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ST ELIZABETH MEDICAL CENTER, INC

General Acute Care Hospital·FLORENCE, KY·NPI: 1154365062Share

Compared to General Acute Care Hospital Peers

Total spending distribution among 156 providers in this specialty

P25MedianP75P90

This provider's total spending of $65.4M is at the below 25th percentile among 156 General Acute Care Hospital providers.

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

Total Paid

$65.4M

$65,443,519

Total Claims

1.1M

Beneficiaries

890K

1.3 claims/patient

Avg Cost/Claim

$57

Monthly Spending Trend

Yearly Spending

2018
$8.1M
+2%
2019
$8.3M
+1%
2020
$8.4M
+9%
2021
$9.2M
+0%
2022
$9.2M
+26%
2023
$11.6M
-9%
2024
$10.6M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 50 distinct procedure codes. The top code (99283 (Emergency dept visit, moderate complexity)) accounts for 19% of total spending.

99283Top 5%

Emergency dept visit, moderate complexity

$12.3M

56K claims · 18.8%

Your Cost: $218.70/claim|Median: $42.48
5.1× median
99284Top 5%

Emergency dept visit, high complexity

$8.0M

24K claims · 12.3%

Your Cost: $328.25/claim|Median: $69.51
4.7× median
99285Top 5%

Emergency dept visit, high/urgent complexity

$4.6M

12K claims · 7.0%

Your Cost: $384.98/claim|Median: $85.65
4.5× median
41899Top 10%

Unlisted procedure, dentoalveolar structures

$3.8M

1,596 claims · 5.9%

Your Cost: $2,399.53/claim|Median: $763.43
3.1× median
99282Top 25%

Emergency dept visit, low complexity

$2.9M

21K claims · 4.4%

Your Cost: $139.01/claim|Median: $37.72
3.7× median
96374Top 25%

Therapeutic/prophylactic/diagnostic IV push, single substance

$2.1M

25K claims · 3.3%

Your Cost: $86.72/claim|Median: $21.76
4.0× median
74177Top 25%

CT abdomen and pelvis with contrast

$1.7M

8,713 claims · 2.6%

Your Cost: $197.88/claim|Median: $65.76
3.0× median
G0378Normal range

Hospital observation service, per hour

$1.7M

9,017 claims · 2.6%

Your Cost: $186.73/claim|Median: $99.39
1.9× median
64493Top 5%

$1.6M

1,796 claims · 2.5%

Your Cost: $898.20/claim|Median: $103.44
8.7× median
95810Top 25%

Polysomnography, sleep study, 6+ hours

$1.5M

2,577 claims · 2.3%

Your Cost: $593.06/claim|Median: $233.73
2.5× median
64635Top 1%

$1.4M

925 claims · 2.1%

Your Cost: $1,464.56/claim|Median: $207.78
7.0× median
47562Normal range

$1.1M

475 claims · 1.6%

Your Cost: $2,222.70/claim|Median: $731.87
3.0× median
43239Top 25%

Upper GI endoscopy with biopsy

$950K

2,195 claims · 1.5%

Your Cost: $432.94/claim|Median: $151.68
2.9× median
62323Top 10%

Epidural injection of diagnostic or therapeutic substance, lumbar

$890K

2,018 claims · 1.4%

Your Cost: $441.01/claim|Median: $111.02
4.0× median
J3490Normal range

Unclassified drugs

$870K

59K claims · 1.3%

Your Cost: $14.76/claim|Median: $5.70
2.6× median
96361Normal range

IV infusion, hydration, each additional hour

$789K

20K claims · 1.2%

Your Cost: $39.88/claim|Median: $38.92
1.0× median
95811Top 25%

Sleep study with CPAP titration, polysomnography

$789K

1,384 claims · 1.2%

Your Cost: $570.00/claim|Median: $255.03
2.2× median
71046Top 10%

Chest X-ray, 2 views

$623K

15K claims · 1.0%

Your Cost: $41.51/claim|Median: $8.92
4.7× median
93306Top 10%

Echocardiography, transthoracic, complete, with Doppler

$613K

2,392 claims · 0.9%

Your Cost: $256.48/claim|Median: $54.68
4.7× median
87636Normal range

Respiratory virus detection, 6-11 targets, nucleic acid

$558K

5,496 claims · 0.9%

Your Cost: $101.48/claim|Median: $97.61
1.0× median
70450Normal range

CT head/brain without contrast

$536K

7,807 claims · 0.8%

Your Cost: $68.62/claim|Median: $45.53
1.5× median
64494Top 5%

$531K

1,847 claims · 0.8%

Your Cost: $287.76/claim|Median: $34.70
8.3× median
