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MERCY HEALTH-REGIONAL MEDICAL CENTER LLC

General Acute Care Hospital·LORAIN, OH·NPI: 1245274950Share

Compared to General Acute Care Hospital Peers

Total spending distribution among 156 providers in this specialty

P25MedianP75P90

This provider's total spending of $42.3M is at the below 25th percentile among 156 General Acute Care Hospital providers.

Active Billing Period:2018-012024-12(84 months)

Total Paid

$42.3M

$42,299,298

Total Claims

1.3M

Beneficiaries

1.1M

1.2 claims/patient

Avg Cost/Claim

$32

Monthly Spending Trend

Yearly Spending

2018
$4.1M
-2%
2019
$4.0M
+10%
2020
$4.3M
+7%
2021
$4.6M
+12%
2022
$5.2M
+128%
2023
$11.8M
-30%
2024
$8.3M

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 16% of total spending.

99283Top 25%

Emergency dept visit, moderate complexity

$6.9M

64K claims · 16.4%

Your Cost: $108.74/claim|Median: $42.48
2.6× median
99284Top 25%

Emergency dept visit, high complexity

$6.2M

54K claims · 14.7%

Your Cost: $114.75/claim|Median: $69.51
1.7× median
99285Normal range

Emergency dept visit, high/urgent complexity

$3.7M

30K claims · 8.8%

Your Cost: $122.57/claim|Median: $85.65
1.4× median
70450Top 10%

CT head/brain without contrast

$2.3M

10K claims · 5.5%

Your Cost: $226.12/claim|Median: $45.53
5.0× median
41899Normal range

Unlisted procedure, dentoalveolar structures

$2.0M

2,353 claims · 4.8%

Your Cost: $867.70/claim|Median: $763.43
1.1× median
96361Top 10%

IV infusion, hydration, each additional hour

$1.7M

5,657 claims · 4.1%

Your Cost: $304.65/claim|Median: $38.92
7.8× median
74177Top 25%

CT abdomen and pelvis with contrast

$1.7M

7,584 claims · 4.1%

Your Cost: $226.17/claim|Median: $65.76
3.4× median
99282Top 25%

Emergency dept visit, low complexity

$1.6M

17K claims · 3.8%

Your Cost: $95.87/claim|Median: $37.72
2.5× median
96365Top 10%

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

$1.5M

9,163 claims · 3.6%

Your Cost: $165.38/claim|Median: $54.77
3.0× median
92507Top 25%

Speech/hearing/language treatment

$1.1M

16K claims · 2.6%

Your Cost: $69.35/claim|Median: $49.45
1.4× median
94640Top 5%

Pressurized or nonpressurized inhalation treatment

$717K

5,260 claims · 1.7%

Your Cost: $136.40/claim|Median: $10.88
12.5× median
80053Normal range

Comprehensive metabolic panel

$696K

81K claims · 1.6%

Your Cost: $8.59/claim|Median: $7.24
1.2× median
97110Top 25%

Therapeutic exercises, each 15 min

$667K

11K claims · 1.6%

Your Cost: $58.52/claim|Median: $24.49
2.4× median
0202UNormal range

Proprietary lab analysis, human genomic sequencing

$613K

4,400 claims · 1.4%

Your Cost: $139.23/claim|Median: $144.30
1.0× median
43239Top 25%

Upper GI endoscopy with biopsy

$607K

1,767 claims · 1.4%

Your Cost: $343.34/claim|Median: $151.68
2.3× median
74176Top 25%

CT abdomen and pelvis without contrast

$395K

1,624 claims · 0.9%

Your Cost: $243.19/claim|Median: $60.19
4.0× median
96366Top 10%

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

$339K

1,446 claims · 0.8%

Your Cost: $234.35/claim|Median: $40.12
5.8× median
71275Top 25%

CT angiography, chest, with contrast

$299K

1,290 claims · 0.7%

Your Cost: $232.17/claim|Median: $92.96
2.5× median
45380Top 25%

Colonoscopy with biopsy

$276K

704 claims · 0.7%

Your Cost: $391.53/claim|Median: $200.68
2.0× median
G0378Normal range

Hospital observation service, per hour

$270K

3,698 claims · 0.6%

Your Cost: $72.92/claim|Median: $99.39
0.7× median
97530Top 25%

Therapeutic activities, each 15 min

$260K

3,860 claims · 0.6%

Your Cost: $67.36/claim|Median: $33.11
2.0× median
93306Top 25%

Echocardiography, transthoracic, complete, with Doppler

$255K

1,229 claims · 0.6%

Your Cost: $207.79/claim|Median: $54.68
3.8× median
76805Top 10%

Ultrasound, pregnant uterus, complete, single fetus

$242K

