Statistical flags indicate unusual patterns — not proof of fraud or wrongdoing. Read our methodology

⚖️ Compare🖨️ Print Report

PRINCETON COMMUNITY HOSPITAL ASSN., INC.

General Acute Care Hospital·PRINCETON, WV·NPI: 1558313213Share

Compared to General Acute Care Hospital Peers

Total spending distribution among 156 providers in this specialty

P25MedianP75P90

This provider's total spending of $40.9M is at the below 25th percentile among 156 General Acute Care Hospital providers.

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

Total Paid

$40.9M

$40,946,619

Total Claims

1.2M

Beneficiaries

970K

1.2 claims/patient

Avg Cost/Claim

$34

Monthly Spending Trend

Yearly Spending

2018
$8.0M
-39%
2019
$4.8M
+44%
2020
$7.0M
-26%
2021
$5.1M
+12%
2022
$5.8M
-4%
2023
$5.5M
-13%
2024
$4.8M

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 19% of total spending.

99285Top 5%

Emergency dept visit, high/urgent complexity

$7.8M

23K claims · 19.1%

Your Cost: $336.60/claim|Median: $85.65
3.9× median
99284Top 25%

Emergency dept visit, high complexity

$5.5M

36K claims · 13.4%

Your Cost: $154.45/claim|Median: $69.51
2.2× median
99283Top 25%

Emergency dept visit, moderate complexity

$4.2M

43K claims · 10.2%

Your Cost: $98.56/claim|Median: $42.48
2.3× median
87637Normal range

Respiratory virus detection, 3-5 targets, nucleic acid

$958K

10K claims · 2.3%

Your Cost: $94.94/claim|Median: $100.62
0.9× median
96361Normal range

IV infusion, hydration, each additional hour

$845K

12K claims · 2.1%

Your Cost: $67.72/claim|Median: $38.92
1.7× median
85025Top 25%

Complete blood count (CBC) with differential, automated

$762K

88K claims · 1.9%

Your Cost: $8.65/claim|Median: $4.71
1.8× median
80053Normal range

Comprehensive metabolic panel

$663K

70K claims · 1.6%

Your Cost: $9.50/claim|Median: $7.24
1.3× median
96365Normal range

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

$595K

12K claims · 1.5%

Your Cost: $50.43/claim|Median: $54.77
0.9× median
74176Normal range

CT abdomen and pelvis without contrast

$488K

4,971 claims · 1.2%

Your Cost: $98.27/claim|Median: $60.19
1.6× median
99282Normal range

Emergency dept visit, low complexity

$481K

7,225 claims · 1.2%

Your Cost: $66.57/claim|Median: $37.72
1.8× median
97110Normal range

Therapeutic exercises, each 15 min

$471K

11K claims · 1.2%

Your Cost: $41.52/claim|Median: $24.49
1.7× median
80307Top 25%

Drug test, presumptive, by chemistry analyzers

$467K

9,452 claims · 1.1%

Your Cost: $49.38/claim|Median: $35.43
1.4× median
70450Normal range

CT head/brain without contrast

$459K

7,365 claims · 1.1%

Your Cost: $62.37/claim|Median: $45.53
1.4× median
U0003Normal range

Infectious disease detection (COVID-19)

