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ASCENSION BORGESS HOSPITAL

General Acute Care Hospital·KALAMAZOO, MI·NPI: 1568416311Share

Compared to General Acute Care Hospital Peers

Total spending distribution among 156 providers in this specialty

P25MedianP75P90

This provider's total spending of $43.1M is at the below 25th percentile among 156 General Acute Care Hospital providers.

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

Total Paid

$43.1M

$43,081,872

Total Claims

1.3M

Beneficiaries

1.2M

1.1 claims/patient

Avg Cost/Claim

$33

Monthly Spending Trend

Yearly Spending

2018
$6.0M
+5%
2019
$6.3M
-12%
2020
$5.5M
+40%
2021
$7.7M
-11%
2022
$6.9M
-4%
2023
$6.6M
-36%
2024
$4.2M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 50 distinct procedure codes. The top code (G0463 (Hospital outpatient clinic visit)) accounts for 21% of total spending.

G0463Normal range

Hospital outpatient clinic visit

$8.9M

183K claims · 20.6%

Your Cost: $48.33/claim|Median: $26.41
1.8× median
99285Top 5%

Emergency dept visit, high/urgent complexity

$7.6M

24K claims · 17.6%

Your Cost: $318.17/claim|Median: $85.65
3.7× median
99284Top 10%

Emergency dept visit, high complexity

$4.7M

25K claims · 10.9%

Your Cost: $189.61/claim|Median: $69.51
2.7× median
99283Top 25%

Emergency dept visit, moderate complexity

$3.4M

27K claims · 8.0%

Your Cost: $126.55/claim|Median: $42.48
3.0× median
96374Top 25%

Therapeutic/prophylactic/diagnostic IV push, single substance

$1.4M

16K claims · 3.3%

Your Cost: $88.75/claim|Median: $21.76
4.1× median
93306Top 25%

Echocardiography, transthoracic, complete, with Doppler

$777K

3,661 claims · 1.8%

Your Cost: $212.31/claim|Median: $54.68
3.9× median
78452Top 10%

Myocardial perfusion imaging, SPECT, multiple studies

$753K

1,494 claims · 1.7%

Your Cost: $503.89/claim|Median: $106.14
4.7× median
74177Normal range

CT abdomen and pelvis with contrast

$748K

5,333 claims · 1.7%

Your Cost: $140.35/claim|Median: $65.76
2.1× median
97110Normal range

Therapeutic exercises, each 15 min

$572K

23K claims · 1.3%

Your Cost: $24.50/claim|Median: $24.49
1.0× median
71046Top 10%

Chest X-ray, 2 views

$416K

12K claims · 1.0%

Your Cost: $35.95/claim|Median: $8.92
4.0× median
96361Normal range

IV infusion, hydration, each additional hour

$412K

11K claims · 1.0%

Your Cost: $35.96/claim|Median: $38.92
0.9× median
82947Top 5%

Blood glucose level test

$409K

11K claims · 0.9%

Your Cost: $37.44/claim|Median: $2.38
15.7× median
G0378Normal range

Hospital observation service, per hour

$405K

4,605 claims · 0.9%

Your Cost: $87.96/claim|Median: $99.39
0.9× median
70553Normal range

MRI brain without contrast, then with contrast

$399K

1,822 claims · 0.9%

Your Cost: $219.19/claim|Median: $133.68
1.6× median
99282Normal range

Emergency dept visit, low complexity

$390K

5,345 claims · 0.9%

Your Cost: $73.02/claim|Median: $37.72
1.9× median
90791Normal range

Psychiatric diagnostic evaluation

$390K

7,662 claims · 0.9%

Your Cost: $50.87/claim|Median: $99.21
0.5× median
93458Top 25%

Left heart catheterization with imaging

$341K

344 claims · 0.8%

Your Cost: $991.46/claim|Median: $183.33
5.4× median
70450Top 25%

CT head/brain without contrast

$331K

4,188 claims · 0.8%

Your Cost: $79.07/claim|Median: $45.53
1.7× median
71045Top 10%

Chest X-ray, single view

$329K

8,158 claims · 0.8%

Your Cost: $40.28/claim|Median: $4.93
8.2× median
96360Normal range

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

$301K

3,079 claims · 0.7%

Your Cost: $97.91/claim|Median: $61.57
1.6× median
95810Top 25%

Polysomnography, sleep study, 6+ hours

$278K

589 claims · 0.6%

Your Cost: $472.74/claim|Median: $233.73
2.0× median
93975Normal range

Duplex scan of arterial inflow and venous outflow, complete

$249K

2,128 claims · 0.6%

