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PROSPECT MANCHESTER HOSPITAL, INC.

General Acute Care Hospital·MANCHESTER, CT·NPI: 1316394638Share

Compared to General Acute Care Hospital Peers

Total spending distribution among 156 providers in this specialty

P25MedianP75P90

This provider's total spending of $69.2M is at the below 25th percentile among 156 General Acute Care Hospital providers.

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

Total Paid

$69.2M

$69,204,954

Total Claims

2.2M

Beneficiaries

1.7M

1.3 claims/patient

Avg Cost/Claim

$31

Monthly Spending Trend

Yearly Spending

2018
$11.0M
+6%
2019
$11.7M
-25%
2020
$8.8M
+10%
2021
$9.7M
+0%
2022
$9.7M
-1%
2023
$9.6M
-10%
2024
$8.7M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 50 distinct procedure codes. The top code (G0384) accounts for 15% of total spending.

G0384Top 5%

$10.2M

18K claims · 14.7%

Your Cost: $574.58/claim|Median: $128.12
4.5× median
99285Top 5%

Emergency dept visit, high/urgent complexity

$6.7M

20K claims · 9.6%

Your Cost: $340.30/claim|Median: $85.65
4.0× median
99284Top 10%

Emergency dept visit, high complexity

$4.0M

18K claims · 5.8%

Your Cost: $228.36/claim|Median: $69.51
3.3× median
G0383Top 10%

$3.7M

17K claims · 5.4%

Your Cost: $224.59/claim|Median: $108.78
2.1× median
96374Top 5%

Therapeutic/prophylactic/diagnostic IV push, single substance

$3.4M

24K claims · 4.9%

Your Cost: $144.25/claim|Median: $21.76
6.6× median
99283Top 10%

Emergency dept visit, moderate complexity

$3.2M

19K claims · 4.7%

Your Cost: $170.60/claim|Median: $42.48
4.0× median
G0382Top 25%

$2.8M

17K claims · 4.1%

Your Cost: $168.93/claim|Median: $80.53
2.1× median
45380Top 10%

Colonoscopy with biopsy

$2.1M

2,952 claims · 3.0%

Your Cost: $709.58/claim|Median: $200.68
3.5× median
74177Top 25%

CT abdomen and pelvis with contrast

$1.9M

8,427 claims · 2.8%

Your Cost: $228.83/claim|Median: $65.76
3.5× median
43239Top 25%

Upper GI endoscopy with biopsy

$1.9M

4,427 claims · 2.7%

Your Cost: $426.81/claim|Median: $151.68
2.8× median
G0379Top 25%

Direct admission to hospital observation

$1.4M

2,766 claims · 2.1%

Your Cost: $522.27/claim|Median: $48.25
10.8× median
S9480Normal range

Intensive outpatient psychiatric services, per diem

$1.4M

11K claims · 2.0%

Your Cost: $129.18/claim|Median: $135.70
1.0× median
97110Normal range

Therapeutic exercises, each 15 min

$1.2M

35K claims · 1.8%

Your Cost: $35.72/claim|Median: $24.49
1.5× median
90834Normal range

Psychotherapy, 45 minutes

$991K

24K claims · 1.4%

Your Cost: $42.12/claim|Median: $63.65
0.7× median
99213Top 25%

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

$977K

16K claims · 1.4%

Your Cost: $60.15/claim|Median: $37.81
1.6× median
95810Top 10%

Polysomnography, sleep study, 6+ hours

$957K

1,246 claims · 1.4%

Your Cost: $768.22/claim|Median: $233.73
3.3× median
70450Top 25%

CT head/brain without contrast

$933K

9,295 claims · 1.3%

Your Cost: $100.33/claim|Median: $45.53
2.2× median
96365Top 25%

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

$816K

7,348 claims · 1.2%

Your Cost: $111.03/claim|Median: $54.77
2.0× median
78452Top 10%

Myocardial perfusion imaging, SPECT, multiple studies

$776K

1,638 claims · 1.1%

Your Cost: $474.03/claim|Median: $106.14
4.5× median
96375Top 25%

Therapeutic/prophylactic/diagnostic IV push, each additional substance

$756K

17K claims · 1.1%

Your Cost: $44.62/claim|Median: $14.92
3.0× median
11042Top 25%

Debridement, subcutaneous tissue, first 20 sq cm

$754K

4,833 claims · 1.1%

Your Cost: $155.95/claim|Median: $36.13
4.3× median
71046Top 5%

Chest X-ray, 2 views

$741K

14K claims · 1.1%

Your Cost: $53.32/claim|Median: $8.92
6.0× median
96361Normal range

