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SOUTHCOAST HOSPITALS GROUP, INC

General Acute Care Hospital·FALL RIVER, MA·NPI: 1306871223Share

Compared to General Acute Care Hospital Peers

Total spending distribution among 156 providers in this specialty

P25MedianP75P90

This provider's total spending of $97.7M is at the below 25th percentile among 156 General Acute Care Hospital providers.

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

Total Paid

$97.7M

$97,652,683

Total Claims

3.1M

Beneficiaries

2.7M

1.2 claims/patient

Avg Cost/Claim

$31

Monthly Spending Trend

Yearly Spending

2018
$16.6M
-3%
2019
$16.1M
-36%
2020
$10.3M
+30%
2021
$13.3M
+8%
2022
$14.4M
+3%
2023
$14.8M
-17%
2024
$12.3M

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 10% of total spending.

99283Top 10%

Emergency dept visit, moderate complexity

$9.7M

64K claims · 10.0%

Your Cost: $151.10/claim|Median: $42.48
3.6× median
99284Top 25%

Emergency dept visit, high complexity

$8.1M

55K claims · 8.3%

Your Cost: $147.42/claim|Median: $69.51
2.1× median
99285Top 25%

Emergency dept visit, high/urgent complexity

$7.3M

46K claims · 7.5%

Your Cost: $157.98/claim|Median: $85.65
1.8× median
96361Top 5%

IV infusion, hydration, each additional hour

$7.1M

19K claims · 7.3%

Your Cost: $371.36/claim|Median: $38.92
9.5× median
G0378Normal range

Hospital observation service, per hour

$5.5M

36K claims · 5.6%

Your Cost: $153.95/claim|Median: $99.39
1.5× median
97110Top 25%

Therapeutic exercises, each 15 min

$2.6M

43K claims · 2.7%

Your Cost: $61.31/claim|Median: $24.49
2.5× median
99212Top 5%

Office/outpatient visit, low complexity

$2.4M

17K claims · 2.5%

Your Cost: $144.58/claim|Median: $25.06
5.8× median
96365Top 25%

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

$2.1M

17K claims · 2.2%

Your Cost: $123.26/claim|Median: $54.77
2.3× median
74177Top 25%

CT abdomen and pelvis with contrast

$1.9M

12K claims · 2.0%

Your Cost: $164.25/claim|Median: $65.76
2.5× median
87637Top 25%

Respiratory virus detection, 3-5 targets, nucleic acid

$1.9M

14K claims · 2.0%

Your Cost: $135.79/claim|Median: $100.62
1.3× median
70450Top 25%

CT head/brain without contrast

$1.6M

14K claims · 1.6%

Your Cost: $115.82/claim|Median: $45.53
2.5× median
96366Top 25%

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

$1.5M

8,866 claims · 1.6%

Your Cost: $174.17/claim|Median: $40.12
4.3× median
11042Top 25%

Debridement, subcutaneous tissue, first 20 sq cm

$1.5M

11K claims · 1.6%

Your Cost: $142.45/claim|Median: $36.13
3.9× median
80307Normal range

Drug test, presumptive, by chemistry analyzers

$1.4M

35K claims · 1.4%

Your Cost: $39.87/claim|Median: $35.43
1.1× median
S9485Normal range

Crisis intervention mental health services, per diem

$1.4M

2,764 claims · 1.4%

Your Cost: $492.13/claim|Median: $501.33
1.0× median
80053Normal range

Comprehensive metabolic panel

$1.1M

153K claims · 1.1%

Your Cost: $7.34/claim|Median: $7.24
1.0× median
85025Normal range

Complete blood count (CBC) with differential, automated

$1.1M

204K claims · 1.1%

Your Cost: $5.41/claim|Median: $4.71
1.1× median
U0003Normal range

Infectious disease detection (COVID-19)

