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INSPIRA MEDICAL CENTERS, INC.

General Acute Care Hospital·ELMER, NJ·NPI: 1255396024Share

Compared to General Acute Care Hospital Peers

Total spending distribution among 156 providers in this specialty

P25MedianP75P90

This provider's total spending of $30.6M is at the below 25th percentile among 156 General Acute Care Hospital providers.

Active Billing Period:2018-01→2024-11(83 months)

Total Paid

$30.6M

$30,551,105

Total Claims

401K

Beneficiaries

342K

1.2 claims/patient

Avg Cost/Claim

$76

Monthly Spending Trend

Yearly Spending

2018
$4.0M
-2%
2019
$3.9M
-19%
2020
$3.2M
+38%
2021
$4.4M
+21%
2022
$5.3M
+6%
2023
$5.6M
-25%
2024
$4.2M

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 31% of total spending.

99284Top 1%

Emergency dept visit, high complexity

$9.5M

16K claims · 31.1%

Your Cost: $592.91/claim|Median: $69.51
8.5× median
99283Top 1%

Emergency dept visit, moderate complexity

$6.4M

17K claims · 20.8%

Your Cost: $372.75/claim|Median: $42.48
8.8× median
99285Top 1%

Emergency dept visit, high/urgent complexity

$4.7M

6,458 claims · 15.5%

Your Cost: $732.68/claim|Median: $85.65
8.6× median
H0035Top 10%

Mental health partial hospitalization, treatment, per hour

$4.1M

12K claims · 13.5%

Your Cost: $341.42/claim|Median: $148.53
2.3× median
G0378Top 10%

Hospital observation service, per hour

$1.8M

2,433 claims · 5.9%

Your Cost: $745.60/claim|Median: $99.39
7.5× median
99282Top 5%

Emergency dept visit, low complexity

$746K

3,268 claims · 2.4%

Your Cost: $228.37/claim|Median: $37.72
6.1× median
11042Top 10%

Debridement, subcutaneous tissue, first 20 sq cm

$536K

2,961 claims · 1.8%

Your Cost: $180.99/claim|Median: $36.13
5.0× median
93306Top 1%

Echocardiography, transthoracic, complete, with Doppler

$418K

599 claims · 1.4%

Your Cost: $697.07/claim|Median: $54.68
12.7× median
74177Normal range

CT abdomen and pelvis with contrast

$189K

3,398 claims · 0.6%

Your Cost: $55.49/claim|Median: $65.76
0.8× median
93005Normal range

Electrocardiogram, tracing only, without interpretation

$159K

8,787 claims · 0.5%

Your Cost: $18.12/claim|Median: $7.50
2.4× median
96374Normal range

Therapeutic/prophylactic/diagnostic IV push, single substance

$137K

8,081 claims · 0.4%

Your Cost: $16.90/claim|Median: $21.76
0.8× median
OP710Normal range

$99K

1,005 claims · 0.3%

Your Cost: $98.67/claim|Median: $68.93
1.4× median
71046Normal range

Chest X-ray, 2 views

$77K

6,569 claims · 0.3%

Your Cost: $11.65/claim|Median: $8.92
1.3× median
96375Normal range

Therapeutic/prophylactic/diagnostic IV push, each additional substance

$70K

6,379 claims · 0.2%

Your Cost: $10.98/claim|Median: $14.92
0.7× median
OP279Normal range

$65K

3,327 claims · 0.2%

Your Cost: $19.64/claim|Median: $10.76
1.8× median
97110Normal range

Therapeutic exercises, each 15 min

$65K

5,297 claims · 0.2%

Your Cost: $12.27/claim|Median: $24.49
0.5× median
Q9967Top 25%

Low osmolar contrast material, 300-399 mg iodine/ml, per ml

$64K

4,508 claims · 0.2%

Your Cost: $14.13/claim|Median: $3.42
4.1× median
96365Normal range

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

$61K

2,536 claims · 0.2%

Your Cost: $23.88/claim|Median: $54.77
0.4× median
70450Normal range

CT head/brain without contrast

$54K

2,957 claims · 0.2%

Your Cost: $18.39/claim|Median: $45.53
0.4× median
97140Top 10%

Manual therapy techniques, per 15 minutes

$54K

1,537 claims · 0.2%

Your Cost: $34.90/claim|Median: $16.79
2.1× median
96361Normal range

IV infusion, hydration, each additional hour

$52K

5,787 claims · 0.2%

Your Cost: $8.92/claim|Median: $38.92
0.2× median
76856Normal range

Ultrasound, pelvic, complete

$43K

630 claims · 0.1%

Your Cost: $68.19/claim|Median: $47.58
