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THE METHODIST HOSPITALS, INC

General Acute Care Hospital·GARY, IN·NPI: 1467504555Share

Compared to General Acute Care Hospital Peers

Total spending distribution among 156 providers in this specialty

P25MedianP75P90

This provider's total spending of $75.6M is at the below 25th percentile among 156 General Acute Care Hospital providers.

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

Total Paid

$75.6M

$75,572,548

Total Claims

1.4M

Beneficiaries

1.1M

1.3 claims/patient

Avg Cost/Claim

$53

Monthly Spending Trend

Yearly Spending

2018
$2.4M
+182%
2019
$6.8M
+17%
2020
$8.0M
+40%
2021
$11.2M
+51%
2022
$16.9M
+10%
2023
$18.6M
-38%
2024
$11.6M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 50 distinct procedure codes. The top code (99283 (Emergency dept visit, moderate complexity)) accounts for 14% of total spending.

99283Top 10%

Emergency dept visit, moderate complexity

$10.9M

71K claims · 14.4%

Your Cost: $153.04/claim|Median: $42.48
3.6× median
99284Top 25%

Emergency dept visit, high complexity

$7.0M

44K claims · 9.3%

Your Cost: $159.15/claim|Median: $69.51
2.3× median
99285Top 25%

Emergency dept visit, high/urgent complexity

$6.4M

37K claims · 8.5%

Your Cost: $173.63/claim|Median: $85.65
2.0× median
99282Top 25%

Emergency dept visit, low complexity

$5.7M

44K claims · 7.5%

Your Cost: $128.65/claim|Median: $37.72
3.4× median
71045Top 1%

Chest X-ray, single view

$4.8M

34K claims · 6.3%

Your Cost: $141.75/claim|Median: $4.93
28.8× median
99218Top 5%

$4.2M

12K claims · 5.6%

Your Cost: $346.14/claim|Median: $51.50
6.7× median
11042Top 1%

Debridement, subcutaneous tissue, first 20 sq cm

$4.0M

5,748 claims · 5.3%

Your Cost: $692.32/claim|Median: $36.13
19.2× median
J9271Normal range

Injection, pembrolizumab, 1 mg

$3.0M

660 claims · 3.9%

Your Cost: $4,499.74/claim|Median: $5,391.55
0.8× median
93005Top 5%

Electrocardiogram, tracing only, without interpretation

$2.7M

39K claims · 3.5%

Your Cost: $67.72/claim|Median: $7.50
9.0× median
97110Top 5%

Therapeutic exercises, each 15 min

$2.0M

21K claims · 2.6%

Your Cost: $96.20/claim|Median: $24.49
3.9× median
U0003Normal range

Infectious disease detection (COVID-19)

