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

PRESBYTERIAN MEDICAL CENTER OF THE UNIVERSITY OF PENNSYLVANIA HEALTH S

General Acute Care Hospital·PHILADELPHIA, PA·NPI: 1245207521Share

Compared to General Acute Care Hospital Peers

Total spending distribution among 156 providers in this specialty

P25MedianP75P90

This provider's total spending of $23.3M is at the below 25th percentile among 156 General Acute Care Hospital providers.

Active Billing Period:2018-012024-12(82 months)

Total Paid

$23.3M

$23,265,818

Total Claims

501K

Beneficiaries

432K

1.2 claims/patient

Avg Cost/Claim

$46

Monthly Spending Trend

Yearly Spending

2018
$4K
+567%
2019
$26K
+13534%
2020
$3.6M
+179%
2021
$10.0M
-67%
2022
$3.4M
+5%
2023
$3.5M
-22%
2024
$2.8M

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 17% of total spending.

99284Top 10%

Emergency dept visit, high complexity

$3.9M

20K claims · 16.9%

Your Cost: $196.67/claim|Median: $69.51
2.8× median
99283Top 5%

Emergency dept visit, moderate complexity

$3.7M

19K claims · 16.0%

Your Cost: $197.58/claim|Median: $42.48
4.7× median
99285Top 25%

Emergency dept visit, high/urgent complexity

$3.5M

19K claims · 15.2%

Your Cost: $190.05/claim|Median: $85.65
2.2× median
G0378Top 5%

Hospital observation service, per hour

$2.4M

1,943 claims · 10.5%

Your Cost: $1,258.93/claim|Median: $99.39
12.7× median
J1745Normal range

Injection, infliximab, excludes biosimilar, 10 mg

$1.2M

613 claims · 5.0%

Your Cost: $1,902.72/claim|Median: $1,587.53
1.2× median
U0003Normal range

Infectious disease detection (COVID-19)

