Statistical flags indicate unusual patterns — not proof of fraud or wrongdoing. Read our methodology

⚖️ Compare🖨️ Print Report

COMMUNITY MEDICAL CENTER

General Acute Care Hospital·SCRANTON, PA·NPI: 1366444507Share

Compared to General Acute Care Hospital Peers

Total spending distribution among 156 providers in this specialty

P25MedianP75P90

This provider's total spending of $22.6M is at the below 25th percentile among 156 General Acute Care Hospital providers.

Active Billing Period:2018-01→2024-12(69 months)

Total Paid

$22.6M

$22,616,340

Total Claims

649K

Beneficiaries

589K

1.1 claims/patient

Avg Cost/Claim

$35

Monthly Spending Trend

Yearly Spending

2018
$16K
+118%
2019
$34K
+5498%
2020
$1.9M
+254%
2021
$6.8M
-42%
2022
$4.0M
+29%
2023
$5.1M
-6%
2024
$4.8M

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 17% of total spending.

99285Top 25%

Emergency dept visit, high/urgent complexity

$3.8M

27K claims · 17.0%

Your Cost: $140.05/claim|Median: $85.65
1.6× median
0202UNormal range

Proprietary lab analysis, human genomic sequencing

$2.5M

12K claims · 11.0%

Your Cost: $212.56/claim|Median: $144.30
1.5× median
99284Top 25%

Emergency dept visit, high complexity

$2.1M

20K claims · 9.4%

Your Cost: $104.73/claim|Median: $69.51
1.5× median
G0378Top 10%

Hospital observation service, per hour

$1.8M

2,278 claims · 8.1%

Your Cost: $808.93/claim|Median: $99.39
8.1× median
99283Top 25%

Emergency dept visit, moderate complexity

$1.6M

22K claims · 7.1%

Your Cost: $73.31/claim|Median: $42.48
1.7× median
80307Top 25%

Drug test, presumptive, by chemistry analyzers

$1.2M

19K claims · 5.1%

Your Cost: $60.44/claim|Median: $35.43
1.7× median
G0480Normal range

Drug test, definitive, 1-7 drug classes

$1.0M

17K claims · 4.4%

Your Cost: $58.61/claim|Median: $37.56
1.6× median
74177Top 25%

CT abdomen and pelvis with contrast

$812K

4,370 claims · 3.6%

Your Cost: $185.71/claim|Median: $65.76
2.8× median
U0004Top 25%

COVID-19 test, nucleic acid detection, CDC lab only

$592K

7,260 claims · 2.6%

Your Cost: $81.48/claim|Median: $60.05
1.4× median
80053Normal range

Comprehensive metabolic panel

$588K

57K claims · 2.6%

Your Cost: $10.32/claim|Median: $7.24
1.4× median
87631Top 25%

Respiratory virus detection, 3-5 targets, multiplex

$475K

3,564 claims · 2.1%

Your Cost: $133.14/claim|Median: $65.45
2.0× median
70450Normal range

CT head/brain without contrast

$399K

5,395 claims · 1.8%

Your Cost: $73.97/claim|Median: $45.53
1.6× median
85025Normal range

Complete blood count (CBC) with differential, automated

$300K

57K claims · 1.3%

Your Cost: $5.21/claim|Median: $4.71
1.1× median
71046Normal range

Chest X-ray, 2 views

$236K

14K claims · 1.0%

Your Cost: $16.88/claim|Median: $8.92
1.9× median
87637Normal range

Respiratory virus detection, 3-5 targets, nucleic acid

$209K

1,810 claims · 0.9%

Your Cost: $115.30/claim|Median: $100.62
1.1× median
93306Normal range

Echocardiography, transthoracic, complete, with Doppler

$207K

2,400 claims · 0.9%

Your Cost: $86.40/claim|Median: $54.68
1.6× median
96374Normal range

Therapeutic/prophylactic/diagnostic IV push, single substance

$202K

7,222 claims · 0.9%

Your Cost: $27.94/claim|Median: $21.76
1.3× median
84443Top 10%

Thyroid stimulating hormone (TSH)

$176K

8,205 claims · 0.8%

Your Cost: $21.51/claim|Median: $9.87
2.2× median
0100UTop 25%

$174K

460 claims · 0.8%

Your Cost: $377.23/claim|Median: $44.58
8.5× median
96413Normal range

Chemotherapy administration, IV infusion, up to 1 hour

$158K

1,532 claims · 0.7%

Your Cost: $103.26/claim|Median: $75.28
1.4× median
93005Normal range

Electrocardiogram, tracing only, without interpretation

$157K

18K claims · 0.7%

Your Cost: $8.58/claim|Median: $7.50
1.1× median
96365Normal range

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

$146K

4,184 claims · 0.6%

Your Cost: $34.91/claim|Median: $54.77
0.6× median
U0003Normal range

Infectious disease detection (COVID-19)

