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

⚖️ Compare🖨️ Print Report

CLEVELAND CLINIC HEALTH SYSTEM - EAST REGION

General Acute Care Hospital·WARRENSVILLE HEIGHTS, OH·NPI: 1235183542Share

Compared to General Acute Care Hospital Peers

Total spending distribution among 156 providers in this specialty

P25MedianP75P90

This provider's total spending of $31.4M is at the below 25th percentile among 156 General Acute Care Hospital providers.

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

Total Paid

$31.4M

$31,439,240

Total Claims

766K

Beneficiaries

577K

1.3 claims/patient

Avg Cost/Claim

$41

Monthly Spending Trend

Yearly Spending

2018
$2.5M
-6%
2019
$2.3M
+26%
2020
$2.9M
+26%
2021
$3.7M
-13%
2022
$3.2M
+215%
2023
$10.1M
-33%
2024
$6.7M

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 15% of total spending.

99283Top 25%

Emergency dept visit, moderate complexity

$4.9M

36K claims · 15.4%

Your Cost: $133.15/claim|Median: $42.48
3.1× median
99284Top 25%

Emergency dept visit, high complexity

$4.9M

34K claims · 15.4%

Your Cost: $143.68/claim|Median: $69.51
2.1× median
99285Top 25%

Emergency dept visit, high/urgent complexity

$4.8M

31K claims · 15.2%

Your Cost: $153.53/claim|Median: $85.65
1.8× median
96361Top 10%

IV infusion, hydration, each additional hour

$3.4M

10K claims · 10.9%

Your Cost: $331.97/claim|Median: $38.92
8.5× median
G0463Top 25%

Hospital outpatient clinic visit

$2.1M

25K claims · 6.6%

Your Cost: $84.72/claim|Median: $26.41
3.2× median
0241UTop 25%

Proprietary lab analysis, genomic sequencing

$1.2M

8,436 claims · 3.8%

Your Cost: $141.55/claim|Median: $91.47
1.5× median
70450Top 5%

CT head/brain without contrast

$974K

3,233 claims · 3.1%

Your Cost: $301.28/claim|Median: $45.53
6.6× median
U0003Top 5%

Infectious disease detection (COVID-19)

