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PALOMAR HEALTH

General Acute Care Hospital·POWAY, CA·NPI: 1376513754Share

Compared to General Acute Care Hospital Peers

Total spending distribution among 156 providers in this specialty

P25MedianP75P90

This provider's total spending of $46.7M is at the below 25th percentile among 156 General Acute Care Hospital providers.

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

Total Paid

$46.7M

$46,682,972

Total Claims

474K

Beneficiaries

388K

1.2 claims/patient

Avg Cost/Claim

$99

Monthly Spending Trend

Yearly Spending

2018
$7.3M
-20%
2019
$5.8M
-6%
2020
$5.5M
+9%
2021
$6.0M
+23%
2022
$7.4M
+6%
2023
$7.8M
-11%
2024
$7.0M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 50 distinct procedure codes. The top code (0450 (Emergency room visit)) accounts for 18% of total spending.

0450Top 5%

Emergency room visit

$8.5M

24K claims · 18.3%

Your Cost: $353.30/claim|Median: $44.95
7.9× median
99283Top 5%

Emergency dept visit, moderate complexity

$6.9M

25K claims · 14.7%

Your Cost: $276.94/claim|Median: $42.48
6.5× median
J3490Top 5%

Unclassified drugs

$4.8M

34K claims · 10.4%

Your Cost: $141.74/claim|Median: $5.70
24.9× median
80048Top 1%

Basic metabolic panel

$3.1M

25K claims · 6.7%

Your Cost: $127.89/claim|Median: $5.78
22.1× median
80053Top 1%

Comprehensive metabolic panel

$2.1M

12K claims · 4.5%

Your Cost: $180.95/claim|Median: $7.24
25.0× median
J1885Top 1%

Injection, ketorolac tromethamine, fifteen milligrams

$1.9M

6,233 claims · 4.1%

Your Cost: $306.81/claim|Median: $0.91
337.2× median
97139Normal range

$1.0M

22K claims · 2.2%

Your Cost: $46.98/claim|Median: $28.71
1.6× median
74177Top 25%

CT abdomen and pelvis with contrast

$844K

3,660 claims · 1.8%

Your Cost: $230.47/claim|Median: $65.76
3.5× median
70450Top 25%

CT head/brain without contrast

$806K

4,916 claims · 1.7%

Your Cost: $164.03/claim|Median: $45.53
3.6× median
99284Top 25%

Emergency dept visit, high complexity

$775K

5,326 claims · 1.7%

Your Cost: $145.52/claim|Median: $69.51
2.1× median
99285Top 10%

Emergency dept visit, high/urgent complexity

$766K

3,530 claims · 1.6%

Your Cost: $216.99/claim|Median: $85.65
2.5× median
J2405Top 1%

Injection, ondansetron HCl, per one milligram

$751K

4,490 claims · 1.6%

Your Cost: $167.24/claim|Median: $0.58
288.3× median
Q9967Top 5%

Low osmolar contrast material, 300-399 mg iodine/ml, per ml

$722K

4,493 claims · 1.5%

Your Cost: $160.62/claim|Median: $3.42
47.0× median
87636Top 5%

Respiratory virus detection, 6-11 targets, nucleic acid

$687K

4,102 claims · 1.5%

Your Cost: $167.39/claim|Median: $97.61
1.7× median
0250Top 10%

$660K

13K claims · 1.4%

Your Cost: $51.31/claim|Median: $3.70
13.9× median
99499Top 10%

Unlisted evaluation and management service

$603K

5,928 claims · 1.3%

Your Cost: $101.70/claim|Median: $30.88
3.3× median
71045Top 5%

Chest X-ray, single view

$601K

14K claims · 1.3%

Your Cost: $44.10/claim|Median: $4.93
8.9× median
J1170Top 1%

Injection, hydromorphone, up to four milligrams

$570K

2,615 claims · 1.2%

Your Cost: $218.00/claim|Median: $1.03
211.7× median
J0696Top 1%

$475K

1,747 claims · 1.0%

Your Cost: $271.83/claim|Median: $1.34
202.9× median
93005Top 25%

Electrocardiogram, tracing only, without interpretation

$470K

17K claims · 1.0%

Your Cost: $28.22/claim|Median: $7.50
3.8× median
J7030Top 5%

Normal saline solution infusion, 1000 cc

$448K

6,192 claims · 1.0%

Your Cost: $72.33/claim|Median: $1.53
47.3× median
74176Top 25%

CT abdomen and pelvis without contrast

