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PROSPECT WATERBURY, INC.

General Acute Care Hospital·WATERBURY, CT·NPI: 1477902641Share

Compared to General Acute Care Hospital Peers

Total spending distribution among 156 providers in this specialty

P25MedianP75P90

This provider's total spending of $84.6M is at the below 25th percentile among 156 General Acute Care Hospital providers.

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

Total Paid

$84.6M

$84,617,811

Total Claims

2.3M

Beneficiaries

1.8M

1.3 claims/patient

Avg Cost/Claim

$37

Monthly Spending Trend

Yearly Spending

2018
$13.6M
+0%
2019
$13.7M
-18%
2020
$11.2M
+13%
2021
$12.7M
-7%
2022
$11.8M
-9%
2023
$10.8M
-0%
2024
$10.8M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 50 distinct procedure codes. The top code (99285 (Emergency dept visit, high/urgent complexity)) accounts for 24% of total spending.

99285Top 5%

Emergency dept visit, high/urgent complexity

$20.1M

38K claims · 23.7%

Your Cost: $524.98/claim|Median: $85.65
6.1× median
99284Top 5%

Emergency dept visit, high complexity

$14.2M

47K claims · 16.8%

Your Cost: $302.27/claim|Median: $69.51
4.3× median
99283Top 5%

Emergency dept visit, moderate complexity

$9.8M

48K claims · 11.6%

Your Cost: $205.64/claim|Median: $42.48
4.8× median
96374Top 5%

Therapeutic/prophylactic/diagnostic IV push, single substance

$3.9M

27K claims · 4.6%

Your Cost: $144.61/claim|Median: $21.76
6.6× median
78452Top 5%

Myocardial perfusion imaging, SPECT, multiple studies

$2.6M

4,762 claims · 3.0%

Your Cost: $541.35/claim|Median: $106.14
5.1× median
74177Top 25%

CT abdomen and pelvis with contrast

$2.0M

9,810 claims · 2.4%

Your Cost: $204.64/claim|Median: $65.76
3.1× median
93306Top 10%

Echocardiography, transthoracic, complete, with Doppler

$1.9M

7,754 claims · 2.2%

Your Cost: $244.31/claim|Median: $54.68
4.5× median
96360Top 25%

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

$1.3M

9,631 claims · 1.6%

Your Cost: $136.28/claim|Median: $61.57
2.2× median
70450Top 25%

CT head/brain without contrast

$1.2M

13K claims · 1.4%

Your Cost: $90.21/claim|Median: $45.53
2.0× median
95810Top 10%

Polysomnography, sleep study, 6+ hours

$1.2M

1,604 claims · 1.4%

Your Cost: $722.38/claim|Median: $233.73
3.1× median
71046Top 5%

Chest X-ray, 2 views

$1.1M

22K claims · 1.3%

Your Cost: $52.43/claim|Median: $8.92
5.9× median
99282Top 25%

Emergency dept visit, low complexity

$1.1M

9,168 claims · 1.3%

Your Cost: $122.37/claim|Median: $37.72
3.2× median
H0015Normal range

Alcohol and/or drug abuse, intensive outpatient, per hour

$1.0M

8,292 claims · 1.2%

Your Cost: $124.54/claim|Median: $129.75
1.0× median
96365Top 25%

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

$978K

7,462 claims · 1.2%

Your Cost: $131.08/claim|Median: $54.77
2.4× median
G0463Top 25%

Hospital outpatient clinic visit

$970K

13K claims · 1.1%

Your Cost: $73.32/claim|Median: $26.41
2.8× median
0241UNormal range

Proprietary lab analysis, genomic sequencing

$970K

8,670 claims · 1.1%

Your Cost: $111.85/claim|Median: $91.47
1.2× median
S9480Normal range

Intensive outpatient psychiatric services, per diem

$962K

7,744 claims · 1.1%

Your Cost: $124.22/claim|Median: $135.70
0.9× median
87635Normal range

COVID-19 SARS-CoV-2 amplified probe detection

$912K

24K claims · 1.1%

Your Cost: $38.41/claim|Median: $39.70
1.0× median
74176Top 25%

CT abdomen and pelvis without contrast

$911K

6,274 claims · 1.1%

Your Cost: $145.20/claim|Median: $60.19
2.4× median
58661Top 5%

$891K

176 claims · 1.1%

Your Cost: $5,062.40/claim|Median: $1,598.21
3.2× median
93975Top 25%

Duplex scan of arterial inflow and venous outflow, complete

$724K

3,430 claims · 0.9%

Your Cost: $210.98/claim|Median: $79.28
2.7× median
80307Normal range

Drug test, presumptive, by chemistry analyzers

$705K

34K claims · 0.8%

Your Cost: $20.46/claim|Median: $35.43
0.6× median
96375Top 25%

