CHILDREN'S HOSPITAL & MEDICAL CENTER
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
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.
$9.2M
42K claims
$217.85
$42.48
Emergency dept visit, moderate complexity
$9.2M
42K claims · 10.3%
Emergency dept visit, high complexity
$7.1M
29K claims · 7.9%
$3.8M
1,474 claims
$2,561.10
$763.43
Unlisted procedure, dentoalveolar structures
$3.8M
1,474 claims · 4.2%
$3.4M
4,129 claims
$823.10
$54.68
Echocardiography, transthoracic, complete, with Doppler
$3.4M
4,129 claims · 3.8%
$3.2M
4,351 claims
$724.64
$112.83
Echocardiography, transthoracic, limited
$3.2M
4,351 claims · 3.5%
Upper GI endoscopy with biopsy
$2.7M
1,774 claims · 3.0%
$2.6M
1,190 claims
$2,189.86
$205.50
Tympanostomy, general anesthesia
$2.6M
1,190 claims · 2.9%
$2.4M
2,519 claims
$970.99
$133.68
MRI brain without contrast, then with contrast
$2.4M
2,519 claims · 2.7%
$2.2M
4,702 claims
$476.88
$38.92
IV infusion, hydration, each additional hour
$2.2M
4,702 claims · 2.5%
Therapeutic activities, each 15 min
$2.0M
13K claims · 2.2%
$2.0M
1,375 claims
$1,419.12
$233.73
Polysomnography, sleep study, 6+ hours
$2.0M
1,375 claims · 2.2%
$1.9M
11K claims
$175.08
$85.65
Emergency dept visit, high/urgent complexity
$1.9M
11K claims · 2.1%
Emergency dept visit, low complexity
$1.7M
13K claims · 1.9%
$1.6M
960 claims · 1.8%
$1.5M
6,448 claims
$238.76
$99.39
Hospital observation service, per hour
$1.5M
6,448 claims · 1.7%
$1.4M
4,319 claims
$332.09
$37.35
Ultrasound, retroperitoneal, complete
$1.4M
4,319 claims · 1.6%
$1.4M
6,186 claims · 1.6%
$1.2M
4,183 claims
$296.11
$164.22
Ambulance, ALS emergency transport Level 1
$1.2M
4,183 claims · 1.4%
Speech/hearing/language treatment
$1.2M
9,672 claims · 1.4%
$1.2M
4,530 claims
$258.19
$169.17
Respiratory virus detection, 12-25 targets, nucleic acid
$1.2M
4,530 claims · 1.3%
$1.1M
4,949 claims · 1.3%
Hospital outpatient clinic visit
$984K
7,191 claims · 1.1%
$968K
9,385 claims
$103.12
$10.88
Pressurized or nonpressurized inhalation treatment
$968K
9,385 claims · 1.1%
$896K
3,398 claims
$263.65
$54.77
IV infusion, therapeutic/prophylactic/diagnostic, initial, up to 1 hour
$896K
3,398 claims · 1.0%
$886K
2,397 claims
$369.51
$144.30
Proprietary lab analysis, human genomic sequencing
$886K
2,397 claims · 1.0%
Therapeutic exercises, each 15 min
$877K
5,965 claims · 1.0%
$771K
20K claims
$39.07
$19.46
Fitting of spectacles, except for aphakia
$771K
20K claims · 0.9%
$768K
253 claims
$3,033.93
$331.68
Tonsillectomy and adenoidectomy, under age 12
$768K
253 claims · 0.9%
$754K
7,535 claims
$100.08
$63.08
Infectious disease detection (COVID-19)
$754K
7,535 claims · 0.8%
Ultrasound, abdominal, limited
$748K
3,112 claims · 0.8%
CT head/brain without contrast
$740K
1,300 claims · 0.8%
Ground mileage, per statute mile
$726K
6,748 claims · 0.8%
Unclassified drugs
$685K
89K claims · 0.8%
$659K
4,622 claims
$142.58
$100.62
Respiratory virus detection, 3-5 targets, nucleic acid
$659K
4,622 claims · 0.7%
Chest X-ray, 2 views
$634K
7,911 claims · 0.7%
$608K
2,111 claims
$288.02
$61.57
IV infusion, hydration, initial, 31 minutes to 1 hour
$608K
2,111 claims · 0.7%
$595K
2,686 claims · 0.7%
Injection, omalizumab, 5 mg
$553K
229 claims · 0.6%
Frames, purchases
$549K
15K claims · 0.6%
$501K
22K claims · 0.6%
$461K
990 claims
$465.45
$43.68
Chemotherapy infusion, each additional hour
$461K
990 claims · 0.5%
$452K
3,779 claims · 0.5%
$426K
1,077 claims
$395.42
$62.75
Electroencephalogram with sleep recording
$426K
1,077 claims · 0.5%
$415K
2,538 claims
$163.37
$65.45
Respiratory virus detection, 3-5 targets, multiplex
$415K
2,538 claims · 0.5%
$414K
7,308 claims · 0.5%
$409K
2,154 claims
$190.07
$75.28
Chemotherapy administration, IV infusion, up to 1 hour
$409K
2,154 claims · 0.5%
$385K
2,394 claims
$160.79
$35.80
Surgical pathology, gross and microscopic examination
$385K
2,394 claims · 0.4%
$372K
990 claims
$375.51
$252.36
Ambulance, specialty care transport
$372K
990 claims · 0.4%
MRI brain without contrast
$350K
749 claims · 0.4%
$328K
535 claims
$613.22
$40.12
IV infusion, therapeutic/prophylactic/diagnostic, each additional hour
$328K
535 claims · 0.4%
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