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CHILDREN'S HOSPITAL & MEDICAL CENTER

General Acute Care Hospital, Children·OMAHA, NE·NPI: 1346297843Share
Active Billing Period:2018-012024-12(84 months)

Total Paid

$89.8M

$89,789,150

Total Claims

1.1M

Beneficiaries

935K

1.2 claims/patient

Avg Cost/Claim

$83

Monthly Spending Trend

Yearly Spending

2018
$13.7M
-5%
2019
$13.0M
-17%
2020
$10.8M
+65%
2021
$17.7M
+3%
2022
$18.3M
-41%
2023
$10.8M
-49%
2024
$5.5M

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 5%

Emergency dept visit, moderate complexity

$9.2M

42K claims · 10.3%

Your Cost: $217.85/claim|Median: $42.48
5.1× median
99284Top 5%

Emergency dept visit, high complexity

$7.1M

29K claims · 7.9%

Your Cost: $245.38/claim|Median: $69.51
3.5× median
41899Top 5%

Unlisted procedure, dentoalveolar structures

$3.8M

1,474 claims · 4.2%

Your Cost: $2,561.10/claim|Median: $763.43
3.4× median
93306Top 1%

Echocardiography, transthoracic, complete, with Doppler

$3.4M

4,129 claims · 3.8%

Your Cost: $823.10/claim|Median: $54.68
15.1× median
93303Top 1%

Echocardiography, transthoracic, limited

$3.2M

4,351 claims · 3.5%

Your Cost: $724.64/claim|Median: $112.83
6.4× median
43239Top 1%

Upper GI endoscopy with biopsy

$2.7M

1,774 claims · 3.0%

Your Cost: $1,493.85/claim|Median: $151.68
9.8× median
69436Top 1%

Tympanostomy, general anesthesia

$2.6M

1,190 claims · 2.9%

Your Cost: $2,189.86/claim|Median: $205.50
10.7× median
70553Top 5%

MRI brain without contrast, then with contrast

$2.4M

2,519 claims · 2.7%

Your Cost: $970.99/claim|Median: $133.68
7.3× median
96361Top 5%

IV infusion, hydration, each additional hour

$2.2M

4,702 claims · 2.5%

Your Cost: $476.88/claim|Median: $38.92
12.3× median
97530Top 1%

Therapeutic activities, each 15 min

$2.0M

13K claims · 2.2%

Your Cost: $152.50/claim|Median: $33.11
4.6× median
95810Top 5%

Polysomnography, sleep study, 6+ hours

$2.0M

1,375 claims · 2.2%

Your Cost: $1,419.12/claim|Median: $233.73
6.1× median
99285Top 25%

Emergency dept visit, high/urgent complexity

$1.9M

11K claims · 2.1%

Your Cost: $175.08/claim|Median: $85.65
2.0× median
99282Top 25%

Emergency dept visit, low complexity

$1.7M

13K claims · 1.9%

Your Cost: $130.97/claim|Median: $37.72
3.5× median
95782Top 5%

$1.6M

960 claims · 1.8%

Your Cost: $1,701.61/claim|Median: $216.35
7.9× median
G0378Normal range

Hospital observation service, per hour

$1.5M

6,448 claims · 1.7%

Your Cost: $238.76/claim|Median: $99.39
2.4× median
76770Top 1%

Ultrasound, retroperitoneal, complete

$1.4M

4,319 claims · 1.6%

Your Cost: $332.09/claim|Median: $37.35
8.9× median
92587Top 1%

$1.4M

6,186 claims · 1.6%

Your Cost: $229.00/claim|Median: $19.24
11.9× median
A0427Top 25%

Ambulance, ALS emergency transport Level 1

$1.2M

4,183 claims · 1.4%

Your Cost: $296.11/claim|Median: $164.22
1.8× median
92507Top 5%

Speech/hearing/language treatment

$1.2M

9,672 claims · 1.4%

Your Cost: $126.38/claim|Median: $49.45
2.6× median
87633Normal range

Respiratory virus detection, 12-25 targets, nucleic acid

$1.2M

4,530 claims · 1.3%

Your Cost: $258.19/claim|Median: $169.17
1.5× median
93325Top 1%

$1.1M

4,949 claims · 1.3%

Your Cost: $227.06/claim|Median: $14.61
15.5× median
G0463Top 5%

Hospital outpatient clinic visit

$984K

7,191 claims · 1.1%

Your Cost: $136.87/claim|Median: $26.41
5.2× median
94640Top 5%

Pressurized or nonpressurized inhalation treatment

$968K

9,385 claims · 1.1%

Your Cost: $103.12/claim|Median: $10.88
