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ASCENSION SETON

General Acute Care Hospital, Children·AUSTIN, TX·NPI: 1447355771Share
Active Billing Period:2020-11→2024-12(50 months)

Total Paid

$29.4M

$29,438,227

Total Claims

211K

Beneficiaries

201K

1.0 claims/patient

Avg Cost/Claim

$140

Monthly Spending Trend

Yearly Spending

2020
$475K
+1199%
2021
$6.2M
+39%
2022
$8.6M
+12%
2023
$9.6M
-53%
2024
$4.5M

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 42% of total spending.

99284Top 1%

Emergency dept visit, high complexity

$12.4M

25K claims · 42.2%

Your Cost: $494.40/claim|Median: $69.51
7.1× median
99283Top 25%

Emergency dept visit, moderate complexity

$9.2M

71K claims · 31.1%

Your Cost: $128.23/claim|Median: $42.48
3.0× median
99285Top 5%

Emergency dept visit, high/urgent complexity

$2.1M

4,136 claims · 7.1%

Your Cost: $506.70/claim|Median: $85.65
5.9× median
99213Top 5%

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

$1.6M

16K claims · 5.3%

Your Cost: $98.24/claim|Median: $37.81
2.6× median
41899Normal range

Unlisted procedure, dentoalveolar structures

$684K

584 claims · 2.3%

Your Cost: $1,170.55/claim|Median: $763.43
1.5× median
99203Top 10%

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

$568K

5,208 claims · 1.9%

Your Cost: $108.98/claim|Median: $57.85
1.9× median
99282Top 25%

Emergency dept visit, low complexity

$526K

3,932 claims · 1.8%

Your Cost: $133.66/claim|Median: $37.72
3.5× median
85025Top 10%

Complete blood count (CBC) with differential, automated

$383K

16K claims · 1.3%

Your Cost: $23.91/claim|Median: $4.71
5.1× median
99204Normal range

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

$259K

2,370 claims · 0.9%

Your Cost: $109.23/claim|Median: $84.03
1.3× median
99211Top 5%

Office/outpatient visit, minimal complexity

$169K

1,880 claims · 0.6%

Your Cost: $89.90/claim|Median: $12.93
7.0× median
80053Top 25%

Comprehensive metabolic panel

$160K

8,346 claims · 0.5%

Your Cost: $19.14/claim|Median: $7.24
2.6× median
99212Top 5%

Office/outpatient visit, low complexity

$148K

1,499 claims · 0.5%

Your Cost: $98.63/claim|Median: $25.06
3.9× median
G0378Top 1%

Hospital observation service, per hour

$128K

71 claims · 0.4%

Your Cost: $1,804.84/claim|Median: $99.39
18.2× median
71046Top 25%

Chest X-ray, 2 views

$119K

5,305 claims · 0.4%

Your Cost: $22.40/claim|Median: $8.92
2.5× median
U0003Normal range

Infectious disease detection (COVID-19)

