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PRISMA HEALTH-MIDLANDS

General Acute Care Hospital·COLUMBIA, SC·NPI: 1487868097Share

Compared to General Acute Care Hospital Peers

Total spending distribution among 156 providers in this specialty

P25MedianP75P90

This provider's total spending of $68.3M is at the below 25th percentile among 156 General Acute Care Hospital providers.

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

Total Paid

$68.3M

$68,262,224

Total Claims

1.8M

Beneficiaries

1.4M

1.3 claims/patient

Avg Cost/Claim

$39

Monthly Spending Trend

Yearly Spending

2018
$9.3M
-2%
2019
$9.1M
-13%
2020
$8.0M
+28%
2021
$10.2M
+4%
2022
$10.6M
-5%
2023
$10.0M
+9%
2024
$11.0M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 50 distinct procedure codes. The top code (36415 (Collection of venous blood by venipuncture)) accounts for 8% of total spending.

36415Top 1%

Collection of venous blood by venipuncture

$5.7M

53K claims · 8.4%

Your Cost: $108.50/claim|Median: $1.57
69.1× median
97110Top 25%

Therapeutic exercises, each 15 min

$5.5M

84K claims · 8.0%

Your Cost: $64.86/claim|Median: $24.49
2.6× median
70553Top 5%

MRI brain without contrast, then with contrast

$2.9M

2,692 claims · 4.2%

Your Cost: $1,062.27/claim|Median: $133.68
7.9× median
80048Top 5%

Basic metabolic panel

$2.7M

42K claims · 4.0%

Your Cost: $64.45/claim|Median: $5.78
11.2× median
99283Normal range

Emergency dept visit, moderate complexity

$2.5M

52K claims · 3.7%

Your Cost: $49.11/claim|Median: $42.48
1.2× median
96372Top 5%

Therapeutic injection, subcutaneous/intramuscular

$2.4M

20K claims · 3.5%

Your Cost: $121.11/claim|Median: $9.56
12.7× median
80053Top 5%

Comprehensive metabolic panel

$2.2M

41K claims · 3.2%

Your Cost: $52.82/claim|Median: $7.24
7.3× median
70551Top 5%

MRI brain without contrast

$1.9M

3,533 claims · 2.8%

Your Cost: $546.41/claim|Median: $85.39
6.4× median
84156Top 1%

$1.7M

1,761 claims · 2.5%

Your Cost: $967.03/claim|Median: $2.06
469.4× median
99282Top 25%

Emergency dept visit, low complexity

$1.6M

13K claims · 2.3%

Your Cost: $127.69/claim|Median: $37.72
3.4× median
81025Top 1%

Urine pregnancy test

$1.5M

16K claims · 2.3%

Your Cost: $98.48/claim|Median: $4.81
20.5× median
G0463Normal range

Hospital outpatient clinic visit

$1.5M

33K claims · 2.2%

Your Cost: $46.94/claim|Median: $26.41
1.8× median
96361Normal range

IV infusion, hydration, each additional hour

$1.5M

19K claims · 2.2%

Your Cost: $79.56/claim|Median: $38.92
2.0× median
C9803Top 5%

$1.4M

9,274 claims · 2.0%

Your Cost: $147.19/claim|Median: $13.20
11.2× median
80069Top 5%

Renal function panel

$1.4M

10K claims · 2.0%

Your Cost: $129.95/claim|Median: $4.12
31.5× median
99212Top 25%

Office/outpatient visit, low complexity

$1.3M

29K claims · 2.0%

Your Cost: $46.29/claim|Median: $25.06
1.8× median
96365Top 25%

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

$1.3M

13K claims · 1.9%

Your Cost: $100.02/claim|Median: $54.77
1.8× median
96374Top 25%

Therapeutic/prophylactic/diagnostic IV push, single substance

$1.3M

16K claims · 1.8%

Your Cost: $77.97/claim|Median: $21.76
3.6× median
93306Top 25%

Echocardiography, transthoracic, complete, with Doppler

$1.2M

7,824 claims · 1.7%

Your Cost: $148.21/claim|Median: $54.68
2.7× median
81003Top 1%

Urinalysis, automated without microscopy

$1.1M

14K claims · 1.5%

Your Cost: $76.48/claim|Median: $1.48
51.7× median
96360Top 25%

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

$1.0M

7,254 claims · 1.5%

Your Cost: $138.79/claim|Median: $61.57
2.3× median
95810Top 25%

Polysomnography, sleep study, 6+ hours

$953K

2,019 claims · 1.4%

Your Cost: $472.10/claim|Median: $233.73
2.0× median
0241UNormal range

Proprietary lab analysis, genomic sequencing

$883K

11K claims · 1.3%

