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MERCY HEALTH YOUNGSTOWN LLC

General Acute Care Hospital·YOUNGSTOWN, OH·NPI: 1548296106Share

Compared to General Acute Care Hospital Peers

Total spending distribution among 156 providers in this specialty

P25MedianP75P90

This provider's total spending of $63.9M is at the below 25th percentile among 156 General Acute Care Hospital providers.

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

Total Paid

$63.9M

$63,869,238

Total Claims

2.0M

Beneficiaries

1.6M

1.2 claims/patient

Avg Cost/Claim

$33

Monthly Spending Trend

Yearly Spending

2018
$5.1M
+20%
2019
$6.2M
+20%
2020
$7.4M
-6%
2021
$6.9M
+7%
2022
$7.4M
+138%
2023
$17.6M
-25%
2024
$13.2M

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 15% of total spending.

99283Top 25%

Emergency dept visit, moderate complexity

$9.3M

82K claims · 14.6%

Your Cost: $114.27/claim|Median: $42.48
2.7× median
99284Top 25%

Emergency dept visit, high complexity

$8.7M

73K claims · 13.7%

Your Cost: $120.58/claim|Median: $69.51
1.7× median
G0463Top 25%

Hospital outpatient clinic visit

$6.6M

82K claims · 10.3%

Your Cost: $80.27/claim|Median: $26.41
3.0× median
99285Top 25%

Emergency dept visit, high/urgent complexity

$6.0M

44K claims · 9.3%

Your Cost: $134.84/claim|Median: $85.65
1.6× median
70450Top 10%

CT head/brain without contrast

$5.0M

20K claims · 7.8%

Your Cost: $246.01/claim|Median: $45.53
5.4× median
74177Top 25%

CT abdomen and pelvis with contrast

$2.9M

12K claims · 4.5%

Your Cost: $249.34/claim|Median: $65.76
3.8× median
96361Top 10%

IV infusion, hydration, each additional hour

$1.8M

5,684 claims · 2.8%

Your Cost: $318.87/claim|Median: $38.92
8.2× median
99282Normal range

Emergency dept visit, low complexity

$1.8M

20K claims · 2.8%

Your Cost: $89.25/claim|Median: $37.72
2.4× median
80053Top 25%

Comprehensive metabolic panel

$1.7M

143K claims · 2.7%

Your Cost: $12.08/claim|Median: $7.24
1.7× median
71275Top 25%

CT angiography, chest, with contrast

$929K

3,498 claims · 1.5%

Your Cost: $265.72/claim|Median: $92.96
2.9× median
74176Top 25%

CT abdomen and pelvis without contrast

$923K

3,649 claims · 1.4%

Your Cost: $252.85/claim|Median: $60.19
4.2× median
G0378Normal range

Hospital observation service, per hour

$727K

11K claims · 1.1%

Your Cost: $66.85/claim|Median: $99.39
0.7× median
U0003Top 5%

Infectious disease detection (COVID-19)

$614K

5,643 claims · 1.0%

Your Cost: $108.78/claim|Median: $63.08
1.7× median
84443Top 10%

Thyroid stimulating hormone (TSH)