$118K

1,636 claims · 0.5%

Your Cost: $71.96/claim|Median: $63.08
1.1× median
84484Top 25%

Troponin, quantitative

$105K

10K claims · 0.5%

Your Cost: $10.15/claim|Median: $4.84
2.1× median
74176Normal range

CT abdomen and pelvis without contrast

$105K

941 claims · 0.5%

Your Cost: $111.19/claim|Median: $60.19
1.8× median
71275Top 25%

CT angiography, chest, with contrast

$101K

451 claims · 0.4%

Your Cost: $224.76/claim|Median: $92.96
2.4× median
82306Top 10%

Vitamin D, 25 hydroxy

$92K

2,386 claims · 0.4%

Your Cost: $38.35/claim|Median: $18.18
2.1× median
80061Top 25%

Lipid panel

$85K

6,699 claims · 0.4%

Your Cost: $12.73/claim|Median: $8.41
1.5× median
C1713Normal range

Anchor or screw for tissue to bone fixation

$84K

156 claims · 0.4%

Your Cost: $539.30/claim|Median: $123.40
4.4× median
96375Normal range

Therapeutic/prophylactic/diagnostic IV push, each additional substance

$81K

4,749 claims · 0.4%

Your Cost: $17.09/claim|Median: $14.92
1.1× median
96361Normal range

IV infusion, hydration, each additional hour

$81K

5,863 claims · 0.4%

Your Cost: $13.74/claim|Median: $38.92
0.4× median
U0005Normal range

Infectious disease detection, COVID-19, antigen

$80K

6,001 claims · 0.4%

Your Cost: $13.36/claim|Median: $15.76
0.8× median
78815Top 25%

PET imaging for limited area

$79K

90 claims · 0.3%

Your Cost: $877.87/claim|Median: $325.10
2.7× median
72125Top 25%

CT cervical spine without contrast

$77K

958 claims · 0.3%

Your Cost: $80.56/claim|Median: $32.30
2.5× median
87481Top 10%

$69K

1,004 claims · 0.3%

Your Cost: $68.97/claim|Median: $22.38
3.1× median
70553Normal range

MRI brain without contrast, then with contrast

$58K

227 claims · 0.3%

Your Cost: $257.35/claim|Median: $133.68
1.9× median
87661Top 10%

Trichomonas vaginalis detection, nucleic acid, amplified probe

$57K

1,410 claims · 0.3%

Your Cost: $40.11/claim|Median: $21.08
1.9× median
87491Normal range

Chlamydia detection, nucleic acid, amplified probe

$53K

2,210 claims · 0.2%

Your Cost: $24.16/claim|Median: $24.95
1.0× median
83690Normal range

$48K

10K claims · 0.2%

Your Cost: $4.63/claim|Median: $3.35
1.4× median
99291Normal range

Critical care, first 30-74 minutes

$48K

412 claims · 0.2%

Your Cost: $116.77/claim|Median: $101.24
1.2× median
87591Normal range

Neisseria gonorrhoeae detection, nucleic acid, amplified probe

$46K

2,015 claims · 0.2%

Your Cost: $22.93/claim|Median: $23.39
1.0× median
99282Normal range

Emergency dept visit, low complexity

$45K

1,346 claims · 0.2%

Your Cost: $33.32/claim|Median: $37.72
0.9× median
300Normal range

$44K

529 claims · 0.2%

Your Cost: $83.73/claim|Median: $55.04
1.5× median
93971Top 25%

Duplex scan of extremity veins, unilateral or limited

$41K

563 claims · 0.2%

Your Cost: $73.34/claim|Median: $25.43
2.9× median
71260Normal range

CT chest with contrast

$41K

430 claims · 0.2%

Your Cost: $94.44/claim|Median: $48.36
2.0× median
87389Top 25%

HIV-1 antigen with HIV-1 and HIV-2 antibodies

$40K

1,470 claims · 0.2%

Your Cost: $27.29/claim|Median: $18.03
1.5× median
T1015Normal range

Clinic visit/encounter, all-inclusive

$40K

1,241 claims · 0.2%

Your Cost: $32.29/claim|Median: $121.16
0.3× median
87430Normal range

$39K

6,131 claims · 0.2%

Your Cost: $6.35/claim|Median: $9.41
0.7× median
84702Top 25%

$39K

2,415 claims · 0.2%

Your Cost: $16.08/claim|Median: $8.25
1.9× median
76705Normal range

Ultrasound, abdominal, limited

$39K

793 claims · 0.2%

Your Cost: $48.64/claim|Median: $23.81
2.0× median

Other Top Providers in Pennsylvania

View all →

Zoll Services LLC

Durable Medical Equipment & Medical Supplies

$504.0M

Commonwealth of Pennsylvania Department of Education

Local Education Agency (LEA)

$326.0M

Excel Copmanion Care INC

Home Health

$308.4M

Childrens Hospital of Philadelphia

General Acute Care Hospital Children

$286.9M

Procare Pharmacy Direct, Llc.

Pharmacy, Community/Retail Pharmacy

$227.3M

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

← All providersAll providers in Pennsylvania →How we detect fraud →