complexity

$36K

337 claims · 0.1%

Your Cost: $108.05/claim|Median: $37.72
2.9× median
99291Normal range

Critical care, first 30-74 minutes

$36K

289 claims · 0.1%

Your Cost: $124.92/claim|Median: $101.24
1.2× median
99223Top 25%

Initial hospital care, per day, high complexity

$35K

282 claims · 0.1%

Your Cost: $123.39/claim|Median: $67.32
1.8× median
80048Normal range

Basic metabolic panel

$28K

7,168 claims · 0.1%

Your Cost: $3.85/claim|Median: $5.78
0.7× median
70450Normal range

CT head/brain without contrast

$24K

533 claims · 0.1%

Your Cost: $44.16/claim|Median: $45.53
1.0× median
87631Normal range

Respiratory virus detection, 3-5 targets, multiplex

$23K

317 claims · 0.1%

Your Cost: $73.43/claim|Median: $65.45
1.1× median
93296Top 10%

Remote monitoring of cardiac device, single or dual lead

$23K

738 claims · 0.1%

Your Cost: $31.32/claim|Median: $10.24
3.1× median
70310Top 25%

$21K

400 claims · 0.1%

Your Cost: $53.68/claim|Median: $14.69
3.7× median
74177Normal range

CT abdomen and pelvis with contrast

$20K

254 claims · 0.1%

Your Cost: $77.83/claim|Median: $65.76
1.2× median
93306Normal range

Echocardiography, transthoracic, complete, with Doppler

$18K

263 claims · 0.1%

Your Cost: $68.05/claim|Median: $54.68
1.2× median
99239Top 25%

Hospital discharge day management, more than 30 minutes

$17K

263 claims · 0.1%

Your Cost: $66.45/claim|Median: $43.85
1.5× median
83036Normal range

Hemoglobin A1c (glycated hemoglobin)

$17K

2,171 claims · 0.1%

Your Cost: $7.84/claim|Median: $5.50
1.4× median
87651Top 5%

Streptococcus Group A detection, nucleic acid, amplified probe

$14K

222 claims · 0.0%

Your Cost: $64.05/claim|Median: $28.46
2.3× median
M0243Normal range

$14K

51 claims · 0.0%

Your Cost: $272.36/claim|Median: $215.21
1.3× median
M0245Normal range

$12K

44 claims · 0.0%

Your Cost: $283.08/claim|Median: $246.46
1.1× median
99222Normal range

Initial hospital care, per day, moderate complexity

$12K

170 claims · 0.0%

Your Cost: $72.01/claim|Median: $51.25
1.4× median
00170Normal range

Anesthesia for intraoral procedures

$12K

95 claims · 0.0%

Your Cost: $125.66/claim|Median: $132.89
0.9× median
M0247Normal range

$11K

40 claims · 0.0%

Your Cost: $282.12/claim|Median: $235.71
1.2× median
94060Top 10%

$9K

90 claims · 0.0%

Your Cost: $99.47/claim|Median: $25.18
4.0× median
80061Normal range

Lipid panel

$8K

792 claims · 0.0%

Your Cost: $10.17/claim|Median: $8.41
1.2× median
84443Top 10%

Thyroid stimulating hormone (TSH)

$8K

404 claims · 0.0%

Your Cost: $19.61/claim|Median: $9.87
2.0× median
99214Normal range

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

$7K

122 claims · 0.0%

Your Cost: $59.66/claim|Median: $53.41
1.1× median
71275Normal range

CT angiography, chest, with contrast

$7K

136 claims · 0.0%

Your Cost: $52.49/claim|Median: $92.96
0.6× median
87591Top 25%

Neisseria gonorrhoeae detection, nucleic acid, amplified probe

$7K

189 claims · 0.0%

Your Cost: $37.62/claim|Median: $23.39
1.6× median
87491Top 25%

Chlamydia detection, nucleic acid, amplified probe

$7K

189 claims · 0.0%

Your Cost: $37.36/claim|Median: $24.95
1.5× median