IV infusion, hydration, each additional hour

$699K

14K claims · 1.0%

Your Cost: $51.19/claim|Median: $38.92
1.3× median
97140Top 10%

Manual therapy techniques, per 15 minutes

$692K

19K claims · 1.0%

Your Cost: $36.43/claim|Median: $16.79
2.2× median
45385Normal range

Colonoscopy with polyp removal, snare technique

$672K

1,578 claims · 1.0%

Your Cost: $426.07/claim|Median: $255.17
1.7× median
99291Top 1%

Critical care, first 30-74 minutes

$661K

824 claims · 1.0%

Your Cost: $802.27/claim|Median: $101.24
7.9× median
H0035Normal range

Mental health partial hospitalization, treatment, per hour

$574K

2,941 claims · 0.8%

Your Cost: $195.11/claim|Median: $148.53
1.3× median
74176Top 25%

CT abdomen and pelvis without contrast

$510K

3,483 claims · 0.7%

Your Cost: $146.46/claim|Median: $60.19
2.4× median
97597Top 25%

$504K

6,382 claims · 0.7%

Your Cost: $78.95/claim|Median: $21.22
3.7× median
96360Top 25%

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

$474K

3,788 claims · 0.7%

Your Cost: $125.05/claim|Median: $61.57
2.0× median
G0463Top 25%

Hospital outpatient clinic visit

$471K

7,878 claims · 0.7%

Your Cost: $59.84/claim|Median: $26.41
2.3× median
71045Top 5%

Chest X-ray, single view

$429K

8,891 claims · 0.6%

Your Cost: $48.26/claim|Median: $4.93
9.8× median
87637Normal range

Respiratory virus detection, 3-5 targets, nucleic acid

$421K

4,332 claims · 0.6%

Your Cost: $97.09/claim|Median: $100.62
1.0× median
87635Normal range

COVID-19 SARS-CoV-2 amplified probe detection

$413K

11K claims · 0.6%

Your Cost: $38.22/claim|Median: $39.70
1.0× median
93306Top 25%

Echocardiography, transthoracic, complete, with Doppler

$413K

2,040 claims · 0.6%

Your Cost: $202.40/claim|Median: $54.68
3.7× median
H0015Normal range

Alcohol and/or drug abuse, intensive outpatient, per hour

$386K

2,962 claims · 0.6%

Your Cost: $130.35/claim|Median: $129.75
1.0× median
97010Top 25%

Hot/cold packs application

$367K

21K claims · 0.5%

Your Cost: $17.88/claim|Median: $4.47
4.0× median
99282Top 25%

Emergency dept visit, low complexity

$306K

2,783 claims · 0.4%

Your Cost: $110.10/claim|Median: $37.72
2.9× median
84443Normal range

Thyroid stimulating hormone (TSH)

$287K

29K claims · 0.4%

Your Cost: $9.84/claim|Median: $9.87
1.0× median
80053Normal range

Comprehensive metabolic panel

$271K

41K claims · 0.4%

Your Cost: $6.58/claim|Median: $7.24
0.9× median
85025Normal range

Complete blood count (CBC) with differential, automated

$266K

104K claims · 0.4%

Your Cost: $2.57/claim|Median: $4.71
0.5× median
97161Normal range

Physical therapy evaluation, low complexity

$254K

4,578 claims · 0.4%

Your Cost: $55.51/claim|Median: $47.89
1.2× median
82306Normal range

Vitamin D, 25 hydroxy

$253K

13K claims · 0.4%

Your Cost: $19.75/claim|Median: $18.18
1.1× median
90832Normal range

Psychotherapy, 30 minutes

$242K

8,839 claims · 0.3%

Your Cost: $27.35/claim|Median: $41.28
0.7× median
80061Normal range

Lipid panel

$238K

27K claims · 0.3%

Your Cost: $8.86/claim|Median: $8.41
1.1× median
80307Normal range

Drug test, presumptive, by chemistry analyzers

$228K

14K claims · 0.3%

Your Cost: $15.97/claim|Median: $35.43
0.5× median
71275Normal range

CT angiography, chest, with contrast

$213K

1,861 claims · 0.3%

Your Cost: $114.30/claim|Median: $92.96
1.2× median
G0381Normal range

$211K

2,205 claims · 0.3%

Your Cost: $95.61/claim|Median: $59.47
1.6× median
90792Normal range

Psychiatric diagnostic evaluation with medical services

$206K

1,768 claims · 0.3%

Your Cost: $116.62/claim|Median: $108.91
1.1× median
76856Top 25%

Ultrasound, pelvic, complete

$206K

2,170 claims · 0.3%

Your Cost: $94.71/claim|Median: $47.58
2.0× median

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