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PRISMA HEALTH-UPSTATE

General Acute Care Hospital·GREENVILLE, SC·NPI: 1407301211Share

Compared to General Acute Care Hospital Peers

Total spending distribution among 156 providers in this specialty

P25MedianP75P90

This provider's total spending of $22.0M is at the below 25th percentile among 156 General Acute Care Hospital providers.

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

Total Paid

$22.0M

$21,976,615

Total Claims

568K

Beneficiaries

488K

1.2 claims/patient

Avg Cost/Claim

$39

Monthly Spending Trend

Yearly Spending

2018
$3.6M
+1%
2019
$3.6M
-4%
2020
$3.5M
+0%
2021
$3.5M
-12%
2022
$3.1M
-8%
2023
$2.8M
-30%
2024
$2.0M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 50 distinct procedure codes. The top code (36415 (Collection of venous blood by venipuncture)) accounts for 37% of total spending.

36415Top 1%

Collection of venous blood by venipuncture

$8.2M

44K claims · 37.5%

Your Cost: $188.05/claim|Median: $1.57
119.8× median
81025Top 1%

Urine pregnancy test

$2.6M

7,764 claims · 11.7%

Your Cost: $332.01/claim|Median: $4.81
69.0× median
81003Top 1%

Urinalysis, automated without microscopy

$2.4M

64K claims · 10.7%

Your Cost: $36.82/claim|Median: $1.48
24.9× median
99213Normal range

Office/outpatient visit, est. patient, low-mod complexity

$2.0M

60K claims · 9.2%

Your Cost: $33.69/claim|Median: $37.81
0.9× median
87491Top 5%

Chlamydia detection, nucleic acid, amplified probe

$1.5M

19K claims · 7.0%

Your Cost: $81.72/claim|Median: $24.95
3.3× median
96372Top 5%

Therapeutic injection, subcutaneous/intramuscular

$1.0M

9,506 claims · 4.6%

Your Cost: $106.90/claim|Median: $9.56
11.2× median
87210Top 1%

$611K

5,940 claims · 2.8%

Your Cost: $102.91/claim|Median: $3.65
28.2× median
87086Top 5%

Urine culture, colony count, with identification

$552K

18K claims · 2.5%

Your Cost: $30.68/claim|Median: $5.31
5.8× median
87624Top 5%

HPV detection, high-risk types, nucleic acid

$479K

5,052 claims · 2.2%

Your Cost: $94.77/claim|Median: $25.57
3.7× median
99214Normal range

Office/outpatient visit, est. patient, mod-high complexity

$478K

44K claims · 2.2%

Your Cost: $10.98/claim|Median: $53.41
0.2× median
82962Top 1%

Blood glucose test by monitoring device

$326K

7,033 claims · 1.5%

Your Cost: $46.32/claim|Median: $1.40
33.1× median
88305Top 5%

Surgical pathology, gross and microscopic examination

$309K

1,608 claims · 1.4%

Your Cost: $192.01/claim|Median: $35.80
5.4× median
87077Top 1%

Bacterial culture, aerobic, additional methods required

$204K

4,560 claims · 0.9%

Your Cost: $44.74/claim|Median: $4.52
9.9× median
99211Top 25%

Office/outpatient visit, minimal complexity

$162K

6,152 claims · 0.7%

Your Cost: $26.40/claim|Median: $12.93
2.0× median
80307Top 5%

Drug test, presumptive, by chemistry analyzers

$155K

1,890 claims · 0.7%

Your Cost: $81.99/claim|Median: $35.43
2.3× median
82570Top 1%

$145K

5,274 claims · 0.7%

Your Cost: $27.56/claim|Median: $3.18
8.7× median
G0145Normal range

$135K

9,537 claims · 0.6%

Your Cost: $14.16/claim|Median: $13.80
1.0× median
59025Normal range

Fetal non-stress test

$134K

7,482 claims · 0.6%

Your Cost: $17.87/claim|Median: $26.45
0.7× median
87081Top 10%

Culture screening for pathogenic organisms

$100K

6,193 claims · 0.5%

Your Cost: $16.18/claim|Median: $5.09
3.2× median
58301Top 10%

$99K

563 claims · 0.5%

Your Cost: $176.52/claim|Median: $49.65
3.6× median
11982Top 5%

$95K

273 claims · 0.4%

Your Cost: $347.83/claim|Median: $90.51
3.8× median
99212Top 10%

Office/outpatient visit, low complexity

$60K

978 claims · 0.3%

Your Cost: $61.36/claim|Median: $25.06
2.4× median
58300Normal range

$43K

562 claims · 0.2%

Your Cost: $76.99/claim|Median: $74.77
