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

⚖️ Compare🖨️ Print Report

VHS HARLINGEN HOSPITAL COMPANY LLC

General Acute Care Hospital·HARLINGEN, TX·NPI: 1154618742Share

Compared to General Acute Care Hospital Peers

Total spending distribution among 156 providers in this specialty

P25MedianP75P90

This provider's total spending of $23.6M is at the below 25th percentile among 156 General Acute Care Hospital providers.

Active Billing Period:2019-03→2024-12(70 months)

Total Paid

$23.6M

$23,644,780

Total Claims

375K

Beneficiaries

335K

1.1 claims/patient

Avg Cost/Claim

$63

Monthly Spending Trend

Yearly Spending

2019
$25K
+1444%
2020
$382K
+980%
2021
$4.1M
+87%
2022
$7.7M
+10%
2023
$8.5M
-66%
2024
$2.9M

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 38% of total spending.

99284Top 5%

Emergency dept visit, high complexity

$9.1M

27K claims · 38.4%

Your Cost: $342.48/claim|Median: $69.51
4.9× median
99285Top 5%

Emergency dept visit, high/urgent complexity

$4.6M

13K claims · 19.3%

Your Cost: $364.74/claim|Median: $85.65
4.3× median
99283Top 25%

Emergency dept visit, moderate complexity

$2.7M

32K claims · 11.5%

Your Cost: $85.23/claim|Median: $42.48
2.0× median
87804Top 5%

Influenza virus detection, rapid test

$982K

24K claims · 4.2%

Your Cost: $40.72/claim|Median: $12.59
3.2× median
87426Top 10%

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

$861K

20K claims · 3.6%

Your Cost: $43.11/claim|Median: $30.04
1.4× median
80053Top 25%

Comprehensive metabolic panel

$488K

25K claims · 2.1%

Your Cost: $19.43/claim|Median: $7.24
2.7× median
93005Top 10%

Electrocardiogram, tracing only, without interpretation

$486K

8,262 claims · 2.1%

Your Cost: $58.81/claim|Median: $7.50
7.8× median
74177Top 10%

CT abdomen and pelvis with contrast

$433K

1,111 claims · 1.8%

Your Cost: $389.93/claim|Median: $65.76
5.9× median
85025Top 10%

Complete blood count (CBC) with differential, automated

$320K

27K claims · 1.4%

Your Cost: $11.86/claim|Median: $4.71
2.5× median
87430Top 10%

$297K

12K claims · 1.3%

Your Cost: $25.51/claim|Median: $9.41
2.7× median
99282Normal range

Emergency dept visit, low complexity

$231K

3,191 claims · 1.0%

Your Cost: $72.42/claim|Median: $37.72
1.9× median
59025Top 25%

Fetal non-stress test

$230K

2,344 claims · 1.0%

Your Cost: $98.05/claim|Median: $26.45
3.7× median
70450Top 25%

CT head/brain without contrast

$205K

2,003 claims · 0.9%

Your Cost: $102.29/claim|Median: $45.53
2.2× median
71045Top 10%

Chest X-ray, single view

$193K

6,299 claims · 0.8%

Your Cost: $30.72/claim|Median: $4.93
6.2× median
G0378Normal range

Hospital observation service, per hour

$139K

1,398 claims · 0.6%

Your Cost: $99.69/claim|Median: $99.39
1.0× median
96361Normal range

IV infusion, hydration, each additional hour

$139K

5,631 claims · 0.6%

Your Cost: $24.71/claim|Median: $38.92
0.6× median
81025Top 5%

Urine pregnancy test

$133K

7,649 claims · 0.6%

Your Cost: $17.40/claim|Median: $4.81
3.6× median
99218Top 10%

$112K

561 claims · 0.5%

Your Cost: $199.56/claim|Median: $51.50
3.9× median
87081Top 25%

Culture screening for pathogenic organisms

$106K

9,802 claims · 0.4%

Your Cost: $10.84/claim|Median: $5.09
2.1× median
J0696Top 5%

$105K

3,543 claims · 0.4%

Your Cost: $29.62/claim|Median: $1.34
22.1× median
80307Top 10%

Drug test, presumptive, by chemistry analyzers

$103K

1,642 claims · 0.4%

Your Cost: $62.44/claim|Median: $35.43
1.8× median
J7030Top 25%

Normal saline solution infusion, 1000 cc

$98K

5,808 claims · 0.4%

Your Cost: $16.88/claim|Median: $1.53
11.0× median
74176Top 25%

CT abdomen and pelvis without contrast

$97K

555 claims · 0.4%

Your Cost: $175.05/claim|Median: $60.19
2.9× median
71046Top 5%

Chest X-ray, 2 views

