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MOUNT CARMEL HEALTH SYSTEM

General Acute Care Hospital·WESTERVILLE, OH·NPI: 1417037045Share

Compared to General Acute Care Hospital Peers

Total spending distribution among 156 providers in this specialty

P25MedianP75P90

This provider's total spending of $42.5M is at the below 25th percentile among 156 General Acute Care Hospital providers.

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

Total Paid

$42.5M

$42,475,506

Total Claims

1.1M

Beneficiaries

889K

1.2 claims/patient

Avg Cost/Claim

$40

Monthly Spending Trend

Yearly Spending

2018
$4.8M
-5%
2019
$4.6M
+26%
2020
$5.8M
-11%
2021
$5.1M
-3%
2022
$5.0M
+94%
2023
$9.7M
-23%
2024
$7.5M

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 14% of total spending.

99284Top 25%

Emergency dept visit, high complexity

$5.8M

43K claims · 13.7%

Your Cost: $134.61/claim|Median: $69.51
1.9× median
96361Top 10%

IV infusion, hydration, each additional hour

$5.8M

20K claims · 13.6%

Your Cost: $291.82/claim|Median: $38.92
7.5× median
99283Top 25%

Emergency dept visit, moderate complexity

$5.7M

47K claims · 13.5%

Your Cost: $122.69/claim|Median: $42.48
2.9× median
99285Top 25%

Emergency dept visit, high/urgent complexity

$3.6M

25K claims · 8.5%

Your Cost: $143.42/claim|Median: $85.65
1.7× median
99282Top 25%

Emergency dept visit, low complexity

$2.3M

21K claims · 5.4%

Your Cost: $110.04/claim|Median: $37.72
2.9× median
70450Top 5%

CT head/brain without contrast

$1.7M

6,860 claims · 4.1%

Your Cost: $251.85/claim|Median: $45.53
5.5× median
76816Top 10%

Ultrasound, pregnant uterus, follow-up

$1.7M

15K claims · 4.0%

Your Cost: $117.39/claim|Median: $58.55
2.0× median
99211Top 5%

Office/outpatient visit, minimal complexity

$1.5M

14K claims · 3.6%

Your Cost: $105.61/claim|Median: $12.93
8.2× median
59025Top 10%

Fetal non-stress test

$1.5M

10K claims · 3.5%

Your Cost: $144.85/claim|Median: $26.45
5.5× median
99212Top 5%

Office/outpatient visit, low complexity

$1.4M

13K claims · 3.4%

Your Cost: $110.44/claim|Median: $25.06
4.4× median
74176Top 10%

CT abdomen and pelvis without contrast

$1.2M

4,241 claims · 2.7%

Your Cost: $274.45/claim|Median: $60.19
4.6× median
74177Top 25%

CT abdomen and pelvis with contrast

$766K

2,851 claims · 1.8%

Your Cost: $268.76/claim|Median: $65.76
4.1× median
99213Top 5%

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

$734K

5,435 claims · 1.7%

Your Cost: $135.04/claim|Median: $37.81
3.6× median
96360Top 10%

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

$485K

2,432 claims · 1.1%

Your Cost: $199.40/claim|Median: $61.57
3.2× median
76811Normal range

Ultrasound, pregnant uterus, detailed, single fetus

$464K

4,171 claims · 1.1%

Your Cost: $111.27/claim|Median: $106.79
1.0× median
C9803Top 25%

$454K

12K claims · 1.1%

Your Cost: $36.59/claim|Median: $13.20
2.8× median
G0378Normal range

Hospital observation service, per hour

$413K

5,587 claims · 1.0%

Your Cost: $73.91/claim|Median: $99.39
0.7× median
80048Top 25%

Basic metabolic panel

$399K

42K claims · 0.9%

Your Cost: $9.50/claim|Median: $5.78
1.6× median
97110Top 10%

Therapeutic exercises, each 15 min

$329K

4,545 claims · 0.8%

Your Cost: $72.35/claim|Median: $24.49
3.0× median
99281Top 25%

Emergency dept visit, minimal complexity

$316K

2,874 claims · 0.7%

Your Cost: $109.78/claim|Median: $52.03
2.1× median
71275Top 10%

CT angiography, chest, with contrast

$311K

1,063 claims · 0.7%

Your Cost: $292.31/claim|Median: $92.96
3.1× median
94640Top 5%

Pressurized or nonpressurized inhalation treatment

$263K

2,365 claims · 0.6%

Your Cost: $111.41/claim|Median: $10.88
10.2× median
93306Top 10%

Echocardiography, transthoracic, complete, with Doppler

$240K

933 claims · 0.6%

Your Cost: $257.56/claim|Median: $54.68
4.7× median
96366Top 25%

IV infusion, therapeutic/prophylactic/diagnostic, each additional hour

