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MCLAREN MACOMB

General Acute Care Hospital·MOUNT CLEMENS, MI·NPI: 1316938327Share

Compared to General Acute Care Hospital Peers

Total spending distribution among 156 providers in this specialty

P25MedianP75P90

This provider's total spending of $56.8M is at the below 25th percentile among 156 General Acute Care Hospital providers.

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

Total Paid

$56.8M

$56,761,702

Total Claims

1.9M

Beneficiaries

1.6M

1.2 claims/patient

Avg Cost/Claim

$30

Monthly Spending Trend

Yearly Spending

2018
$7.8M
+13%
2019
$8.8M
-13%
2020
$7.7M
+12%
2021
$8.6M
-5%
2022
$8.2M
+1%
2023
$8.3M
-11%
2024
$7.4M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 50 distinct procedure codes. The top code (99285 (Emergency dept visit, high/urgent complexity)) accounts for 30% of total spending.

99285Top 5%

Emergency dept visit, high/urgent complexity

$17.1M

31K claims · 30.0%

Your Cost: $556.40/claim|Median: $85.65
6.5× median
99284Top 10%

Emergency dept visit, high complexity

$7.0M

37K claims · 12.4%

Your Cost: $192.22/claim|Median: $69.51
2.8× median
G0463Normal range

Hospital outpatient clinic visit

$4.8M

90K claims · 8.5%

Your Cost: $53.76/claim|Median: $26.41
2.0× median
99283Top 25%

Emergency dept visit, moderate complexity

$4.3M

34K claims · 7.5%

Your Cost: $126.81/claim|Median: $42.48
3.0× median
G0378Normal range

Hospital observation service, per hour

$4.1M

24K claims · 7.2%

Your Cost: $172.53/claim|Median: $99.39
1.7× median
96374Normal range

Therapeutic/prophylactic/diagnostic IV push, single substance

$1.1M

22K claims · 2.0%

Your Cost: $52.20/claim|Median: $21.76
2.4× median
99282Normal range

Emergency dept visit, low complexity

$826K

9,590 claims · 1.5%

Your Cost: $86.10/claim|Median: $37.72
2.3× median
74177Normal range

CT abdomen and pelvis with contrast

$772K

8,602 claims · 1.4%

Your Cost: $89.70/claim|Median: $65.76
1.4× median
43239Top 25%

Upper GI endoscopy with biopsy

$660K

1,902 claims · 1.2%

Your Cost: $347.25/claim|Median: $151.68
2.3× median
96361Normal range

IV infusion, hydration, each additional hour

$488K

17K claims · 0.9%

Your Cost: $28.25/claim|Median: $38.92
0.7× median
70450Normal range

CT head/brain without contrast

$484K

9,202 claims · 0.9%

Your Cost: $52.55/claim|Median: $45.53
1.2× median
71046Top 25%

Chest X-ray, 2 views

$480K

17K claims · 0.8%

Your Cost: $28.72/claim|Median: $8.92
3.2× median
82947Top 5%

Blood glucose level test

$476K

17K claims · 0.8%

Your Cost: $27.56/claim|Median: $2.38
11.6× median
45385Top 25%

Colonoscopy with polyp removal, snare technique

$453K

840 claims · 0.8%

Your Cost: $538.72/claim|Median: $255.17
2.1× median
97110Normal range

Therapeutic exercises, each 15 min

$449K

22K claims · 0.8%

Your Cost: $20.55/claim|Median: $24.49
0.8× median
93306Top 25%

Echocardiography, transthoracic, complete, with Doppler

$379K

2,594 claims · 0.7%

Your Cost: $146.25/claim|Median: $54.68
2.7× median
59025Top 25%

Fetal non-stress test

$365K

4,109 claims · 0.6%

Your Cost: $88.72/claim|Median: $26.45
3.4× median
64483Top 10%

$360K

644 claims · 0.6%

Your Cost: $559.26/claim|Median: $124.24
4.5× median
99392Normal range

Preventive medicine, established patient, age 1-4

$358K

5,843 claims · 0.6%

Your Cost: $61.33/claim|Median: $75.18
0.8× median
96365Normal range

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

$351K

6,419 claims · 0.6%

Your Cost: $54.66/claim|Median: $54.77
1.0× median
45380Top 25%

Colonoscopy with biopsy

$336K

700 claims · 0.6%

Your Cost: $479.63/claim|Median: $200.68
2.4× median
99391Normal range

Preventive medicine, established patient, infant (under 1)

