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

MERCY HOSPITAL SOUTH

General Acute Care Hospital·SAINT LOUIS, MO·NPI: 1568481984Share

Compared to General Acute Care Hospital Peers

Total spending distribution among 156 providers in this specialty

P25MedianP75P90

This provider's total spending of $22.0M is at the below 25th percentile among 156 General Acute Care Hospital providers.

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

Total Paid

$22.0M

$22,005,877

Total Claims

196K

Beneficiaries

168K

1.2 claims/patient

Avg Cost/Claim

$112

Monthly Spending Trend

Yearly Spending

2018
$4.6M
-30%
2019
$3.2M
-49%
2020
$1.6M
-1%
2021
$1.6M
+68%
2022
$2.7M
+52%
2023
$4.1M
+1%
2024
$4.2M

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 35% of total spending.

99285Top 25%

Emergency dept visit, high/urgent complexity

$7.6M

43K claims · 34.6%

Your Cost: $175.24/claim|Median: $85.65
2.0× median
X4011Normal range

Healthcare procedure, code X4011

$3.8M

19K claims · 17.2%

Your Cost: $203.15/claim|Median: $268.66
0.8× median
99284Top 25%

Emergency dept visit, high complexity

$2.5M

18K claims · 11.4%

Your Cost: $142.31/claim|Median: $69.51
2.0× median
99283Top 25%

Emergency dept visit, moderate complexity

$1.7M

15K claims · 7.8%

Your Cost: $115.63/claim|Median: $42.48
2.7× median
Y7506Normal range

Healthcare procedure, code Y7506

$1.3M

12K claims · 6.0%

Your Cost: $110.93/claim|Median: $146.80
0.8× median
85025Top 5%

Complete blood count (CBC) with differential, automated

$1.3M

28K claims · 6.0%

Your Cost: $46.44/claim|Median: $4.71
9.9× median
80053Top 5%

Comprehensive metabolic panel

$1.2M

25K claims · 5.3%

Your Cost: $47.43/claim|Median: $7.24
6.6× median
81001Top 1%

Urinalysis, automated, with microscopy

$282K

2,369 claims · 1.3%

Your Cost: $118.92/claim|Median: $2.03
58.6× median
93005Top 25%

Electrocardiogram, tracing only, without interpretation

$254K

5,836 claims · 1.2%

Your Cost: $43.55/claim|Median: $7.50
5.8× median
X4006Normal range

$191K

370 claims · 0.9%

Your Cost: $515.72/claim|Median: $668.05
0.8× median
96374Top 10%

Therapeutic/prophylactic/diagnostic IV push, single substance

$161K

1,568 claims · 0.7%

Your Cost: $102.71/claim|Median: $21.76
4.7× median
90853Top 5%

Group psychotherapy

$149K

1,002 claims · 0.7%

Your Cost: $148.67/claim|Median: $25.02
5.9× median
87804Top 1%

Influenza virus detection, rapid test

$142K

976 claims · 0.6%

Your Cost: $145.42/claim|Median: $12.59
11.6× median
64483Top 25%

$139K

333 claims · 0.6%

Your Cost: $418.59/claim|Median: $124.24
3.4× median
87880Top 1%

Streptococcus, Group A, rapid antigen detection

$107K

1,251 claims · 0.5%

Your Cost: $85.25/claim|Median: $11.48
7.4× median
64493Top 10%

$106K

239 claims · 0.5%

Your Cost: $442.21/claim|Median: $103.44
4.3× median
0202UTop 25%

Proprietary lab analysis, human genomic sequencing

$76K

268 claims · 0.3%

Your Cost: $283.34/claim|Median: $144.30
2.0× median
84703Top 1%

Human chorionic gonadotropin (hCG) quantitative blood test

$66K

254 claims · 0.3%

Your Cost: $260.20/claim|Median: $4.20
62.0× median
U0003Normal range

Infectious disease detection (COVID-19)