$95K

1,783 claims · 0.4%

Your Cost: $53.29/claim|Median: $8.92
6.0× median
87807Top 5%

$95K

4,928 claims · 0.4%

Your Cost: $19.27/claim|Median: $10.06
1.9× median
11042Normal range

Debridement, subcutaneous tissue, first 20 sq cm

$86K

1,105 claims · 0.4%

Your Cost: $78.11/claim|Median: $36.13
2.2× median
76705Top 5%

Ultrasound, abdominal, limited

$86K

489 claims · 0.4%

Your Cost: $175.50/claim|Median: $23.81
7.4× median
96360Normal range

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

$80K

1,904 claims · 0.3%

Your Cost: $42.07/claim|Median: $61.57
0.7× median
87088Top 10%

$68K

5,934 claims · 0.3%

Your Cost: $11.44/claim|Median: $5.45
2.1× median
70551Top 10%

MRI brain without contrast

$66K

192 claims · 0.3%

Your Cost: $346.18/claim|Median: $85.39
4.1× median
81001Top 25%

Urinalysis, automated, with microscopy

$60K

10K claims · 0.3%

Your Cost: $5.94/claim|Median: $2.03
2.9× median
76801Top 10%

Ultrasound, pregnant uterus, single fetus, first trimester

$59K

484 claims · 0.3%

Your Cost: $122.43/claim|Median: $58.16
2.1× median
J7120Top 25%

Ringer's lactate infusion, up to 1000 cc

$58K

6,247 claims · 0.2%

Your Cost: $9.25/claim|Median: $1.51
6.1× median
97110Top 25%

Therapeutic exercises, each 15 min

$55K

862 claims · 0.2%

Your Cost: $64.06/claim|Median: $24.49
2.6× median
84484Top 25%

Troponin, quantitative

$51K

4,718 claims · 0.2%

Your Cost: $10.77/claim|Median: $4.84
2.2× median
96365Normal range

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

$44K

1,648 claims · 0.2%

Your Cost: $26.81/claim|Median: $54.77
0.5× median
U0003Normal range

Infectious disease detection (COVID-19)

$44K

1,425 claims · 0.2%

Your Cost: $30.66/claim|Median: $63.08
0.5× median
81003Top 10%

Urinalysis, automated without microscopy

$40K

10K claims · 0.2%

Your Cost: $3.99/claim|Median: $1.48
2.7× median
J2405Top 25%

Injection, ondansetron HCl, per one milligram

$31K

8,404 claims · 0.1%

Your Cost: $3.70/claim|Median: $0.58
6.4× median
96374Normal range

Therapeutic/prophylactic/diagnostic IV push, single substance

$30K

6,302 claims · 0.1%

Your Cost: $4.77/claim|Median: $21.76
0.2× median
83690Top 10%

$28K

3,054 claims · 0.1%

Your Cost: $9.33/claim|Median: $3.35
2.8× median
95816Top 1%

$28K

54 claims · 0.1%

Your Cost: $526.04/claim|Median: $56.87
9.2× median
96375Normal range

Therapeutic/prophylactic/diagnostic IV push, each additional substance

$28K

4,172 claims · 0.1%

Your Cost: $6.60/claim|Median: $14.92
0.4× median
72125Top 25%

CT cervical spine without contrast

$27K

415 claims · 0.1%

Your Cost: $65.54/claim|Median: $32.30
2.0× median
77067Normal range

Screening mammography, bilateral, including CAD

$27K

529 claims · 0.1%

Your Cost: $50.95/claim|Median: $39.33
1.3× median
J1885Top 25%

Injection, ketorolac tromethamine, fifteen milligrams

$23K

4,731 claims · 0.1%

Your Cost: $4.91/claim|Median: $0.91
5.4× median
87040Top 25%

$20K

1,698 claims · 0.1%

Your Cost: $11.64/claim|Median: $5.54
2.1× median
J7050Top 25%

Normal saline solution infusion, 250 cc

$18K

2,814 claims · 0.1%

Your Cost: $6.28/claim|Median: $0.82
7.7× median
84702Top 25%

$16K

1,056 claims · 0.1%

Your Cost: $15.25/claim|Median: $8.25
1.8× median
73610Top 5%

X-ray of ankle, complete, minimum three views

$16K

233 claims · 0.1%

Your Cost: $67.40/claim|Median: $13.55
5.0× median

Other Top Providers in Texas

View all →

Girling Health Care Inc.

Home Health

$858.2M

Aoc TX LLC

Home Health

$708.5M

Consumer Directed Services in Texas Inc.

Supports Brokerage

$624.8M

Caregivers Home Health TX INC

Nursing Care

$477.7M

Legacy Community Health Services, INC

Pediatrics

$406.5M

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 Texas →How we detect fraud →