1.0× median
87661Normal range

Trichomonas vaginalis detection, nucleic acid, amplified probe

$37K

18K claims · 0.2%

Your Cost: $2.06/claim|Median: $21.08
0.1× median
99395Normal range

Preventive medicine, established patient, age 18-39

$26K

2,500 claims · 0.1%

Your Cost: $10.44/claim|Median: $72.71
0.1× median
86850Normal range

$12K

9,245 claims · 0.1%

Your Cost: $1.30/claim|Median: $5.44
0.2× median
80053Normal range

Comprehensive metabolic panel

$8K

7,324 claims · 0.0%

Your Cost: $1.13/claim|Median: $7.24
0.2× median
C9803Top 5%

$6K

57 claims · 0.0%

Your Cost: $98.62/claim|Median: $13.20
7.5× median
87591Normal range

Neisseria gonorrhoeae detection, nucleic acid, amplified probe

$5K

18K claims · 0.0%

Your Cost: $0.29/claim|Median: $23.39
0.0× median
83036Normal range

Hemoglobin A1c (glycated hemoglobin)

$5K

4,556 claims · 0.0%

Your Cost: $1.07/claim|Median: $5.50
0.2× median
90471Normal range

Immunization administration, 1 vaccine, percutaneous/ID/SC/IM

$5K

8,015 claims · 0.0%

Your Cost: $0.59/claim|Median: $9.80
0.1× median
82950Normal range

$4K

9,151 claims · 0.0%

Your Cost: $0.44/claim|Median: $4.18
0.1× median
90715Normal range

Tdap vaccine

$4K

5,671 claims · 0.0%

Your Cost: $0.70/claim|Median: $10.32
0.1× median
99396Normal range

Preventive medicine, established patient, age 40-64

$4K

116 claims · 0.0%

Your Cost: $33.28/claim|Median: $76.06
0.4× median
83986Top 1%

$3K

36 claims · 0.0%

Your Cost: $77.49/claim|Median: $2.70
28.7× median
0012ANormal range

COVID-19 vaccine admin, Moderna, 2nd dose

$3K

243 claims · 0.0%

Your Cost: $10.87/claim|Median: $33.85
0.3× median
84156Normal range

$3K

5,460 claims · 0.0%

Your Cost: $0.48/claim|Median: $2.06
0.2× median
Q3014Normal range

Telehealth originating site facility fee

$2K

113 claims · 0.0%

Your Cost: $20.70/claim|Median: $15.37
1.3× median
G0463Normal range

Hospital outpatient clinic visit

$2K

45 claims · 0.0%

Your Cost: $51.64/claim|Median: $26.41
2.0× median
J1050Normal range

Injection, medroxyprogesterone acetate, one milligram

$2K

7,253 claims · 0.0%

Your Cost: $0.27/claim|Median: $41.92
0.0× median
J7307Normal range

Etonogestrel implant system, including implant and supplies

$2K

166 claims · 0.0%

Your Cost: $11.53/claim|Median: $786.43
0.0× median
87801Normal range

Infectious agent detection, amplified probe, multiple organisms

$2K

137 claims · 0.0%

Your Cost: $13.50/claim|Median: $38.79
0.3× median
85027Normal range

Complete blood count (CBC), automated

$2K

17K claims · 0.0%

Your Cost: $0.10/claim|Median: $3.72
0.0× median
84702Normal range

$1K

1,495 claims · 0.0%

Your Cost: $0.95/claim|Median: $8.25
0.1× median
87529Top 5%

$1K

12 claims · 0.0%

Your Cost: $117.48/claim|Median: $24.98
4.7× median
90686Normal range

Influenza virus vaccine, quadrivalent, preservative-free, IM

$1K

3,536 claims · 0.0%

Your Cost: $0.39/claim|Median: $7.18
0.1× median
86780Normal range

$1K

16K claims · 0.0%

Your Cost: $0.07/claim|Median: $9.83
0.0× median
0011ANormal range

COVID-19 vaccine admin, Moderna, 1st dose

$1K

296 claims · 0.0%

Your Cost: $3.93/claim|Median: $25.93
0.2× median
87389Normal range

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

$1K

16K claims · 0.0%

Your Cost: $0.07/claim|Median: $18.03
0.0× median
90678Normal range

$1K

201 claims · 0.0%

Your Cost: $5.42/claim|Median: $89.09
0.1× median

Other Top Providers in South Carolina

View all →

Medical University Hospital Authority

General Acute Care Hospital

$241.4M

Spartanburg Medical Center

Ambulance

$187.8M

Prisma Health University Medical Group

Internal Medicine

$172.2M

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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