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PIH HEALTH DOWNEY HOSPITAL

General Acute Care Hospital·DOWNEY, CA·NPI: 1265433551Share

Compared to General Acute Care Hospital Peers

Total spending distribution among 156 providers in this specialty

P25MedianP75P90

This provider's total spending of $25.4M is at the below 25th percentile among 156 General Acute Care Hospital providers.

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

Total Paid

$25.4M

$25,366,202

Total Claims

1.1M

Beneficiaries

943K

1.2 claims/patient

Avg Cost/Claim

$23

Monthly Spending Trend

Yearly Spending

2018
$2.9M
+46%
2019
$4.3M
-37%
2020
$2.7M
+28%
2021
$3.5M
+26%
2022
$4.4M
+3%
2023
$4.5M
-31%
2024
$3.1M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 50 distinct procedure codes. The top code (0450 (Emergency room visit)) accounts for 20% of total spending.

0450Normal range

Emergency room visit

$5.2M

128K claims · 20.3%

Your Cost: $40.23/claim|Median: $44.95
0.9× median
74177Top 25%

CT abdomen and pelvis with contrast

$1.7M

9,733 claims · 6.6%

Your Cost: $172.67/claim|Median: $65.76
2.6× median
0270Top 25%

$891K

42K claims · 3.5%

Your Cost: $21.05/claim|Median: $5.50
3.8× median
70450Top 25%

CT head/brain without contrast

$866K

9,910 claims · 3.4%

Your Cost: $87.36/claim|Median: $45.53
1.9× median
96374Normal range

Therapeutic/prophylactic/diagnostic IV push, single substance

$855K

20K claims · 3.4%

Your Cost: $43.30/claim|Median: $21.76
2.0× median
99281Normal range

Emergency dept visit, minimal complexity

$779K

9,764 claims · 3.1%

Your Cost: $79.81/claim|Median: $52.03
1.5× median
99284Top 25%

Emergency dept visit, high complexity

$713K

6,570 claims · 2.8%

Your Cost: $108.55/claim|Median: $69.51
1.6× median
93005Normal range

Electrocardiogram, tracing only, without interpretation

$691K

38K claims · 2.7%

Your Cost: $18.17/claim|Median: $7.50
2.4× median
0250Top 25%

$536K

34K claims · 2.1%

Your Cost: $15.77/claim|Median: $3.70
4.3× median
93975Normal range

Duplex scan of arterial inflow and venous outflow, complete

$501K

3,476 claims · 2.0%

Your Cost: $144.15/claim|Median: $79.28
1.8× median
99283Top 25%

Emergency dept visit, moderate complexity

$450K

4,719 claims · 1.8%

Your Cost: $95.27/claim|Median: $42.48
2.2× median
J3490Normal range

Unclassified drugs

$430K

53K claims · 1.7%

Your Cost: $8.08/claim|Median: $5.70
1.4× median
80048Normal range

Basic metabolic panel

$417K

60K claims · 1.6%

Your Cost: $6.96/claim|Median: $5.78
1.2× median
0214Normal range

$412K

181 claims · 1.6%

Your Cost: $2,275.49/claim|Median: $1,282.92
1.8× median
71045Top 25%

Chest X-ray, single view

$405K

38K claims · 1.6%

Your Cost: $10.63/claim|Median: $4.93
2.2× median
85025Normal range

Complete blood count (CBC) with differential, automated

$404K

71K claims · 1.6%

Your Cost: $5.65/claim|Median: $4.71
1.2× median
97110Normal range

Therapeutic exercises, each 15 min

$364K

22K claims · 1.4%

Your Cost: $16.87/claim|Median: $24.49
0.7× median
96375Normal range

Therapeutic/prophylactic/diagnostic IV push, each additional substance

$354K

13K claims · 1.4%

Your Cost: $27.31/claim|Median: $14.92
1.8× median
Z7502Normal range

$343K

9,731 claims · 1.4%

Your Cost: $35.20/claim|Median: $37.17
0.9× median
0360Normal range

$323K

2,579 claims · 1.3%

Your Cost: $125.36/claim|Median: $95.40
1.3× median
74176Normal range

CT abdomen and pelvis without contrast

$294K

3,036 claims · 1.2%

Your Cost: $96.85/claim|Median: $60.19
1.6× median
87635Normal range

COVID-19 SARS-CoV-2 amplified probe detection

$289K

7,738 claims · 1.1%

Your Cost: $37.32/claim|Median: $39.70
0.9× median
76705Normal range

Ultrasound, abdominal, limited

$285K

6,362 claims · 1.1%

Your Cost: $44.85/claim|Median: $23.81
1.9× median
99199Top 25%

Unlisted special service, procedure, or report