$526K

7,925 claims · 2.3%

Your Cost: $66.36/claim|Median: $63.08
1.1× median
G9012Normal range

Other specified case management service, per 15 minutes

$486K

2,019 claims · 2.1%

Your Cost: $240.68/claim|Median: $137.85
1.7× median
T1015Normal range

Clinic visit/encounter, all-inclusive

$477K

3,367 claims · 2.0%

Your Cost: $141.62/claim|Median: $121.16
1.2× median
G0483Normal range

Drug test, definitive, 22+ drug classes

$365K

3,696 claims · 1.6%

Your Cost: $98.72/claim|Median: $90.89
1.1× median
43239Top 5%

Upper GI endoscopy with biopsy

$350K

438 claims · 1.5%

Your Cost: $799.87/claim|Median: $151.68
5.3× median
70450Top 25%

CT head/brain without contrast

$344K

3,571 claims · 1.5%

Your Cost: $96.22/claim|Median: $45.53
2.1× median
74177Normal range

CT abdomen and pelvis with contrast

$309K

2,109 claims · 1.3%

Your Cost: $146.52/claim|Median: $65.76
2.2× median
45380Top 10%

Colonoscopy with biopsy

$253K

395 claims · 1.1%

Your Cost: $640.28/claim|Median: $200.68
3.2× median
66984Top 5%

Extracapsular cataract removal with IOL insertion

$216K

192 claims · 0.9%

Your Cost: $1,122.59/claim|Median: $268.70
4.2× median
93306Top 25%

Echocardiography, transthoracic, complete, with Doppler

$163K

1,239 claims · 0.7%

Your Cost: $131.34/claim|Median: $54.68
2.4× median
72125Top 25%

CT cervical spine without contrast

$158K

1,541 claims · 0.7%

Your Cost: $102.57/claim|Median: $32.30
3.2× median
71260Normal range

CT chest with contrast

$156K

1,578 claims · 0.7%

Your Cost: $98.89/claim|Median: $48.36
2.0× median
96413Normal range

Chemotherapy administration, IV infusion, up to 1 hour

$150K

1,245 claims · 0.6%

Your Cost: $120.42/claim|Median: $75.28
1.6× median
45378Top 5%

Colonoscopy, diagnostic

$149K

163 claims · 0.6%

Your Cost: $917.18/claim|Median: $225.49
4.1× median
36415Top 25%

Collection of venous blood by venipuncture

$148K

50K claims · 0.6%

Your Cost: $2.96/claim|Median: $1.57
1.9× median
93005Normal range

Electrocardiogram, tracing only, without interpretation

$134K

14K claims · 0.6%

Your Cost: $9.72/claim|Median: $7.50
1.3× median
99281Top 10%

Emergency dept visit, minimal complexity

$134K

804 claims · 0.6%

Your Cost: $166.19/claim|Median: $52.03
3.2× median
73721Top 25%

MRI joint of lower extremity without contrast

$122K

383 claims · 0.5%

Your Cost: $317.65/claim|Median: $127.34
2.5× median
73221Top 10%

MRI of upper extremity joint with contrast

$102K

340 claims · 0.4%

Your Cost: $301.43/claim|Median: $122.11
2.5× median
11042Top 25%

Debridement, subcutaneous tissue, first 20 sq cm

$98K

877 claims · 0.4%

Your Cost: $111.79/claim|Median: $36.13
3.1× median
80048Normal range

Basic metabolic panel

$95K

20K claims · 0.4%

Your Cost: $4.71/claim|Median: $5.78
0.8× median
77067Top 25%

Screening mammography, bilateral, including CAD

$94K

1,003 claims · 0.4%

Your Cost: $93.63/claim|Median: $39.33
2.4× median
87536Top 25%

HIV-1 detection by nucleic acid, quantitative

$91K

1,167 claims · 0.4%

Your Cost: $77.66/claim|Median: $51.73
1.5× median
J9271Normal range

Injection, pembrolizumab, 1 mg

$82K

28 claims · 0.4%

Your Cost: $2,937.81/claim|Median: $5,391.55
0.5× median
85025Normal range

Complete blood count (CBC) with differential, automated

$82K

26K claims · 0.4%

Your Cost: $3.17/claim|Median: $4.71
0.7× median
74183Top 10%

$80K

167 claims · 0.3%

Your Cost: $477.69/claim|Median: $151.91
3.1× median
73562Normal range

$75K

4,558 claims · 0.3%

Your Cost: $16.52/claim|Median: $12.28
1.3× median
99282Top 10%

Emergency dept visit, low complexity

$75K

439 claims · 0.3%

Your Cost: $171.19/claim|Median: $37.72
4.5× median
73564Normal range

$74K

3,348 claims · 0.3%

Your Cost: $22.20/claim|Median: $15.00
1.5× median
20610Top 5%

Arthrocentesis, aspiration/injection, major joint

$72K

444 claims · 0.3%

Your Cost: $163.00/claim|Median: $29.03
5.6× median
72148Top 25%

MRI lumbar spine without contrast

$72K

398 claims · 0.3%

Your Cost: $181.02/claim|Median: $101.03
1.8× median
87491Normal range

Chlamydia detection, nucleic acid, amplified probe

$69K

4,579 claims · 0.3%

Your Cost: $15.02/claim|Median: $24.95
0.6× median
80307Normal range

Drug test, presumptive, by chemistry analyzers

$68K

1,920 claims · 0.3%

Your Cost: $35.37/claim|Median: $35.43
1.0× median
73610Top 25%

X-ray of ankle, complete, minimum three views

$67K

3,058 claims · 0.3%

Your Cost: $21.98/claim|Median: $13.55
1.6× median
72141Top 25%

MRI of cervical spine without contrast

$67K

285 claims · 0.3%

Your Cost: $234.08/claim|Median: $112.68
2.1× median
70553Normal range

MRI brain without contrast, then with contrast

$65K

259 claims · 0.3%

Your Cost: $250.03/claim|Median: $133.68
1.9× median
70486Top 25%

$61K

545 claims · 0.3%

Your Cost: $111.61/claim|Median: $44.28
2.5× median
45385Top 25%

Colonoscopy with polyp removal, snare technique

$60K

129 claims · 0.3%

Your Cost: $464.15/claim|Median: $255.17
1.8× median
72197Top 10%

$58K

118 claims · 0.3%

Your Cost: $495.43/claim|Median: $201.67
2.5× median
87637Normal range

Respiratory virus detection, 3-5 targets, nucleic acid

$56K

669 claims · 0.2%

Your Cost: $84.11/claim|Median: $100.62
0.8× median
70551Top 25%

MRI brain without contrast

$56K

287 claims · 0.2%

Your Cost: $195.41/claim|Median: $85.39
2.3× median
80053Normal range

Comprehensive metabolic panel

$52K

11K claims · 0.2%

Your Cost: $4.57/claim|Median: $7.24
0.6× median
G0463Normal range

Hospital outpatient clinic visit

$52K

5,897 claims · 0.2%

Your Cost: $8.87/claim|Median: $26.41
0.3× median
71250Top 25%

CT scan of chest without contrast

$49K

638 claims · 0.2%

Your Cost: $76.63/claim|Median: $39.11
2.0× median
73630Normal range

X-ray, foot, complete, minimum 3 views

$43K

3,009 claims · 0.2%

Your Cost: $14.31/claim|Median: $12.06
1.2× median