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MERCY HEALTH SERVICES-IOWA CORP

General Acute Care Hospital, Rural·MASON CITY, IA·NPI: 1467537886Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$45.7M

$45,693,551

Total Claims

688K

Beneficiaries

602K

1.1 claims/patient

Avg Cost/Claim

$66

Monthly Spending Trend

Yearly Spending

2018
$6.0M
+9%
2019
$6.5M
-15%
2020
$5.5M
+48%
2021
$8.2M
+7%
2022
$8.8M
-23%
2023
$6.7M
-41%
2024
$4.0M

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 66% of total spending.

G0463Top 10%

Hospital outpatient clinic visit

$30.2M

312K claims · 66.1%

Your Cost: $96.85/claim|Median: $26.41
3.7× median
99284Top 10%

Emergency dept visit, high complexity

$3.9M

19K claims · 8.6%

Your Cost: $207.90/claim|Median: $69.51
3.0× median
99283Top 10%

Emergency dept visit, moderate complexity

$3.1M

22K claims · 6.7%

Your Cost: $142.18/claim|Median: $42.48
3.3× median
99285Top 10%

Emergency dept visit, high/urgent complexity

$906K

3,106 claims · 2.0%

Your Cost: $291.69/claim|Median: $85.65
3.4× median
D7140Top 1%

Extraction, erupted tooth or exposed root

$899K

527 claims · 2.0%

Your Cost: $1,706.28/claim|Median: $57.39
29.7× median
D2930Top 1%

Prefabricated stainless steel crown, primary tooth

$802K

1,521 claims · 1.8%

Your Cost: $527.49/claim|Median: $120.85
4.4× median
90471Top 5%

Immunization administration, 1 vaccine, percutaneous/ID/SC/IM

$702K

16K claims · 1.5%

Your Cost: $44.63/claim|Median: $9.80
4.6× median
G0330Top 25%

$584K

309 claims · 1.3%

Your Cost: $1,890.41/claim|Median: $1,205.70
1.6× median
92507Normal range

Speech/hearing/language treatment

$489K

7,687 claims · 1.1%

Your Cost: $63.56/claim|Median: $49.45
1.3× median
96374Top 10%

Therapeutic/prophylactic/diagnostic IV push, single substance

$481K

4,398 claims · 1.1%

Your Cost: $109.41/claim|Median: $21.76
5.0× median
D3220Top 1%

Therapeutic pulpotomy

$460K

907 claims · 1.0%

Your Cost: $506.91/claim|Median: $81.27
6.2× median
11042Top 10%

Debridement, subcutaneous tissue, first 20 sq cm

$253K

1,507 claims · 0.6%

Your Cost: $167.61/claim|Median: $36.13
4.6× median
90834Top 25%

Psychotherapy, 45 minutes

$224K

2,142 claims · 0.5%

Your Cost: $104.69/claim|Median: $63.65
1.6× median
87426Top 10%

SARS-CoV-2 COVID-19 antigen detection, immunoassay

$220K

5,030 claims · 0.5%

Your Cost: $43.66/claim|Median: $30.04
1.5× median
U0003Normal range

Infectious disease detection (COVID-19)