$1.6M

22K claims · 2.1%

Your Cost: $70.28/claim|Median: $63.08
1.1× median
C9803Top 10%

$1.5M

23K claims · 2.0%

Your Cost: $64.84/claim|Median: $13.20
4.9× median
87636Normal range

Respiratory virus detection, 6-11 targets, nucleic acid

$1.4M

13K claims · 1.9%

Your Cost: $113.16/claim|Median: $97.61
1.2× median
99221Top 1%

Initial hospital care, straightforward/low

$1.3M

3,117 claims · 1.8%

Your Cost: $431.47/claim|Median: $39.96
10.8× median
59025Top 5%

Fetal non-stress test

$1.2M

4,250 claims · 1.5%

Your Cost: $274.68/claim|Median: $26.45
10.4× median
74177Top 10%

CT abdomen and pelvis with contrast

$1.0M

2,724 claims · 1.3%

Your Cost: $371.17/claim|Median: $65.76
5.6× median
99213Top 5%

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

$893K

7,467 claims · 1.2%

Your Cost: $119.55/claim|Median: $37.81
3.2× median
76805Top 10%

Ultrasound, pregnant uterus, complete, single fetus

$855K

6,691 claims · 1.1%

Your Cost: $127.79/claim|Median: $74.78
1.7× median
96374Normal range

Therapeutic/prophylactic/diagnostic IV push, single substance

$807K

35K claims · 1.1%

Your Cost: $23.19/claim|Median: $21.76
1.1× median
96413Top 25%

Chemotherapy administration, IV infusion, up to 1 hour

$775K

4,179 claims · 1.0%

Your Cost: $185.36/claim|Median: $75.28
2.5× median
96372Top 25%

Therapeutic injection, subcutaneous/intramuscular

$719K

37K claims · 1.0%

Your Cost: $19.53/claim|Median: $9.56
2.0× median
70450Top 25%

CT head/brain without contrast

$709K

7,196 claims · 0.9%

Your Cost: $98.58/claim|Median: $45.53
2.2× median
71046Top 5%

Chest X-ray, 2 views

$704K

8,608 claims · 0.9%

Your Cost: $81.77/claim|Median: $8.92
9.2× median
43239Top 5%

Upper GI endoscopy with biopsy

$676K

607 claims · 0.9%

Your Cost: $1,114.24/claim|Median: $151.68
7.3× median
99214Top 10%

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

$656K

5,807 claims · 0.9%

Your Cost: $113.05/claim|Median: $53.41
2.1× median
85025Normal range

Complete blood count (CBC) with differential, automated

$570K

137K claims · 0.8%

Your Cost: $4.16/claim|Median: $4.71
0.9× median
J2323Top 25%

Injection, natalizumab, one milligram

$524K

100 claims · 0.7%

Your Cost: $5,244.36/claim|Median: $2,797.07
1.9× median
80053Normal range

Comprehensive metabolic panel

$507K

89K claims · 0.7%

Your Cost: $5.67/claim|Median: $7.24
0.8× median
G0463Normal range

Hospital outpatient clinic visit

$488K

10K claims · 0.6%

Your Cost: $48.00/claim|Median: $26.41
1.8× median
87591Normal range

Neisseria gonorrhoeae detection, nucleic acid, amplified probe

$419K

16K claims · 0.6%

Your Cost: $26.97/claim|Median: $23.39
1.2× median
87491Normal range

Chlamydia detection, nucleic acid, amplified probe

$419K

16K claims · 0.6%

Your Cost: $26.96/claim|Median: $24.95
1.1× median
J0897Normal range

Injection, denosumab, one milligram

$417K

1,174 claims · 0.6%

Your Cost: $355.34/claim|Median: $493.25
0.7× median
80050Top 5%

General health panel

$381K

2,307 claims · 0.5%

Your Cost: $165.14/claim|Median: $25.59
6.5× median
36415Normal range

Collection of venous blood by venipuncture

$354K

186K claims · 0.5%

Your Cost: $1.91/claim|Median: $1.57
1.2× median
96365Normal range

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

$352K

6,882 claims · 0.5%

Your Cost: $51.17/claim|Median: $54.77
0.9× median
45378Top 5%

Colonoscopy, diagnostic

$290K

260 claims · 0.4%

Your Cost: $1,115.73/claim|Median: $225.49
4.9× median
78452Top 10%

Myocardial perfusion imaging, SPECT, multiple studies

$289K

585 claims · 0.4%

Your Cost: $493.20/claim|Median: $106.14
4.6× median
84484Normal range

Troponin, quantitative

$205K

31K claims · 0.3%

Your Cost: $6.60/claim|Median: $4.84
1.4× median
U0005Normal range

Infectious disease detection, COVID-19, antigen

$195K

9,223 claims · 0.3%

Your Cost: $21.09/claim|Median: $15.76
1.3× median
J1756Top 25%

Injection, iron sucrose, 1 mg

$189K

3,731 claims · 0.2%

Your Cost: $50.55/claim|Median: $4.58
11.0× median
93306Top 5%

Echocardiography, transthoracic, complete, with Doppler

$176K

420 claims · 0.2%

Your Cost: $418.69/claim|Median: $54.68
7.7× median
99217Top 5%

$160K

952 claims · 0.2%

Your Cost: $167.82/claim|Median: $31.89
5.3× median
96367Top 25%

$158K

3,076 claims · 0.2%

Your Cost: $51.38/claim|Median: $29.27
1.8× median
82306Normal range

Vitamin D, 25 hydroxy

$156K

9,499 claims · 0.2%

Your Cost: $16.44/claim|Median: $18.18
0.9× median
81025Normal range

Urine pregnancy test

$156K

32K claims · 0.2%

Your Cost: $4.94/claim|Median: $4.81
1.0× median
96361Normal range

IV infusion, hydration, each additional hour

$150K

11K claims · 0.2%

Your Cost: $13.25/claim|Median: $38.92
0.3× median
96417Top 10%

$143K

1,375 claims · 0.2%

Your Cost: $103.87/claim|Median: $37.60
2.8× median
99291Top 25%

Critical care, first 30-74 minutes

$135K

820 claims · 0.2%

Your Cost: $164.69/claim|Median: $101.24
1.6× median
80048Normal range

Basic metabolic panel

$122K

28K claims · 0.2%

Your Cost: $4.29/claim|Median: $5.78
0.7× median
99212Top 5%

Office/outpatient visit, low complexity

$121K

1,039 claims · 0.2%

Your Cost: $116.16/claim|Median: $25.06
4.6× median