1.4× median
96360Normal range

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

$41K

1,717 claims · 0.1%

Your Cost: $23.83/claim|Median: $61.57
0.4× median
76801Normal range

Ultrasound, pregnant uterus, single fetus, first trimester

$40K

728 claims · 0.1%

Your Cost: $55.25/claim|Median: $58.16
0.9× median
77067Top 10%

Screening mammography, bilateral, including CAD

$39K

324 claims · 0.1%

Your Cost: $119.14/claim|Median: $39.33
3.0× median
96372Normal range

Therapeutic injection, subcutaneous/intramuscular

$38K

3,829 claims · 0.1%

Your Cost: $9.80/claim|Median: $9.56
1.0× median
97602Normal range

$36K

449 claims · 0.1%

Your Cost: $79.45/claim|Median: $51.00
1.6× median
87637Normal range

Respiratory virus detection, 3-5 targets, nucleic acid

$35K

1,554 claims · 0.1%

Your Cost: $22.77/claim|Median: $100.62
0.2× median
94640Top 25%

Pressurized or nonpressurized inhalation treatment

$34K

1,353 claims · 0.1%

Your Cost: $24.84/claim|Median: $10.88
2.3× median
G0463Normal range

Hospital outpatient clinic visit

$28K

3,210 claims · 0.1%

Your Cost: $8.88/claim|Median: $26.41
0.3× median
76830Normal range

Ultrasound, transvaginal

$28K

379 claims · 0.1%

Your Cost: $74.93/claim|Median: $57.47
1.3× median
11045Top 25%

$27K

181 claims · 0.1%

Your Cost: $151.54/claim|Median: $27.04
5.6× median
74176Normal range

CT abdomen and pelvis without contrast

$27K

961 claims · 0.1%

Your Cost: $28.39/claim|Median: $60.19
0.5× median
94760Normal range

Pulse oximetry, single reading, noninvasive

$25K

19K claims · 0.1%

Your Cost: $1.34/claim|Median: $0.79
1.7× median
80048Normal range

Basic metabolic panel

$25K

11K claims · 0.1%

Your Cost: $2.29/claim|Median: $5.78
0.4× median
80053Normal range

Comprehensive metabolic panel

$25K

8,488 claims · 0.1%

Your Cost: $2.90/claim|Median: $7.24
0.4× median
73630Normal range

X-ray, foot, complete, minimum 3 views

$24K

1,906 claims · 0.1%

Your Cost: $12.85/claim|Median: $12.06
1.1× median
85025Normal range

Complete blood count (CBC) with differential, automated

$24K

19K claims · 0.1%

Your Cost: $1.28/claim|Median: $4.71
0.3× median
36415Normal range

Collection of venous blood by venipuncture

$24K

21K claims · 0.1%

Your Cost: $1.14/claim|Median: $1.57
0.7× median
71045Normal range

Chest X-ray, single view

$22K

3,207 claims · 0.1%

Your Cost: $6.85/claim|Median: $4.93
1.4× median
36000Normal range

$22K

4,406 claims · 0.1%

Your Cost: $4.96/claim|Median: $6.65
0.7× median
87631Normal range

Respiratory virus detection, 3-5 targets, multiplex

$21K

1,187 claims · 0.1%

Your Cost: $17.53/claim|Median: $65.45
0.3× median
OP259Normal range

$20K

19K claims · 0.1%

Your Cost: $1.05/claim|Median: $3.13
0.3× median
93041Normal range

$19K

3,579 claims · 0.1%

Your Cost: $5.41/claim|Median: $4.36
1.2× median
U0003Normal range

Infectious disease detection (COVID-19)

$18K

947 claims · 0.1%

Your Cost: $19.45/claim|Median: $63.08
0.3× median
97112Normal range

Therapeutic procedure, neuromuscular reeducation, per 15 minutes

$17K

602 claims · 0.1%

Your Cost: $28.75/claim|Median: $20.04
1.4× median
87491Normal range

Chlamydia detection, nucleic acid, amplified probe

$17K

1,983 claims · 0.1%

Your Cost: $8.66/claim|Median: $24.95
0.3× median
87635Normal range

COVID-19 SARS-CoV-2 amplified probe detection

$17K

1,745 claims · 0.1%

Your Cost: $9.84/claim|Median: $39.70
0.2× median
95806Top 1%

$17K

12 claims · 0.1%

Your Cost: $1,412.91/claim|Median: $64.51
21.9× median
87591Normal range

Neisseria gonorrhoeae detection, nucleic acid, amplified probe

$16K

1,985 claims · 0.1%

Your Cost: $8.19/claim|Median: $23.39
0.4× 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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