$204K

1,050 claims · 0.5%

Your Cost: $194.50/claim|Median: $40.12
4.8× median
76805Top 25%

Ultrasound, pregnant uterus, complete, single fetus

$198K

1,581 claims · 0.5%

Your Cost: $125.38/claim|Median: $74.78
1.7× median
11042Top 25%

Debridement, subcutaneous tissue, first 20 sq cm

$185K

1,605 claims · 0.4%

Your Cost: $115.37/claim|Median: $36.13
3.2× median
93975Normal range

Duplex scan of arterial inflow and venous outflow, complete

$181K

1,140 claims · 0.4%

Your Cost: $159.19/claim|Median: $79.28
2.0× median
76817Normal range

Ultrasound, pregnant uterus, transvaginal

$177K

3,117 claims · 0.4%

Your Cost: $56.84/claim|Median: $47.65
1.2× median
76801Normal range

Ultrasound, pregnant uterus, single fetus, first trimester

$164K

2,423 claims · 0.4%

Your Cost: $67.79/claim|Median: $58.16
1.2× median
87502Normal range

Influenza virus detection, reverse transcription, amplified probe

$143K

7,986 claims · 0.3%

Your Cost: $17.91/claim|Median: $65.64
0.3× median
96365Normal range

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

$143K

1,871 claims · 0.3%

Your Cost: $76.45/claim|Median: $54.77
1.4× median
84484Normal range

Troponin, quantitative

$131K

23K claims · 0.3%

Your Cost: $5.63/claim|Median: $4.84
1.2× median
76820Top 25%

$128K

2,400 claims · 0.3%

Your Cost: $53.49/claim|Median: $31.79
1.7× median
81513Top 10%

$120K

908 claims · 0.3%

Your Cost: $131.92/claim|Median: $71.32
1.8× median
71046Normal range

Chest X-ray, 2 views

$102K

16K claims · 0.2%

Your Cost: $6.59/claim|Median: $8.92
0.7× median
76642Top 5%

$92K

682 claims · 0.2%

Your Cost: $134.75/claim|Median: $32.06
4.2× median
76856Top 10%

Ultrasound, pelvic, complete

$92K

595 claims · 0.2%

Your Cost: $154.08/claim|Median: $47.58
3.2× median
77063Top 10%

Screening digital breast tomosynthesis, bilateral

$90K

1,809 claims · 0.2%

Your Cost: $49.89/claim|Median: $21.41
2.3× median
86850Top 25%

$90K

5,194 claims · 0.2%

Your Cost: $17.26/claim|Median: $5.44
3.2× median
80076Normal range

Hepatic function panel

$84K

13K claims · 0.2%

Your Cost: $6.45/claim|Median: $4.59
1.4× median
76815Top 25%

Ultrasound, pregnant uterus, limited

$82K

1,323 claims · 0.2%

Your Cost: $61.79/claim|Median: $36.79
1.7× median
99291Normal range

Critical care, first 30-74 minutes

$80K

1,084 claims · 0.2%

Your Cost: $73.51/claim|Median: $101.24
0.7× median
78452Top 10%

Myocardial perfusion imaging, SPECT, multiple studies

$75K

166 claims · 0.2%

Your Cost: $454.26/claim|Median: $106.14
4.3× median
76705Top 25%

Ultrasound, abdominal, limited

$75K

937 claims · 0.2%

Your Cost: $80.19/claim|Median: $23.81
3.4× median
82805Normal range

$72K

2,617 claims · 0.2%

Your Cost: $27.53/claim|Median: $17.63
1.6× median
86780Top 25%

$72K

4,833 claims · 0.2%

Your Cost: $14.90/claim|Median: $9.83
1.5× median
80307Normal range

Drug test, presumptive, by chemistry analyzers

$65K

4,939 claims · 0.2%

Your Cost: $13.15/claim|Median: $35.43
0.4× median
99214Top 25%

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

$63K

727 claims · 0.1%

Your Cost: $87.04/claim|Median: $53.41
1.6× median
80053Normal range

Comprehensive metabolic panel

$62K

26K claims · 0.1%

Your Cost: $2.42/claim|Median: $7.24
0.3× median
86900Top 25%

$62K

5,231 claims · 0.1%

Your Cost: $11.81/claim|Median: $2.55
4.6× median

Other Top Providers in Ohio

View all →

The Cleveland Clinic Foundation

General Acute Care Hospital

$863.5M

Nationwide Children's Hospital

General Acute Care Hospital

$777.5M

Laboratory Corporation of America Holdings

Clinical Medical Laboratory

$617.0M

The Metrohealth System

General Acute Care Hospital

$574.1M

Children's Hospital Medical Center of Akron

General Acute Care Hospital Children

$556.6M

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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