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MIDSTATE MEDICAL CENTER

General Acute Care Hospital·MERIDEN, CT·NPI: 1427007848Share

Compared to General Acute Care Hospital Peers

Total spending distribution among 156 providers in this specialty

P25MedianP75P90

This provider's total spending of $110.8M is at the below 25th percentile among 156 General Acute Care Hospital providers.

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

Total Paid

$110.8M

$110,822,437

Total Claims

2.2M

Beneficiaries

1.6M

1.3 claims/patient

Avg Cost/Claim

$51

Monthly Spending Trend

Yearly Spending

2018
$15.2M
+1%
2019
$15.4M
-18%
2020
$12.6M
+32%
2021
$16.6M
+4%
2022
$17.2M
-1%
2023
$17.1M
-1%
2024
$16.8M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 50 distinct procedure codes. The top code (99285 (Emergency dept visit, high/urgent complexity)) accounts for 24% of total spending.

99285Top 5%

Emergency dept visit, high/urgent complexity

$26.8M

52K claims · 24.2%

Your Cost: $516.75/claim|Median: $85.65
6.0× median
99284Top 5%

Emergency dept visit, high complexity

$17.1M

60K claims · 15.5%

Your Cost: $287.68/claim|Median: $69.51
4.1× median
99283Top 5%

Emergency dept visit, moderate complexity

$10.0M

48K claims · 9.0%

Your Cost: $205.89/claim|Median: $42.48
4.8× median
G0463Top 10%

Hospital outpatient clinic visit

$9.8M

97K claims · 8.8%

Your Cost: $100.78/claim|Median: $26.41
3.8× median
96374Top 5%

Therapeutic/prophylactic/diagnostic IV push, single substance

$5.1M

35K claims · 4.6%

Your Cost: $147.08/claim|Median: $21.76
6.8× median
74177Top 25%

CT abdomen and pelvis with contrast

$2.5M

12K claims · 2.3%

Your Cost: $208.12/claim|Median: $65.76
3.2× median
43239Top 25%

Upper GI endoscopy with biopsy

$2.4M

5,836 claims · 2.2%

Your Cost: $416.37/claim|Median: $151.68
2.7× median
45380Top 10%

Colonoscopy with biopsy

$2.2M

3,226 claims · 2.0%

Your Cost: $686.64/claim|Median: $200.68
3.4× median
96361Normal range

IV infusion, hydration, each additional hour

$1.8M

32K claims · 1.6%

Your Cost: $55.88/claim|Median: $38.92
1.4× median
11042Top 25%

Debridement, subcutaneous tissue, first 20 sq cm

$1.8M

13K claims · 1.6%

Your Cost: $140.35/claim|Median: $36.13
3.9× median
95810Normal range

Polysomnography, sleep study, 6+ hours

$1.3M

3,166 claims · 1.2%

Your Cost: $422.04/claim|Median: $233.73
1.8× median
71046Top 5%

Chest X-ray, 2 views

$1.3M

23K claims · 1.2%

Your Cost: $57.10/claim|Median: $8.92
6.4× median
U0004Normal range

COVID-19 test, nucleic acid detection, CDC lab only

$1.3M

20K claims · 1.2%

Your Cost: $63.81/claim|Median: $60.05
1.1× median
96360Top 25%

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

$1.2M

8,984 claims · 1.1%

Your Cost: $133.03/claim|Median: $61.57
2.2× median
96375Top 25%

Therapeutic/prophylactic/diagnostic IV push, each additional substance

$1.2M

25K claims · 1.1%

Your Cost: $45.97/claim|Median: $14.92
3.1× median
0241UNormal range

Proprietary lab analysis, genomic sequencing

$1.1M

11K claims · 1.0%

Your Cost: $105.13/claim|Median: $91.47
1.1× median
99213Normal range

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

$1.0M

40K claims · 0.9%

Your Cost: $25.99/claim|Median: $37.81
0.7× median
96365Top 25%

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

$1.0M

8,464 claims · 0.9%

Your Cost: $118.48/claim|Median: $54.77
2.2× median
99282Top 25%

Emergency dept visit, low complexity

$944K

7,776 claims · 0.9%

Your Cost: $121.36/claim|Median: $37.72
3.2× median
95811Normal range

Sleep study with CPAP titration, polysomnography

$907K

2,158 claims · 0.8%

Your Cost: $420.32/claim|Median: $255.03
1.6× median
99214Normal range

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

$905K

21K claims · 0.8%

Your Cost: $42.16/claim|Median: $53.41
0.8× median
U0003Top 25%

Infectious disease detection (COVID-19)