Your Cost: $78.66/claim|Median: $91.47
0.9× median
86850Top 5%

$757K

10K claims · 1.1%

Your Cost: $74.39/claim|Median: $5.44
13.7× median
92507Normal range

Speech/hearing/language treatment

$734K

13K claims · 1.1%

Your Cost: $58.21/claim|Median: $49.45
1.2× median
95782Top 25%

$715K

777 claims · 1.0%

Your Cost: $920.45/claim|Median: $216.35
4.3× median
97530Normal range

Therapeutic activities, each 15 min

$713K

18K claims · 1.0%

Your Cost: $39.53/claim|Median: $33.11
1.2× median
99211Top 5%

Office/outpatient visit, minimal complexity

$710K

9,373 claims · 1.0%

Your Cost: $75.71/claim|Median: $12.93
5.9× median
71046Top 25%

Chest X-ray, 2 views

$646K

21K claims · 0.9%

Your Cost: $31.24/claim|Median: $8.92
3.5× median
82306Top 5%

Vitamin D, 25 hydroxy

$595K

7,551 claims · 0.9%

Your Cost: $78.77/claim|Median: $18.18
4.3× median
82570Top 1%

$543K

4,576 claims · 0.8%

Your Cost: $118.57/claim|Median: $3.18
37.3× median
99213Normal range

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

$518K

14K claims · 0.8%

Your Cost: $37.18/claim|Median: $37.81
1.0× median
99284Normal range

Emergency dept visit, high complexity

$477K

29K claims · 0.7%

Your Cost: $16.37/claim|Median: $69.51
0.2× median
74018Top 5%

$460K

7,669 claims · 0.7%

Your Cost: $59.93/claim|Median: $7.00
8.6× median
78452Normal range

Myocardial perfusion imaging, SPECT, multiple studies

$456K

1,958 claims · 0.7%

Your Cost: $233.01/claim|Median: $106.14
2.2× median
87491Normal range

Chlamydia detection, nucleic acid, amplified probe

$407K

15K claims · 0.6%

Your Cost: $27.74/claim|Median: $24.95
1.1× median
81001Top 10%

Urinalysis, automated, with microscopy

$387K

28K claims · 0.6%

Your Cost: $13.84/claim|Median: $2.03
6.8× median
70450Normal range

CT head/brain without contrast

$368K

8,869 claims · 0.5%

Your Cost: $41.50/claim|Median: $45.53
0.9× median
76770Top 10%

Ultrasound, retroperitoneal, complete

$322K

2,599 claims · 0.5%

Your Cost: $124.07/claim|Median: $37.35
3.3× median
97161Normal range

Physical therapy evaluation, low complexity

$298K

9,569 claims · 0.4%

Your Cost: $31.15/claim|Median: $47.89
0.7× median
87086Top 10%

Urine culture, colony count, with identification

$295K

15K claims · 0.4%

Your Cost: $19.42/claim|Median: $5.31
3.7× median
99281Top 25%

Emergency dept visit, minimal complexity

$292K

1,962 claims · 0.4%

Your Cost: $148.85/claim|Median: $52.03
2.9× median
82565Top 5%

Creatinine blood test

$257K

1,652 claims · 0.4%

Your Cost: $155.84/claim|Median: $1.94
80.3× median
99391Top 25%

Preventive medicine, established patient, infant (under 1)

$250K

2,672 claims · 0.4%

Your Cost: $93.64/claim|Median: $69.35
1.4× median
U0003Normal range

Infectious disease detection (COVID-19)

$249K

8,859 claims · 0.4%

Your Cost: $28.14/claim|Median: $63.08
0.4× median
87804Top 1%

Influenza virus detection, rapid test

$248K

2,317 claims · 0.4%

Your Cost: $106.96/claim|Median: $12.59
8.5× median
93971Top 5%

Duplex scan of extremity veins, unilateral or limited

$241K

1,499 claims · 0.4%

Your Cost: $160.87/claim|Median: $25.43
6.3× median
85347Top 1%

$241K

1,828 claims · 0.4%

Your Cost: $131.86/claim|Median: $1.94
68.0× median
36416Top 1%

$241K

2,996 claims · 0.4%

Your Cost: $80.45/claim|Median: $1.31
61.4× median
76700Top 10%

Ultrasound, abdominal, complete

$232K

1,469 claims · 0.3%

Your Cost: $157.79/claim|Median: $50.69
3.1× median

Other Top Providers in South Carolina

View all →

Medical University Hospital Authority

General Acute Care Hospital

$241.4M

Spartanburg Medical Center

Ambulance

$187.8M

Prisma Health University Medical Group

Internal Medicine

$172.2M

Similar Providers

Other top providers in General Acute Care Hospital

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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