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SPOTSYLVANIA MEDICAL CENTER INC

General Acute Care Hospital·FREDERICKSBURG, VA·NPI: 1376876664Share

Compared to General Acute Care Hospital Peers

Total spending distribution among 156 providers in this specialty

P25MedianP75P90

This provider's total spending of $31.0M is at the below 25th percentile among 156 General Acute Care Hospital providers.

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

Total Paid

$31.0M

$31,015,280

Total Claims

726K

Beneficiaries

597K

1.2 claims/patient

Avg Cost/Claim

$43

Monthly Spending Trend

Yearly Spending

2018
$2.1M
+65%
2019
$3.4M
+4%
2020
$3.5M
+16%
2021
$4.1M
+18%
2022
$4.8M
+38%
2023
$6.7M
-4%
2024
$6.4M

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 30% of total spending.

99283Top 5%

Emergency dept visit, moderate complexity

$9.3M

49K claims · 30.0%

Your Cost: $189.20/claim|Median: $42.48
4.5× median
99284Top 10%

Emergency dept visit, high complexity

$6.5M

37K claims · 20.8%

Your Cost: $175.38/claim|Median: $69.51
2.5× median
99282Top 10%

Emergency dept visit, low complexity

$2.0M

11K claims · 6.3%

Your Cost: $183.89/claim|Median: $37.72
4.9× median
74177Top 25%

CT abdomen and pelvis with contrast

$1.5M

6,848 claims · 4.8%

Your Cost: $217.88/claim|Median: $65.76
3.3× median
70450Top 10%

CT head/brain without contrast

$1.3M

6,373 claims · 4.2%

Your Cost: $202.42/claim|Median: $45.53
4.4× median
99285Top 25%

Emergency dept visit, high/urgent complexity

$1.2M

6,718 claims · 3.8%

Your Cost: $174.55/claim|Median: $85.65
2.0× median
G0378Normal range

Hospital observation service, per hour

$829K

6,259 claims · 2.7%

Your Cost: $132.43/claim|Median: $99.39
1.3× median
74176Top 25%

CT abdomen and pelvis without contrast

$707K

3,371 claims · 2.3%

Your Cost: $209.59/claim|Median: $60.19
3.5× median
71275Top 10%

CT angiography, chest, with contrast

$661K

2,361 claims · 2.1%

Your Cost: $279.80/claim|Median: $92.96
3.0× median
96361Top 25%

IV infusion, hydration, each additional hour

$644K

2,843 claims · 2.1%

Your Cost: $226.68/claim|Median: $38.92
5.8× median
43239Top 10%

Upper GI endoscopy with biopsy

$605K

1,044 claims · 2.0%

Your Cost: $579.42/claim|Median: $151.68
3.8× median
99281Top 10%

Emergency dept visit, minimal complexity

$593K

3,238 claims · 1.9%

Your Cost: $183.17/claim|Median: $52.03
3.5× median
97110Top 25%

Therapeutic exercises, each 15 min

$401K

8,112 claims · 1.3%

Your Cost: $49.40/claim|Median: $24.49
2.0× median
93306Top 5%

Echocardiography, transthoracic, complete, with Doppler

$357K

1,002 claims · 1.2%

Your Cost: $356.70/claim|Median: $54.68
6.5× median
G0383Top 25%

$257K

1,530 claims · 0.8%

Your Cost: $167.93/claim|Median: $108.78
1.5× median
80307Normal range

Drug test, presumptive, by chemistry analyzers

$231K

5,064 claims · 0.7%

Your Cost: $45.65/claim|Median: $35.43
1.3× median
76830Top 25%

Ultrasound, transvaginal

$221K

2,273 claims · 0.7%

Your Cost: $97.12/claim|Median: $57.47
1.7× median
76816Top 10%

Ultrasound, pregnant uterus, follow-up

$217K

2,022 claims · 0.7%

Your Cost: $107.38/claim|Median: $58.55
1.8× median
76705Top 25%

Ultrasound, abdominal, limited

$216K

2,446 claims · 0.7%

Your Cost: $88.39/claim|Median: $23.81
3.7× median
76818Normal range

$216K

2,502 claims · 0.7%

Your Cost: $86.36/claim|Median: $68.15
1.3× median
76856Normal range

Ultrasound, pelvic, complete

$177K

2,658 claims · 0.6%

Your Cost: $66.74/claim|Median: $47.58
1.4× median
45380Top 10%

Colonoscopy with biopsy

$175K

282 claims · 0.6%

Your Cost: $620.75/claim|Median: $200.68
3.1× median
59025Top 5%

Fetal non-stress test

$175K

910 claims · 0.6%

Your Cost: $191.80/claim|Median: $26.45
7.3× median
94640Top 25%

Pressurized or nonpressurized inhalation treatment

$161K

3,620 claims · 0.5%

