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KETTERING MEDICAL CENTER

General Acute Care Hospital·MIAMISBURG, OH·NPI: 1316966518Share

Compared to General Acute Care Hospital Peers

Total spending distribution among 156 providers in this specialty

P25MedianP75P90

This provider's total spending of $20.0M is at the below 25th percentile among 156 General Acute Care Hospital providers.

Active Billing Period:2018-012024-12(84 months)

Total Paid

$20.0M

$19,995,396

Total Claims

466K

Beneficiaries

369K

1.3 claims/patient

Avg Cost/Claim

$43

Monthly Spending Trend

Yearly Spending

2018
$1.5M
-17%
2019
$1.3M
-14%
2020
$1.1M
+24%
2021
$1.4M
+36%
2022
$1.8M
+321%
2023
$7.8M
-34%
2024
$5.1M

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 18% of total spending.

99283Top 25%

Emergency dept visit, moderate complexity

$3.7M

32K claims · 18.4%

Your Cost: $114.45/claim|Median: $42.48
2.7× median
99284Top 25%

Emergency dept visit, high complexity

$2.7M

21K claims · 13.6%

Your Cost: $130.41/claim|Median: $69.51
1.9× median
96361Top 25%

IV infusion, hydration, each additional hour

$2.7M

9,530 claims · 13.5%

Your Cost: $282.51/claim|Median: $38.92
7.3× median
29581Top 25%

$1.3M

13K claims · 6.5%

Your Cost: $99.01/claim|Median: $41.19
2.4× median
99285Normal range

Emergency dept visit, high/urgent complexity

$846K

6,798 claims · 4.2%

Your Cost: $124.49/claim|Median: $85.65
1.5× median
G0463Top 25%

Hospital outpatient clinic visit

$732K

9,851 claims · 3.7%

Your Cost: $74.27/claim|Median: $26.41
2.8× median
70450Top 10%

CT head/brain without contrast

$720K

3,084 claims · 3.6%

Your Cost: $233.35/claim|Median: $45.53
5.1× median
74177Top 25%

CT abdomen and pelvis with contrast

$632K

2,646 claims · 3.2%

Your Cost: $238.90/claim|Median: $65.76
3.6× median
74176Top 25%

CT abdomen and pelvis without contrast

$549K

2,130 claims · 2.7%

Your Cost: $257.72/claim|Median: $60.19
4.3× median
43239Top 10%

Upper GI endoscopy with biopsy

$413K

811 claims · 2.1%

Your Cost: $509.40/claim|Median: $151.68
3.4× median
99282Top 25%

Emergency dept visit, low complexity

$308K

2,519 claims · 1.5%

Your Cost: $122.32/claim|Median: $37.72
3.2× median
62323Top 10%

Epidural injection of diagnostic or therapeutic substance, lumbar

$287K

725 claims · 1.4%

Your Cost: $396.04/claim|Median: $111.02
3.6× median
G0378Normal range

Hospital observation service, per hour

$279K

4,148 claims · 1.4%

Your Cost: $67.27/claim|Median: $99.39
0.7× median
96360Top 10%

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

$274K

1,349 claims · 1.4%

Your Cost: $203.06/claim|Median: $61.57
3.3× median
G0260Normal range

$256K

1,216 claims · 1.3%

Your Cost: $210.68/claim|Median: $169.32
1.2× median
96365Top 25%

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

$249K

2,339 claims · 1.2%

Your Cost: $106.53/claim|Median: $54.77
1.9× median
H2020Normal range

Day habilitation, waiver, per 15 minutes

$207K

1,623 claims · 1.0%

Your Cost: $127.72/claim|Median: $144.05
0.9× median
71275Top 10%

CT angiography, chest, with contrast

$195K

717 claims · 1.0%

Your Cost: $271.71/claim|Median: $92.96
2.9× median
96366Top 25%

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

$189K

1,314 claims · 0.9%

Your Cost: $143.68/claim|Median: $40.12
3.6× median
97110Top 10%

Therapeutic exercises, each 15 min

$184K

2,709 claims · 0.9%

Your Cost: $67.90/claim|Median: $24.49
2.8× median
80048Normal range

Basic metabolic panel

$159K

29K claims · 0.8%

Your Cost: $5.40/claim|Median: $5.78
0.9× median
94640Top 5%

