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PRISMA HEALTH-MIDLANDS

General Acute Care Hospital·SUMTER, SC·NPI: 1326043548Share

Compared to General Acute Care Hospital Peers

Total spending distribution among 156 providers in this specialty

P25MedianP75P90

This provider's total spending of $28.1M is at the below 25th percentile among 156 General Acute Care Hospital providers.

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

Total Paid

$28.1M

$28,148,632

Total Claims

1.0M

Beneficiaries

812K

1.3 claims/patient

Avg Cost/Claim

$27

Monthly Spending Trend

Yearly Spending

2018
$3.7M
-3%
2019
$3.6M
-4%
2020
$3.4M
+30%
2021
$4.4M
+15%
2022
$5.1M
-12%
2023
$4.5M
-22%
2024
$3.5M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 50 distinct procedure codes. The top code (11042 (Debridement, subcutaneous tissue, first 20 sq cm)) accounts for 11% of total spending.

11042Top 5%

Debridement, subcutaneous tissue, first 20 sq cm

$3.2M

8,708 claims · 11.2%

Your Cost: $362.32/claim|Median: $36.13
10.0× median
99283Normal range

Emergency dept visit, moderate complexity

$2.0M

54K claims · 7.1%

Your Cost: $36.69/claim|Median: $42.48
0.9× median
81001Top 5%

Urinalysis, automated, with microscopy

$1.7M

33K claims · 6.0%

Your Cost: $51.63/claim|Median: $2.03
25.4× median
80053Top 10%

Comprehensive metabolic panel

$1.4M

40K claims · 5.0%

Your Cost: $35.43/claim|Median: $7.24
4.9× median
96372Top 5%

Therapeutic injection, subcutaneous/intramuscular

$1.1M

22K claims · 3.9%

Your Cost: $50.25/claim|Median: $9.56
5.3× median
99282Normal range

Emergency dept visit, low complexity

$1.0M

11K claims · 3.6%

Your Cost: $88.09/claim|Median: $37.72
2.3× median
97110Normal range

Therapeutic exercises, each 15 min

$963K

31K claims · 3.4%

Your Cost: $31.43/claim|Median: $24.49
1.3× median
36415Top 1%

Collection of venous blood by venipuncture

$945K

14K claims · 3.4%

Your Cost: $68.30/claim|Median: $1.57
43.5× median
92507Normal range

Speech/hearing/language treatment

$898K

18K claims · 3.2%

Your Cost: $50.22/claim|Median: $49.45
1.0× median
81025Top 1%

Urine pregnancy test

$833K

17K claims · 3.0%

Your Cost: $49.28/claim|Median: $4.81
10.2× median
0241UNormal range

Proprietary lab analysis, genomic sequencing

$731K

9,847 claims · 2.6%

Your Cost: $74.27/claim|Median: $91.47
0.8× median
96365Normal range

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

$715K

8,235 claims · 2.5%

Your Cost: $86.84/claim|Median: $54.77
1.6× median
80048Top 10%

Basic metabolic panel

$651K

22K claims · 2.3%

Your Cost: $29.10/claim|Median: $5.78
5.0× median
C9803Top 5%

$615K

5,328 claims · 2.2%

Your Cost: $115.50/claim|Median: $13.20
8.8× median
88305Top 5%

Surgical pathology, gross and microscopic examination

$546K

3,668 claims · 1.9%

Your Cost: $148.91/claim|Median: $35.80
4.2× median
96361Normal range

IV infusion, hydration, each additional hour

$506K

13K claims · 1.8%

Your Cost: $39.17/claim|Median: $38.92
1.0× median
96374Normal range

Therapeutic/prophylactic/diagnostic IV push, single substance

$456K

20K claims · 1.6%

Your Cost: $22.53/claim|Median: $21.76
1.0× median
99281Normal range

Emergency dept visit, minimal complexity

$453K

5,046 claims · 1.6%

Your Cost: $89.81/claim|Median: $52.03
1.7× median
97530Normal range

Therapeutic activities, each 15 min

$415K

12K claims · 1.5%

Your Cost: $34.32/claim|Median: $33.11
1.0× median
99284Normal range

Emergency dept visit, high complexity

$406K

36K claims · 1.4%

Your Cost: $11.44/claim|Median: $69.51
0.2× median
87081Top 5%

Culture screening for pathogenic organisms

$391K

4,338 claims · 1.4%

Your Cost: $90.25/claim|Median: $5.09
17.7× median
93970Top 10%

Duplex scan of extremity veins, complete, bilateral

$305K

1,882 claims · 1.1%

Your Cost: $161.84/claim|Median: $43.07
3.8× median
77063Top 5%

Screening digital breast tomosynthesis, bilateral

$281K

3,459 claims · 1.0%

Your Cost: $81.14/claim|Median: $21.41
3.8× median
U0003Normal range

Infectious disease detection (COVID-19)