Your Cost: $44.43/claim|Median: $10.88
4.1× median
80053Normal range

Comprehensive metabolic panel

$160K

40K claims · 0.5%

Your Cost: $4.04/claim|Median: $7.24
0.6× median
96360Top 25%

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

$141K

884 claims · 0.5%

Your Cost: $159.67/claim|Median: $61.57
2.6× median
93971Top 25%

Duplex scan of extremity veins, unilateral or limited

$135K

1,455 claims · 0.4%

Your Cost: $92.84/claim|Median: $25.43
3.7× median
76801Normal range

Ultrasound, pregnant uterus, single fetus, first trimester

$118K

2,245 claims · 0.4%

Your Cost: $52.41/claim|Median: $58.16
0.9× median
76805Top 25%

Ultrasound, pregnant uterus, complete, single fetus

$111K

1,028 claims · 0.4%

Your Cost: $108.23/claim|Median: $74.78
1.4× median
U0003Normal range

Infectious disease detection (COVID-19)

$106K

4,779 claims · 0.3%

Your Cost: $22.24/claim|Median: $63.08
0.4× median
76811Normal range

Ultrasound, pregnant uterus, detailed, single fetus

$102K

913 claims · 0.3%

Your Cost: $111.86/claim|Median: $106.79
1.0× median
76815Top 25%

Ultrasound, pregnant uterus, limited

$86K

1,385 claims · 0.3%

Your Cost: $62.23/claim|Median: $36.79
1.7× median
76700Top 10%

Ultrasound, abdominal, complete

$79K

540 claims · 0.3%

Your Cost: $145.65/claim|Median: $50.69
2.9× median
72125Normal range

CT cervical spine without contrast

$73K

1,591 claims · 0.2%

Your Cost: $45.88/claim|Median: $32.30
1.4× median
77063Top 25%

Screening digital breast tomosynthesis, bilateral

$72K

1,755 claims · 0.2%

Your Cost: $41.22/claim|Median: $21.41
1.9× median
97162Top 5%

PT evaluation, moderate complexity

$72K

448 claims · 0.2%

Your Cost: $159.61/claim|Median: $46.10
3.5× median
71046Normal range

Chest X-ray, 2 views

$70K

13K claims · 0.2%

Your Cost: $5.47/claim|Median: $8.92
0.6× median
96374Normal range

Therapeutic/prophylactic/diagnostic IV push, single substance

$59K

25K claims · 0.2%

Your Cost: $2.35/claim|Median: $21.76
0.1× median
76817Normal range

Ultrasound, pregnant uterus, transvaginal

$55K

1,987 claims · 0.2%

Your Cost: $27.89/claim|Median: $47.65
0.6× median
97164Top 1%

PT re-evaluation

$54K

243 claims · 0.2%

Your Cost: $224.24/claim|Median: $32.66
6.9× median
70551Top 25%

MRI brain without contrast

$53K

225 claims · 0.2%

Your Cost: $237.19/claim|Median: $85.39
2.8× median
G0480Normal range

Drug test, definitive, 1-7 drug classes

$52K

3,151 claims · 0.2%

Your Cost: $16.57/claim|Median: $37.56
0.4× median
45385Top 5%

Colonoscopy with polyp removal, snare technique

$46K

54 claims · 0.1%

Your Cost: $848.65/claim|Median: $255.17
3.3× median
80048Normal range

Basic metabolic panel

$39K

8,686 claims · 0.1%

Your Cost: $4.51/claim|Median: $5.78
0.8× median
93005Normal range

Electrocardiogram, tracing only, without interpretation

$38K

21K claims · 0.1%

Your Cost: $1.82/claim|Median: $7.50
0.2× median
97140Normal range

Manual therapy techniques, per 15 minutes

$35K

3,632 claims · 0.1%

Your Cost: $9.51/claim|Median: $16.79
0.6× median
85027Normal range

Complete blood count (CBC), automated

$34K

50K claims · 0.1%

Your Cost: $0.69/claim|Median: $3.72
0.2× median
71045Normal range

Chest X-ray, single view

$32K

12K claims · 0.1%

Your Cost: $2.61/claim|Median: $4.93
0.5× median
87040Normal range

$32K

4,206 claims · 0.1%

Your Cost: $7.63/claim|Median: $5.54
1.4× median
77067Normal range

Screening mammography, bilateral, including CAD

$31K

1,743 claims · 0.1%

Your Cost: $17.80/claim|Median: $39.33
0.5× median

Other Top Providers in Virginia

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$500.5M

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$309.5M

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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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