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CAPITAL HEALTH SYSTEM INC

General Acute Care Hospital·TRENTON, NJ·NPI: 1275583726Share

Compared to General Acute Care Hospital Peers

Total spending distribution among 156 providers in this specialty

P25MedianP75P90

This provider's total spending of $114.5M is at the below 25th percentile among 156 General Acute Care Hospital providers.

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

Total Paid

$114.5M

$114,533,506

Total Claims

1.4M

Beneficiaries

1.2M

1.2 claims/patient

Avg Cost/Claim

$82

Monthly Spending Trend

Yearly Spending

2018
$16.4M
-6%
2019
$15.4M
-20%
2020
$12.3M
+12%
2021
$13.8M
+7%
2022
$14.8M
+43%
2023
$21.2M
-3%
2024
$20.6M

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 22% of total spending.

99283Top 1%

Emergency dept visit, moderate complexity

$25.1M

66K claims · 21.9%

Your Cost: $380.50/claim|Median: $42.48
9.0× median
99284Top 5%

Emergency dept visit, high complexity

$24.8M

70K claims · 21.7%

Your Cost: $354.43/claim|Median: $69.51
5.1× median
S9480Top 5%

Intensive outpatient psychiatric services, per diem

$9.0M

11K claims · 7.8%

Your Cost: $842.62/claim|Median: $135.70
6.2× median
99285Top 5%

Emergency dept visit, high/urgent complexity

$7.1M

21K claims · 6.2%

Your Cost: $343.24/claim|Median: $85.65
4.0× median
99282Top 1%

Emergency dept visit, low complexity

$6.1M

20K claims · 5.3%

Your Cost: $300.01/claim|Median: $37.72
8.0× median
G0378Top 10%

Hospital observation service, per hour

$5.0M

6,483 claims · 4.4%

Your Cost: $774.98/claim|Median: $99.39
7.8× median
A0427Normal range

Ambulance, ALS emergency transport Level 1

$3.3M

16K claims · 2.9%

Your Cost: $212.22/claim|Median: $164.22
1.3× median
T2034Normal range

Crisis intervention, per 15 min

$2.9M

3,412 claims · 2.5%

Your Cost: $841.01/claim|Median: $254.45
3.3× median
74177Top 25%

CT abdomen and pelvis with contrast

$2.0M

7,381 claims · 1.8%

Your Cost: $272.81/claim|Median: $65.76
4.1× median
99213Top 25%

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

$1.7M

26K claims · 1.4%

Your Cost: $64.62/claim|Median: $37.81
1.7× median
70450Top 25%

CT head/brain without contrast

$1.4M

14K claims · 1.2%

Your Cost: $104.22/claim|Median: $45.53
2.3× median
93306Top 5%

Echocardiography, transthoracic, complete, with Doppler

$1.2M

2,608 claims · 1.1%

Your Cost: $470.41/claim|Median: $54.68
8.6× median
H0035Top 25%

Mental health partial hospitalization, treatment, per hour

$1.1M

3,343 claims · 0.9%

Your Cost: $318.15/claim|Median: $148.53
2.1× median
A0429Normal range

Ambulance, BLS emergency transport

$853K

6,094 claims · 0.7%

Your Cost: $139.99/claim|Median: $138.19
1.0× median
76811Top 1%

Ultrasound, pregnant uterus, detailed, single fetus

$771K

843 claims · 0.7%

Your Cost: $914.54/claim|Median: $106.79
8.6× median
99241Top 25%

Office consultation, straightforward

$764K

10K claims · 0.7%

Your Cost: $74.23/claim|Median: $36.49
2.0× median
36415Top 5%

Collection of venous blood by venipuncture

$750K

72K claims · 0.7%

Your Cost: $10.39/claim|Median: $1.57
6.6× median
77067Top 1%

Screening mammography, bilateral, including CAD

$732K

2,228 claims · 0.6%

Your Cost: $328.58/claim|Median: $39.33
8.4× median
71046Top 10%

Chest X-ray, 2 views

$644K

15K claims · 0.6%

Your Cost: $41.92/claim|Median: $8.92
4.7× median
93017Top 1%

$617K

1,301 claims · 0.5%

Your Cost: $474.22/claim|Median: $56.03
8.5× median
A0434Top 25%

Ambulance, specialty care transport

$617K

1,521 claims · 0.5%

Your Cost: $405.45/claim|Median: $252.36
1.6× median
74176Top 25%

CT abdomen and pelvis without contrast

$567K

3,173 claims · 0.5%

Your Cost: $178.63/claim|Median: $60.19
3.0× median
99212Top 25%

Office/outpatient visit, low complexity

$546K

14K claims · 0.5%

Your Cost: $40.04/claim|Median: $25.06
1.6× median
93970Top 5%

