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MOUNT SINAI HOSPITAL

General Acute Care Hospital·LONG ISLAND CITY, NY·NPI: 1245248939Share

Compared to General Acute Care Hospital Peers

Total spending distribution among 156 providers in this specialty

P25MedianP75P90

This provider's total spending of $91.9M is at the below 25th percentile among 156 General Acute Care Hospital providers.

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

Total Paid

$91.9M

$91,910,169

Total Claims

2.1M

Beneficiaries

1.8M

1.2 claims/patient

Avg Cost/Claim

$43

Monthly Spending Trend

Yearly Spending

2018
$289K
+1738%
2019
$5.3M
+168%
2020
$14.2M
+34%
2021
$19.1M
-2%
2022
$18.8M
+2%
2023
$19.2M
-22%
2024
$15.0M

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 17% of total spending.

G0463Top 5%

Hospital outpatient clinic visit

$15.9M

134K claims · 17.3%

Your Cost: $118.36/claim|Median: $26.41
4.5× median
99283Top 10%

Emergency dept visit, moderate complexity

$8.3M

54K claims · 9.0%

Your Cost: $152.91/claim|Median: $42.48
3.6× median
99284Top 25%

Emergency dept visit, high complexity

$5.8M

38K claims · 6.3%

Your Cost: $151.54/claim|Median: $69.51
2.2× median
99285Top 25%

Emergency dept visit, high/urgent complexity

$4.5M

33K claims · 4.9%

Your Cost: $139.16/claim|Median: $85.65
1.6× median
Q5104Top 25%

$4.3M

1,579 claims · 4.6%

Your Cost: $2,705.18/claim|Median: $1,412.69
1.9× median
96361Top 25%

IV infusion, hydration, each additional hour

$2.7M

17K claims · 3.0%

Your Cost: $157.08/claim|Median: $38.92
4.0× median
G0378Top 5%

Hospital observation service, per hour

$2.4M

2,335 claims · 2.6%

Your Cost: $1,024.14/claim|Median: $99.39
10.3× median
96365Top 5%

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

$2.2M

9,954 claims · 2.4%

Your Cost: $223.82/claim|Median: $54.77
4.1× median
96413Top 10%

Chemotherapy administration, IV infusion, up to 1 hour

$1.9M

8,776 claims · 2.0%

Your Cost: $214.23/claim|Median: $75.28
2.8× median
U0004Normal range

COVID-19 test, nucleic acid detection, CDC lab only

$1.9M

35K claims · 2.0%

Your Cost: $53.42/claim|Median: $60.05
0.9× median
99214Top 25%

Office/outpatient visit, est. patient, mod-high complexity

$1.8M

19K claims · 2.0%

Your Cost: $97.87/claim|Median: $53.41
1.8× median
99213Top 5%

Office/outpatient visit, est. patient, low-mod complexity

$1.7M

17K claims · 1.8%

Your Cost: $101.81/claim|Median: $37.81
2.7× median
J3380Top 25%

Injection, vedolizumab, one milligram

$1.4M

261 claims · 1.6%

Your Cost: $5,509.79/claim|Median: $4,027.41
1.4× median
78452Top 5%

Myocardial perfusion imaging, SPECT, multiple studies

$1.4M

1,706 claims · 1.5%

Your Cost: $801.56/claim|Median: $106.14
7.6× median
70450Top 25%

CT head/brain without contrast

$1.4M

8,010 claims · 1.5%

Your Cost: $170.21/claim|Median: $45.53
3.7× median
90834Top 5%

Psychotherapy, 45 minutes

$1.3M

7,789 claims · 1.5%

Your Cost: $171.21/claim|Median: $63.65
2.7× median
93458Top 5%

Left heart catheterization with imaging

$1.3M

661 claims · 1.4%

Your Cost: $2,004.61/claim|Median: $183.33
10.9× median
96372Top 5%

Therapeutic injection, subcutaneous/intramuscular

$1.3M

21K claims · 1.4%

Your Cost: $63.28/claim|Median: $9.56
6.6× median
74177Top 25%

CT abdomen and pelvis with contrast

$1.2M

6,856 claims · 1.3%

Your Cost: $175.94/claim|Median: $65.76
2.7× median
J7170Top 1%

Emicizumab-kxwh (Hemlibra) injection, 0.5 mg

$1.2M

14 claims · 1.3%

Your Cost: $85,179.04/claim|Median: $23,418.64
3.6× median
93306Top 5%

Echocardiography, transthoracic, complete, with Doppler

$1.1M

3,696 claims · 1.3%

Your Cost: $311.03/claim|Median: $54.68
5.7× median
80053Normal range

Comprehensive metabolic panel

$986K

100K claims · 1.1%

Your Cost: $9.83/claim|Median: $7.24
1.4× median
93975Top 5%

