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MERCY HOSPITALS EAST COMMUNITIES

General Acute Care Hospital·SAINT LOUIS, MO·NPI: 1427098169Share

Compared to General Acute Care Hospital Peers

Total spending distribution among 156 providers in this specialty

P25MedianP75P90

This provider's total spending of $56.5M is at the below 25th percentile among 156 General Acute Care Hospital providers.

Active Billing Period:2018-012024-12(84 months)

Total Paid

$56.5M

$56,546,971

Total Claims

476K

Beneficiaries

403K

1.2 claims/patient

Avg Cost/Claim

$119

Monthly Spending Trend

Yearly Spending

2018
$14.1M
-9%
2019
$12.7M
-63%
2020
$4.7M
-56%
2021
$2.1M
+217%
2022
$6.6M
+32%
2023
$8.7M
-11%
2024
$7.8M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 50 distinct procedure codes. The top code (Y7506 (Healthcare procedure, code Y7506)) accounts for 16% of total spending.

Y7506Normal range

Healthcare procedure, code Y7506

$9.2M

38K claims · 16.3%

Your Cost: $243.25/claim|Median: $146.80
1.7× median
99285Top 25%

Emergency dept visit, high/urgent complexity

$9.1M

53K claims · 16.0%

Your Cost: $170.74/claim|Median: $85.65
2.0× median
99284Top 25%

Emergency dept visit, high complexity

$6.6M

45K claims · 11.8%

Your Cost: $147.60/claim|Median: $69.51
2.1× median
99283Top 25%

Emergency dept visit, moderate complexity

$5.7M

42K claims · 10.1%

Your Cost: $135.42/claim|Median: $42.48
3.2× median
X4011Normal range

Healthcare procedure, code X4011

$3.8M

19K claims · 6.6%

Your Cost: $197.02/claim|Median: $268.66
0.7× median
85025Top 5%

Complete blood count (CBC) with differential, automated

$2.2M

55K claims · 3.9%

Your Cost: $40.74/claim|Median: $4.71
8.6× median
G0463Top 25%

Hospital outpatient clinic visit

$1.6M

25K claims · 2.8%

Your Cost: $63.20/claim|Median: $26.41
2.4× median
76816Top 1%

Ultrasound, pregnant uterus, follow-up

$1.5M

7,469 claims · 2.6%

Your Cost: $195.06/claim|Median: $58.55
3.3× median
80053Top 10%

Comprehensive metabolic panel

$1.4M

43K claims · 2.5%

Your Cost: $32.99/claim|Median: $7.24
4.6× median
0202UTop 25%

Proprietary lab analysis, human genomic sequencing

$1.1M

3,687 claims · 1.9%

Your Cost: $288.54/claim|Median: $144.30
2.0× median
76815Top 1%

Ultrasound, pregnant uterus, limited

$1.0M

3,129 claims · 1.8%

Your Cost: $324.83/claim|Median: $36.79
8.8× median
93303Top 10%

Echocardiography, transthoracic, limited

$882K

2,100 claims · 1.6%

Your Cost: $420.16/claim|Median: $112.83
3.7× median
59025Top 5%

Fetal non-stress test

$879K

4,483 claims · 1.6%

Your Cost: $196.17/claim|Median: $26.45
7.4× median
43239Top 10%

Upper GI endoscopy with biopsy

$739K

1,357 claims · 1.3%

Your Cost: $544.64/claim|Median: $151.68
3.6× median
55175Top 10%

$679K

570 claims · 1.2%

Your Cost: $1,190.49/claim|Median: $198.01
6.0× median
93325Top 1%

$638K

1,690 claims · 1.1%

Your Cost: $377.58/claim|Median: $14.61
25.8× median
93005Top 1%

Electrocardiogram, tracing only, without interpretation

$542K

4,364 claims · 1.0%

Your Cost: $124.25/claim|Median: $7.50
16.6× median
99212Top 10%

Office/outpatient visit, low complexity

$539K

9,604 claims · 1.0%

Your Cost: $56.16/claim|Median: $25.06
2.2× median
99211Top 10%

Office/outpatient visit, minimal complexity

$526K

12K claims · 0.9%

Your Cost: $42.49/claim|Median: $12.93
3.3× median
88305Top 1%

Surgical pathology, gross and microscopic examination

$452K

1,577 claims · 0.8%

Your Cost: $286.91/claim|Median: $35.80
8.0× median
96413Top 25%

Chemotherapy administration, IV infusion, up to 1 hour

