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PRISMA HEALTH-MIDLANDS

General Acute Care Hospital·COLUMBIA, SC·NPI: 1154373843Share

Compared to General Acute Care Hospital Peers

Total spending distribution among 156 providers in this specialty

P25MedianP75P90

This provider's total spending of $74.6M is at the below 25th percentile among 156 General Acute Care Hospital providers.

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

Total Paid

$74.6M

$74,576,758

Total Claims

1.3M

Beneficiaries

1.1M

1.1 claims/patient

Avg Cost/Claim

$58

Monthly Spending Trend

Yearly Spending

2018
$7.3M
+15%
2019
$8.4M
+12%
2020
$9.4M
+28%
2021
$12.0M
+13%
2022
$13.6M
-7%
2023
$12.6M
-11%
2024
$11.2M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 50 distinct procedure codes. The top code (36415 (Collection of venous blood by venipuncture)) accounts for 10% of total spending.

36415Top 1%

Collection of venous blood by venipuncture

$7.4M

40K claims · 9.9%

Your Cost: $185.53/claim|Median: $1.57
118.2× median
97110Top 10%

Therapeutic exercises, each 15 min

$4.3M

61K claims · 5.8%

Your Cost: $70.70/claim|Median: $24.49
2.9× median
81025Top 1%

Urine pregnancy test

$3.9M

16K claims · 5.2%

Your Cost: $241.44/claim|Median: $4.81
50.2× median
99283Top 25%

Emergency dept visit, moderate complexity

$3.7M

50K claims · 5.0%

Your Cost: $74.67/claim|Median: $42.48
1.8× median
80048Top 1%

Basic metabolic panel

$3.2M

25K claims · 4.2%

Your Cost: $124.07/claim|Median: $5.78
21.5× median
96374Top 1%

Therapeutic/prophylactic/diagnostic IV push, single substance

$2.9M

10K claims · 3.8%

Your Cost: $276.28/claim|Median: $21.76
12.7× median
80053Top 5%

Comprehensive metabolic panel

$2.6M

30K claims · 3.5%

Your Cost: $87.64/claim|Median: $7.24
12.1× median
99282Top 10%

Emergency dept visit, low complexity

$2.1M

14K claims · 2.9%

Your Cost: $153.66/claim|Median: $37.72
4.1× median
70553Top 1%

MRI brain without contrast, then with contrast

$2.1M

1,779 claims · 2.8%

Your Cost: $1,190.09/claim|Median: $133.68
8.9× median
96372Top 1%

Therapeutic injection, subcutaneous/intramuscular

$1.9M

13K claims · 2.6%

Your Cost: $148.96/claim|Median: $9.56
15.6× median
99212Top 10%

Office/outpatient visit, low complexity

$1.8M

26K claims · 2.5%

Your Cost: $70.55/claim|Median: $25.06
2.8× median
G0463Top 25%

Hospital outpatient clinic visit

$1.7M

29K claims · 2.3%

Your Cost: $60.15/claim|Median: $26.41
2.3× median
81003Top 1%

Urinalysis, automated without microscopy

$1.7M

17K claims · 2.3%

Your Cost: $98.62/claim|Median: $1.48
66.6× median
96361Top 25%

IV infusion, hydration, each additional hour

$1.7M

13K claims · 2.2%

Your Cost: $130.25/claim|Median: $38.92
3.3× median
C9803Top 1%

$1.4M

9,021 claims · 1.9%

Your Cost: $154.14/claim|Median: $13.20
11.7× median
0241UNormal range

Proprietary lab analysis, genomic sequencing

$1.2M

9,366 claims · 1.6%

Your Cost: $128.71/claim|Median: $91.47
1.4× median
93306Top 5%

Echocardiography, transthoracic, complete, with Doppler

$1.2M

3,897 claims · 1.6%

Your Cost: $299.67/claim|Median: $54.68
5.5× median
70551Top 1%

MRI brain without contrast

$1.1M

1,737 claims · 1.5%

Your Cost: $658.06/claim|Median: $85.39
7.7× median
96365Top 25%

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

$943K

7,486 claims · 1.3%

Your Cost: $125.94/claim|Median: $54.77
2.3× median
88305Top 1%

Surgical pathology, gross and microscopic examination

$936K

4,044 claims · 1.3%

Your Cost: $231.40/claim|Median: $35.80
6.5× median
95810Top 25%

Polysomnography, sleep study, 6+ hours

$933K

1,843 claims · 1.3%

Your Cost: $506.49/claim|Median: $233.73
2.2× median
99211Top 5%

Office/outpatient visit, minimal complexity

$897K

10K claims · 1.2%

Your Cost: $89.27/claim|Median: $12.93
