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PRISMA HEALTH-UPSTATE

General Acute Care Hospital·GREENVILLE, SC·NPI: 1437605532Share

Compared to General Acute Care Hospital Peers

Total spending distribution among 156 providers in this specialty

P25MedianP75P90

This provider's total spending of $25.0M is at the below 25th percentile among 156 General Acute Care Hospital providers.

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

Total Paid

$25.0M

$25,037,724

Total Claims

474K

Beneficiaries

450K

1.1 claims/patient

Avg Cost/Claim

$53

Monthly Spending Trend

Yearly Spending

2018
$3.8M
+1%
2019
$3.8M
-7%
2020
$3.6M
+34%
2021
$4.8M
-21%
2022
$3.8M
-1%
2023
$3.7M
-59%
2024
$1.5M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 50 distinct procedure codes. The top code (99213 (Office/outpatient visit, est. patient, low-mod complexity)) accounts for 15% of total spending.

99213Top 10%

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

$3.7M

49K claims · 14.8%

Your Cost: $75.73/claim|Median: $37.81
2.0× median
99212Top 10%

Office/outpatient visit, low complexity

$2.8M

31K claims · 11.1%

Your Cost: $88.73/claim|Median: $25.06
3.5× median
94760Top 1%

Pulse oximetry, single reading, noninvasive

$2.4M

27K claims · 9.4%

Your Cost: $86.67/claim|Median: $0.79
109.7× median
36415Top 1%

Collection of venous blood by venipuncture

$2.2M

14K claims · 8.7%

Your Cost: $154.06/claim|Median: $1.57
98.1× median
99391Top 25%

Preventive medicine, established patient, infant (under 1)

