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ST MARY MEDICAL CENTER INC

General Acute Care Hospital·HOBART, IN·NPI: 1558463745Share

Compared to General Acute Care Hospital Peers

Total spending distribution among 156 providers in this specialty

P25MedianP75P90

This provider's total spending of $23.4M is at the below 25th percentile among 156 General Acute Care Hospital providers.

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

Total Paid

$23.4M

$23,438,037

Total Claims

535K

Beneficiaries

442K

1.2 claims/patient

Avg Cost/Claim

$44

Monthly Spending Trend

Yearly Spending

2018
$1.1M
+60%
2019
$1.7M
+8%
2020
$1.8M
+109%
2021
$3.8M
+33%
2022
$5.1M
+6%
2023
$5.4M
-18%
2024
$4.4M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 50 distinct procedure codes. The top code (99284 (Emergency dept visit, high complexity)) accounts for 21% of total spending.

99284Top 25%

Emergency dept visit, high complexity

$5.0M

34K claims · 21.3%

Your Cost: $147.85/claim|Median: $69.51
2.1× median
99285Top 25%

Emergency dept visit, high/urgent complexity

$3.4M

23K claims · 14.5%

Your Cost: $145.03/claim|Median: $85.65
1.7× median
99283Top 10%

Emergency dept visit, moderate complexity

$2.2M

15K claims · 9.5%

Your Cost: $150.07/claim|Median: $42.48
3.5× median
71046Top 1%

Chest X-ray, 2 views

$2.0M

15K claims · 8.5%

Your Cost: $134.64/claim|Median: $8.92
15.1× median
93005Top 10%

Electrocardiogram, tracing only, without interpretation

$1.3M

21K claims · 5.5%

Your Cost: $62.00/claim|Median: $7.50
8.3× median
Q9967Top 5%

Low osmolar contrast material, 300-399 mg iodine/ml, per ml

$1.3M

6,095 claims · 5.4%

Your Cost: $205.81/claim|Median: $3.42
60.2× median
0241UNormal range

Proprietary lab analysis, genomic sequencing

$976K

9,572 claims · 4.2%

Your Cost: $101.95/claim|Median: $91.47
1.1× median
71045Top 1%

Chest X-ray, single view

$898K

7,637 claims · 3.8%

Your Cost: $117.62/claim|Median: $4.93
23.9× median
74177Top 10%

CT abdomen and pelvis with contrast

$747K

1,813 claims · 3.2%

Your Cost: $412.20/claim|Median: $65.76
6.3× median
C9803Top 10%

$671K

11K claims · 2.9%

Your Cost: $60.50/claim|Median: $13.20
4.6× median
96361Normal range

IV infusion, hydration, each additional hour

$620K

12K claims · 2.6%

Your Cost: $52.37/claim|Median: $38.92
1.3× median
70450Top 25%

CT head/brain without contrast

$535K

5,014 claims · 2.3%

Your Cost: $106.78/claim|Median: $45.53
2.3× median
74176Top 25%

CT abdomen and pelvis without contrast

$371K

1,934 claims · 1.6%

Your Cost: $191.77/claim|Median: $60.19
3.2× median
66984Top 5%

Extracapsular cataract removal with IOL insertion

$348K

360 claims · 1.5%

Your Cost: $966.42/claim|Median: $268.70
3.6× median
99213Top 5%

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

$318K

3,672 claims · 1.4%

Your Cost: $86.64/claim|Median: $37.81
2.3× median
80053Normal range

Comprehensive metabolic panel

$236K

42K claims · 1.0%

Your Cost: $5.66/claim|Median: $7.24
0.8× median
11042Top 5%

Debridement, subcutaneous tissue, first 20 sq cm

$230K

487 claims · 1.0%

Your Cost: $472.16/claim|Median: $36.13
13.1× median
96374Normal range

Therapeutic/prophylactic/diagnostic IV push, single substance

$180K

17K claims · 0.8%

Your Cost: $10.50/claim|Median: $21.76
0.5× median
85025Normal range

Complete blood count (CBC) with differential, automated

$169K

41K claims · 0.7%

Your Cost: $4.16/claim|Median: $4.71
0.9× median
36415Normal range

Collection of venous blood by venipuncture

$155K

76K claims · 0.7%

Your Cost: $2.04/claim|Median: $1.57
1.3× median
43239Top 5%

Upper GI endoscopy with biopsy

$120K

116 claims · 0.5%

Your Cost: $1,033.39/claim|Median: $151.68
6.8× median
87631Normal range

Respiratory virus detection, 3-5 targets, multiplex

$117K

2,209 claims · 0.5%

Your Cost: $53.11/claim|Median: $65.45
0.8× median
96372Top 25%

Therapeutic injection, subcutaneous/intramuscular

$115K

6,796 claims · 0.5%

Your Cost: $16.96/claim|Median: $9.56
1.8× median
87635Normal range

COVID-19 SARS-CoV-2 amplified probe detection

$92K

2,953 claims · 0.4%

Your Cost: $31.22/claim|Median: $39.70
0.8× median
U0003Normal range

Infectious disease detection (COVID-19)

