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UPMC PINNACLE HOSPITALS

General Acute Care Hospital·HARRISBURG, PA·NPI: 1407813603Share

Compared to General Acute Care Hospital Peers

Total spending distribution among 156 providers in this specialty

P25MedianP75P90

This provider's total spending of $26.9M is at the below 25th percentile among 156 General Acute Care Hospital providers.

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

Total Paid

$26.9M

$26,917,208

Total Claims

840K

Beneficiaries

753K

1.1 claims/patient

Avg Cost/Claim

$32

Monthly Spending Trend

Yearly Spending

2018
$144K
+17%
2019
$168K
+1490%
2020
$2.7M
+360%
2021
$12.3M
-68%
2022
$4.0M
-5%
2023
$3.8M
+1%
2024
$3.8M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 50 distinct procedure codes. The top code (99284 (Emergency dept visit, high complexity)) accounts for 22% of total spending.

99284Top 25%

Emergency dept visit, high complexity

$6.0M

56K claims · 22.4%

Your Cost: $108.02/claim|Median: $69.51
1.6× median
G0378Top 10%

Hospital observation service, per hour

$3.2M

4,325 claims · 12.0%

Your Cost: $744.59/claim|Median: $99.39
7.5× median
99283Top 25%

Emergency dept visit, moderate complexity

$3.0M

38K claims · 11.0%

Your Cost: $78.73/claim|Median: $42.48
1.9× median
99285Normal range

Emergency dept visit, high/urgent complexity

$1.4M

12K claims · 5.1%

Your Cost: $112.81/claim|Median: $85.65
1.3× median
93306Top 25%

Echocardiography, transthoracic, complete, with Doppler

$834K

5,836 claims · 3.1%

Your Cost: $142.87/claim|Median: $54.68
2.6× median
U0003Top 25%

Infectious disease detection (COVID-19)

