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VHS ACQUISITION SUBSIDIARY NUMBER 7 INC

General Acute Care Hospital·WORCESTER, MA·NPI: 1538131214Share

Compared to General Acute Care Hospital Peers

Total spending distribution among 156 providers in this specialty

P25MedianP75P90

This provider's total spending of $67.6M is at the below 25th percentile among 156 General Acute Care Hospital providers.

Active Billing Period:2018-012024-12(84 months)

Total Paid

$67.6M

$67,631,938

Total Claims

1.7M

Beneficiaries

1.3M

1.3 claims/patient

Avg Cost/Claim

$39

Monthly Spending Trend

Yearly Spending

2018
$13.0M
-14%
2019
$11.2M
-30%
2020
$7.8M
+27%
2021
$9.9M
-2%
2022
$9.7M
-8%
2023
$8.9M
-20%
2024
$7.2M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 50 distinct procedure codes. The top code (99283 (Emergency dept visit, moderate complexity)) accounts for 16% of total spending.

99283Top 10%

Emergency dept visit, moderate complexity

$11.1M

75K claims · 16.5%

Your Cost: $148.05/claim|Median: $42.48
3.5× median
99284Top 25%

Emergency dept visit, high complexity

$8.0M

54K claims · 11.8%

Your Cost: $146.69/claim|Median: $69.51
2.1× median
99285Top 25%

Emergency dept visit, high/urgent complexity

$6.8M

41K claims · 10.1%

Your Cost: $165.71/claim|Median: $85.65
1.9× median
96361Top 10%

IV infusion, hydration, each additional hour

$4.9M

15K claims · 7.2%

Your Cost: $320.75/claim|Median: $38.92
8.2× median
97110Top 25%

Therapeutic exercises, each 15 min

$4.0M

67K claims · 5.9%

Your Cost: $59.72/claim|Median: $24.49
2.4× median
74177Normal range

CT abdomen and pelvis with contrast

$1.9M

11K claims · 2.7%

Your Cost: $163.54/claim|Median: $65.76
2.5× median
99282Top 10%

Emergency dept visit, low complexity

$1.5M

10K claims · 2.3%

Your Cost: $147.42/claim|Median: $37.72
3.9× median
G0378Normal range

Hospital observation service, per hour

$1.5M

22K claims · 2.3%

Your Cost: $68.81/claim|Median: $99.39
0.7× median
70450Top 25%

CT head/brain without contrast

$1.5M

13K claims · 2.2%

Your Cost: $111.42/claim|Median: $45.53
2.4× median
97140Top 10%

Manual therapy techniques, per 15 minutes

$1.4M

41K claims · 2.1%

Your Cost: $35.18/claim|Median: $16.79
2.1× median
96365Top 25%

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

$1.3M

11K claims · 1.9%

Your Cost: $114.26/claim|Median: $54.77
2.1× median
95810Top 10%

Polysomnography, sleep study, 6+ hours

$1.2M

1,570 claims · 1.8%

Your Cost: $774.73/claim|Median: $233.73
3.3× median
11042Top 10%

Debridement, subcutaneous tissue, first 20 sq cm

$1.0M

5,766 claims · 1.5%

Your Cost: $175.92/claim|Median: $36.13
4.9× median
78452Top 25%

Myocardial perfusion imaging, SPECT, multiple studies

$900K

2,471 claims · 1.3%

Your Cost: $364.31/claim|Median: $106.14
3.4× median
93306Top 25%

Echocardiography, transthoracic, complete, with Doppler

$806K

5,322 claims · 1.2%

Your Cost: $151.51/claim|Median: $54.68
2.8× median
93971Top 5%

Duplex scan of extremity veins, unilateral or limited

$771K

3,658 claims · 1.1%

Your Cost: $210.83/claim|Median: $25.43
8.3× median
43239Top 10%

Upper GI endoscopy with biopsy

$720K

1,332 claims · 1.1%

Your Cost: $540.80/claim|Median: $151.68
3.6× median
96413Normal range

Chemotherapy administration, IV infusion, up to 1 hour

$625K

5,352 claims · 0.9%

Your Cost: $116.75/claim|Median: $75.28
1.6× median
87636Normal range

Respiratory virus detection, 6-11 targets, nucleic acid

$623K

6,519 claims · 0.9%

Your Cost: $95.63/claim|Median: $97.61
1.0× median
77063Top 5%

Screening digital breast tomosynthesis, bilateral

$622K

8,826 claims · 0.9%

Your Cost: $70.47/claim|Median: $21.41
3.3× median
99213Top 5%

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

$565K

4,151 claims · 0.8%

Your Cost: $136.00/claim|Median: $37.81
3.6× median
76705Top 10%