$86K

1,273 claims · 0.4%

Your Cost: $67.44/claim|Median: $63.08
1.1× median
84484Normal range

Troponin, quantitative

$80K

9,948 claims · 0.3%

Your Cost: $8.09/claim|Median: $4.84
1.7× median
93306Top 5%

Echocardiography, transthoracic, complete, with Doppler

$74K

252 claims · 0.3%

Your Cost: $293.31/claim|Median: $54.68
5.4× median
81025Normal range

Urine pregnancy test

$72K

13K claims · 0.3%

Your Cost: $5.57/claim|Median: $4.81
1.2× median
81001Normal range

Urinalysis, automated, with microscopy

$56K

30K claims · 0.2%

Your Cost: $1.84/claim|Median: $2.03
0.9× median
45385Top 1%

Colonoscopy with polyp removal, snare technique

$46K

32 claims · 0.2%

Your Cost: $1,438.96/claim|Median: $255.17
5.6× median
87651Normal range

Streptococcus Group A detection, nucleic acid, amplified probe

$44K

1,760 claims · 0.2%

Your Cost: $24.92/claim|Median: $28.46
0.9× median
97110Normal range

Therapeutic exercises, each 15 min

$41K

1,200 claims · 0.2%

Your Cost: $34.00/claim|Median: $24.49
1.4× median
83690Normal range

$37K

11K claims · 0.2%

Your Cost: $3.37/claim|Median: $3.35
1.0× median
87637Normal range

Respiratory virus detection, 3-5 targets, nucleic acid

$37K

313 claims · 0.2%

Your Cost: $117.26/claim|Median: $100.62
1.2× median
96375Normal range

Therapeutic/prophylactic/diagnostic IV push, each additional substance

$36K

11K claims · 0.2%

Your Cost: $3.12/claim|Median: $14.92
0.2× median
96365Normal range

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

$33K

1,018 claims · 0.1%

Your Cost: $32.73/claim|Median: $54.77
0.6× median
83735Normal range

Magnesium blood level test

$33K

8,981 claims · 0.1%

Your Cost: $3.63/claim|Median: $2.77
1.3× median
80307Normal range

Drug test, presumptive, by chemistry analyzers

$33K

933 claims · 0.1%

Your Cost: $34.96/claim|Median: $35.43
1.0× median
99212Top 5%

Office/outpatient visit, low complexity

$30K

290 claims · 0.1%

Your Cost: $104.81/claim|Median: $25.06
4.2× median
92507Top 1%

Speech/hearing/language treatment

$30K

191 claims · 0.1%

Your Cost: $157.64/claim|Median: $49.45
3.2× median
87491Normal range

Chlamydia detection, nucleic acid, amplified probe

$29K

1,144 claims · 0.1%

Your Cost: $25.51/claim|Median: $24.95
1.0× median
87591Normal range

Neisseria gonorrhoeae detection, nucleic acid, amplified probe

$29K

1,145 claims · 0.1%

Your Cost: $25.41/claim|Median: $23.39
1.1× median
45378Top 1%

Colonoscopy, diagnostic

$29K

14 claims · 0.1%

Your Cost: $2,042.05/claim|Median: $225.49
9.1× median
80050Top 5%

General health panel

$27K

162 claims · 0.1%

Your Cost: $164.07/claim|Median: $25.59
6.4× median
87086Normal range

Urine culture, colony count, with identification

$27K

5,680 claims · 0.1%

Your Cost: $4.67/claim|Median: $5.31
0.9× median
87040Normal range

$26K

2,972 claims · 0.1%

Your Cost: $8.73/claim|Median: $5.54
1.6× median
93296Top 5%

Remote monitoring of cardiac device, single or dual lead

$25K

235 claims · 0.1%

Your Cost: $108.38/claim|Median: $10.24
10.6× median
84443Normal range

Thyroid stimulating hormone (TSH)

$24K

2,624 claims · 0.1%

Your Cost: $9.09/claim|Median: $9.87
0.9× median
76816Top 10%

Ultrasound, pregnant uterus, follow-up

$20K

179 claims · 0.1%

Your Cost: $113.59/claim|Median: $58.55
1.9× median
85027Normal range

Complete blood count (CBC), automated

$20K

5,311 claims · 0.1%

Your Cost: $3.76/claim|Median: $3.72
1.0× median

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