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ST. MARY'S REGIONAL MEDICAL CENTER

General Acute Care Hospital·LEWISTON, ME·NPI: 1447226584Share

Compared to General Acute Care Hospital Peers

Total spending distribution among 156 providers in this specialty

P25MedianP75P90

This provider's total spending of $67.3M is at the below 25th percentile among 156 General Acute Care Hospital providers.

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

Total Paid

$67.3M

$67,302,076

Total Claims

2.1M

Beneficiaries

1.7M

1.2 claims/patient

Avg Cost/Claim

$32

Monthly Spending Trend

Yearly Spending

2018
$7.2M
+18%
2019
$8.5M
-10%
2020
$7.6M
+35%
2021
$10.3M
+4%
2022
$10.7M
+7%
2023
$11.4M
+1%
2024
$11.6M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 50 distinct procedure codes. The top code (G0463 (Hospital outpatient clinic visit)) accounts for 21% of total spending.

G0463Top 25%

Hospital outpatient clinic visit

$13.9M

230K claims · 20.6%

Your Cost: $60.12/claim|Median: $26.41
2.3× median
99283Top 25%

Emergency dept visit, moderate complexity

$6.8M

69K claims · 10.1%

Your Cost: $98.09/claim|Median: $42.48
2.3× median
99284Top 25%

Emergency dept visit, high complexity

$6.1M

48K claims · 9.1%

Your Cost: $127.71/claim|Median: $69.51
1.8× median
99285Top 5%

Emergency dept visit, high/urgent complexity

$5.9M

19K claims · 8.8%

Your Cost: $314.69/claim|Median: $85.65
3.7× median
99214Normal range

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

$3.1M

96K claims · 4.6%

Your Cost: $32.15/claim|Median: $53.41
0.6× median
H2012Normal range

Behavioral health day treatment, per hour

$3.0M

41K claims · 4.5%

Your Cost: $74.22/claim|Median: $137.86
0.5× median
99213Normal range

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

$1.8M

75K claims · 2.6%

Your Cost: $23.63/claim|Median: $37.81
0.6× median
99282Normal range

Emergency dept visit, low complexity

$1.2M

21K claims · 1.8%

Your Cost: $58.74/claim|Median: $37.72
1.6× median
90792Normal range

Psychiatric diagnostic evaluation with medical services

$1.2M

19K claims · 1.8%

Your Cost: $63.68/claim|Median: $108.91
0.6× median
96374Top 25%

Therapeutic/prophylactic/diagnostic IV push, single substance

$1.1M

11K claims · 1.6%

Your Cost: $92.82/claim|Median: $21.76
4.3× median
A0427Normal range

Ambulance, ALS emergency transport Level 1

$944K

5,160 claims · 1.4%

Your Cost: $183.04/claim|Median: $164.22
1.1× median
87637Normal range

Respiratory virus detection, 3-5 targets, nucleic acid

$877K

13K claims · 1.3%

Your Cost: $65.16/claim|Median: $100.62
0.6× median
J0585Normal range

Injection, onabotulinumtoxinA, 1 unit

$811K

2,404 claims · 1.2%

Your Cost: $337.50/claim|Median: $470.36
0.7× median
74177Normal range

CT abdomen and pelvis with contrast

$733K

5,004 claims · 1.1%

Your Cost: $146.39/claim|Median: $65.76
2.2× median
99232Normal range

Subsequent hospital care, per day, moderate complexity

$728K

22K claims · 1.1%

Your Cost: $32.80/claim|Median: $23.99
1.4× median
20610Top 10%

Arthrocentesis, aspiration/injection, major joint

$608K

7,799 claims · 0.9%

Your Cost: $77.94/claim|Median: $29.03
2.7× median
97110Normal range

Therapeutic exercises, each 15 min

$548K

32K claims · 0.8%

Your Cost: $17.37/claim|Median: $24.49
0.7× median
11042Normal range

Debridement, subcutaneous tissue, first 20 sq cm

$548K

7,725 claims · 0.8%

Your Cost: $70.88/claim|Median: $36.13
2.0× median
95810Normal range

Polysomnography, sleep study, 6+ hours

$522K

1,635 claims · 0.8%

Your Cost: $319.38/claim|Median: $233.73
1.4× median
96365Normal range

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

$494K

6,560 claims · 0.7%

Your Cost: $75.25/claim|Median: $54.77
1.4× median
29581Normal range

$483K

16K claims · 0.7%

Your Cost: $30.06/claim|Median: $41.19
0.7× median
A0429Normal range

Ambulance, BLS emergency transport

$472K

2,760 claims · 0.7%

Your Cost: $170.86/claim|Median: $138.19
1.2× median