$1.1M

17K claims · 1.1%

Your Cost: $63.52/claim|Median: $63.08
1.0× median
74176Top 25%

CT abdomen and pelvis without contrast

$1.0M

6,654 claims · 1.0%

Your Cost: $153.61/claim|Median: $60.19
2.6× median
99282Top 10%

Emergency dept visit, low complexity

$978K

6,387 claims · 1.0%

Your Cost: $153.20/claim|Median: $37.72
4.1× median
77063Top 5%

Screening digital breast tomosynthesis, bilateral

$886K

14K claims · 0.9%

Your Cost: $65.14/claim|Median: $21.41
3.0× median
87591Normal range

Neisseria gonorrhoeae detection, nucleic acid, amplified probe

$849K

33K claims · 0.9%

Your Cost: $25.37/claim|Median: $23.39
1.1× median
87491Normal range

Chlamydia detection, nucleic acid, amplified probe

$837K

33K claims · 0.9%

Your Cost: $25.27/claim|Median: $24.95
1.0× median
93306Top 25%

Echocardiography, transthoracic, complete, with Doppler

$826K

6,093 claims · 0.8%

Your Cost: $135.60/claim|Median: $54.68
2.5× median
71046Top 25%

Chest X-ray, 2 views

$757K

37K claims · 0.8%

Your Cost: $20.55/claim|Median: $8.92
2.3× median
99291Top 25%

Critical care, first 30-74 minutes

$756K

4,811 claims · 0.8%

Your Cost: $157.08/claim|Median: $101.24
1.6× median
96360Top 25%

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

$721K

5,755 claims · 0.7%

Your Cost: $125.35/claim|Median: $61.57
2.0× median
99211Top 5%

Office/outpatient visit, minimal complexity

$712K

4,843 claims · 0.7%

Your Cost: $146.94/claim|Median: $12.93
11.4× median
93971Top 5%

Duplex scan of extremity veins, unilateral or limited

$659K

3,794 claims · 0.7%

Your Cost: $173.77/claim|Median: $25.43
6.8× median
96413Normal range

Chemotherapy administration, IV infusion, up to 1 hour

$595K

6,859 claims · 0.6%

Your Cost: $86.79/claim|Median: $75.28
1.2× median
76830Top 10%

Ultrasound, transvaginal

$583K

5,219 claims · 0.6%

Your Cost: $111.68/claim|Median: $57.47
1.9× median
94640Top 10%

Pressurized or nonpressurized inhalation treatment

$568K

8,838 claims · 0.6%

Your Cost: $64.30/claim|Median: $10.88
5.9× median
76642Top 10%

$559K

5,021 claims · 0.6%

Your Cost: $111.28/claim|Median: $32.06
3.5× median
71275Top 25%

CT angiography, chest, with contrast

$550K

2,894 claims · 0.6%

Your Cost: $190.10/claim|Median: $92.96
2.0× median
G0480Normal range

Drug test, definitive, 1-7 drug classes

$542K

14K claims · 0.6%

Your Cost: $38.56/claim|Median: $37.56
1.0× median
76705Top 10%

Ultrasound, abdominal, limited

$534K

5,309 claims · 0.5%

Your Cost: $100.67/claim|Median: $23.81
4.2× median
83735Top 5%

Magnesium blood level test

$494K

26K claims · 0.5%

Your Cost: $19.00/claim|Median: $2.77
6.9× median
43239Top 10%

Upper GI endoscopy with biopsy

$492K

911 claims · 0.5%

Your Cost: $540.24/claim|Median: $151.68
3.6× median
76817Top 10%

Ultrasound, pregnant uterus, transvaginal

$487K

4,751 claims · 0.5%

Your Cost: $102.51/claim|Median: $47.65
2.2× median
G0463Normal range

Hospital outpatient clinic visit

$483K

19K claims · 0.5%

Your Cost: $26.05/claim|Median: $26.41
1.0× median
Q0081Top 25%

$467K

4,980 claims · 0.5%

Your Cost: $93.78/claim|Median: $66.12
1.4× median
87389Normal range

HIV-1 antigen with HIV-1 and HIV-2 antibodies

$466K

27K claims · 0.5%

Your Cost: $17.03/claim|Median: $18.03
0.9× median
99281Top 25%

Emergency dept visit, minimal complexity

$463K

3,244 claims · 0.5%

Your Cost: $142.79/claim|Median: $52.03
2.7× median
96375Normal range

Therapeutic/prophylactic/diagnostic IV push, each additional substance

$450K

28K claims · 0.5%

Your Cost: $16.21/claim|Median: $14.92
1.1× median
80050Normal range

General health panel

$425K

30K claims · 0.4%

Your Cost: $14.22/claim|Median: $25.59
0.6× median
97140Top 25%

Manual therapy techniques, per 15 minutes

$425K

13K claims · 0.4%

Your Cost: $32.71/claim|Median: $16.79
1.9× median
82306Normal range

Vitamin D, 25 hydroxy

$414K

25K claims · 0.4%

Your Cost: $16.69/claim|Median: $18.18
0.9× median
77067Normal range

Screening mammography, bilateral, including CAD

$413K

15K claims · 0.4%

Your Cost: $26.65/claim|Median: $39.33
0.7× median
72148Top 25%

MRI lumbar spine without contrast

$412K

1,850 claims · 0.4%

Your Cost: $222.82/claim|Median: $101.03
2.2× median
J1170Top 1%

Injection, hydromorphone, up to four milligrams

$392K

5,539 claims · 0.4%

Your Cost: $70.85/claim|Median: $1.03
68.8× median

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