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THE CHILDREN'S HOSPITAL OF ALABAMA

General Acute Care Hospital, Children·BIRMINGHAM, AL·NPI: 1205935012Share
Active Billing Period:2018-012024-12(84 months)

Total Paid

$58.8M

$58,842,532

Total Claims

1.4M

Beneficiaries

1.2M

1.2 claims/patient

Avg Cost/Claim

$43

Monthly Spending Trend

Yearly Spending

2018
$6.9M
+14%
2019
$7.9M
-33%
2020
$5.3M
+41%
2021
$7.4M
+25%
2022
$9.2M
+24%
2023
$11.5M
-7%
2024
$10.7M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 50 distinct procedure codes. The top code (G0463 (Hospital outpatient clinic visit)) accounts for 37% of total spending.

G0463Normal range

Hospital outpatient clinic visit

$21.7M

446K claims · 36.9%

Your Cost: $48.71/claim|Median: $26.41
1.8× median
99283Normal range

Emergency dept visit, moderate complexity

$6.2M

141K claims · 10.6%

Your Cost: $44.07/claim|Median: $42.48
1.0× median
99284Normal range

Emergency dept visit, high complexity

$4.4M

57K claims · 7.5%

Your Cost: $77.46/claim|Median: $69.51
1.1× median
J1745Normal range

Injection, infliximab, excludes biosimilar, 10 mg

$3.6M

1,975 claims · 6.1%

Your Cost: $1,825.65/claim|Median: $1,587.53
1.1× median
69436Normal range

Tympanostomy, general anesthesia

$3.3M

24K claims · 5.5%

Your Cost: $136.32/claim|Median: $205.50
0.7× median
99285Top 5%

Emergency dept visit, high/urgent complexity

$2.5M

7,681 claims · 4.2%

Your Cost: $322.25/claim|Median: $85.65
3.8× median
D9420Top 10%

$1.6M

5,987 claims · 2.7%

Your Cost: $262.17/claim|Median: $81.82
3.2× median
42820Normal range

Tonsillectomy and adenoidectomy, under age 12

$1.6M

3,897 claims · 2.6%

Your Cost: $399.00/claim|Median: $331.68
1.2× median
G0330Normal range

$1.4M

1,411 claims · 2.3%

Your Cost: $965.59/claim|Median: $1,205.70
0.8× median
99282Normal range

Emergency dept visit, low complexity

$733K

18K claims · 1.2%

Your Cost: $40.49/claim|Median: $37.72
1.1× median
42830Normal range

$646K

2,003 claims · 1.1%

Your Cost: $322.46/claim|Median: $341.04
0.9× median
80053Top 25%

Comprehensive metabolic panel

$585K

47K claims · 1.0%

Your Cost: $12.56/claim|Median: $7.24
1.7× median
85025Top 10%

Complete blood count (CBC) with differential, automated

$578K

59K claims · 1.0%

Your Cost: $9.77/claim|Median: $4.71
2.1× median
95782Normal range

$561K

898 claims · 1.0%

Your Cost: $624.22/claim|Median: $216.35
2.9× median
43239Normal range

Upper GI endoscopy with biopsy

$534K

2,370 claims · 0.9%

Your Cost: $225.47/claim|Median: $151.68
1.5× median
92567Normal range

$454K

33K claims · 0.8%

Your Cost: $13.86/claim|Median: $11.50
1.2× median
81229Top 25%

$387K

428 claims · 0.7%

Your Cost: $905.22/claim|Median: $372.17
2.4× median
76770Normal range

Ultrasound, retroperitoneal, complete

$385K

9,422 claims · 0.7%

Your Cost: $40.81/claim|Median: $37.35
1.1× median
85055Top 25%

$383K

15K claims · 0.7%

Your Cost: $25.67/claim|Median: $10.54
2.4× median
83036Top 5%

Hemoglobin A1c (glycated hemoglobin)