$267K

8,874 claims · 1.1%

Your Cost: $30.13/claim|Median: $5.39
5.6× median
93306Top 25%

Echocardiography, transthoracic, complete, with Doppler

$238K

1,654 claims · 0.9%

Your Cost: $143.77/claim|Median: $54.68
2.6× median
0300Top 5%

$237K

640 claims · 0.9%

Your Cost: $369.81/claim|Median: $8.79
42.1× median
76856Normal range

Ultrasound, pelvic, complete

$208K

3,423 claims · 0.8%

Your Cost: $60.70/claim|Median: $47.58
1.3× median
72125Top 25%

CT cervical spine without contrast

$208K

1,697 claims · 0.8%

Your Cost: $122.34/claim|Median: $32.30
3.8× median
99285Top 5%

Emergency dept visit, high/urgent complexity

$202K

574 claims · 0.8%

Your Cost: $351.84/claim|Median: $85.65
4.1× median
88305Top 10%

Surgical pathology, gross and microscopic examination

$189K

1,776 claims · 0.7%

Your Cost: $106.50/claim|Median: $35.80
3.0× median
96372Top 25%

Therapeutic injection, subcutaneous/intramuscular

$187K

11K claims · 0.7%

Your Cost: $17.18/claim|Median: $9.56
1.8× median
0279Normal range

$186K

21K claims · 0.7%

Your Cost: $8.81/claim|Median: $8.54
1.0× median
84484Normal range

Troponin, quantitative

$176K

25K claims · 0.7%

Your Cost: $7.04/claim|Median: $4.84
1.5× median
73721Top 10%

MRI joint of lower extremity without contrast

$174K

477 claims · 0.7%

Your Cost: $364.14/claim|Median: $127.34
2.9× median
76830Normal range

Ultrasound, transvaginal

$173K

2,945 claims · 0.7%

Your Cost: $58.87/claim|Median: $57.47
1.0× median
80307Normal range

Drug test, presumptive, by chemistry analyzers

$152K

4,116 claims · 0.6%

Your Cost: $37.01/claim|Median: $35.43
1.0× median
Q9967Top 25%

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

$147K

13K claims · 0.6%

Your Cost: $11.47/claim|Median: $3.42
3.4× median
71275Normal range

CT angiography, chest, with contrast

$144K

1,010 claims · 0.6%

Your Cost: $143.00/claim|Median: $92.96
1.5× median
96365Normal range

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

$134K

2,641 claims · 0.5%

Your Cost: $50.74/claim|Median: $54.77
0.9× median
G0480Normal range

Drug test, definitive, 1-7 drug classes

$133K

2,852 claims · 0.5%

Your Cost: $46.65/claim|Median: $37.56
1.2× median
87502Normal range

Influenza virus detection, reverse transcription, amplified probe

$132K

2,638 claims · 0.5%

Your Cost: $50.20/claim|Median: $65.64
0.8× median
76801Normal range

Ultrasound, pregnant uterus, single fetus, first trimester

$129K

3,037 claims · 0.5%

Your Cost: $42.52/claim|Median: $58.16
0.7× median
70553Top 25%

MRI brain without contrast, then with contrast

$123K

307 claims · 0.5%

Your Cost: $400.02/claim|Median: $133.68
3.0× median
80076Normal range

Hepatic function panel

$118K

19K claims · 0.5%

Your Cost: $6.20/claim|Median: $4.59
1.4× median
76817Normal range

Ultrasound, pregnant uterus, transvaginal

$113K

2,718 claims · 0.4%

Your Cost: $41.69/claim|Median: $47.65
0.9× median
87634Normal range

$110K

2,632 claims · 0.4%

Your Cost: $41.68/claim|Median: $48.78
0.9× median
0121Normal range

Revenue code, all-inclusive room and board

$104K

38 claims · 0.4%

Your Cost: $2,741.51/claim|Median: $2,650.78
1.0× median
93971Top 25%

Duplex scan of extremity veins, unilateral or limited

$104K

1,439 claims · 0.4%

Your Cost: $72.21/claim|Median: $25.43
2.8× median
83690Normal range

$102K

21K claims · 0.4%

Your Cost: $4.83/claim|Median: $3.35
1.4× median
0710Normal range

$100K

3,496 claims · 0.4%

Your Cost: $28.52/claim|Median: $18.49
1.5× median

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$1.73B

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$1.40B

City & County of San Francisco

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$1.34B

Los Angeles County Department of Public Health

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$1.13B

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