$1.9M

21K claims · 7.7%

Your Cost: $92.25/claim|Median: $69.35
1.3× median
96372Top 1%

Therapeutic injection, subcutaneous/intramuscular

$1.6M

1,784 claims · 6.2%

Your Cost: $870.16/claim|Median: $9.56
91.0× median
99214Normal range

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

$1.1M

22K claims · 4.2%

Your Cost: $47.91/claim|Median: $53.41
0.9× median
C9803Top 1%

$1.0M

6,297 claims · 4.2%

Your Cost: $165.90/claim|Median: $13.20
12.6× median
96365Top 1%

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

$1.0M

931 claims · 4.1%

Your Cost: $1,093.59/claim|Median: $54.77
20.0× median
99393Normal range

Preventive medicine, established patient, age 5-11

$842K

13K claims · 3.4%

Your Cost: $64.29/claim|Median: $74.82
0.9× median
99188Top 1%

$812K

12K claims · 3.2%

Your Cost: $68.94/claim|Median: $12.80
5.4× median
83655Top 1%

$811K

7,322 claims · 3.2%

Your Cost: $110.78/claim|Median: $10.49
10.6× median
99392Normal range

Preventive medicine, established patient, age 1-4

$675K

17K claims · 2.7%

Your Cost: $38.97/claim|Median: $75.18
0.5× median
99215Top 25%

Office/outpatient visit, high complexity

$592K

4,086 claims · 2.4%

Your Cost: $144.96/claim|Median: $74.09
2.0× median
96110Top 5%

Developmental screening, per standardized instrument

$528K

5,819 claims · 2.1%

Your Cost: $90.75/claim|Median: $9.10
10.0× median
99394Normal range

Preventive medicine, established patient, age 12-17

$461K

8,106 claims · 1.8%

Your Cost: $56.81/claim|Median: $80.15
0.7× median
87804Top 5%

Influenza virus detection, rapid test

$255K

4,514 claims · 1.0%

Your Cost: $56.46/claim|Median: $12.59
4.5× median
87070Top 1%

Bacterial culture, any source except blood or urine

$173K

1,421 claims · 0.7%

Your Cost: $121.50/claim|Median: $5.89
20.6× median
81003Top 1%

Urinalysis, automated without microscopy

$156K

3,255 claims · 0.6%

Your Cost: $47.80/claim|Median: $1.48
32.3× median
85018Top 5%

$151K

8,311 claims · 0.6%

Your Cost: $18.22/claim|Median: $1.71
10.7× median
80053Top 10%

Comprehensive metabolic panel

$144K

5,292 claims · 0.6%

Your Cost: $27.24/claim|Median: $7.24
3.8× median
96127Top 1%

Brief emotional/behavioral assessment, per standardized instrument

$140K

1,395 claims · 0.6%

Your Cost: $100.19/claim|Median: $3.67
27.3× median
94664Top 5%

$124K

1,822 claims · 0.5%

Your Cost: $67.94/claim|Median: $8.88
7.7× median
82247Top 1%

$119K

1,211 claims · 0.5%

Your Cost: $98.61/claim|Median: $2.74
36.0× median
0202UNormal range

Proprietary lab analysis, human genomic sequencing

$119K

682 claims · 0.5%

Your Cost: $174.36/claim|Median: $144.30
1.2× median
87086Top 1%

Urine culture, colony count, with identification

$116K

1,597 claims · 0.5%

Your Cost: $72.83/claim|Median: $5.31
13.7× median
99174Top 1%

$109K

1,020 claims · 0.4%

Your Cost: $107.32/claim|Median: $5.27
20.4× median
81025Top 1%

Urine pregnancy test

$105K

949 claims · 0.4%

Your Cost: $110.98/claim|Median: $4.81
23.1× median
96161Top 1%

$100K

1,045 claims · 0.4%

Your Cost: $95.52/claim|Median: $2.49
38.4× median
99211Top 5%

Office/outpatient visit, minimal complexity

$92K

1,262 claims · 0.4%

Your Cost: $72.97/claim|Median: $12.93
5.6× median
87081Top 5%

Culture screening for pathogenic organisms

$92K

1,096 claims · 0.4%

Your Cost: $83.67/claim|Median: $5.09
16.4× median
87880Top 5%

Streptococcus, Group A, rapid antigen detection

$80K

3,293 claims · 0.3%

Your Cost: $24.29/claim|Median: $11.48
2.1× median
96413Top 1%

Chemotherapy administration, IV infusion, up to 1 hour

$79K

121 claims · 0.3%

Your Cost: $655.97/claim|Median: $75.28
8.7× median
87077Top 1%

Bacterial culture, aerobic, additional methods required

$58K

814 claims · 0.2%

Your Cost: $71.82/claim|Median: $4.52
15.9× median
90686Normal range

Influenza virus vaccine, quadrivalent, preservative-free, IM

$38K

19K claims · 0.2%

Your Cost: $1.99/claim|Median: $7.18
0.3× median
87636Normal range

Respiratory virus detection, 6-11 targets, nucleic acid

$37K

491 claims · 0.1%

Your Cost: $75.26/claim|Median: $97.61
0.8× median
94010Top 5%

$34K

228 claims · 0.1%

Your Cost: $149.65/claim|Median: $18.11
8.3× median
U0003Normal range

Infectious disease detection (COVID-19)

$26K

4,208 claims · 0.1%

Your Cost: $6.09/claim|Median: $63.08
0.1× median
87491Top 25%

Chlamydia detection, nucleic acid, amplified probe

$24K

677 claims · 0.1%

Your Cost: $34.71/claim|Median: $24.95
1.4× median
87635Normal range

COVID-19 SARS-CoV-2 amplified probe detection

$23K

1,977 claims · 0.1%

Your Cost: $11.73/claim|Median: $39.70
0.3× median
94761Top 25%

$21K

985 claims · 0.1%

Your Cost: $20.95/claim|Median: $1.47
14.3× median
87637Top 25%

Respiratory virus detection, 3-5 targets, nucleic acid

$20K

156 claims · 0.1%

Your Cost: $130.73/claim|Median: $100.62
1.3× median
96160Top 25%

Patient-focused health risk assessment

$20K

1,468 claims · 0.1%

Your Cost: $13.77/claim|Median: $2.10
6.6× median
90460Normal range

Immunization administration, first vaccine/toxoid, with counseling

$17K

42K claims · 0.1%

Your Cost: $0.40/claim|Median: $17.85
0.0× median
85007Top 5%

$17K

848 claims · 0.1%

Your Cost: $19.59/claim|Median: $1.77
11.1× median
85027Top 25%

Complete blood count (CBC), automated

$15K

1,938 claims · 0.1%

Your Cost: $7.91/claim|Median: $3.72
2.1× median
80061Normal range

Lipid panel

$14K

5,808 claims · 0.1%

Your Cost: $2.43/claim|Median: $8.41
0.3× median
90461Normal range

Immunization admin, additional vaccine, counseling

$14K

12K claims · 0.1%

Your Cost: $1.17/claim|Median: $6.93
0.2× median
81001Top 5%

Urinalysis, automated, with microscopy

$13K

866 claims · 0.1%

Your Cost: $15.02/claim|Median: $2.03
7.4× median
G0463Normal range

Hospital outpatient clinic visit

$13K

245 claims · 0.1%

Your Cost: $52.66/claim|Median: $26.41
2.0× 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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