9.5× median
96365Top 5%

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

$896K

3,398 claims · 1.0%

Your Cost: $263.65/claim|Median: $54.77
4.8× median
0202UTop 10%

Proprietary lab analysis, human genomic sequencing

$886K

2,397 claims · 1.0%

Your Cost: $369.51/claim|Median: $144.30
2.6× median
97110Top 1%

Therapeutic exercises, each 15 min

$877K

5,965 claims · 1.0%

Your Cost: $147.06/claim|Median: $24.49
6.0× median
92340Top 10%

Fitting of spectacles, except for aphakia

$771K

20K claims · 0.9%

Your Cost: $39.07/claim|Median: $19.46
2.0× median
42820Top 10%

Tonsillectomy and adenoidectomy, under age 12

$768K

253 claims · 0.9%

Your Cost: $3,033.93/claim|Median: $331.68
9.1× median
U0003Top 10%

Infectious disease detection (COVID-19)

$754K

7,535 claims · 0.8%

Your Cost: $100.08/claim|Median: $63.08
1.6× median
76705Top 1%

Ultrasound, abdominal, limited

$748K

3,112 claims · 0.8%

Your Cost: $240.26/claim|Median: $23.81
10.1× median
70450Top 1%

CT head/brain without contrast

$740K

1,300 claims · 0.8%

Your Cost: $569.48/claim|Median: $45.53
12.5× median
A0425Top 10%

Ground mileage, per statute mile

$726K

6,748 claims · 0.8%

Your Cost: $107.65/claim|Median: $23.36
4.6× median
J3490Normal range

Unclassified drugs

$685K

89K claims · 0.8%

Your Cost: $7.71/claim|Median: $5.70
1.4× median
87637Top 25%

Respiratory virus detection, 3-5 targets, nucleic acid

$659K

4,622 claims · 0.7%

Your Cost: $142.58/claim|Median: $100.62
1.4× median
71046Top 5%

Chest X-ray, 2 views

$634K

7,911 claims · 0.7%

Your Cost: $80.16/claim|Median: $8.92
9.0× median
96360Top 1%

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

$608K

2,111 claims · 0.7%

Your Cost: $288.02/claim|Median: $61.57
4.7× median
01922Normal range

$595K

2,686 claims · 0.7%

Your Cost: $221.35/claim|Median: $166.77
1.3× median
J2357Top 10%

Injection, omalizumab, 5 mg

$553K

229 claims · 0.6%

Your Cost: $2,414.66/claim|Median: $920.37
2.6× median
V2020Top 25%

Frames, purchases

$549K

15K claims · 0.6%

Your Cost: $35.83/claim|Median: $19.33
1.9× median
83655Top 5%

$501K

22K claims · 0.6%

Your Cost: $22.58/claim|Median: $10.49
2.2× median
96415Top 5%

Chemotherapy infusion, each additional hour

$461K

990 claims · 0.5%

Your Cost: $465.45/claim|Median: $43.68
10.7× median
94375Top 5%

$452K

3,779 claims · 0.5%

Your Cost: $119.62/claim|Median: $17.23
6.9× median
95819Top 5%

Electroencephalogram with sleep recording

$426K

1,077 claims · 0.5%

Your Cost: $395.42/claim|Median: $62.75
6.3× median
87631Top 5%

Respiratory virus detection, 3-5 targets, multiplex

$415K

2,538 claims · 0.5%

Your Cost: $163.37/claim|Median: $65.45
2.5× median
92567Top 5%

$414K

7,308 claims · 0.5%

Your Cost: $56.68/claim|Median: $11.50
4.9× median
96413Top 25%

Chemotherapy administration, IV infusion, up to 1 hour

$409K

2,154 claims · 0.5%

Your Cost: $190.07/claim|Median: $75.28
2.5× median
88305Top 5%

Surgical pathology, gross and microscopic examination

$385K

2,394 claims · 0.4%

Your Cost: $160.79/claim|Median: $35.80
4.5× median
A0434Normal range

Ambulance, specialty care transport

$372K

990 claims · 0.4%

Your Cost: $375.51/claim|Median: $252.36
1.5× median
70551Top 5%

MRI brain without contrast

$350K

749 claims · 0.4%

Your Cost: $467.15/claim|Median: $85.39
5.5× median
96366Top 1%

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

$328K

535 claims · 0.4%

Your Cost: $613.22/claim|Median: $40.12
15.3× median

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