71046Top 10%

Chest X-ray, 2 views

$471K

13K claims · 0.7%

Your Cost: $35.73/claim|Median: $8.92
4.0× median
20553Top 25%

$434K

5,767 claims · 0.6%

Your Cost: $75.19/claim|Median: $29.47
2.6× median
76819Normal range

Fetal biophysical profile with non-stress test

$406K

6,892 claims · 0.6%

Your Cost: $58.93/claim|Median: $49.45
1.2× median
A0425Normal range

Ground mileage, per statute mile

$387K

13K claims · 0.6%

Your Cost: $29.27/claim|Median: $23.36
1.3× median
96361Normal range

IV infusion, hydration, each additional hour

$358K

10K claims · 0.5%

Your Cost: $35.76/claim|Median: $38.92
0.9× median
93306Top 25%

Echocardiography, transthoracic, complete, with Doppler

$345K

2,091 claims · 0.5%

Your Cost: $164.79/claim|Median: $54.68
3.0× median
96413Normal range

Chemotherapy administration, IV infusion, up to 1 hour

$323K

3,042 claims · 0.5%

Your Cost: $106.19/claim|Median: $75.28
1.4× median
99223Normal range

Initial hospital care, per day, high complexity

$317K

3,338 claims · 0.5%

Your Cost: $94.96/claim|Median: $67.32
1.4× median
99239Normal range

Hospital discharge day management, more than 30 minutes

$311K

6,053 claims · 0.5%

Your Cost: $51.39/claim|Median: $43.85
1.2× median
43239Normal range

Upper GI endoscopy with biopsy

$310K

1,275 claims · 0.5%

Your Cost: $243.51/claim|Median: $151.68
1.6× median
A0428Normal range

Ambulance service, BLS, non-emergency transport

$298K

4,884 claims · 0.4%

Your Cost: $60.98/claim|Median: $58.05
1.1× median
96360Normal range

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

$292K

3,503 claims · 0.4%

Your Cost: $83.30/claim|Median: $61.57
1.4× median
96375Normal range

Therapeutic/prophylactic/diagnostic IV push, each additional substance

$289K

9,800 claims · 0.4%

Your Cost: $29.53/claim|Median: $14.92
2.0× median
99222Normal range

Initial hospital care, per day, moderate complexity

$268K

4,026 claims · 0.4%

Your Cost: $66.65/claim|Median: $51.25
1.3× median
74176Normal range

CT abdomen and pelvis without contrast

$259K

2,819 claims · 0.4%

Your Cost: $91.96/claim|Median: $60.19
1.5× median
59025Top 25%

Fetal non-stress test

$258K

2,371 claims · 0.4%

Your Cost: $108.61/claim|Median: $26.45
4.1× median
70450Normal range

CT head/brain without contrast

$244K

4,835 claims · 0.4%

Your Cost: $50.55/claim|Median: $45.53
1.1× median
99203Normal range

Office/outpatient visit, new patient, low-mod complexity

$229K

7,161 claims · 0.3%

Your Cost: $32.00/claim|Median: $57.85
0.6× median
45385Normal range

Colonoscopy with polyp removal, snare technique

$205K

544 claims · 0.3%

Your Cost: $376.69/claim|Median: $255.17
1.5× median
82306Normal range

Vitamin D, 25 hydroxy

$205K

12K claims · 0.3%

Your Cost: $16.54/claim|Median: $18.18
0.9× median
71045Top 10%

Chest X-ray, single view

$199K

6,396 claims · 0.3%

Your Cost: $31.06/claim|Median: $4.93
6.3× median
84443Normal range

Thyroid stimulating hormone (TSH)

$196K

26K claims · 0.3%

Your Cost: $7.55/claim|Median: $9.87
0.8× median
80053Normal range

Comprehensive metabolic panel

$195K

68K claims · 0.3%

Your Cost: $2.88/claim|Median: $7.24
0.4× median
64493Top 25%

$195K

674 claims · 0.3%

Your Cost: $288.60/claim|Median: $103.44
2.8× median
77067Normal range

Screening mammography, bilateral, including CAD

$190K

3,621 claims · 0.3%

Your Cost: $52.35/claim|Median: $39.33
1.3× median
90870Normal range

$187K

1,833 claims · 0.3%

Your Cost: $101.85/claim|Median: $68.07
1.5× median
73721Normal range

MRI joint of lower extremity without contrast

$172K

1,309 claims · 0.3%

Your Cost: $131.78/claim|Median: $127.34
1.0× median
99204Normal range

Office/outpatient visit, new patient, mod-high complexity

$172K

3,399 claims · 0.3%

Your Cost: $50.70/claim|Median: $84.03
0.6× median

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$1.08B

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$961.1M

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