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

⚖️ Compare🖨️ Print Report

ST. MARY'S MEDICAL CENTER INC

General Acute Care Hospital·HUNTINGTON, WV·NPI: 1164492195Share

Compared to General Acute Care Hospital Peers

Total spending distribution among 156 providers in this specialty

P25MedianP75P90

This provider's total spending of $47.6M is at the below 25th percentile among 156 General Acute Care Hospital providers.

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

Total Paid

$47.6M

$47,586,682

Total Claims

1.5M

Beneficiaries

1.2M

1.2 claims/patient

Avg Cost/Claim

$32

Monthly Spending Trend

Yearly Spending

2018
$10.5M
-39%
2019
$6.5M
+19%
2020
$7.7M
-23%
2021
$6.0M
-11%
2022
$5.3M
+22%
2023
$6.4M
-19%
2024
$5.2M

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 18% of total spending.

99285Top 10%

Emergency dept visit, high/urgent complexity

$8.5M

32K claims · 17.8%

Your Cost: $266.26/claim|Median: $85.65
3.1× median
99284Top 25%

Emergency dept visit, high complexity

$4.8M

44K claims · 10.0%

Your Cost: $108.07/claim|Median: $69.51
1.6× median
99283Top 25%

Emergency dept visit, moderate complexity

$3.6M

50K claims · 7.6%

Your Cost: $72.64/claim|Median: $42.48
1.7× median
74177Top 25%

CT abdomen and pelvis with contrast

$2.1M

10K claims · 4.5%

Your Cost: $208.19/claim|Median: $65.76
3.2× median
G0480Top 10%

Drug test, definitive, 1-7 drug classes

$1.6M

20K claims · 3.5%

Your Cost: $81.20/claim|Median: $37.56
2.2× median
70450Top 25%

CT head/brain without contrast

$1.3M

11K claims · 2.7%

Your Cost: $120.38/claim|Median: $45.53
2.6× median
74176Top 25%

CT abdomen and pelvis without contrast

$1.1M

5,066 claims · 2.3%

Your Cost: $214.89/claim|Median: $60.19
3.6× median
80053Normal range

Comprehensive metabolic panel

$1.0M

112K claims · 2.2%

Your Cost: $9.37/claim|Median: $7.24
1.3× median
80307Normal range

Drug test, presumptive, by chemistry analyzers

$1.0M

22K claims · 2.2%

Your Cost: $47.26/claim|Median: $35.43
1.3× median
85025Normal range

Complete blood count (CBC) with differential, automated

$715K

107K claims · 1.5%

Your Cost: $6.71/claim|Median: $4.71
1.4× median
93458Top 25%

Left heart catheterization with imaging

$693K

518 claims · 1.5%

Your Cost: $1,338.46/claim|Median: $183.33
7.3× median
93005Normal range

Electrocardiogram, tracing only, without interpretation

$629K

44K claims · 1.3%

Your Cost: $14.14/claim|Median: $7.50
1.9× median
96374Normal range

Therapeutic/prophylactic/diagnostic IV push, single substance

$628K

27K claims · 1.3%

Your Cost: $23.13/claim|Median: $21.76
1.1× median
99282Normal range

Emergency dept visit, low complexity

$593K

12K claims · 1.2%

Your Cost: $50.60/claim|Median: $37.72
1.3× median
87633Normal range

Respiratory virus detection, 12-25 targets, nucleic acid

$536K

2,939 claims · 1.1%

Your Cost: $182.43/claim|Median: $169.17
1.1× median
U0003Normal range

Infectious disease detection (COVID-19)