$411K

2,889 claims · 0.9%

Your Cost: $142.23/claim|Median: $60.19
2.4× median
85025Top 10%

Complete blood count (CBC) with differential, automated

$366K

28K claims · 0.8%

Your Cost: $13.19/claim|Median: $4.71
2.8× median
80307Top 5%

Drug test, presumptive, by chemistry analyzers

$365K

4,732 claims · 0.8%

Your Cost: $77.19/claim|Median: $35.43
2.2× median
J1200Top 1%

$314K

1,551 claims · 0.7%

Your Cost: $202.39/claim|Median: $0.60
337.3× median
72125Top 10%

CT cervical spine without contrast

$307K

1,802 claims · 0.7%

Your Cost: $170.26/claim|Median: $32.30
5.3× median
71046Top 1%

Chest X-ray, 2 views

$304K

2,569 claims · 0.7%

Your Cost: $118.27/claim|Median: $8.92
13.3× median
99282Top 5%

Emergency dept visit, low complexity

$275K

1,108 claims · 0.6%

Your Cost: $248.17/claim|Median: $37.72
6.6× median
J1100Top 1%

$270K

816 claims · 0.6%

Your Cost: $331.11/claim|Median: $0.52
636.7× median
G0480Normal range

Drug test, definitive, 1-7 drug classes

$266K

4,680 claims · 0.6%

Your Cost: $56.82/claim|Median: $37.56
1.5× median
84703Top 5%

Human chorionic gonadotropin (hCG) quantitative blood test

$255K

8,973 claims · 0.5%

Your Cost: $28.37/claim|Median: $4.20
6.8× median
81001Top 5%

Urinalysis, automated, with microscopy

$240K

13K claims · 0.5%

Your Cost: $18.23/claim|Median: $2.03
9.0× median
80076Top 5%

Hepatic function panel

$220K

11K claims · 0.5%

Your Cost: $19.89/claim|Median: $4.59
4.3× median
J2060Top 1%

Injection, lorazepam, two milligrams

$200K

1,438 claims · 0.4%

Your Cost: $139.41/claim|Median: $0.62
224.9× median
73610Top 1%

X-ray of ankle, complete, minimum three views

$194K

931 claims · 0.4%

Your Cost: $208.27/claim|Median: $13.55
15.4× median
97750Top 5%

$189K

1,859 claims · 0.4%

Your Cost: $101.42/claim|Median: $30.89
3.3× median
87651Top 1%

Streptococcus Group A detection, nucleic acid, amplified probe

$182K

912 claims · 0.4%

Your Cost: $199.08/claim|Median: $28.46
7.0× median
73630Top 1%

X-ray, foot, complete, minimum 3 views

$176K

1,128 claims · 0.4%

Your Cost: $156.14/claim|Median: $12.06
12.9× median
0241UNormal range

Proprietary lab analysis, genomic sequencing

$174K

2,679 claims · 0.4%

Your Cost: $64.91/claim|Median: $91.47
0.7× median
84484Top 10%

Troponin, quantitative

$172K

11K claims · 0.4%

Your Cost: $15.39/claim|Median: $4.84
3.2× median
76856Top 25%

Ultrasound, pelvic, complete

$169K

1,804 claims · 0.4%

Your Cost: $93.93/claim|Median: $47.58
2.0× median
87502Top 5%

Influenza virus detection, reverse transcription, amplified probe

$155K

1,315 claims · 0.3%

Your Cost: $117.56/claim|Median: $65.64
1.8× median
97110Normal range

Therapeutic exercises, each 15 min

$153K

6,320 claims · 0.3%

Your Cost: $24.27/claim|Median: $24.49
1.0× median
0270Top 25%

$153K

4,659 claims · 0.3%

Your Cost: $32.80/claim|Median: $5.50
6.0× median
73562Top 1%

$152K

974 claims · 0.3%

Your Cost: $156.53/claim|Median: $12.28
12.7× median
87086Top 5%

Urine culture, colony count, with identification

$146K

4,535 claims · 0.3%

Your Cost: $32.11/claim|Median: $5.31
6.0× median
83690Top 10%

$137K

12K claims · 0.3%

Your Cost: $11.23/claim|Median: $3.35
3.4× median
U0003Top 5%

Infectious disease detection (COVID-19)

$136K

1,165 claims · 0.3%

Your Cost: $117.14/claim|Median: $63.08
1.9× median
87635Top 5%

COVID-19 SARS-CoV-2 amplified probe detection

$135K

1,319 claims · 0.3%

Your Cost: $102.31/claim|Median: $39.70
2.6× median
84702Top 1%

$126K

1,576 claims · 0.3%

Your Cost: $80.05/claim|Median: $8.25
9.7× median