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ROCHESTER GENERAL HOSPITAL-LAB

Clinical Medical Laboratory·ROCHESTER, NY·NPI: 1477746063Share

Compared to Clinical Medical Laboratory Peers

Total spending distribution among 88 providers in this specialty

P25MedianP75P90

This provider's total spending of $33.3M is at the 25th percentile among 88 Clinical Medical Laboratory providers.

Active Billing Period:2018-012024-12(66 months)

Total Paid

$33.3M

$33,277,137

Total Claims

1.7M

Beneficiaries

1.6M

1.0 claims/patient

Avg Cost/Claim

$20

Monthly Spending Trend

Yearly Spending

2018
$22K
+506%
2019
$134K
+301%
2020
$535K
+1669%
2021
$9.5M
-1%
2022
$9.4M
-19%
2023
$7.6M
-20%
2024
$6.1M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 50 distinct procedure codes. The top code (U0004 (COVID-19 test, nucleic acid detection, CDC lab only)) accounts for 15% of total spending.

U0004Top 25%

COVID-19 test, nucleic acid detection, CDC lab only

$4.9M

66K claims · 14.8%

Your Cost: $74.35/claim|Median: $60.05
1.2× median
80307Top 25%

Drug test, presumptive, by chemistry analyzers

$2.4M

48K claims · 7.1%

Your Cost: $48.96/claim|Median: $35.43
1.4× median
87591Normal range

Neisseria gonorrhoeae detection, nucleic acid, amplified probe

$2.0M

62K claims · 5.9%

Your Cost: $31.46/claim|Median: $23.39
1.3× median
87491Normal range

Chlamydia detection, nucleic acid, amplified probe

$2.0M

62K claims · 5.9%

Your Cost: $31.45/claim|Median: $24.95
1.3× median
U0005Top 25%

Infectious disease detection, COVID-19, antigen

$1.6M

63K claims · 4.7%

Your Cost: $24.78/claim|Median: $15.76
1.6× median
88305Top 5%

Surgical pathology, gross and microscopic examination

$1.5M

11K claims · 4.6%

Your Cost: $137.24/claim|Median: $35.80
3.8× median
87502Normal range

Influenza virus detection, reverse transcription, amplified probe

$1.3M

18K claims · 4.0%

Your Cost: $74.61/claim|Median: $65.64
1.1× median
84443Normal range

Thyroid stimulating hormone (TSH)

$1.1M

72K claims · 3.2%

Your Cost: $14.64/claim|Median: $9.87
1.5× median
80053Normal range

Comprehensive metabolic panel

$814K

88K claims · 2.4%

Your Cost: $9.21/claim|Median: $7.24
1.3× median
87480Normal range

$798K

45K claims · 2.4%

Your Cost: $17.58/claim|Median: $14.31
1.2× median
87510Normal range

$784K

45K claims · 2.4%

Your Cost: $17.57/claim|Median: $13.48
1.3× median
87660Normal range

$783K

45K claims · 2.4%

Your Cost: $17.56/claim|Median: $13.84
1.3× median
82306Normal range

Vitamin D, 25 hydroxy

$773K

31K claims · 2.3%

Your Cost: $25.27/claim|Median: $18.18
1.4× median
88142Top 10%

$772K

29K claims · 2.3%

Your Cost: $26.82/claim|Median: $14.75
1.8× median
87631Top 25%

Respiratory virus detection, 3-5 targets, multiplex

$763K

6,925 claims · 2.3%

Your Cost: $110.11/claim|Median: $65.45
1.7× median
80061Normal range

Lipid panel

$757K

65K claims · 2.3%

Your Cost: $11.64/claim|Median: $8.41
1.4× median
87389Normal range

HIV-1 antigen with HIV-1 and HIV-2 antibodies

$546K

29K claims · 1.6%

Your Cost: $18.72/claim|Median: $18.03
1.0× median
87624Normal range

HPV detection, high-risk types, nucleic acid

$529K

18K claims · 1.6%

Your Cost: $29.81/claim|Median: $25.57
1.2× median
85025Normal range

Complete blood count (CBC) with differential, automated

$461K

68K claims · 1.4%

Your Cost: $6.73/claim|Median: $4.71
1.4× median
U0002Normal range

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

$394K

9,390 claims · 1.2%

Your Cost: $42.00/claim|Median: $34.62
1.2× median
87661Top 25%

Trichomonas vaginalis detection, nucleic acid, amplified probe

$371K

12K claims · 1.1%

Your Cost: $29.92/claim|Median: $21.08
1.4× median
86780Normal range

$332K

28K claims · 1.0%

Your Cost: $11.77/claim|Median: $9.83
1.2× median
87086Normal range

Urine culture, colony count, with identification

$287K

41K claims · 0.9%

Your Cost: $7.07/claim|Median: $5.31
1.3× median
83036Top 25%

Hemoglobin A1c (glycated hemoglobin)