$534K

8,416 claims · 1.1%

Your Cost: $63.51/claim|Median: $63.08
1.0× median
72125Top 25%

CT cervical spine without contrast

$469K

4,099 claims · 1.0%

Your Cost: $114.41/claim|Median: $32.30
3.5× median
71260Top 25%

CT chest with contrast

$449K

3,519 claims · 0.9%

Your Cost: $127.54/claim|Median: $48.36
2.6× median
84484Top 25%

Troponin, quantitative

$435K

33K claims · 0.9%

Your Cost: $13.16/claim|Median: $4.84
2.7× median
85027Top 5%

Complete blood count (CBC), automated

$410K

21K claims · 0.9%

Your Cost: $19.27/claim|Median: $3.72
5.2× median
83735Top 10%

Magnesium blood level test

$389K

41K claims · 0.8%

Your Cost: $9.51/claim|Median: $2.77
3.4× median
97110Normal range

Therapeutic exercises, each 15 min

$380K

14K claims · 0.8%

Your Cost: $27.83/claim|Median: $24.49
1.1× median
80048Top 10%

Basic metabolic panel

$375K

17K claims · 0.8%

Your Cost: $21.54/claim|Median: $5.78
3.7× median
J2704Top 5%

$373K

7,759 claims · 0.8%

Your Cost: $48.05/claim|Median: $0.76
63.2× median
G0481Normal range

Drug test, definitive, 8-14 drug classes

$368K

4,683 claims · 0.8%

Your Cost: $78.55/claim|Median: $64.72
1.2× median
J1644Top 5%

$360K

8,292 claims · 0.8%

Your Cost: $43.45/claim|Median: $0.37
117.4× median
C1769Top 5%

$337K

2,527 claims · 0.7%

Your Cost: $133.25/claim|Median: $7.55
17.6× median
36415Top 10%

Collection of venous blood by venipuncture

$332K

56K claims · 0.7%

Your Cost: $5.90/claim|Median: $1.57
3.8× median
71046Top 25%

Chest X-ray, 2 views

$331K

19K claims · 0.7%

Your Cost: $17.50/claim|Median: $8.92
2.0× median
83690Top 25%

$297K

44K claims · 0.6%

Your Cost: $6.82/claim|Median: $3.35
2.0× median
J3010Top 5%

$284K

7,479 claims · 0.6%

Your Cost: $37.92/claim|Median: $0.55
68.9× median
85730Top 10%

$282K

28K claims · 0.6%

Your Cost: $10.20/claim|Median: $2.83
3.6× median
71045Top 25%

Chest X-ray, single view

$272K

21K claims · 0.6%

Your Cost: $13.25/claim|Median: $4.93
2.7× median
C1766Top 25%

$267K

1,258 claims · 0.6%

Your Cost: $211.97/claim|Median: $10.41
20.4× median
Q9967Top 25%

Low osmolar contrast material, 300-399 mg iodine/ml, per ml

$266K

12K claims · 0.6%

Your Cost: $21.50/claim|Median: $3.42
6.3× median
96365Normal range

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

$256K

5,261 claims · 0.5%

Your Cost: $48.63/claim|Median: $54.77
0.9× median
J2250Top 5%

Injection, midazolam HCl, per one milligram

$244K

4,669 claims · 0.5%

Your Cost: $52.31/claim|Median: $0.32
163.5× median
96372Top 25%

Therapeutic injection, subcutaneous/intramuscular

$243K

16K claims · 0.5%

Your Cost: $15.42/claim|Median: $9.56
1.6× median
96375Normal range

Therapeutic/prophylactic/diagnostic IV push, each additional substance

$242K

14K claims · 0.5%

Your Cost: $16.84/claim|Median: $14.92
1.1× median
71275Normal range

CT angiography, chest, with contrast

$237K

2,188 claims · 0.5%

Your Cost: $108.36/claim|Median: $92.96
1.2× median
J0690Top 5%

$236K

3,480 claims · 0.5%

Your Cost: $67.79/claim|Median: $0.94
72.1× median
80074Top 25%

$227K

4,879 claims · 0.5%

Your Cost: $46.62/claim|Median: $27.54
1.7× median
85610Top 10%

Prothrombin time (PT) blood clotting test

$217K

31K claims · 0.5%

Your Cost: $6.92/claim|Median: $2.14
3.2× median
C1887Top 5%

$216K

1,149 claims · 0.5%

Your Cost: $188.40/claim|Median: $11.97
15.7× median
84443Normal range

Thyroid stimulating hormone (TSH)

$216K

15K claims · 0.5%

Your Cost: $14.05/claim|Median: $9.87
1.4× median
76705Top 25%

Ultrasound, abdominal, limited

$213K

2,547 claims · 0.4%

Your Cost: $83.60/claim|Median: $23.81
3.5× median
J2405Top 10%

Injection, ondansetron HCl, per one milligram

$209K

16K claims · 0.4%

Your Cost: $12.82/claim|Median: $0.58
22.1× median
93306Normal range

Echocardiography, transthoracic, complete, with Doppler

$208K

2,727 claims · 0.4%

Your Cost: $76.15/claim|Median: $54.68
1.4× median
G0378Normal range

Hospital observation service, per hour

$182K

4,408 claims · 0.4%

Your Cost: $41.36/claim|Median: $99.39
0.4× median
82150Top 10%

Amylase blood test

$179K

14K claims · 0.4%

Your Cost: $13.00/claim|Median: $3.65
3.6× median

Other Top Providers in West Virginia

View all →

Rem Community Options Inc.

Community/Behavioral Health

$224.9M

Laboratory Corporation of America Holdings

Clinical Medical Laboratory

$220.0M

Charleston Area Medical Center INC

General Acute Care Hospital

$199.8M

Voca Corporation of West Virginia Inc.

Clinic/Center Developmental Disabilities

$178.3M

Mulberry Street Management Services Inc.

In Home Supportive Care

$175.6M

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 West Virginia →How we detect fraud →