Duplex scan of arterial inflow and venous outflow, complete

$910K

2,524 claims · 1.0%

Your Cost: $360.37/claim|Median: $79.28
4.5× median
76856Top 1%

Ultrasound, pelvic, complete

$871K

2,450 claims · 0.9%

Your Cost: $355.46/claim|Median: $47.58
7.5× median
99282Top 10%

Emergency dept visit, low complexity

$808K

5,127 claims · 0.9%

Your Cost: $157.53/claim|Median: $37.72
4.2× median
96375Top 25%

Therapeutic/prophylactic/diagnostic IV push, each additional substance

$785K

19K claims · 0.9%

Your Cost: $40.61/claim|Median: $14.92
2.7× median
90832Top 5%

Psychotherapy, 30 minutes

$679K

4,930 claims · 0.7%

Your Cost: $137.80/claim|Median: $41.28
3.3× median
97110Top 25%

Therapeutic exercises, each 15 min

$583K

12K claims · 0.6%

Your Cost: $50.27/claim|Median: $24.49
2.1× median
99281Top 25%

Emergency dept visit, minimal complexity

$570K

3,634 claims · 0.6%

Your Cost: $156.79/claim|Median: $52.03
3.0× median
96367Top 5%

$560K

2,634 claims · 0.6%

Your Cost: $212.47/claim|Median: $29.27
7.3× median
96360Normal range

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

$546K

4,932 claims · 0.6%

Your Cost: $110.61/claim|Median: $61.57
1.8× median
96374Normal range

Therapeutic/prophylactic/diagnostic IV push, single substance

$504K

24K claims · 0.5%

Your Cost: $20.71/claim|Median: $21.76
1.0× median
43239Top 10%

Upper GI endoscopy with biopsy

$477K

803 claims · 0.5%

Your Cost: $593.63/claim|Median: $151.68
3.9× median
47562Normal range

$461K

199 claims · 0.5%

Your Cost: $2,316.51/claim|Median: $731.87
3.2× median
74176Top 25%

CT abdomen and pelvis without contrast

$456K

2,450 claims · 0.5%

Your Cost: $186.04/claim|Median: $60.19
3.1× median
77067Top 25%

Screening mammography, bilateral, including CAD

$452K

4,908 claims · 0.5%

Your Cost: $92.17/claim|Median: $39.33
2.3× median
71275Top 25%

CT angiography, chest, with contrast

$445K

2,394 claims · 0.5%

Your Cost: $185.99/claim|Median: $92.96
2.0× median
U0005Normal range

Infectious disease detection, COVID-19, antigen

$435K

25K claims · 0.5%

Your Cost: $17.63/claim|Median: $15.76
1.1× median
93970Top 5%

Duplex scan of extremity veins, complete, bilateral

$405K

1,441 claims · 0.4%

Your Cost: $281.36/claim|Median: $43.07
6.5× median
86900Top 25%

$354K

17K claims · 0.4%

Your Cost: $21.25/claim|Median: $2.55
8.3× median
45380Top 10%

Colonoscopy with biopsy

$331K

453 claims · 0.4%

Your Cost: $730.49/claim|Median: $200.68
3.6× median
93976Top 5%

$329K

1,235 claims · 0.4%

Your Cost: $266.77/claim|Median: $42.06
6.3× median
80048Top 25%

Basic metabolic panel

$312K

28K claims · 0.3%

Your Cost: $11.29/claim|Median: $5.78
2.0× median
C8929Top 10%

$310K

707 claims · 0.3%

Your Cost: $438.00/claim|Median: $194.95
2.2× median
90935Top 10%

Hemodialysis, one evaluation

$305K

1,958 claims · 0.3%

Your Cost: $155.93/claim|Median: $23.72
6.6× median
12001Top 10%

$300K

923 claims · 0.3%

Your Cost: $324.80/claim|Median: $64.99
5.0× median
G0008Top 5%

$294K

7,704 claims · 0.3%

Your Cost: $38.15/claim|Median: $2.54
15.0× median
96366Normal range

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

$272K

2,995 claims · 0.3%

Your Cost: $90.96/claim|Median: $40.12
2.3× median
96402Top 5%

$262K

967 claims · 0.3%

Your Cost: $271.20/claim|Median: $20.95
12.9× median
36415Top 25%

Collection of venous blood by venipuncture

$261K

84K claims · 0.3%

Your Cost: $3.12/claim|Median: $1.57
2.0× median

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$1.08B

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$961.1M

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$863.5M

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$777.5M

Boston Medical Center Corporation

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$768.5M

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