6.9× median
86850Top 1%

$884K

6,213 claims · 1.2%

Your Cost: $142.35/claim|Median: $5.44
26.2× median
99284Normal range

Emergency dept visit, high complexity

$796K

24K claims · 1.1%

Your Cost: $33.37/claim|Median: $69.51
0.5× median
88304Top 1%

$789K

2,254 claims · 1.1%

Your Cost: $350.00/claim|Median: $12.88
27.2× median
71046Top 10%

Chest X-ray, 2 views

$708K

16K claims · 0.9%

Your Cost: $45.03/claim|Median: $8.92
5.0× median
99213Normal range

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

$694K

15K claims · 0.9%

Your Cost: $46.04/claim|Median: $37.81
1.2× median
87491Top 25%

Chlamydia detection, nucleic acid, amplified probe

$645K

16K claims · 0.9%

Your Cost: $40.92/claim|Median: $24.95
1.6× median
96360Top 25%

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

$619K

4,824 claims · 0.8%

Your Cost: $128.34/claim|Median: $61.57
2.1× median
92507Top 25%

Speech/hearing/language treatment

$616K

8,269 claims · 0.8%

Your Cost: $74.55/claim|Median: $49.45
1.5× median
97530Normal range

Therapeutic activities, each 15 min

$587K

11K claims · 0.8%

Your Cost: $53.96/claim|Median: $33.11
1.6× median
84156Top 1%

$577K

1,622 claims · 0.8%

Your Cost: $355.58/claim|Median: $2.06
172.6× median
97161Top 25%

Physical therapy evaluation, low complexity

$570K

8,176 claims · 0.8%

Your Cost: $69.74/claim|Median: $47.89
1.5× median
81001Top 5%

Urinalysis, automated, with microscopy

$465K

23K claims · 0.6%

Your Cost: $20.54/claim|Median: $2.03
10.1× median
87086Top 5%

Urine culture, colony count, with identification

$436K

13K claims · 0.6%

Your Cost: $32.87/claim|Median: $5.31
6.2× median
99281Top 10%

Emergency dept visit, minimal complexity

$403K

2,499 claims · 0.5%

Your Cost: $161.15/claim|Median: $52.03
3.1× median
99391Top 25%

Preventive medicine, established patient, infant (under 1)

$390K

3,925 claims · 0.5%

Your Cost: $99.43/claim|Median: $69.35
1.4× median
99285Normal range

Emergency dept visit, high/urgent complexity

$374K

15K claims · 0.5%

Your Cost: $25.22/claim|Median: $85.65
0.3× median
95782Top 25%

$355K

378 claims · 0.5%

Your Cost: $939.05/claim|Median: $216.35
4.3× median
80069Top 5%

Renal function panel

$346K

4,022 claims · 0.5%

Your Cost: $86.03/claim|Median: $4.12
20.9× median
70450Normal range

CT head/brain without contrast

$319K

4,694 claims · 0.4%

Your Cost: $67.92/claim|Median: $45.53
1.5× median
87480Top 1%

$299K

3,054 claims · 0.4%

Your Cost: $97.98/claim|Median: $14.31
6.8× median
54360Normal range

$288K

680 claims · 0.4%

Your Cost: $422.92/claim|Median: $609.21
0.7× median
84702Top 5%

$282K

4,226 claims · 0.4%

Your Cost: $66.71/claim|Median: $8.25
8.1× median
85027Top 5%

Complete blood count (CBC), automated

$281K

11K claims · 0.4%

Your Cost: $25.95/claim|Median: $3.72
7.0× median
74018Top 5%

$270K

4,756 claims · 0.4%

Your Cost: $56.67/claim|Median: $7.00
8.1× median
78452Top 5%

Myocardial perfusion imaging, SPECT, multiple studies

$269K

417 claims · 0.4%

Your Cost: $644.84/claim|Median: $106.14
6.1× median
76770Top 10%

Ultrasound, retroperitoneal, complete

$269K

1,753 claims · 0.4%

Your Cost: $153.36/claim|Median: $37.35
4.1× median
87081Top 5%

Culture screening for pathogenic organisms

$269K

5,948 claims · 0.4%

Your Cost: $45.15/claim|Median: $5.09
8.9× median
87804Top 1%

Influenza virus detection, rapid test

$268K

1,827 claims · 0.4%

Your Cost: $146.49/claim|Median: $12.59
11.6× median

Other Top Providers in South Carolina

View all →

Medical University Hospital Authority

General Acute Care Hospital

$241.4M

Spartanburg Medical Center

Ambulance

$187.8M

Prisma Health University Medical Group

Internal Medicine

$172.2M

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

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