$722K

4,350 claims · 2.3%

Your Cost: $165.95/claim|Median: $63.08
2.6× median
G0378Normal range

Hospital observation service, per hour

$685K

11K claims · 2.2%

Your Cost: $63.98/claim|Median: $99.39
0.6× median
74177Top 25%

CT abdomen and pelvis with contrast

$602K

2,142 claims · 1.9%

Your Cost: $281.08/claim|Median: $65.76
4.3× median
99282Top 25%

Emergency dept visit, low complexity

$507K

3,828 claims · 1.6%

Your Cost: $132.50/claim|Median: $37.72
3.5× median
96365Top 10%

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

$462K

2,692 claims · 1.5%

Your Cost: $171.80/claim|Median: $54.77
3.1× median
96366Top 10%

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

$415K

1,747 claims · 1.3%

Your Cost: $237.57/claim|Median: $40.12
5.9× median
94640Top 5%

Pressurized or nonpressurized inhalation treatment

$341K

2,559 claims · 1.1%

Your Cost: $133.22/claim|Median: $10.88
12.2× median
96360Top 10%

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

$298K

1,421 claims · 0.9%

Your Cost: $209.94/claim|Median: $61.57
3.4× median
71260Top 5%

CT chest with contrast

$296K

1,078 claims · 0.9%

Your Cost: $275.00/claim|Median: $48.36
5.7× median
43239Top 10%

Upper GI endoscopy with biopsy

$291K

624 claims · 0.9%

Your Cost: $466.29/claim|Median: $151.68
3.1× median
97110Top 10%

Therapeutic exercises, each 15 min

$264K

3,950 claims · 0.8%

Your Cost: $66.82/claim|Median: $24.49
2.7× median
80053Normal range

Comprehensive metabolic panel

$263K

40K claims · 0.8%

Your Cost: $6.54/claim|Median: $7.24
0.9× median
11042Top 25%

Debridement, subcutaneous tissue, first 20 sq cm

$203K

1,932 claims · 0.6%

Your Cost: $105.17/claim|Median: $36.13
2.9× median
C9803Top 10%

$189K

3,995 claims · 0.6%

Your Cost: $47.40/claim|Median: $13.20
3.6× median
74176Top 10%

CT abdomen and pelvis without contrast

$178K

630 claims · 0.6%

Your Cost: $282.69/claim|Median: $60.19
4.7× median
45380Top 25%

Colonoscopy with biopsy

$157K

303 claims · 0.5%

Your Cost: $517.02/claim|Median: $200.68
2.6× median
93306Top 5%

Echocardiography, transthoracic, complete, with Doppler

$134K

463 claims · 0.4%

Your Cost: $288.55/claim|Median: $54.68
5.3× median
96413Top 25%

Chemotherapy administration, IV infusion, up to 1 hour

$125K

863 claims · 0.4%

Your Cost: $145.32/claim|Median: $75.28
1.9× median
93970Top 25%

Duplex scan of extremity veins, complete, bilateral

$91K

658 claims · 0.3%

Your Cost: $138.22/claim|Median: $43.07
3.2× median
11045Top 5%

$86K

156 claims · 0.3%

Your Cost: $552.52/claim|Median: $27.04
20.4× median
80048Top 25%

Basic metabolic panel

$72K

7,218 claims · 0.2%

Your Cost: $9.94/claim|Median: $5.78
1.7× median
71250Top 25%

CT scan of chest without contrast

$69K

652 claims · 0.2%

Your Cost: $105.12/claim|Median: $39.11
2.7× median
97161Normal range

Physical therapy evaluation, low complexity

$68K

1,851 claims · 0.2%

Your Cost: $36.97/claim|Median: $47.89
0.8× median
99281Top 25%

Emergency dept visit, minimal complexity

$68K

492 claims · 0.2%

Your Cost: $138.95/claim|Median: $52.03
2.7× median
76705Top 10%

Ultrasound, abdominal, limited

$66K

648 claims · 0.2%

Your Cost: $102.45/claim|Median: $23.81
4.3× median
93971Top 25%

Duplex scan of extremity veins, unilateral or limited

$64K

651 claims · 0.2%

Your Cost: $98.65/claim|Median: $25.43
3.9× median
81513Top 5%

$63K

388 claims · 0.2%

Your Cost: $162.33/claim|Median: $71.32
2.3× median
80307Normal range

Drug test, presumptive, by chemistry analyzers

$62K

4,434 claims · 0.2%

Your Cost: $13.89/claim|Median: $35.43
0.4× median
82805Top 25%

$58K

1,480 claims · 0.2%

Your Cost: $39.27/claim|Median: $17.63
2.2× median
70553Top 25%

MRI brain without contrast, then with contrast

$57K

158 claims · 0.2%

Your Cost: $362.25/claim|Median: $133.68
2.7× median
76856Top 5%

Ultrasound, pelvic, complete

$54K

231 claims · 0.2%

Your Cost: $234.42/claim|Median: $47.58
4.9× median
84484Normal range

Troponin, quantitative

$51K

16K claims · 0.2%

Your Cost: $3.23/claim|Median: $4.84
0.7× median
85025Normal range

Complete blood count (CBC) with differential, automated

$51K

42K claims · 0.2%

Your Cost: $1.23/claim|Median: $4.71
0.3× median
93976Top 25%

$51K

358 claims · 0.2%

Your Cost: $143.34/claim|Median: $42.06
3.4× median
36415Normal range

Collection of venous blood by venipuncture

$51K

68K claims · 0.2%

Your Cost: $0.75/claim|Median: $1.57
0.5× median
93005Normal range

Electrocardiogram, tracing only, without interpretation

$50K

24K claims · 0.2%

Your Cost: $2.07/claim|Median: $7.50
0.3× median
76830Normal range

Ultrasound, transvaginal

$48K

760 claims · 0.2%

Your Cost: $62.78/claim|Median: $57.47
1.1× median
71046Normal range

Chest X-ray, 2 views

$47K

3,792 claims · 0.1%

Your Cost: $12.43/claim|Median: $8.92
1.4× median
97165Normal range

OT evaluation, low complexity

$46K

871 claims · 0.1%

Your Cost: $53.06/claim|Median: $46.78
1.1× median
87591Normal range

Neisseria gonorrhoeae detection, nucleic acid, amplified probe

$46K

6,488 claims · 0.1%

Your Cost: $7.05/claim|Median: $23.39
0.3× median
80069Top 25%

Renal function panel

$44K

4,754 claims · 0.1%

Your Cost: $9.18/claim|Median: $4.12
2.2× median
85027Normal range

Complete blood count (CBC), automated

$43K

12K claims · 0.1%

Your Cost: $3.52/claim|Median: $3.72
0.9× median
76770Top 10%

Ultrasound, retroperitoneal, complete

$40K

265 claims · 0.1%

Your Cost: $150.51/claim|Median: $37.35
4.0× median

Other Top Providers in Ohio

View all →

The Cleveland Clinic Foundation

General Acute Care Hospital

$863.5M

Nationwide Children's Hospital

General Acute Care Hospital

$777.5M

Laboratory Corporation of America Holdings

Clinical Medical Laboratory

$617.0M

The Metrohealth System

General Acute Care Hospital

$574.1M

Children's Hospital Medical Center of Akron

General Acute Care Hospital Children

$556.6M

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 Ohio →How we detect fraud →