Therapeutic/prophylactic/diagnostic IV push, each additional substance

$697K

16K claims · 0.8%

Your Cost: $43.70/claim|Median: $14.92
2.9× median
96361Normal range

IV infusion, hydration, each additional hour

$692K

18K claims · 0.8%

Your Cost: $38.93/claim|Median: $38.92
1.0× median
71045Top 5%

Chest X-ray, single view

$561K

12K claims · 0.7%

Your Cost: $46.72/claim|Median: $4.93
9.5× median
80053Normal range

Comprehensive metabolic panel

$517K

82K claims · 0.6%

Your Cost: $6.27/claim|Median: $7.24
0.9× median
11042Top 25%

Debridement, subcutaneous tissue, first 20 sq cm

$457K

2,986 claims · 0.5%

Your Cost: $153.04/claim|Median: $36.13
4.2× median
87491Normal range

Chlamydia detection, nucleic acid, amplified probe

$378K

14K claims · 0.4%

Your Cost: $27.92/claim|Median: $24.95
1.1× median
87591Normal range

Neisseria gonorrhoeae detection, nucleic acid, amplified probe

$378K

14K claims · 0.4%

Your Cost: $27.96/claim|Median: $23.39
1.2× median
76811Top 10%

Ultrasound, pregnant uterus, detailed, single fetus

$343K

1,560 claims · 0.4%

Your Cost: $219.85/claim|Median: $106.79
2.1× median
86900Top 10%

$332K

13K claims · 0.4%

Your Cost: $25.91/claim|Median: $2.55
10.2× median
36415Normal range

Collection of venous blood by venipuncture

$328K

182K claims · 0.4%

Your Cost: $1.80/claim|Median: $1.57
1.1× median
82306Normal range

Vitamin D, 25 hydroxy

$308K

16K claims · 0.4%

Your Cost: $19.12/claim|Median: $18.18
1.1× median
84443Normal range

Thyroid stimulating hormone (TSH)

$307K

30K claims · 0.4%

Your Cost: $10.19/claim|Median: $9.87
1.0× median
99291Top 5%

Critical care, first 30-74 minutes

$303K

441 claims · 0.4%

Your Cost: $687.12/claim|Median: $101.24
6.8× median
45378Top 25%

Colonoscopy, diagnostic

$297K

559 claims · 0.4%

Your Cost: $531.11/claim|Median: $225.49
2.4× median
93458Top 25%

Left heart catheterization with imaging

$264K

244 claims · 0.3%

Your Cost: $1,082.62/claim|Median: $183.33
5.9× median
76705Top 25%

Ultrasound, abdominal, limited

$247K

2,937 claims · 0.3%

Your Cost: $84.27/claim|Median: $23.81
3.5× median
76816Top 25%

Ultrasound, pregnant uterus, follow-up

$247K

2,764 claims · 0.3%

Your Cost: $89.31/claim|Median: $58.55
1.5× median
80061Normal range

Lipid panel

$246K

28K claims · 0.3%

Your Cost: $8.93/claim|Median: $8.41
1.1× median
71260Normal range

CT chest with contrast

$240K

2,817 claims · 0.3%

Your Cost: $85.15/claim|Median: $48.36
1.8× median
43239Top 10%

Upper GI endoscopy with biopsy

$238K

471 claims · 0.3%

Your Cost: $504.28/claim|Median: $151.68
3.3× median
80048Normal range

Basic metabolic panel

$223K

47K claims · 0.3%

Your Cost: $4.78/claim|Median: $5.78
0.8× median
70486Top 25%

$222K

1,554 claims · 0.3%

Your Cost: $142.57/claim|Median: $44.28
3.2× median
95816Top 25%

$217K

1,320 claims · 0.3%

Your Cost: $164.67/claim|Median: $56.87
2.9× median
71275Normal range

CT angiography, chest, with contrast

$217K

2,099 claims · 0.3%

Your Cost: $103.23/claim|Median: $92.96
1.1× median
C8929Normal range

$205K

981 claims · 0.2%

Your Cost: $208.99/claim|Median: $194.95
1.1× median
59025Top 25%

Fetal non-stress test

$182K

1,388 claims · 0.2%

Your Cost: $131.24/claim|Median: $26.45
5.0× median
71250Normal range

CT scan of chest without contrast

$172K

3,305 claims · 0.2%

Your Cost: $52.07/claim|Median: $39.11
1.3× median
85025Normal range

Complete blood count (CBC) with differential, automated

$171K

104K claims · 0.2%

Your Cost: $1.65/claim|Median: $4.71
0.4× median

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Similar Providers

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Yale New Haven Hospital

New Haven, CT

$1.08B

Montefiore Medical Center

Bronx, NY

$961.1M

The Cleveland Clinic Foundation

Cleveland, OH

$863.5M

Nationwide Children's Hospital

Columbus, OH

$777.5M

Boston Medical Center Corporation

Boston, MA

$768.5M

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