$168K

3,858 claims · 0.4%

Your Cost: $43.59/claim|Median: $63.08
0.7× median
87811Normal range

SARS-CoV-2 COVID-19 antigen detection, rapid, instrument-read

$138K

6,615 claims · 0.3%

Your Cost: $20.84/claim|Median: $30.53
0.7× median
71045Top 5%

Chest X-ray, single view

$125K

2,562 claims · 0.3%

Your Cost: $48.82/claim|Median: $4.93
9.9× median
96361Normal range

IV infusion, hydration, each additional hour

$119K

2,658 claims · 0.3%

Your Cost: $44.79/claim|Median: $38.92
1.2× median
0202UTop 25%

Proprietary lab analysis, human genomic sequencing

$116K

395 claims · 0.3%

Your Cost: $294.02/claim|Median: $144.30
2.0× median
D1351Top 1%

Sealant, per tooth

$116K

216 claims · 0.3%

Your Cost: $535.88/claim|Median: $26.10
20.5× median
90472Normal range

Immunization administration, each additional vaccine

$108K

12K claims · 0.2%

Your Cost: $9.34/claim|Median: $11.79
0.8× median
C9803Normal range

$96K

10K claims · 0.2%

Your Cost: $9.33/claim|Median: $13.20
0.7× median
99282Normal range

Emergency dept visit, low complexity

$95K

1,242 claims · 0.2%

Your Cost: $76.65/claim|Median: $37.72
2.0× median
59025Top 25%

Fetal non-stress test

$95K

876 claims · 0.2%

Your Cost: $108.24/claim|Median: $26.45
4.1× median
41899Normal range

Unlisted procedure, dentoalveolar structures

$94K

178 claims · 0.2%

Your Cost: $528.43/claim|Median: $763.43
0.7× median
87635Top 10%

COVID-19 SARS-CoV-2 amplified probe detection

$91K

1,690 claims · 0.2%

Your Cost: $53.94/claim|Median: $39.70
1.4× median
96110Top 5%

Developmental screening, per standardized instrument

$90K

1,422 claims · 0.2%

Your Cost: $63.20/claim|Median: $9.10
6.9× median
0241UNormal range

Proprietary lab analysis, genomic sequencing

$86K

1,012 claims · 0.2%

Your Cost: $84.77/claim|Median: $91.47
0.9× median
90853Top 25%

Group psychotherapy

$79K

1,956 claims · 0.2%

Your Cost: $40.50/claim|Median: $25.02
1.6× median
97530Normal range

Therapeutic activities, each 15 min

$77K

2,129 claims · 0.2%

Your Cost: $36.20/claim|Median: $33.11
1.1× median
71046Top 10%

Chest X-ray, 2 views

$54K

1,143 claims · 0.1%

Your Cost: $47.57/claim|Median: $8.92
5.3× median
90473Top 1%

Immunization admin, intranasal, first

$51K

1,233 claims · 0.1%

Your Cost: $41.47/claim|Median: $9.17
4.5× median
90686Normal range

Influenza virus vaccine, quadrivalent, preservative-free, IM

$44K

5,841 claims · 0.1%

Your Cost: $7.51/claim|Median: $7.18
1.0× median
36415Normal range

Collection of venous blood by venipuncture

$42K

48K claims · 0.1%

Your Cost: $0.87/claim|Median: $1.57
0.6× median
96375Top 25%

Therapeutic/prophylactic/diagnostic IV push, each additional substance

$42K

1,275 claims · 0.1%

Your Cost: $32.68/claim|Median: $14.92
2.2× median
U0005Normal range

Infectious disease detection, COVID-19, antigen

$38K

3,067 claims · 0.1%

Your Cost: $12.30/claim|Median: $15.76
0.8× median
93296Normal range

Remote monitoring of cardiac device, single or dual lead

$37K

2,615 claims · 0.1%

Your Cost: $14.32/claim|Median: $10.24
1.4× median
U0001Normal range

$32K

2,034 claims · 0.1%

Your Cost: $15.92/claim|Median: $24.79
0.6× median
77067Top 25%

Screening mammography, bilateral, including CAD

$22K

280 claims · 0.0%

Your Cost: $78.68/claim|Median: $39.33
2.0× median
90791Top 25%

Psychiatric diagnostic evaluation

$21K

140 claims · 0.0%

Your Cost: $147.32/claim|Median: $99.21
1.5× median
G0379Normal range

Direct admission to hospital observation

$20K

341 claims · 0.0%

Your Cost: $59.45/claim|Median: $48.25
1.2× median
90670Normal range

$20K

3,186 claims · 0.0%

Your Cost: $6.34/claim|Median: $5.94
1.1× median
70450Top 25%

CT head/brain without contrast

$20K

122 claims · 0.0%

Your Cost: $164.98/claim|Median: $45.53
3.6× median
95117Top 1%

$16K

369 claims · 0.0%

Your Cost: $43.90/claim|Median: $8.34
5.3× median
U0002Normal range

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

$15K

422 claims · 0.0%

Your Cost: $35.28/claim|Median: $34.62
1.0× median
11721Normal range

$14K

1,419 claims · 0.0%

Your Cost: $10.15/claim|Median: $8.56
1.2× median
96413Top 25%

Chemotherapy administration, IV infusion, up to 1 hour

$14K

84 claims · 0.0%

Your Cost: $163.74/claim|Median: $75.28
2.2× median
31575Top 25%

$13K

102 claims · 0.0%

Your Cost: $126.53/claim|Median: $68.78
1.8× median
H0003Normal range

$13K

798 claims · 0.0%

Your Cost: $15.96/claim|Median: $13.38
1.2× median
97535Normal range

Self-care/home management training, per 15 minutes

$12K

769 claims · 0.0%

Your Cost: $16.19/claim|Median: $18.18
0.9× median

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