$489K

6,087 claims · 1.8%

Your Cost: $80.35/claim|Median: $63.08
1.3× median
74177Top 25%

CT abdomen and pelvis with contrast

$429K

2,190 claims · 1.6%

Your Cost: $196.00/claim|Median: $65.76
3.0× median
80053Top 25%

Comprehensive metabolic panel

$415K

39K claims · 1.5%

Your Cost: $10.70/claim|Median: $7.24
1.5× median
85025Normal range

Complete blood count (CBC) with differential, automated

$345K

68K claims · 1.3%

Your Cost: $5.07/claim|Median: $4.71
1.1× median
96374Normal range

Therapeutic/prophylactic/diagnostic IV push, single substance

$334K

13K claims · 1.2%

Your Cost: $25.06/claim|Median: $21.76
1.2× median
87536Top 5%

HIV-1 detection by nucleic acid, quantitative

$292K

2,566 claims · 1.1%

Your Cost: $113.81/claim|Median: $51.73
2.2× median
93005Normal range

Electrocardiogram, tracing only, without interpretation

$272K

26K claims · 1.0%

Your Cost: $10.39/claim|Median: $7.50
1.4× median
87491Normal range

Chlamydia detection, nucleic acid, amplified probe

$270K

10K claims · 1.0%

Your Cost: $26.94/claim|Median: $24.95
1.1× median
U0002Normal range

COVID-19 lab test, non-CDC, nucleic acid

$266K

9,778 claims · 1.0%

Your Cost: $27.16/claim|Median: $34.62
0.8× median
80061Top 25%

Lipid panel

$258K

18K claims · 1.0%

Your Cost: $14.28/claim|Median: $8.41
1.7× median
X0620Normal range

$252K

1,145 claims · 0.9%

Your Cost: $220.16/claim|Median: $191.98
1.1× median
80048Normal range

Basic metabolic panel

$247K

33K claims · 0.9%

Your Cost: $7.43/claim|Median: $5.78
1.3× median
87591Normal range

Neisseria gonorrhoeae detection, nucleic acid, amplified probe

$240K

9,152 claims · 0.9%

Your Cost: $26.24/claim|Median: $23.39
1.1× median
99282Normal range

Emergency dept visit, low complexity

$215K

5,146 claims · 0.8%

Your Cost: $41.74/claim|Median: $37.72
1.1× median
96372Normal range

Therapeutic injection, subcutaneous/intramuscular

$202K

16K claims · 0.7%

Your Cost: $12.30/claim|Median: $9.56
1.3× median
87661Top 10%

Trichomonas vaginalis detection, nucleic acid, amplified probe

$198K

5,029 claims · 0.7%

Your Cost: $39.46/claim|Median: $21.08
1.9× median
80050Top 25%

General health panel

$187K

4,125 claims · 0.7%

Your Cost: $45.25/claim|Median: $25.59
1.8× median
96413Normal range

Chemotherapy administration, IV infusion, up to 1 hour

$184K

1,920 claims · 0.7%

Your Cost: $95.87/claim|Median: $75.28
1.3× median
93303Normal range

Echocardiography, transthoracic, limited

$174K

1,467 claims · 0.6%

Your Cost: $118.66/claim|Median: $112.83
1.1× median
70450Normal range

CT head/brain without contrast

$173K

2,636 claims · 0.6%

Your Cost: $65.66/claim|Median: $45.53
1.4× median
95810Normal range

Polysomnography, sleep study, 6+ hours

$172K

454 claims · 0.6%

Your Cost: $378.81/claim|Median: $233.73
1.6× median
80307Normal range

Drug test, presumptive, by chemistry analyzers

$169K

3,813 claims · 0.6%

Your Cost: $44.44/claim|Median: $35.43
1.3× median
71046Normal range

Chest X-ray, 2 views

$163K

11K claims · 0.6%

Your Cost: $14.56/claim|Median: $8.92
1.6× median
70553Top 25%

MRI brain without contrast, then with contrast

$157K

571 claims · 0.6%

Your Cost: $275.13/claim|Median: $133.68
2.1× median
77067Top 25%

Screening mammography, bilateral, including CAD

$156K

1,858 claims · 0.6%

Your Cost: $83.89/claim|Median: $39.33
2.1× median
78815Top 25%

PET imaging for limited area

$147K

155 claims · 0.5%

Your Cost: $951.60/claim|Median: $325.10
2.9× median
84443Top 10%

Thyroid stimulating hormone (TSH)

$140K

6,205 claims · 0.5%

Your Cost: $22.60/claim|Median: $9.87
2.3× median
71275Normal range

CT angiography, chest, with contrast

$132K

845 claims · 0.5%

Your Cost: $156.54/claim|Median: $92.96
1.7× median
G0480Normal range

Drug test, definitive, 1-7 drug classes

$122K

2,264 claims · 0.5%

Your Cost: $53.85/claim|Median: $37.56
1.4× median
99281Normal range

Emergency dept visit, minimal complexity

$118K

5,171 claims · 0.4%

Your Cost: $22.80/claim|Median: $52.03
0.4× median
J9271Normal range

Injection, pembrolizumab, 1 mg

$117K

568 claims · 0.4%

Your Cost: $205.48/claim|Median: $5,391.55
0.0× median
0241UNormal range

Proprietary lab analysis, genomic sequencing

$115K

2,441 claims · 0.4%

Your Cost: $47.15/claim|Median: $91.47
0.5× median
82306Top 25%

Vitamin D, 25 hydroxy

$114K

3,450 claims · 0.4%

Your Cost: $33.07/claim|Median: $18.18
1.8× median
74176Normal range

CT abdomen and pelvis without contrast

$110K

1,121 claims · 0.4%

Your Cost: $97.96/claim|Median: $60.19
1.6× median
70551Top 25%

MRI brain without contrast

$105K

539 claims · 0.4%

Your Cost: $194.86/claim|Median: $85.39
2.3× median
J1439Normal range

$102K

1,834 claims · 0.4%

Your Cost: $55.38/claim|Median: $477.34
0.1× median
78452Normal range

Myocardial perfusion imaging, SPECT, multiple studies

$100K

590 claims · 0.4%

Your Cost: $169.57/claim|Median: $106.14
1.6× median
88175Top 10%

Cytopathology, cervical or vaginal, ThinPrep

$96K

2,920 claims · 0.4%

Your Cost: $32.89/claim|Median: $19.06
1.7× median
95811Top 25%

Sleep study with CPAP titration, polysomnography

$94K

199 claims · 0.3%

Your Cost: $471.98/claim|Median: $255.03
1.9× median
76830Normal range

Ultrasound, transvaginal

$94K

1,850 claims · 0.3%

Your Cost: $50.70/claim|Median: $57.47
0.9× median
96375Normal range

Therapeutic/prophylactic/diagnostic IV push, each additional substance

$93K

6,821 claims · 0.3%

Your Cost: $13.68/claim|Median: $14.92
0.9× median
T1015Normal range

Clinic visit/encounter, all-inclusive

$84K

1,959 claims · 0.3%

Your Cost: $43.00/claim|Median: $121.16
0.4× median
72148Top 25%

MRI lumbar spine without contrast

$81K

441 claims · 0.3%

Your Cost: $183.47/claim|Median: $101.03
1.8× median
87633Top 10%

Respiratory virus detection, 12-25 targets, nucleic acid

$78K

172 claims · 0.3%

Your Cost: $452.03/claim|Median: $169.17
2.7× median
96365Normal range

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

$76K

2,639 claims · 0.3%

Your Cost: $28.97/claim|Median: $54.77
0.5× median

Other Top Providers in Pennsylvania

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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

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