$903K

11K claims · 0.8%

Your Cost: $80.60/claim|Median: $63.08
1.3× median
70450Normal range

CT head/brain without contrast

$764K

13K claims · 0.7%

Your Cost: $58.22/claim|Median: $45.53
1.3× median
74176Top 25%

CT abdomen and pelvis without contrast

$718K

5,127 claims · 0.6%

Your Cost: $139.95/claim|Median: $60.19
2.3× median
77067Top 10%

Screening mammography, bilateral, including CAD

$706K

6,694 claims · 0.6%

Your Cost: $105.42/claim|Median: $39.33
2.7× median
47562Top 10%

$647K

161 claims · 0.6%

Your Cost: $4,020.53/claim|Median: $731.87
5.5× median
71045Top 5%

Chest X-ray, single view

$643K

13K claims · 0.6%

Your Cost: $49.37/claim|Median: $4.93
10.0× median
93975Top 25%

Duplex scan of arterial inflow and venous outflow, complete

$640K

3,125 claims · 0.6%

Your Cost: $204.76/claim|Median: $79.28
2.6× median
99291Top 5%

Critical care, first 30-74 minutes

$602K

1,201 claims · 0.5%

Your Cost: $501.17/claim|Median: $101.24
5.0× median
70553Top 25%

MRI brain without contrast, then with contrast

$595K

1,987 claims · 0.5%

Your Cost: $299.32/claim|Median: $133.68
2.2× median
87637Normal range

Respiratory virus detection, 3-5 targets, nucleic acid

$591K

5,545 claims · 0.5%

Your Cost: $106.61/claim|Median: $100.62
1.1× median
72125Top 25%

CT cervical spine without contrast

$582K

4,561 claims · 0.5%

Your Cost: $127.66/claim|Median: $32.30
4.0× median
11043Top 25%

$533K

3,021 claims · 0.5%

Your Cost: $176.42/claim|Median: $62.99
2.8× median
45385Top 25%

Colonoscopy with polyp removal, snare technique

$505K

1,140 claims · 0.5%

Your Cost: $442.70/claim|Median: $255.17
1.7× median
96413Top 25%

Chemotherapy administration, IV infusion, up to 1 hour

$498K

2,918 claims · 0.4%

Your Cost: $170.64/claim|Median: $75.28
2.3× median
59025Top 10%

Fetal non-stress test

$446K

2,804 claims · 0.4%

Your Cost: $159.04/claim|Median: $26.45
6.0× median
27447Normal range

Total knee replacement surgery, both components

$437K

297 claims · 0.4%

Your Cost: $1,470.76/claim|Median: $1,115.75
1.3× median
76641Top 25%

Ultrasound imaging of one breast, complete

$397K

4,549 claims · 0.4%

Your Cost: $87.26/claim|Median: $49.03
1.8× median
U0005Normal range

Infectious disease detection, COVID-19, antigen

$393K

19K claims · 0.4%

Your Cost: $21.17/claim|Median: $15.76
1.3× median
76830Top 25%

Ultrasound, transvaginal

$334K

3,277 claims · 0.3%

Your Cost: $101.97/claim|Median: $57.47
1.8× median
76700Top 25%

Ultrasound, abdominal, complete

$327K

3,457 claims · 0.3%

Your Cost: $94.70/claim|Median: $50.69
1.9× median
77065Top 10%

$320K

3,112 claims · 0.3%

Your Cost: $102.97/claim|Median: $35.39
2.9× median
76856Top 25%

Ultrasound, pelvic, complete

$314K

3,309 claims · 0.3%

Your Cost: $94.75/claim|Median: $47.58
2.0× median
52356Top 10%

$282K

93 claims · 0.3%

Your Cost: $3,035.43/claim|Median: $1,212.29
2.5× median
72148Normal range

MRI lumbar spine without contrast

$278K

1,935 claims · 0.3%

Your Cost: $143.56/claim|Median: $101.03
1.4× median
77066Top 25%

$264K

2,321 claims · 0.2%

Your Cost: $113.56/claim|Median: $43.94
2.6× median
71275Normal range

CT angiography, chest, with contrast

$254K

2,040 claims · 0.2%

Your Cost: $124.27/claim|Median: $92.96
1.3× median
93306Top 10%

Echocardiography, transthoracic, complete, with Doppler

$252K

1,043 claims · 0.2%

Your Cost: $241.38/claim|Median: $54.68
4.4× median
90791Normal range

Psychiatric diagnostic evaluation

$233K

6,277 claims · 0.2%

Your Cost: $37.10/claim|Median: $99.21
0.4× median
76642Top 25%

$212K

3,495 claims · 0.2%

Your Cost: $60.73/claim|Median: $32.06
1.9× median

Other Top Providers in Connecticut

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Yale New Haven Hospital

General Acute Care Hospital

$1.08B

Community Health Center INC

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$533.3M

New England Home Care Inc.

Home Health

$400.1M

Hartford Hospital

General Acute Care Hospital

$316.3M

Cornell Scott Hill Health Corporation

Psychiatry & Neurology, Child & Adolescent Psychia

$294.2M

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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