$373K

26K claims · 0.6%

Your Cost: $14.56/claim|Median: $5.50
2.6× median
70553Top 10%

MRI brain without contrast, then with contrast

$365K

731 claims · 0.6%

Your Cost: $498.80/claim|Median: $133.68
3.7× median
87635Normal range

COVID-19 SARS-CoV-2 amplified probe detection

$311K

7,156 claims · 0.5%

Your Cost: $43.42/claim|Median: $39.70
1.1× median
87633Normal range

Respiratory virus detection, 12-25 targets, nucleic acid

$305K

1,290 claims · 0.5%

Your Cost: $236.42/claim|Median: $169.17
1.4× median
95810Normal range

Polysomnography, sleep study, 6+ hours

$276K

999 claims · 0.5%

Your Cost: $275.80/claim|Median: $233.73
1.2× median
17110Top 5%

Destruction of benign lesions, up to fourteen

$271K

1,954 claims · 0.5%

Your Cost: $138.57/claim|Median: $59.25
2.3× median
36430Normal range

Transfusion of whole blood

$260K

2,051 claims · 0.4%

Your Cost: $126.83/claim|Median: $111.66
1.1× median
84443Top 25%

Thyroid stimulating hormone (TSH)

$229K

13K claims · 0.4%

Your Cost: $18.30/claim|Median: $9.87
1.9× median
96413Normal range

Chemotherapy administration, IV infusion, up to 1 hour

$218K

2,426 claims · 0.4%

Your Cost: $89.88/claim|Median: $75.28
1.2× median
92579Normal range

$181K

9,535 claims · 0.3%

Your Cost: $19.00/claim|Median: $30.58
0.6× median
87804Normal range

Influenza virus detection, rapid test

$176K

15K claims · 0.3%

Your Cost: $11.58/claim|Median: $12.59
0.9× median
97110Normal range

Therapeutic exercises, each 15 min

$176K

4,986 claims · 0.3%

Your Cost: $35.22/claim|Median: $24.49
1.4× median
83021Normal range

$167K

10K claims · 0.3%

Your Cost: $16.14/claim|Median: $12.07
1.3× median
94375Normal range

$160K

13K claims · 0.3%

Your Cost: $12.73/claim|Median: $17.23
0.7× median
86003Top 25%

Allergen specific IgE blood test, each allergen

$147K

1,249 claims · 0.2%

Your Cost: $117.44/claim|Median: $40.67
2.9× median
86922Normal range

$145K

3,871 claims · 0.2%

Your Cost: $37.46/claim|Median: $20.85
1.8× median
Q3014Normal range

Telehealth originating site facility fee

$141K

7,884 claims · 0.2%

Your Cost: $17.82/claim|Median: $15.37
1.2× median
84439Top 25%

Free thyroxine level blood test

$139K

14K claims · 0.2%

Your Cost: $9.94/claim|Median: $6.31
1.6× median
92555Normal range

$134K

11K claims · 0.2%

Your Cost: $11.98/claim|Median: $14.17
0.8× median
80061Top 10%

Lipid panel

$119K

6,989 claims · 0.2%

Your Cost: $17.01/claim|Median: $8.41
2.0× median
67311Normal range

$101K

513 claims · 0.2%

Your Cost: $197.22/claim|Median: $610.94
0.3× median
93306Normal range

Echocardiography, transthoracic, complete, with Doppler

$81K

791 claims · 0.1%

Your Cost: $102.81/claim|Median: $54.68
1.9× median
71046Normal range

Chest X-ray, 2 views

$80K

6,602 claims · 0.1%

Your Cost: $12.19/claim|Median: $8.92
1.4× median
85046Top 25%

$79K

15K claims · 0.1%

Your Cost: $5.15/claim|Median: $2.47
2.1× median
92582Normal range

$78K

2,285 claims · 0.1%

Your Cost: $34.01/claim|Median: $46.66
0.7× median
82784Top 25%

Immunoglobulin IgA, IgD, IgG, IgM, each

$74K

4,435 claims · 0.1%

Your Cost: $16.58/claim|Median: $8.43
2.0× median
80069Top 25%

Renal function panel

$73K

9,159 claims · 0.1%

Your Cost: $8.02/claim|Median: $4.12
1.9× median
81479Top 5%

Unlisted molecular pathology procedure

$72K

50 claims · 0.1%

Your Cost: $1,440.00/claim|Median: $38.66
37.2× median
83721Top 25%

$70K

7,968 claims · 0.1%

Your Cost: $8.85/claim|Median: $4.31
2.1× median
92611Normal range

$64K

2,354 claims · 0.1%

Your Cost: $27.24/claim|Median: $47.58
0.6× median
70551Top 25%

MRI brain without contrast

$63K

311 claims · 0.1%

Your Cost: $202.80/claim|Median: $85.39
2.4× median

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