Duplex scan of extremity veins, complete, bilateral

$520K

1,646 claims · 0.5%

Your Cost: $315.84/claim|Median: $43.07
7.3× median
72125Top 25%

CT cervical spine without contrast

$516K

5,018 claims · 0.5%

Your Cost: $102.75/claim|Median: $32.30
3.2× median
OP250Top 25%

Orthotic or prosthetic procedure, not otherwise classified

$483K

31K claims · 0.4%

Your Cost: $15.73/claim|Median: $1.68
9.4× median
85025Top 25%

Complete blood count (CBC) with differential, automated

$462K

62K claims · 0.4%

Your Cost: $7.48/claim|Median: $4.71
1.6× median
C9803Normal range

$420K

18K claims · 0.4%

Your Cost: $23.03/claim|Median: $13.20
1.7× median
71260Top 25%

CT chest with contrast

$411K

2,446 claims · 0.4%

Your Cost: $167.87/claim|Median: $48.36
3.5× median
96374Normal range

Therapeutic/prophylactic/diagnostic IV push, single substance

$409K

30K claims · 0.4%

Your Cost: $13.63/claim|Median: $21.76
0.6× median
78452Top 5%

Myocardial perfusion imaging, SPECT, multiple studies

$378K

677 claims · 0.3%

Your Cost: $558.54/claim|Median: $106.14
5.3× median
73564Top 5%

$368K

3,796 claims · 0.3%

Your Cost: $96.98/claim|Median: $15.00
6.5× median
76830Top 1%

Ultrasound, transvaginal

$362K

1,587 claims · 0.3%

Your Cost: $228.36/claim|Median: $57.47
4.0× median
A0425Normal range

Ground mileage, per statute mile

$345K

26K claims · 0.3%

Your Cost: $13.16/claim|Median: $23.36
0.6× median
S9484Top 25%

Crisis intervention mental health services, per hour

$329K

435 claims · 0.3%

Your Cost: $756.16/claim|Median: $249.51
3.0× median
70486Top 25%

$315K

2,091 claims · 0.3%

Your Cost: $150.67/claim|Median: $44.28
3.4× median
96375Normal range

Therapeutic/prophylactic/diagnostic IV push, each additional substance

$314K

20K claims · 0.3%

Your Cost: $16.07/claim|Median: $14.92
1.1× median
97110Normal range

Therapeutic exercises, each 15 min

$301K

12K claims · 0.3%

Your Cost: $25.78/claim|Median: $24.49
1.1× median
OP272Normal range

$295K

18K claims · 0.3%

Your Cost: $16.41/claim|Median: $28.37
0.6× median
76856Top 5%

Ultrasound, pelvic, complete

$286K

1,172 claims · 0.2%

Your Cost: $244.13/claim|Median: $47.58
5.1× median
72110Top 1%

$280K

1,683 claims · 0.2%

Your Cost: $166.66/claim|Median: $21.02
7.9× median
J2405Top 5%

Injection, ondansetron HCl, per one milligram

$278K

13K claims · 0.2%

Your Cost: $21.21/claim|Median: $0.58
36.6× median
76816Top 5%

Ultrasound, pregnant uterus, follow-up

$274K

1,494 claims · 0.2%

Your Cost: $183.59/claim|Median: $58.55
3.1× median
96372Normal range

Therapeutic injection, subcutaneous/intramuscular

$270K

20K claims · 0.2%

Your Cost: $13.54/claim|Median: $9.56
1.4× median
93005Normal range

Electrocardiogram, tracing only, without interpretation

$267K

34K claims · 0.2%

Your Cost: $7.86/claim|Median: $7.50
1.0× median
94640Top 25%

Pressurized or nonpressurized inhalation treatment

$254K

9,592 claims · 0.2%

Your Cost: $26.52/claim|Median: $10.88
2.4× median
93971Top 10%

Duplex scan of extremity veins, unilateral or limited

$239K

2,117 claims · 0.2%

Your Cost: $113.01/claim|Median: $25.43
4.4× median
OP379Top 25%

$229K

2,363 claims · 0.2%

Your Cost: $96.91/claim|Median: $44.23
2.2× median
0241UNormal range

Proprietary lab analysis, genomic sequencing

$229K

9,195 claims · 0.2%

Your Cost: $24.90/claim|Median: $91.47
0.3× median
80053Normal range

Comprehensive metabolic panel

$223K

50K claims · 0.2%

Your Cost: $4.50/claim|Median: $7.24
0.6× median

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$1.08B

Montefiore Medical Center

Bronx, NY

$961.1M

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$863.5M

Nationwide Children's Hospital

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$777.5M

Boston Medical Center Corporation

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$768.5M

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