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SSM REGIONAL HEALTH SERVICES

General Acute Care Hospital·JEFFERSON CITY, MO·NPI: 1518065523Share

Compared to General Acute Care Hospital Peers

Total spending distribution among 156 providers in this specialty

P25MedianP75P90

This provider's total spending of $20.8M is at the below 25th percentile among 156 General Acute Care Hospital providers.

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

Total Paid

$20.8M

$20,806,844

Total Claims

216K

Beneficiaries

193K

1.1 claims/patient

Avg Cost/Claim

$96

Monthly Spending Trend

Yearly Spending

2018
$5.4M
-5%
2019
$5.2M
-58%
2020
$2.1M
-58%
2021
$895K
+148%
2022
$2.2M
+21%
2023
$2.7M
-16%
2024
$2.3M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 50 distinct procedure codes. The top code (X4011 (Healthcare procedure, code X4011)) accounts for 24% of total spending.

X4011Normal range

Healthcare procedure, code X4011

$5.1M

17K claims · 24.3%

Your Cost: $303.42/claim|Median: $268.66
1.1× median
99283Top 10%

Emergency dept visit, moderate complexity

$2.3M

16K claims · 11.1%

Your Cost: $148.43/claim|Median: $42.48
3.5× median
99284Top 10%

Emergency dept visit, high complexity

$1.8M

8,682 claims · 8.5%

Your Cost: $203.14/claim|Median: $69.51
2.9× median
D7999Top 10%

$1.3M

320 claims · 6.2%

Your Cost: $4,011.38/claim|Median: $981.06
4.1× median
85025Top 5%

Complete blood count (CBC) with differential, automated

$1.2M

21K claims · 5.8%

Your Cost: $58.64/claim|Median: $4.71
12.5× median
G0463Top 25%

Hospital outpatient clinic visit

$1.1M

13K claims · 5.2%

Your Cost: $81.30/claim|Median: $26.41
3.1× median
80053Top 5%

Comprehensive metabolic panel

$931K

19K claims · 4.5%

Your Cost: $49.76/claim|Median: $7.24
6.9× median
87804Top 1%

Influenza virus detection, rapid test

$752K

4,622 claims · 3.6%

Your Cost: $162.76/claim|Median: $12.59
12.9× median
87880Top 1%

Streptococcus, Group A, rapid antigen detection

$657K

13K claims · 3.2%

Your Cost: $51.47/claim|Median: $11.48
4.5× median
96374Top 10%

Therapeutic/prophylactic/diagnostic IV push, single substance

$618K

5,758 claims · 3.0%

Your Cost: $107.26/claim|Median: $21.76
4.9× median
X4006Top 10%

$583K

213 claims · 2.8%

Your Cost: $2,735.30/claim|Median: $668.05
4.1× median
99282Normal range

Emergency dept visit, low complexity

$559K

7,041 claims · 2.7%

Your Cost: $79.45/claim|Median: $37.72
2.1× median
99285Top 5%

Emergency dept visit, high/urgent complexity

$430K

1,281 claims · 2.1%

Your Cost: $335.60/claim|Median: $85.65
3.9× median
X4003Normal range

$352K

5,519 claims · 1.7%

Your Cost: $63.76/claim|Median: $74.03
0.9× median
71046Top 1%

Chest X-ray, 2 views

$340K

1,514 claims · 1.6%

Your Cost: $224.52/claim|Median: $8.92
25.2× median
81001Top 5%

Urinalysis, automated, with microscopy

$317K

6,754 claims · 1.5%

Your Cost: $46.91/claim|Median: $2.03
23.1× median
0241UNormal range

Proprietary lab analysis, genomic sequencing

$304K

2,677 claims · 1.5%

Your Cost: $113.41/claim|Median: $91.47
1.2× median
99212Top 25%

Office/outpatient visit, low complexity

$274K

6,701 claims · 1.3%

Your Cost: $40.86/claim|Median: $25.06
1.6× median
93005Top 25%

Electrocardiogram, tracing only, without interpretation

$240K

5,308 claims · 1.2%

Your Cost: $45.23/claim|Median: $7.50
6.0× median
81025Top 1%

Urine pregnancy test

$202K

3,752 claims · 1.0%

Your Cost: $53.89/claim|Median: $4.81
11.2× median
71045Top 10%

Chest X-ray, single view

$186K

4,699 claims · 0.9%

Your Cost: $39.67/claim|Median: $4.93
8.0× median
90853Normal range

Group psychotherapy

$148K

9,920 claims · 0.7%

Your Cost: $14.90/claim|Median: $25.02
0.6× median
81003Top 1%

Urinalysis, automated without microscopy

$127K

3,843 claims · 0.6%

Your Cost: $33.13/claim|Median: $1.48
22.4× median
96375Top 25%