Your Cost: $117.16/claim|Median: $79.28
1.5× median
A0425Top 25%

Ground mileage, per statute mile

$249K

3,110 claims · 0.6%

Your Cost: $80.08/claim|Median: $23.36
3.4× median
43239Top 25%

Upper GI endoscopy with biopsy

$247K

727 claims · 0.6%

Your Cost: $340.36/claim|Median: $151.68
2.2× median
87635Normal range

COVID-19 SARS-CoV-2 amplified probe detection

$247K

8,597 claims · 0.6%

Your Cost: $28.74/claim|Median: $39.70
0.7× median
G0379Top 10%

Direct admission to hospital observation

$240K

390 claims · 0.6%

Your Cost: $614.83/claim|Median: $48.25
12.7× median
90834Normal range

Psychotherapy, 45 minutes

$209K

3,692 claims · 0.5%

Your Cost: $56.58/claim|Median: $63.65
0.9× median
59025Top 25%

Fetal non-stress test

$204K

2,456 claims · 0.5%

Your Cost: $82.96/claim|Median: $26.45
3.1× median
82465Top 1%

$200K

5,536 claims · 0.5%

Your Cost: $36.13/claim|Median: $3.41
10.6× median
96365Normal range

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

$198K

2,258 claims · 0.5%

Your Cost: $87.88/claim|Median: $54.77
1.6× median
Q3014Normal range

Telehealth originating site facility fee

$198K

12K claims · 0.5%

Your Cost: $17.06/claim|Median: $15.37
1.1× median
A0427Top 25%

Ambulance, ALS emergency transport Level 1

$189K

750 claims · 0.4%

Your Cost: $251.48/claim|Median: $164.22
1.5× median
74176Normal range

CT abdomen and pelvis without contrast

$184K

1,648 claims · 0.4%

Your Cost: $111.35/claim|Median: $60.19
1.8× median
96375Normal range

Therapeutic/prophylactic/diagnostic IV push, each additional substance

$179K

7,876 claims · 0.4%

Your Cost: $22.74/claim|Median: $14.92
1.5× median
76856Normal range

Ultrasound, pelvic, complete

$178K

3,267 claims · 0.4%

Your Cost: $54.53/claim|Median: $47.58
1.1× median
76830Normal range

Ultrasound, transvaginal

$177K

3,045 claims · 0.4%

Your Cost: $58.15/claim|Median: $57.47
1.0× median
97140Normal range

Manual therapy techniques, per 15 minutes

$172K

12K claims · 0.4%

Your Cost: $14.17/claim|Median: $16.79
0.8× median
71275Normal range

CT angiography, chest, with contrast

$163K

1,996 claims · 0.4%

Your Cost: $81.55/claim|Median: $92.96
0.9× median
87591Normal range

Neisseria gonorrhoeae detection, nucleic acid, amplified probe

$158K

12K claims · 0.4%

Your Cost: $12.98/claim|Median: $23.39
0.6× median
87491Normal range

Chlamydia detection, nucleic acid, amplified probe

$156K

12K claims · 0.4%

Your Cost: $12.82/claim|Median: $24.95
0.5× median
U0003Normal range

Infectious disease detection (COVID-19)

$156K

3,136 claims · 0.4%

Your Cost: $49.85/claim|Median: $63.08
0.8× median
76801Normal range

Ultrasound, pregnant uterus, single fetus, first trimester

$156K

2,697 claims · 0.4%

Your Cost: $57.84/claim|Median: $58.16
1.0× median
72148Normal range

MRI lumbar spine without contrast

$146K

1,318 claims · 0.3%

Your Cost: $110.41/claim|Median: $101.03
1.1× median
90471Normal range

Immunization administration, 1 vaccine, percutaneous/ID/SC/IM

$140K

15K claims · 0.3%

Your Cost: $9.43/claim|Median: $9.80
1.0× median
73721Normal range

MRI joint of lower extremity without contrast

$134K

1,061 claims · 0.3%

Your Cost: $125.94/claim|Median: $127.34
1.0× median
96372Normal range

Therapeutic injection, subcutaneous/intramuscular

$132K

18K claims · 0.3%

Your Cost: $7.50/claim|Median: $9.56
0.8× median
71260Top 25%

CT chest with contrast

$130K

1,034 claims · 0.3%

Your Cost: $126.19/claim|Median: $48.36
2.6× median
76705Top 25%

Ultrasound, abdominal, limited

$127K

2,286 claims · 0.3%

Your Cost: $55.63/claim|Median: $23.81
2.3× median
80053Normal range

Comprehensive metabolic panel

$125K

50K claims · 0.3%

Your Cost: $2.49/claim|Median: $7.24
0.3× median
95910Top 25%

$123K

863 claims · 0.3%

Your Cost: $142.59/claim|Median: $97.13
1.5× median