$118K

4,369 claims · 0.4%

Your Cost: $26.99/claim|Median: $63.08
0.4× median
42820Top 5%

Tonsillectomy and adenoidectomy, under age 12

$98K

28 claims · 0.3%

Your Cost: $3,505.09/claim|Median: $331.68
10.6× median
99281Top 25%

Emergency dept visit, minimal complexity

$84K

790 claims · 0.3%

Your Cost: $106.85/claim|Median: $52.03
2.1× median
72082Top 25%

$80K

1,413 claims · 0.3%

Your Cost: $56.52/claim|Median: $31.02
1.8× median
85045Top 5%

$76K

2,946 claims · 0.3%

Your Cost: $25.66/claim|Median: $1.64
15.6× median
97110Top 5%

Therapeutic exercises, each 15 min

$74K

883 claims · 0.3%

Your Cost: $83.87/claim|Median: $24.49
3.4× median
76705Top 25%

Ultrasound, abdominal, limited

$43K

641 claims · 0.1%

Your Cost: $66.72/claim|Median: $23.81
2.8× median
87804Normal range

Influenza virus detection, rapid test

$39K

2,709 claims · 0.1%

Your Cost: $14.34/claim|Median: $12.59
1.1× median
U0002Normal range

COVID-19 lab test, non-CDC, nucleic acid

$36K

1,816 claims · 0.1%

Your Cost: $20.08/claim|Median: $34.62
0.6× median
87086Normal range

Urine culture, colony count, with identification

$34K

7,101 claims · 0.1%

Your Cost: $4.72/claim|Median: $5.31
0.9× median
95810Top 1%

Polysomnography, sleep study, 6+ hours

$30K

13 claims · 0.1%

Your Cost: $2,281.05/claim|Median: $233.73
9.8× median
29705Normal range

$30K

2,419 claims · 0.1%

Your Cost: $12.24/claim|Median: $40.76
0.3× median
69436Top 5%

Tympanostomy, general anesthesia

$29K

18 claims · 0.1%

Your Cost: $1,635.56/claim|Median: $205.50
8.0× median
29075Top 25%

$29K

208 claims · 0.1%

Your Cost: $140.77/claim|Median: $64.43
2.2× median
U0005Normal range

Infectious disease detection, COVID-19, antigen

$27K

3,730 claims · 0.1%

Your Cost: $7.20/claim|Median: $15.76
0.5× median
80048Top 1%

Basic metabolic panel

$22K

222 claims · 0.1%

Your Cost: $100.96/claim|Median: $5.78
17.5× median
81001Normal range

Urinalysis, automated, with microscopy

$22K

12K claims · 0.1%

Your Cost: $1.84/claim|Median: $2.03
0.9× median
73100Top 25%

$22K

774 claims · 0.1%

Your Cost: $28.68/claim|Median: $13.37
2.1× median
77073Normal range

$14K

458 claims · 0.0%

Your Cost: $30.31/claim|Median: $19.29
1.6× median
93005Top 25%

Electrocardiogram, tracing only, without interpretation

$12K

543 claims · 0.0%

Your Cost: $21.73/claim|Median: $7.50
2.9× median
99215Normal range

Office/outpatient visit, high complexity

$11K

146 claims · 0.0%

Your Cost: $73.17/claim|Median: $74.09
1.0× median
82728Top 5%

Ferritin

$9K

80 claims · 0.0%

Your Cost: $115.82/claim|Median: $6.00
19.3× median
73090Top 25%

$9K

431 claims · 0.0%

Your Cost: $21.46/claim|Median: $8.95
2.4× median
93303Top 10%

Echocardiography, transthoracic, limited

$9K

25 claims · 0.0%

Your Cost: $352.64/claim|Median: $112.83
3.1× median
29125Normal range

$8K

530 claims · 0.0%

Your Cost: $15.97/claim|Median: $28.04
0.6× median
93320Top 5%

$7K

25 claims · 0.0%

Your Cost: $288.06/claim|Median: $28.68
10.0× median
94640Top 10%

Pressurized or nonpressurized inhalation treatment

$7K

127 claims · 0.0%

Your Cost: $52.07/claim|Median: $10.88
4.8× median
99214Top 5%

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

$7K

56 claims · 0.0%

Your Cost: $117.74/claim|Median: $53.41
2.2× median
73521Normal range

$6K

209 claims · 0.0%

Your Cost: $29.70/claim|Median: $16.56
1.8× median
73070Top 25%

$6K

216 claims · 0.0%

Your Cost: $26.96/claim|Median: $10.12
2.7× median
L3913Normal range

$6K

69 claims · 0.0%

Your Cost: $82.25/claim|Median: $138.71
0.6× median
87633Normal range

Respiratory virus detection, 12-25 targets, nucleic acid

$5K

25 claims · 0.0%

Your Cost: $212.68/claim|Median: $169.17
1.3× median
64642Top 10%

$4K

12 claims · 0.0%

Your Cost: $366.45/claim|Median: $81.85
4.5× median
87880Normal range

Streptococcus, Group A, rapid antigen detection

$4K

516 claims · 0.0%

Your Cost: $8.07/claim|Median: $11.48
0.7× median
96375Top 1%

Therapeutic/prophylactic/diagnostic IV push, each additional substance

$4K

27 claims · 0.0%

Your Cost: $144.06/claim|Median: $14.92
9.7× median
73630Top 25%

X-ray, foot, complete, minimum 3 views

$4K

176 claims · 0.0%

Your Cost: $21.74/claim|Median: $12.06
1.8× median

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