Therapeutic/prophylactic/diagnostic IV push, each additional substance

$107K

2,800 claims · 0.5%

Your Cost: $38.06/claim|Median: $14.92
2.6× median
80307Normal range

Drug test, presumptive, by chemistry analyzers

$105K

2,337 claims · 0.5%

Your Cost: $45.02/claim|Median: $35.43
1.3× median
96361Normal range

IV infusion, hydration, each additional hour

$85K

2,458 claims · 0.4%

Your Cost: $34.53/claim|Median: $38.92
0.9× median
C9803Normal range

$83K

6,868 claims · 0.4%

Your Cost: $12.11/claim|Median: $13.20
0.9× median
87428Normal range

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

$68K

3,045 claims · 0.3%

Your Cost: $22.37/claim|Median: $39.63
0.6× median
G0480Top 5%

Drug test, definitive, 1-7 drug classes

$63K

553 claims · 0.3%

Your Cost: $113.47/claim|Median: $37.56
3.0× median
87807Top 1%

$56K

503 claims · 0.3%

Your Cost: $110.47/claim|Median: $10.06
11.0× median
87635Normal range

COVID-19 SARS-CoV-2 amplified probe detection

$37K

1,704 claims · 0.2%

Your Cost: $21.63/claim|Median: $39.70
0.5× median
82962Top 1%

Blood glucose test by monitoring device

$36K

884 claims · 0.2%

Your Cost: $40.44/claim|Median: $1.40
28.9× median
74177Top 25%

CT abdomen and pelvis with contrast

$35K

162 claims · 0.2%

Your Cost: $216.18/claim|Median: $65.76
3.3× median
90832Normal range

Psychotherapy, 30 minutes

$34K

1,431 claims · 0.2%

Your Cost: $23.56/claim|Median: $41.28
0.6× median
96372Top 5%

Therapeutic injection, subcutaneous/intramuscular

$32K

655 claims · 0.2%

Your Cost: $48.61/claim|Median: $9.56
5.1× median
80306Top 5%

$29K

441 claims · 0.1%

Your Cost: $66.70/claim|Median: $10.29
6.5× median
G0378Normal range

Hospital observation service, per hour

$29K

143 claims · 0.1%

Your Cost: $201.14/claim|Median: $99.39
2.0× median
0240UNormal range

$28K

340 claims · 0.1%

Your Cost: $82.93/claim|Median: $89.76
0.9× median
84443Top 25%

Thyroid stimulating hormone (TSH)

$20K

1,117 claims · 0.1%

Your Cost: $18.26/claim|Median: $9.87
1.9× median
90834Normal range

Psychotherapy, 45 minutes

$19K

242 claims · 0.1%

Your Cost: $79.49/claim|Median: $63.65
1.2× median
84484Top 25%

Troponin, quantitative

$19K

2,222 claims · 0.1%

Your Cost: $8.64/claim|Median: $4.84
1.8× median
83690Top 10%

$19K

1,637 claims · 0.1%

Your Cost: $11.69/claim|Median: $3.35
3.5× median
83735Top 10%

Magnesium blood level test

$17K

1,462 claims · 0.1%

Your Cost: $11.71/claim|Median: $2.77
4.2× median
J3490Normal range

Unclassified drugs

$15K

2,106 claims · 0.1%

Your Cost: $7.21/claim|Median: $5.70
1.3× median
94640Top 5%

Pressurized or nonpressurized inhalation treatment

$15K

110 claims · 0.1%

Your Cost: $136.54/claim|Median: $10.88
12.5× median
80050Top 10%

General health panel

$15K

145 claims · 0.1%

Your Cost: $102.27/claim|Median: $25.59
4.0× median
U0003Normal range

Infectious disease detection (COVID-19)

$13K

1,194 claims · 0.1%

Your Cost: $10.70/claim|Median: $63.08
0.2× median
99213Normal range

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

$9K

916 claims · 0.0%

Your Cost: $10.30/claim|Median: $37.81
0.3× median
41899Normal range

Unlisted procedure, dentoalveolar structures

$9K

81 claims · 0.0%

Your Cost: $114.02/claim|Median: $763.43
0.1× median
82306Normal range

Vitamin D, 25 hydroxy

$9K

380 claims · 0.0%

Your Cost: $23.68/claim|Median: $18.18
1.3× median

Other Top Providers in Missouri

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Compass Health Inc.

Community/Behavioral Health

$1.28B

Medical Transportation Management Inc.

Transportation Broker

$894.4M

Burrell Inc.

Community/Behavioral Health

$759.7M

Access2care LLC

Transportation Broker

$600.9M

State of Missouri

Psychologist, Rehabilitation

$493.6M

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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