Pressurized or nonpressurized inhalation treatment

$156K

1,454 claims · 0.8%

Your Cost: $107.42/claim|Median: $10.88
9.9× median
99281Top 25%

Emergency dept visit, minimal complexity

$152K

1,246 claims · 0.8%

Your Cost: $121.75/claim|Median: $52.03
2.3× median
11042Top 25%

Debridement, subcutaneous tissue, first 20 sq cm

$146K

1,210 claims · 0.7%

Your Cost: $120.60/claim|Median: $36.13
3.3× median
64493Top 5%

$141K

199 claims · 0.7%

Your Cost: $710.81/claim|Median: $103.44
6.9× median
95810Top 25%

Polysomnography, sleep study, 6+ hours

$136K

220 claims · 0.7%

Your Cost: $620.41/claim|Median: $233.73
2.7× median
64483Top 10%

$121K

270 claims · 0.6%

Your Cost: $446.43/claim|Median: $124.24
3.6× median
87502Normal range

Influenza virus detection, reverse transcription, amplified probe

$114K

6,754 claims · 0.6%

Your Cost: $16.85/claim|Median: $65.64
0.3× median
C9803Top 25%

$106K

2,920 claims · 0.5%

Your Cost: $36.22/claim|Median: $13.20
2.7× median
76642Top 5%

$104K

824 claims · 0.5%

Your Cost: $125.66/claim|Median: $32.06
3.9× median
62321Top 10%

$103K

229 claims · 0.5%

Your Cost: $450.93/claim|Median: $132.67
3.4× median
93306Top 25%

Echocardiography, transthoracic, complete, with Doppler

$101K

670 claims · 0.5%

Your Cost: $150.01/claim|Median: $54.68
2.7× median
71260Top 25%

CT chest with contrast

$87K

456 claims · 0.4%

Your Cost: $190.01/claim|Median: $48.36
3.9× median
G0238Top 1%

$76K

525 claims · 0.4%

Your Cost: $145.28/claim|Median: $48.01
3.0× median
77063Top 10%

Screening digital breast tomosynthesis, bilateral

$73K

1,592 claims · 0.4%

Your Cost: $45.90/claim|Median: $21.41
2.1× median
71250Top 25%

CT scan of chest without contrast

$58K

646 claims · 0.3%

Your Cost: $89.10/claim|Median: $39.11
2.3× median
76705Top 25%

Ultrasound, abdominal, limited

$55K

736 claims · 0.3%

Your Cost: $74.31/claim|Median: $23.81
3.1× median
76830Top 25%

Ultrasound, transvaginal

$54K

660 claims · 0.3%

Your Cost: $81.95/claim|Median: $57.47
1.4× median
71046Normal range

Chest X-ray, 2 views

$52K

3,183 claims · 0.3%

Your Cost: $16.38/claim|Median: $8.92
1.8× median
80053Top 25%

Comprehensive metabolic panel

$50K

4,378 claims · 0.3%

Your Cost: $11.43/claim|Median: $7.24
1.6× median
70496Top 10%

$49K

180 claims · 0.2%

Your Cost: $273.33/claim|Median: $78.92
3.5× median
99291Normal range

Critical care, first 30-74 minutes

$43K

434 claims · 0.2%

Your Cost: $99.04/claim|Median: $101.24
1.0× median
93971Normal range

Duplex scan of extremity veins, unilateral or limited

$37K

645 claims · 0.2%

Your Cost: $57.42/claim|Median: $25.43
2.3× median
72131Normal range

$34K

687 claims · 0.2%

Your Cost: $49.70/claim|Median: $42.82
1.2× median
85025Normal range

Complete blood count (CBC) with differential, automated

$31K

37K claims · 0.2%

Your Cost: $0.86/claim|Median: $4.71
0.2× median
97162Normal range

PT evaluation, moderate complexity

$31K

834 claims · 0.2%

Your Cost: $37.57/claim|Median: $46.10
0.8× median
95811Top 5%

Sleep study with CPAP titration, polysomnography

$31K

41 claims · 0.2%

Your Cost: $756.22/claim|Median: $255.03
3.0× median
U0003Top 1%

Infectious disease detection (COVID-19)

$30K

161 claims · 0.2%

Your Cost: $187.32/claim|Median: $63.08
3.0× median
20610Top 5%

Arthrocentesis, aspiration/injection, major joint

$29K

154 claims · 0.1%

Your Cost: $190.59/claim|Median: $29.03
6.6× median
80307Normal range

Drug test, presumptive, by chemistry analyzers

$29K

2,266 claims · 0.1%

Your Cost: $12.71/claim|Median: $35.43
0.4× median