1,852 claims · 0.6%

Your Cost: $130.56/claim|Median: $74.78
1.7× median
45385Top 25%

Colonoscopy with polyp removal, snare technique

$235K

544 claims · 0.6%

Your Cost: $432.45/claim|Median: $255.17
1.7× median
80307Normal range

Drug test, presumptive, by chemistry analyzers

$227K

18K claims · 0.5%

Your Cost: $12.51/claim|Median: $35.43
0.4× median
76815Top 5%

Ultrasound, pregnant uterus, limited

$223K

1,713 claims · 0.5%

Your Cost: $130.35/claim|Median: $36.79
3.5× median
76856Top 10%

Ultrasound, pelvic, complete

$222K

1,443 claims · 0.5%

Your Cost: $153.80/claim|Median: $47.58
3.2× median
U0003Top 5%

Infectious disease detection (COVID-19)

$221K

1,398 claims · 0.5%

Your Cost: $157.95/claim|Median: $63.08
2.5× median
78452Top 25%

Myocardial perfusion imaging, SPECT, multiple studies

$219K

695 claims · 0.5%

Your Cost: $314.88/claim|Median: $106.14
3.0× median
95810Top 25%

Polysomnography, sleep study, 6+ hours

$196K

355 claims · 0.5%

Your Cost: $550.86/claim|Median: $233.73
2.4× median
84443Normal range

Thyroid stimulating hormone (TSH)

$179K

19K claims · 0.4%

Your Cost: $9.54/claim|Median: $9.87
1.0× median
87491Top 25%

Chlamydia detection, nucleic acid, amplified probe

$176K

4,894 claims · 0.4%

Your Cost: $35.96/claim|Median: $24.95
1.4× median
G0463Normal range

Hospital outpatient clinic visit

$173K

3,890 claims · 0.4%

Your Cost: $44.50/claim|Median: $26.41
1.7× median
85025Normal range

Complete blood count (CBC) with differential, automated

$148K

82K claims · 0.4%

Your Cost: $1.80/claim|Median: $4.71
0.4× median
87502Normal range

Influenza virus detection, reverse transcription, amplified probe

$144K

12K claims · 0.3%

Your Cost: $12.14/claim|Median: $65.64
0.2× median
36415Normal range

Collection of venous blood by venipuncture

$132K

117K claims · 0.3%

Your Cost: $1.13/claim|Median: $1.57
0.7× median
80048Top 25%

Basic metabolic panel

$130K

10K claims · 0.3%

Your Cost: $12.79/claim|Median: $5.78
2.2× median
76801Top 25%

Ultrasound, pregnant uterus, single fetus, first trimester

$127K

1,498 claims · 0.3%

Your Cost: $84.90/claim|Median: $58.16
1.5× median
87086Normal range

Urine culture, colony count, with identification

$123K

20K claims · 0.3%

Your Cost: $6.12/claim|Median: $5.31
1.2× median
83036Top 10%

Hemoglobin A1c (glycated hemoglobin)

$116K

11K claims · 0.3%

Your Cost: $11.01/claim|Median: $5.50
2.0× median
97162Normal range

PT evaluation, moderate complexity

$104K

1,752 claims · 0.2%

Your Cost: $59.20/claim|Median: $46.10
1.3× median
80061Normal range

Lipid panel

$103K

11K claims · 0.2%

Your Cost: $9.70/claim|Median: $8.41
1.2× median
11042Top 25%

Debridement, subcutaneous tissue, first 20 sq cm

$103K

1,144 claims · 0.2%

Your Cost: $89.62/claim|Median: $36.13
2.5× median
93975Normal range

Duplex scan of arterial inflow and venous outflow, complete

$97K

1,660 claims · 0.2%

Your Cost: $58.44/claim|Median: $79.28
0.7× median
87591Normal range

Neisseria gonorrhoeae detection, nucleic acid, amplified probe

$97K

4,874 claims · 0.2%

Your Cost: $19.84/claim|Median: $23.39
0.8× median
87635Normal range

COVID-19 SARS-CoV-2 amplified probe detection

$93K

17K claims · 0.2%

Your Cost: $5.35/claim|Median: $39.70
0.1× median
96360Normal range

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

$93K

947 claims · 0.2%

Your Cost: $97.86/claim|Median: $61.57
1.6× median
87624Top 25%

HPV detection, high-risk types, nucleic acid

$92K

2,703 claims · 0.2%

Your Cost: $34.04/claim|Median: $25.57
1.3× median
97112Top 25%

Therapeutic procedure, neuromuscular reeducation, per 15 minutes

$92K

2,097 claims · 0.2%

Your Cost: $43.64/claim|Median: $20.04
2.2× median
76817Normal range

Ultrasound, pregnant uterus, transvaginal

$89K

1,374 claims · 0.2%

Your Cost: $65.02/claim|Median: $47.65
1.4× median