$443K

8,300 claims · 1.1%

Your Cost: $53.42/claim|Median: $63.08
0.8× median
74177Normal range

CT abdomen and pelvis with contrast

$443K

3,091 claims · 1.1%

Your Cost: $143.30/claim|Median: $65.76
2.2× median
96372Top 25%

Therapeutic injection, subcutaneous/intramuscular

$423K

25K claims · 1.0%

Your Cost: $17.17/claim|Median: $9.56
1.8× median
96374Normal range

Therapeutic/prophylactic/diagnostic IV push, single substance

$402K

15K claims · 1.0%

Your Cost: $27.69/claim|Median: $21.76
1.3× median
71046Top 25%

Chest X-ray, 2 views

$394K

18K claims · 1.0%

Your Cost: $22.51/claim|Median: $8.92
2.5× median
36415Top 10%

Collection of venous blood by venipuncture

$381K

64K claims · 0.9%

Your Cost: $5.95/claim|Median: $1.57
3.8× median
78452Top 25%

Myocardial perfusion imaging, SPECT, multiple studies

$381K

1,087 claims · 0.9%

Your Cost: $350.21/claim|Median: $106.14
3.3× median
96366Normal range

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

$360K

6,479 claims · 0.9%

Your Cost: $55.63/claim|Median: $40.12
1.4× median
G0463Normal range

Hospital outpatient clinic visit

$359K

8,498 claims · 0.9%

Your Cost: $42.25/claim|Median: $26.41
1.6× median
G0480Top 25%

Drug test, definitive, 1-7 drug classes

$354K

4,858 claims · 0.9%

Your Cost: $72.85/claim|Median: $37.56
1.9× median
G0378Normal range

Hospital observation service, per hour

$328K

5,025 claims · 0.8%

Your Cost: $65.35/claim|Median: $99.39
0.7× median
81001Top 10%

Urinalysis, automated, with microscopy

$291K

39K claims · 0.7%

Your Cost: $7.41/claim|Median: $2.03
3.7× median
J2405Top 10%

Injection, ondansetron HCl, per one milligram

$275K

19K claims · 0.7%

Your Cost: $14.45/claim|Median: $0.58
24.9× median
84484Top 25%

Troponin, quantitative

$273K

22K claims · 0.7%

Your Cost: $12.39/claim|Median: $4.84
2.6× median
J3010Top 5%

$250K

13K claims · 0.6%

Your Cost: $19.75/claim|Median: $0.55
35.9× median
96375Normal range

Therapeutic/prophylactic/diagnostic IV push, each additional substance

$245K

14K claims · 0.6%

Your Cost: $17.01/claim|Median: $14.92
1.1× median
87502Normal range

Influenza virus detection, reverse transcription, amplified probe

$219K

2,908 claims · 0.5%

Your Cost: $75.40/claim|Median: $65.64
1.1× median
93005Normal range

Electrocardiogram, tracing only, without interpretation

$216K

27K claims · 0.5%

Your Cost: $8.00/claim|Median: $7.50
1.1× median
87880Top 10%

Streptococcus, Group A, rapid antigen detection

$215K

13K claims · 0.5%

Your Cost: $16.84/claim|Median: $11.48
1.5× median
J1100Top 5%

$212K

13K claims · 0.5%

Your Cost: $16.56/claim|Median: $0.52
31.9× median
96413Normal range

Chemotherapy administration, IV infusion, up to 1 hour

$208K

2,979 claims · 0.5%

Your Cost: $69.91/claim|Median: $75.28
0.9× median
84443Normal range

Thyroid stimulating hormone (TSH)

$197K

16K claims · 0.5%

Your Cost: $12.53/claim|Median: $9.87
1.3× median
71275Normal range

CT angiography, chest, with contrast

$193K

1,586 claims · 0.5%

Your Cost: $121.40/claim|Median: $92.96
1.3× median
87070Top 25%

Bacterial culture, any source except blood or urine

$190K

13K claims · 0.5%

Your Cost: $15.09/claim|Median: $5.89
2.6× median
80048Top 25%

Basic metabolic panel

$189K

18K claims · 0.5%

Your Cost: $10.66/claim|Median: $5.78
1.8× median
A9500Normal range

Technetium-99m radiopharmaceutical diagnostic imaging agent

$184K

1,778 claims · 0.4%

Your Cost: $103.61/claim|Median: $64.30
1.6× median
70553Normal range

MRI brain without contrast, then with contrast

$172K

716 claims · 0.4%

Your Cost: $240.31/claim|Median: $133.68
1.8× median
J1885Top 5%

Injection, ketorolac tromethamine, fifteen milligrams

$168K

15K claims · 0.4%

Your Cost: $11.46/claim|Median: $0.91
12.6× median
83605Top 25%

$165K

16K claims · 0.4%

Your Cost: $10.07/claim|Median: $4.66
2.2× median
87086Top 25%

Urine culture, colony count, with identification

$160K

16K claims · 0.4%

Your Cost: $9.98/claim|Median: $5.31
1.9× median
J2250Top 5%

Injection, midazolam HCl, per one milligram

$159K

7,000 claims · 0.4%

Your Cost: $22.70/claim|Median: $0.32
70.9× median
72148Normal range

MRI lumbar spine without contrast

$154K

1,140 claims · 0.4%

Your Cost: $135.10/claim|Median: $101.03
1.3× median
99212Top 25%

Office/outpatient visit, low complexity

$153K

3,266 claims · 0.4%

Your Cost: $46.72/claim|Median: $25.06
1.9× median
86140Top 10%

$153K

15K claims · 0.4%

Your Cost: $10.08/claim|Median: $3.02
3.3× median
93017Normal range

$149K

1,593 claims · 0.4%

Your Cost: $93.78/claim|Median: $56.03
1.7× median
87040Top 25%

$145K

12K claims · 0.4%

Your Cost: $12.30/claim|Median: $5.54
2.2× median
G0383Normal range

$144K

1,089 claims · 0.4%

Your Cost: $132.33/claim|Median: $108.78
1.2× median

Other Top Providers in West Virginia

View all →

Rem Community Options Inc.

Community/Behavioral Health

$224.9M

Laboratory Corporation of America Holdings

Clinical Medical Laboratory

$220.0M

Charleston Area Medical Center INC

General Acute Care Hospital

$199.8M

Voca Corporation of West Virginia Inc.

Clinic/Center Developmental Disabilities

$178.3M

Mulberry Street Management Services Inc.

In Home Supportive Care

$175.6M

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

← All providersAll providers in West Virginia →How we detect fraud →