45385Top 25%

Colonoscopy with polyp removal, snare technique

$494K

882 claims · 0.8%

Your Cost: $560.17/claim|Median: $255.17
2.2× median
36415Top 25%

Collection of venous blood by venipuncture

$474K

118K claims · 0.7%

Your Cost: $4.01/claim|Median: $1.57
2.6× median
45380Top 10%

Colonoscopy with biopsy

$447K

730 claims · 0.7%

Your Cost: $612.27/claim|Median: $200.68
3.1× median
96365Normal range

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

$429K

5,757 claims · 0.7%

Your Cost: $74.52/claim|Median: $54.77
1.4× median
93005Normal range

Electrocardiogram, tracing only, without interpretation

$428K

21K claims · 0.7%

Your Cost: $20.56/claim|Median: $7.50
2.7× median
74176Top 25%

CT abdomen and pelvis without contrast

$400K

2,930 claims · 0.6%

Your Cost: $136.65/claim|Median: $60.19
2.3× median
71045Top 10%

Chest X-ray, single view

$385K

9,122 claims · 0.6%

Your Cost: $42.19/claim|Median: $4.93
8.6× median
96375Normal range

Therapeutic/prophylactic/diagnostic IV push, each additional substance

$350K

11K claims · 0.5%

Your Cost: $30.98/claim|Median: $14.92
2.1× median
97110Normal range

Therapeutic exercises, each 15 min

$336K

13K claims · 0.5%

Your Cost: $26.52/claim|Median: $24.49
1.1× median
96360Normal range

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

$330K

5,893 claims · 0.5%

Your Cost: $55.92/claim|Median: $61.57
0.9× median
64636Top 10%

$320K

882 claims · 0.5%

Your Cost: $362.99/claim|Median: $63.60
5.7× median
96372Top 25%

Therapeutic injection, subcutaneous/intramuscular

$309K

14K claims · 0.5%

Your Cost: $22.05/claim|Median: $9.56
2.3× median
80307Normal range

Drug test, presumptive, by chemistry analyzers

$300K

9,364 claims · 0.5%

Your Cost: $32.08/claim|Median: $35.43
0.9× median
76830Top 25%

Ultrasound, transvaginal

$289K

3,393 claims · 0.4%

Your Cost: $85.27/claim|Median: $57.47
1.5× median
76705Top 25%

Ultrasound, abdominal, limited

$282K

3,806 claims · 0.4%

Your Cost: $74.15/claim|Median: $23.81
3.1× median
77067Normal range

Screening mammography, bilateral, including CAD

$266K

3,923 claims · 0.4%

Your Cost: $67.86/claim|Median: $39.33
1.7× median
80053Normal range

Comprehensive metabolic panel

$261K

34K claims · 0.4%

Your Cost: $7.59/claim|Median: $7.24
1.0× median
C1713Top 25%

Anchor or screw for tissue to bone fixation

$249K

232 claims · 0.4%

Your Cost: $1,071.94/claim|Median: $123.40
8.7× median
96376Top 25%

$231K

6,387 claims · 0.4%

Your Cost: $36.22/claim|Median: $3.19
11.4× median
99291Top 5%

Critical care, first 30-74 minutes

$215K

496 claims · 0.3%

Your Cost: $434.07/claim|Median: $101.24
4.3× median
85025Normal range

Complete blood count (CBC) with differential, automated

$209K

44K claims · 0.3%

Your Cost: $4.74/claim|Median: $4.71
1.0× median
87635Normal range

COVID-19 SARS-CoV-2 amplified probe detection

$208K

6,272 claims · 0.3%

Your Cost: $33.20/claim|Median: $39.70
0.8× median
94640Top 10%

Pressurized or nonpressurized inhalation treatment

$208K

3,543 claims · 0.3%

Your Cost: $58.76/claim|Median: $10.88
5.4× median
72100Top 10%

$203K

4,309 claims · 0.3%

Your Cost: $47.06/claim|Median: $15.14
3.1× median
71275Normal range

CT angiography, chest, with contrast

$203K

1,813 claims · 0.3%

Your Cost: $111.82/claim|Median: $92.96
1.2× median
99281Normal range

Emergency dept visit, minimal complexity

$198K

2,012 claims · 0.3%

Your Cost: $98.17/claim|Median: $52.03
1.9× median
96366Normal range

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

$197K

3,089 claims · 0.3%

Your Cost: $63.66/claim|Median: $40.12
1.6× median
84443Normal range

Thyroid stimulating hormone (TSH)

$174K

12K claims · 0.3%

Your Cost: $14.53/claim|Median: $9.87
1.5× median