$63K

1,902 claims · 0.3%

Your Cost: $32.89/claim|Median: $63.08
0.5× median
X4003Normal range

$59K

1,117 claims · 0.3%

Your Cost: $53.09/claim|Median: $74.03
0.7× median
99212Top 10%

Office/outpatient visit, low complexity

$57K

642 claims · 0.3%

Your Cost: $89.44/claim|Median: $25.06
3.6× median
71046Top 5%

Chest X-ray, 2 views

$49K

554 claims · 0.2%

Your Cost: $88.70/claim|Median: $8.92
9.9× median
36415Top 5%

Collection of venous blood by venipuncture

$48K

1,095 claims · 0.2%

Your Cost: $43.77/claim|Median: $1.57
27.9× median
64635Top 5%

$47K

44 claims · 0.2%

Your Cost: $1,060.27/claim|Median: $207.78
5.1× median
83690Top 1%

$43K

392 claims · 0.2%

Your Cost: $109.32/claim|Median: $3.35
32.6× median
88305Top 25%

Surgical pathology, gross and microscopic examination

$36K

595 claims · 0.2%

Your Cost: $60.84/claim|Median: $35.80
1.7× median
G0378Normal range

Hospital observation service, per hour

$35K

199 claims · 0.2%

Your Cost: $174.43/claim|Median: $99.39
1.8× median
84484Top 10%

Troponin, quantitative

$33K

1,439 claims · 0.2%

Your Cost: $23.09/claim|Median: $4.84
4.8× median
43239Top 25%

Upper GI endoscopy with biopsy

$32K

104 claims · 0.1%

Your Cost: $310.36/claim|Median: $151.68
2.0× median
99291Top 25%

Critical care, first 30-74 minutes

$28K

145 claims · 0.1%

Your Cost: $191.79/claim|Median: $101.24
1.9× median
71045Top 5%

Chest X-ray, single view

$26K

530 claims · 0.1%

Your Cost: $48.96/claim|Median: $4.93
9.9× median
80307Top 5%

Drug test, presumptive, by chemistry analyzers

$26K

296 claims · 0.1%

Your Cost: $86.97/claim|Median: $35.43
2.5× median
G0463Normal range

Hospital outpatient clinic visit

$25K

623 claims · 0.1%

Your Cost: $39.80/claim|Median: $26.41
1.5× median
87070Top 5%

Bacterial culture, any source except blood or urine

$24K

271 claims · 0.1%

Your Cost: $87.06/claim|Median: $5.89
14.8× median
0241UNormal range

Proprietary lab analysis, genomic sequencing

$19K

229 claims · 0.1%

Your Cost: $82.60/claim|Median: $91.47
0.9× median
G0260Normal range

$19K

94 claims · 0.1%

Your Cost: $200.65/claim|Median: $169.32
1.2× median
43275Top 1%

$19K

12 claims · 0.1%

Your Cost: $1,566.32/claim|Median: $567.26
2.8× median
Y7507Normal range

$17K

281 claims · 0.1%

Your Cost: $61.84/claim|Median: $172.12
0.4× median
96375Top 25%

Therapeutic/prophylactic/diagnostic IV push, each additional substance

$16K

388 claims · 0.1%

Your Cost: $41.17/claim|Median: $14.92
2.8× median
99214Normal range

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

$15K

308 claims · 0.1%

Your Cost: $49.49/claim|Median: $53.41
0.9× median
74177Normal range

CT abdomen and pelvis with contrast

$15K

106 claims · 0.1%

Your Cost: $139.77/claim|Median: $65.76
2.1× median
90870Top 25%

$14K

47 claims · 0.1%

Your Cost: $300.78/claim|Median: $68.07
4.4× median
87502Top 1%

Influenza virus detection, reverse transcription, amplified probe

$13K

40 claims · 0.1%

Your Cost: $331.88/claim|Median: $65.64
5.1× median
76816Normal range

Ultrasound, pregnant uterus, follow-up

$13K

273 claims · 0.1%

Your Cost: $46.15/claim|Median: $58.55
0.8× median
84443Top 1%

Thyroid stimulating hormone (TSH)

$10K

151 claims · 0.0%

Your Cost: $69.41/claim|Median: $9.87
7.0× median
80048Top 25%

Basic metabolic panel

$10K

627 claims · 0.0%

Your Cost: $16.20/claim|Median: $5.78
2.8× median
80061Top 5%

Lipid panel

$9K

330 claims · 0.0%

Your Cost: $28.75/claim|Median: $8.41
3.4× median
87086Top 1%

Urine culture, colony count, with identification

$7K

49 claims · 0.0%

Your Cost: $142.05/claim|Median: $5.31
26.8× median
83036Top 1%

Hemoglobin A1c (glycated hemoglobin)

$7K

111 claims · 0.0%

Your Cost: $59.12/claim|Median: $5.50
10.7× median
J3490Normal range

Unclassified drugs

$6K

2,642 claims · 0.0%

Your Cost: $2.16/claim|Median: $5.70
0.4× median