$436K

3,163 claims · 0.8%

Your Cost: $137.82/claim|Median: $75.28
1.8× median
93320Top 1%

$431K

1,032 claims · 0.8%

Your Cost: $417.80/claim|Median: $28.68
14.6× median
42820Top 10%

Tonsillectomy and adenoidectomy, under age 12

$350K

120 claims · 0.6%

Your Cost: $2,917.98/claim|Median: $331.68
8.8× median
81002Top 1%

Urinalysis, non-automated without microscopy

$306K

7,139 claims · 0.5%

Your Cost: $42.84/claim|Median: $2.00
21.4× median
74018Top 5%

$253K

2,673 claims · 0.4%

Your Cost: $94.48/claim|Median: $7.00
13.5× median
X4003Normal range

$243K

4,285 claims · 0.4%

Your Cost: $56.75/claim|Median: $74.03
0.8× median
87804Top 1%

Influenza virus detection, rapid test

$242K

1,451 claims · 0.4%

Your Cost: $166.66/claim|Median: $12.59
13.2× median
54304Top 1%

$237K

136 claims · 0.4%

Your Cost: $1,742.62/claim|Median: $758.04
2.3× median
76770Top 25%

Ultrasound, retroperitoneal, complete

$231K

2,675 claims · 0.4%

Your Cost: $86.42/claim|Median: $37.35
2.3× median
87880Top 1%

Streptococcus, Group A, rapid antigen detection

$210K

2,179 claims · 0.4%

Your Cost: $96.31/claim|Median: $11.48
8.4× median
69436Top 25%

Tympanostomy, general anesthesia

$189K

201 claims · 0.3%

Your Cost: $940.27/claim|Median: $205.50
4.6× median
99213Top 25%

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

$177K

2,930 claims · 0.3%

Your Cost: $60.50/claim|Median: $37.81
1.6× median
94060Top 5%

$177K

1,185 claims · 0.3%

Your Cost: $149.20/claim|Median: $25.18
5.9× median
36591Top 25%

$175K

3,366 claims · 0.3%

Your Cost: $51.89/claim|Median: $11.16
4.7× median
90686Top 1%

Influenza virus vaccine, quadrivalent, preservative-free, IM

$172K

4,247 claims · 0.3%

Your Cost: $40.41/claim|Median: $7.18
5.6× median
81001Top 5%

Urinalysis, automated, with microscopy

$171K

3,438 claims · 0.3%

Your Cost: $49.69/claim|Median: $2.03
24.5× median
99282Top 25%

Emergency dept visit, low complexity

$167K

1,695 claims · 0.3%

Your Cost: $98.77/claim|Median: $37.72
2.6× median
V2020Top 5%

Frames, purchases

$129K

1,897 claims · 0.2%

Your Cost: $68.08/claim|Median: $19.33
3.5× median
90698Top 1%

$117K

2,221 claims · 0.2%

Your Cost: $52.81/claim|Median: $6.32
8.4× median
90853Top 5%

Group psychotherapy

$108K

836 claims · 0.2%

Your Cost: $129.74/claim|Median: $25.02
5.2× median
90670Top 5%

$108K

1,698 claims · 0.2%

Your Cost: $63.80/claim|Median: $5.94
10.7× median
87086Top 5%

Urine culture, colony count, with identification

$103K

2,230 claims · 0.2%

Your Cost: $46.07/claim|Median: $5.31
8.7× median
83036Top 1%

Hemoglobin A1c (glycated hemoglobin)

$98K

2,366 claims · 0.2%

Your Cost: $41.42/claim|Median: $5.50
7.5× median
80061Top 1%

Lipid panel

$89K

1,452 claims · 0.2%

Your Cost: $61.48/claim|Median: $8.41
7.3× median
D7999Normal range

$89K

662 claims · 0.2%

Your Cost: $134.24/claim|Median: $981.06
0.1× median
92567Top 5%

$87K

1,762 claims · 0.2%

Your Cost: $49.24/claim|Median: $11.50
4.3× median
36415Top 5%

Collection of venous blood by venipuncture

$84K

2,556 claims · 0.1%

Your Cost: $32.94/claim|Median: $1.57
21.0× median
G0378Normal range

Hospital observation service, per hour

$81K

294 claims · 0.1%

Your Cost: $275.29/claim|Median: $99.39
2.8× median
45380Top 25%

Colonoscopy with biopsy

$75K

143 claims · 0.1%

Your Cost: $527.10/claim|Median: $200.68
2.6× median
96374Top 25%

Therapeutic/prophylactic/diagnostic IV push, single substance

$72K

769 claims · 0.1%

Your Cost: $93.51/claim|Median: $21.76
4.3× median