$273K

33K claims · 0.8%

Your Cost: $8.35/claim|Median: $5.50
1.5× median
82607Normal range

Cyanocobalamin (vitamin B-12)

$270K

21K claims · 0.8%

Your Cost: $12.77/claim|Median: $8.72
1.5× median
86481Normal range

$226K

4,202 claims · 0.7%

Your Cost: $53.68/claim|Median: $52.45
1.0× median
85027Normal range

Complete blood count (CBC), automated

$222K

39K claims · 0.7%

Your Cost: $5.64/claim|Median: $3.72
1.5× median
86803Normal range

Hepatitis C antibody

$199K

16K claims · 0.6%

Your Cost: $12.49/claim|Median: $10.17
1.2× median
86480Top 25%

Tuberculosis test, cell-mediated immunity

$173K

3,244 claims · 0.5%

Your Cost: $53.47/claim|Median: $38.35
1.4× median
84439Normal range

Free thyroxine level blood test

$172K

22K claims · 0.5%

Your Cost: $7.86/claim|Median: $6.31
1.2× median
80048Normal range

Basic metabolic panel

$171K

25K claims · 0.5%

Your Cost: $6.97/claim|Median: $5.78
1.2× median
87634Normal range

$169K

3,123 claims · 0.5%

Your Cost: $54.06/claim|Median: $48.78
1.1× median
82728Top 25%

Ferritin

$157K

13K claims · 0.5%

Your Cost: $11.86/claim|Median: $6.00
2.0× median
87081Normal range

Culture screening for pathogenic organisms

$154K

26K claims · 0.5%

Your Cost: $5.82/claim|Median: $5.09
1.1× median
83970Top 25%

Parathormone (parathyroid hormone) blood test

$151K

4,223 claims · 0.5%

Your Cost: $35.67/claim|Median: $10.20
3.5× median
88342Top 5%

$145K

1,321 claims · 0.4%

Your Cost: $109.61/claim|Median: $23.66
4.6× median
87506Top 25%

$134K

739 claims · 0.4%

Your Cost: $181.30/claim|Median: $102.96
1.8× median
84702Top 25%

$132K

9,944 claims · 0.4%

Your Cost: $13.24/claim|Median: $8.25
1.6× median
88304Top 5%

$115K

1,727 claims · 0.3%

Your Cost: $66.62/claim|Median: $12.88
5.2× median
84403Normal range

Testosterone, total blood test

$109K

4,825 claims · 0.3%

Your Cost: $22.55/claim|Median: $17.03
1.3× median
87340Normal range

Hepatitis B surface antigen detection

$104K

12K claims · 0.3%

Your Cost: $9.04/claim|Median: $5.52
1.6× median
87637Normal range

Respiratory virus detection, 3-5 targets, nucleic acid

$97K

1,140 claims · 0.3%

Your Cost: $84.93/claim|Median: $100.62
0.8× median
82746Top 25%

$96K

8,164 claims · 0.3%

Your Cost: $11.73/claim|Median: $6.83
1.7× median
83550Top 25%

$90K

12K claims · 0.3%

Your Cost: $7.59/claim|Median: $3.49
2.2× median
88112Top 1%

$84K

876 claims · 0.3%

Your Cost: $96.09/claim|Median: $19.79
4.9× median
G0103Top 10%

$84K

5,281 claims · 0.3%

Your Cost: $15.83/claim|Median: $7.67
2.1× median
87186Top 25%

Antimicrobial susceptibility testing, microdilution, per agent

$82K

11K claims · 0.2%

Your Cost: $7.69/claim|Median: $4.65
1.7× median
87505Top 25%

$81K

749 claims · 0.2%

Your Cost: $107.58/claim|Median: $62.35
1.7× median
83655Normal range

$79K

7,423 claims · 0.2%

Your Cost: $10.66/claim|Median: $10.49
1.0× median
87070Normal range

Bacterial culture, any source except blood or urine

$74K

9,727 claims · 0.2%

Your Cost: $7.57/claim|Median: $5.89
1.3× median