$270K

9,210 claims · 1.0%

Your Cost: $29.27/claim|Median: $63.08
0.5× median
87070Top 1%

Bacterial culture, any source except blood or urine

$249K

1,042 claims · 0.9%

Your Cost: $239.24/claim|Median: $5.89
40.6× median
70450Normal range

CT head/brain without contrast

$241K

10K claims · 0.9%

Your Cost: $23.56/claim|Median: $45.53
0.5× median
76819Top 5%

Fetal biophysical profile with non-stress test

$233K

1,668 claims · 0.8%

Your Cost: $139.77/claim|Median: $49.45
2.8× median
96360Normal range

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

$230K

3,864 claims · 0.8%

Your Cost: $59.40/claim|Median: $61.57
1.0× median
76700Top 25%

Ultrasound, abdominal, complete

$193K

1,831 claims · 0.7%

Your Cost: $105.42/claim|Median: $50.69
2.1× median
70553Top 5%

MRI brain without contrast, then with contrast

$188K

219 claims · 0.7%

Your Cost: $859.67/claim|Median: $133.68
6.4× median
71046Top 25%

Chest X-ray, 2 views

$186K

9,877 claims · 0.7%

Your Cost: $18.85/claim|Median: $8.92
2.1× median
76811Normal range

Ultrasound, pregnant uterus, detailed, single fetus

$163K

1,330 claims · 0.6%

Your Cost: $122.58/claim|Median: $106.79
1.1× median
86850Top 5%

$163K

3,152 claims · 0.6%

Your Cost: $51.69/claim|Median: $5.44
9.5× median
87804Top 5%

Influenza virus detection, rapid test

$154K

4,665 claims · 0.5%

Your Cost: $33.05/claim|Median: $12.59
2.6× median
D1120Top 1%

Prophylaxis, adult

$143K

1,688 claims · 0.5%

Your Cost: $85.00/claim|Median: $33.86
2.5× median
74018Top 5%

$139K

1,983 claims · 0.5%

Your Cost: $70.07/claim|Median: $7.00
10.0× median
73130Top 5%

$137K

2,039 claims · 0.5%

Your Cost: $67.16/claim|Median: $10.69
6.3× median
71250Top 25%

CT scan of chest without contrast

$135K

1,071 claims · 0.5%

Your Cost: $126.02/claim|Median: $39.11
3.2× median
93005Normal range

Electrocardiogram, tracing only, without interpretation

$135K

23K claims · 0.5%

Your Cost: $5.88/claim|Median: $7.50
0.8× median
93880Top 5%

Duplex ultrasound scan of carotid arteries, bilateral

$130K

715 claims · 0.5%

Your Cost: $182.05/claim|Median: $49.03
3.7× median
77336Top 10%

$129K

619 claims · 0.5%

Your Cost: $208.06/claim|Median: $55.04
3.8× median
97161Normal range

Physical therapy evaluation, low complexity

$122K

2,760 claims · 0.4%

Your Cost: $44.04/claim|Median: $47.89
0.9× median
73630Top 10%

X-ray, foot, complete, minimum 3 views

$120K

2,681 claims · 0.4%

Your Cost: $44.65/claim|Median: $12.06
3.7× median
87651Normal range

Streptococcus Group A detection, nucleic acid, amplified probe

$119K

4,476 claims · 0.4%

Your Cost: $26.48/claim|Median: $28.46
0.9× median
83735Top 10%

Magnesium blood level test

$116K

12K claims · 0.4%

Your Cost: $9.92/claim|Median: $2.77
3.6× median
71260Top 25%

CT chest with contrast

$115K

923 claims · 0.4%

Your Cost: $124.64/claim|Median: $48.36
2.6× median
72148Top 25%

MRI lumbar spine without contrast

$113K

437 claims · 0.4%

Your Cost: $257.56/claim|Median: $101.03
2.5× median
86900Top 10%

$109K

4,650 claims · 0.4%

Your Cost: $23.44/claim|Median: $2.55
9.2× median
73610Top 10%

X-ray of ankle, complete, minimum three views

$109K

2,034 claims · 0.4%

Your Cost: $53.39/claim|Median: $13.55
3.9× median
93922Top 1%

$104K

592 claims · 0.4%

Your Cost: $176.23/claim|Median: $26.06
6.8× median

Other Top Providers in South Carolina

View all →

Medical University Hospital Authority

General Acute Care Hospital

$241.4M

Spartanburg Medical Center

Ambulance

$187.8M

Prisma Health University Medical Group

Internal Medicine

$172.2M

Similar Providers

Other top providers in General Acute Care Hospital

Yale New Haven Hospital

New Haven, CT

$1.08B

Montefiore Medical Center

Bronx, NY

$961.1M

The Cleveland Clinic Foundation

Cleveland, OH

$863.5M

Nationwide Children's Hospital

Columbus, OH

$777.5M

Boston Medical Center Corporation

Boston, MA

$768.5M

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