$334K

5,443 claims · 0.6%

Your Cost: $61.27/claim|Median: $69.35
0.9× median
78452Top 25%

Myocardial perfusion imaging, SPECT, multiple studies

$321K

1,118 claims · 0.6%

Your Cost: $286.71/claim|Median: $106.14
2.7× median
70553Normal range

MRI brain without contrast, then with contrast

$286K

1,562 claims · 0.5%

Your Cost: $183.36/claim|Median: $133.68
1.4× median
80061Normal range

Lipid panel

$276K

23K claims · 0.5%

Your Cost: $12.18/claim|Median: $8.41
1.4× median
99395Normal range

Preventive medicine, established patient, age 18-39

$268K

4,216 claims · 0.5%

Your Cost: $63.46/claim|Median: $72.71
0.9× median
99393Normal range

Preventive medicine, established patient, age 5-11

$257K

4,060 claims · 0.5%

Your Cost: $63.32/claim|Median: $74.82
0.8× median
96375Normal range

Therapeutic/prophylactic/diagnostic IV push, each additional substance

$245K

17K claims · 0.4%

Your Cost: $14.00/claim|Median: $14.92
0.9× median
76856Normal range

Ultrasound, pelvic, complete

$237K

5,296 claims · 0.4%

Your Cost: $44.79/claim|Median: $47.58
0.9× median
77067Normal range

Screening mammography, bilateral, including CAD

$236K

4,844 claims · 0.4%

Your Cost: $48.71/claim|Median: $39.33
1.2× median
87637Normal range

Respiratory virus detection, 3-5 targets, nucleic acid

$223K

4,761 claims · 0.4%

Your Cost: $46.82/claim|Median: $100.62
0.5× median
71045Top 25%

Chest X-ray, single view

$221K

9,625 claims · 0.4%

Your Cost: $23.01/claim|Median: $4.93
4.7× median
74176Normal range

CT abdomen and pelvis without contrast

$209K

3,020 claims · 0.4%

Your Cost: $69.22/claim|Median: $60.19
1.1× median
96360Normal range

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

$209K

3,672 claims · 0.4%

Your Cost: $56.79/claim|Median: $61.57
0.9× median
99396Normal range

Preventive medicine, established patient, age 40-64

$201K

3,284 claims · 0.4%

Your Cost: $61.20/claim|Median: $76.06
0.8× median
84443Normal range

Thyroid stimulating hormone (TSH)

$178K

33K claims · 0.3%

Your Cost: $5.44/claim|Median: $9.87
0.6× median
99394Normal range

Preventive medicine, established patient, age 12-17

$178K

2,781 claims · 0.3%

Your Cost: $63.83/claim|Median: $80.15
0.8× median
20610Top 5%

Arthrocentesis, aspiration/injection, major joint

$177K

1,132 claims · 0.3%

Your Cost: $156.54/claim|Median: $29.03
5.4× median
97140Normal range

Manual therapy techniques, per 15 minutes

$170K

13K claims · 0.3%

Your Cost: $12.76/claim|Median: $16.79
0.8× median
82306Normal range

Vitamin D, 25 hydroxy

$166K

16K claims · 0.3%

Your Cost: $10.10/claim|Median: $18.18
0.6× median
87491Normal range

Chlamydia detection, nucleic acid, amplified probe

$161K

13K claims · 0.3%

Your Cost: $12.43/claim|Median: $24.95
0.5× median
76830Normal range

Ultrasound, transvaginal

$155K

3,272 claims · 0.3%

Your Cost: $47.33/claim|Median: $57.47
0.8× median
95810Top 25%

Polysomnography, sleep study, 6+ hours

$154K

313 claims · 0.3%

Your Cost: $492.95/claim|Median: $233.73
2.1× median
87591Normal range

Neisseria gonorrhoeae detection, nucleic acid, amplified probe

$153K

13K claims · 0.3%

Your Cost: $12.25/claim|Median: $23.39
0.5× median
80053Normal range

Comprehensive metabolic panel

$151K

60K claims · 0.3%

Your Cost: $2.52/claim|Median: $7.24
0.3× median
72148Normal range

MRI lumbar spine without contrast

$142K

1,407 claims · 0.3%

Your Cost: $101.27/claim|Median: $101.03
1.0× median
85025Normal range

Complete blood count (CBC) with differential, automated

$140K

110K claims · 0.2%

Your Cost: $1.27/claim|Median: $4.71
0.3× median
90460Normal range

Immunization administration, first vaccine/toxoid, with counseling

$136K

4,958 claims · 0.2%

Your Cost: $27.39/claim|Median: $17.85
1.5× median
97162Normal range

PT evaluation, moderate complexity

$131K

2,459 claims · 0.2%

Your Cost: $53.41/claim|Median: $46.10
1.2× median
71275Normal range

CT angiography, chest, with contrast

$129K

3,010 claims · 0.2%

Your Cost: $42.79/claim|Median: $92.96
0.5× median

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