Ultrasound, abdominal, limited

$564K

5,297 claims · 0.8%

Your Cost: $106.44/claim|Median: $23.81
4.5× median
80307Normal range

Drug test, presumptive, by chemistry analyzers

$559K

19K claims · 0.8%

Your Cost: $29.73/claim|Median: $35.43
0.8× median
96360Normal range

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

$539K

5,103 claims · 0.8%

Your Cost: $105.58/claim|Median: $61.57
1.7× median
99211Top 5%

Office/outpatient visit, minimal complexity

$515K

3,669 claims · 0.8%

Your Cost: $140.34/claim|Median: $12.93
10.9× median
74176Top 25%

CT abdomen and pelvis without contrast

$489K

3,228 claims · 0.7%

Your Cost: $151.39/claim|Median: $60.19
2.5× median
87637Normal range

Respiratory virus detection, 3-5 targets, nucleic acid

$478K

4,538 claims · 0.7%

Your Cost: $105.30/claim|Median: $100.62
1.0× median
94640Top 25%

Pressurized or nonpressurized inhalation treatment

$471K

9,696 claims · 0.7%

Your Cost: $48.54/claim|Median: $10.88
4.5× median
U0003Normal range

Infectious disease detection (COVID-19)

$405K

6,892 claims · 0.6%

Your Cost: $58.72/claim|Median: $63.08
0.9× median
85025Normal range

Complete blood count (CBC) with differential, automated

$395K

91K claims · 0.6%

Your Cost: $4.35/claim|Median: $4.71
0.9× median
71046Normal range

Chest X-ray, 2 views

$394K

38K claims · 0.6%

Your Cost: $10.26/claim|Median: $8.92
1.2× median
97162Normal range

PT evaluation, moderate complexity

$373K

8,785 claims · 0.6%

Your Cost: $42.47/claim|Median: $46.10
0.9× median
59025Top 5%

Fetal non-stress test

$349K

1,635 claims · 0.5%

Your Cost: $213.30/claim|Median: $26.45
8.1× median
45380Top 25%

Colonoscopy with biopsy

$349K

781 claims · 0.5%

Your Cost: $446.54/claim|Median: $200.68
2.2× median
76830Top 10%

Ultrasound, transvaginal

$334K

2,984 claims · 0.5%

Your Cost: $112.09/claim|Median: $57.47
2.0× median
71260Normal range

CT chest with contrast

$331K

3,893 claims · 0.5%

Your Cost: $84.94/claim|Median: $48.36
1.8× median
G0463Normal range

Hospital outpatient clinic visit

$308K

12K claims · 0.5%

Your Cost: $25.26/claim|Median: $26.41
1.0× median
96366Top 25%

IV infusion, therapeutic/prophylactic/diagnostic, each additional hour

$284K

1,647 claims · 0.4%

Your Cost: $172.31/claim|Median: $40.12
4.3× median
77067Normal range

Screening mammography, bilateral, including CAD

$276K

9,670 claims · 0.4%

Your Cost: $28.51/claim|Median: $39.33
0.7× median
10060Top 25%

Incision and drainage of abscess, simple

$275K

1,635 claims · 0.4%

Your Cost: $168.35/claim|Median: $75.72
2.2× median
U0002Normal range

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

$270K

8,336 claims · 0.4%

Your Cost: $32.44/claim|Median: $34.62
0.9× median
76770Top 10%

Ultrasound, retroperitoneal, complete

$257K

2,037 claims · 0.4%

Your Cost: $126.02/claim|Median: $37.35
3.4× median
93017Normal range

$254K

3,808 claims · 0.4%

Your Cost: $66.81/claim|Median: $56.03
1.2× median
97112Top 10%

Therapeutic procedure, neuromuscular reeducation, per 15 minutes

$218K

4,692 claims · 0.3%

Your Cost: $46.49/claim|Median: $20.04
2.3× median
93970Top 5%

Duplex scan of extremity veins, complete, bilateral

$205K

851 claims · 0.3%

Your Cost: $240.52/claim|Median: $43.07
5.6× median
84484Normal range

Troponin, quantitative

$179K

37K claims · 0.3%

Your Cost: $4.80/claim|Median: $4.84
1.0× median
76536Top 10%

$169K

1,508 claims · 0.2%

Your Cost: $111.79/claim|Median: $44.06
2.5× median
76642Top 10%

$163K

1,498 claims · 0.2%

Your Cost: $108.95/claim|Median: $32.06
3.4× median
99214Top 10%

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

$155K

1,463 claims · 0.2%

Your Cost: $105.74/claim|Median: $53.41
2.0× median
96374Normal range

Therapeutic/prophylactic/diagnostic IV push, single substance

$149K

37K claims · 0.2%

Your Cost: $4.08/claim|Median: $21.76
0.2× median