$581K

30K claims · 0.9%

Your Cost: $19.69/claim|Median: $9.87
2.0× median
96366Top 5%

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

$578K

2,231 claims · 0.9%

Your Cost: $259.18/claim|Median: $40.12
6.5× median
78452Top 25%

Myocardial perfusion imaging, SPECT, multiple studies

$549K

1,406 claims · 0.9%

Your Cost: $390.14/claim|Median: $106.14
3.7× median
93306Top 10%

Echocardiography, transthoracic, complete, with Doppler

$535K

2,256 claims · 0.8%

Your Cost: $237.04/claim|Median: $54.68
4.3× median
96365Top 25%

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

$523K

4,051 claims · 0.8%

Your Cost: $129.08/claim|Median: $54.77
2.4× median
92507Top 25%

Speech/hearing/language treatment

$522K

7,403 claims · 0.8%

Your Cost: $70.49/claim|Median: $49.45
1.4× median
11042Top 25%

Debridement, subcutaneous tissue, first 20 sq cm

$469K

4,547 claims · 0.7%

Your Cost: $103.21/claim|Median: $36.13
2.9× median
85025Normal range

Complete blood count (CBC) with differential, automated

$464K

144K claims · 0.7%

Your Cost: $3.23/claim|Median: $4.71
0.7× median
97530Normal range

Therapeutic activities, each 15 min

$444K

7,955 claims · 0.7%

Your Cost: $55.77/claim|Median: $33.11
1.7× median
96413Normal range

Chemotherapy administration, IV infusion, up to 1 hour

$359K

4,022 claims · 0.6%

Your Cost: $89.30/claim|Median: $75.28
1.2× median
80061Normal range

Lipid panel

$358K

29K claims · 0.6%

Your Cost: $12.29/claim|Median: $8.41
1.5× median
99212Top 10%

Office/outpatient visit, low complexity

$342K

3,932 claims · 0.5%

Your Cost: $87.07/claim|Median: $25.06
3.5× median
94640Top 5%

Pressurized or nonpressurized inhalation treatment

$298K

2,724 claims · 0.5%

Your Cost: $109.45/claim|Median: $10.88
10.1× median
97110Top 25%

Therapeutic exercises, each 15 min

$292K

4,993 claims · 0.5%

Your Cost: $58.45/claim|Median: $24.49
2.4× median
80307Normal range

Drug test, presumptive, by chemistry analyzers

$268K

21K claims · 0.4%

Your Cost: $12.80/claim|Median: $35.43
0.4× median
82306Normal range

Vitamin D, 25 hydroxy

$257K

12K claims · 0.4%

Your Cost: $21.09/claim|Median: $18.18
1.2× median
43239Top 25%

Upper GI endoscopy with biopsy

$210K

558 claims · 0.3%

Your Cost: $375.54/claim|Median: $151.68
2.5× median
83036Top 10%

Hemoglobin A1c (glycated hemoglobin)

$188K

18K claims · 0.3%

Your Cost: $10.38/claim|Median: $5.50
1.9× median
80048Normal range

Basic metabolic panel

$188K

26K claims · 0.3%

Your Cost: $7.15/claim|Median: $5.78
1.2× median
83605Normal range

$185K

38K claims · 0.3%

Your Cost: $4.85/claim|Median: $4.66
1.0× median
H2020Normal range

Day habilitation, waiver, per 15 minutes

$182K

1,279 claims · 0.3%

Your Cost: $142.02/claim|Median: $144.05
1.0× median
36415Normal range

Collection of venous blood by venipuncture

$171K

128K claims · 0.3%

Your Cost: $1.33/claim|Median: $1.57
0.8× median
70496Top 10%

$169K

652 claims · 0.3%

Your Cost: $259.89/claim|Median: $78.92
3.3× median
96360Normal range

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

$167K

1,760 claims · 0.3%

Your Cost: $94.99/claim|Median: $61.57
1.5× median
87636Normal range

Respiratory virus detection, 6-11 targets, nucleic acid

$167K

10K claims · 0.3%

Your Cost: $16.41/claim|Median: $97.61
0.2× median
70491Top 10%

$165K

556 claims · 0.3%

Your Cost: $296.56/claim|Median: $98.20
3.0× median
0202UNormal range

Proprietary lab analysis, human genomic sequencing

$164K

1,343 claims · 0.3%

Your Cost: $121.77/claim|Median: $144.30
0.8× median
84484Normal range

Troponin, quantitative

$158K

48K claims · 0.2%

Your Cost: $3.32/claim|Median: $4.84
0.7× median
93017Normal range

$151K

1,811 claims · 0.2%

Your Cost: $83.28/claim|Median: $56.03
1.5× median
76705Top 25%

Ultrasound, abdominal, limited

$143K

1,633 claims · 0.2%

Your Cost: $87.60/claim|Median: $23.81
3.7× median
76856Top 10%

Ultrasound, pelvic, complete

$143K

830 claims · 0.2%

Your Cost: $172.10/claim|Median: $47.58
3.6× median
87635Normal range

COVID-19 SARS-CoV-2 amplified probe detection

$142K

13K claims · 0.2%

Your Cost: $11.18/claim|Median: $39.70
0.3× median
84439Top 10%

Free thyroxine level blood test

$141K

8,954 claims · 0.2%

Your Cost: $15.73/claim|Median: $6.31
2.5× median
11045Top 10%

$134K

377 claims · 0.2%

Your Cost: $356.73/claim|Median: $27.04
13.2× median
76642Top 5%

$129K

1,079 claims · 0.2%

Your Cost: $119.82/claim|Median: $32.06
3.7× median
77067Normal range

Screening mammography, bilateral, including CAD

$128K

2,934 claims · 0.2%

Your Cost: $43.79/claim|Median: $39.33
1.1× median
85027Top 25%

Complete blood count (CBC), automated

$128K

21K claims · 0.2%

Your Cost: $6.11/claim|Median: $3.72
1.6× median