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BAYSTATE MEDICAL CENTER INC

Clinical Medical Laboratory·SPRINGFIELD, MA·NPI: 1568488450Share

Compared to Clinical Medical Laboratory Peers

Total spending distribution among 88 providers in this specialty

P25MedianP75P90

This provider's total spending of $40.5M is at the 25th percentile among 88 Clinical Medical Laboratory providers.

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

Total Paid

$40.5M

$40,546,938

Total Claims

3.8M

Beneficiaries

3.6M

1.1 claims/patient

Avg Cost/Claim

$11

Monthly Spending Trend

Yearly Spending

2018
$5.0M
-77%
2019
$1.2M
+495%
2020
$6.9M
+46%
2021
$10.1M
-15%
2022
$8.6M
-14%
2023
$7.4M
-82%
2024
$1.3M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 50 distinct procedure codes. The top code (U0003 (Infectious disease detection (COVID-19))) accounts for 18% of total spending.

U0003Normal range

Infectious disease detection (COVID-19)

$7.3M

114K claims · 17.9%

Your Cost: $63.61/claim|Median: $63.08
1.0× median
87591Normal range

Neisseria gonorrhoeae detection, nucleic acid, amplified probe

$2.0M

81K claims · 5.0%

Your Cost: $24.74/claim|Median: $23.39
1.1× median
87491Normal range

Chlamydia detection, nucleic acid, amplified probe

$2.0M

80K claims · 4.9%

Your Cost: $24.62/claim|Median: $24.95
1.0× median
84443Normal range

Thyroid stimulating hormone (TSH)

$1.2M

129K claims · 3.1%

Your Cost: $9.59/claim|Median: $9.87
1.0× median
82306Normal range

Vitamin D, 25 hydroxy

$1.1M

65K claims · 2.6%

Your Cost: $16.12/claim|Median: $18.18
0.9× median
81513Normal range

$1.0M

17K claims · 2.5%

Your Cost: $61.70/claim|Median: $71.32
0.9× median
87389Normal range

HIV-1 antigen with HIV-1 and HIV-2 antibodies

$981K

62K claims · 2.4%

Your Cost: $15.83/claim|Median: $18.03
0.9× median
81220Normal range

CFTR gene analysis, common variants

$912K

3,094 claims · 2.2%

Your Cost: $294.73/claim|Median: $183.31
1.6× median
U0005Normal range

Infectious disease detection, COVID-19, antigen

$904K

51K claims · 2.2%

Your Cost: $17.78/claim|Median: $15.76
1.1× median
80307Normal range

Drug test, presumptive, by chemistry analyzers

$873K

28K claims · 2.2%

Your Cost: $31.01/claim|Median: $35.43
0.9× median
85025Normal range

Complete blood count (CBC) with differential, automated

$782K

184K claims · 1.9%

Your Cost: $4.24/claim|Median: $4.71
0.9× median
87631Normal range

Respiratory virus detection, 3-5 targets, multiplex

$736K

7,465 claims · 1.8%

Your Cost: $98.60/claim|Median: $65.45
1.5× median
86480Normal range

Tuberculosis test, cell-mediated immunity

$665K

17K claims · 1.6%

Your Cost: $39.38/claim|Median: $38.35
1.0× median
87661Normal range

Trichomonas vaginalis detection, nucleic acid, amplified probe

$612K

27K claims · 1.5%

Your Cost: $22.84/claim|Median: $21.08
1.1× median
83036Normal range

Hemoglobin A1c (glycated hemoglobin)

$607K

120K claims · 1.5%

Your Cost: $5.07/claim|Median: $5.50
0.9× median
87481Normal range

$602K

20K claims · 1.5%

Your Cost: $30.59/claim|Median: $22.38
1.4× median
87624Normal range

HPV detection, high-risk types, nucleic acid

$578K

25K claims · 1.4%

Your Cost: $22.76/claim|Median: $25.57
0.9× median
88175Normal range

Cytopathology, cervical or vaginal, ThinPrep

$542K

27K claims · 1.3%

Your Cost: $19.96/claim|Median: $19.06
1.0× median
86780Normal range

$453K

50K claims · 1.1%

Your Cost: $9.04/claim|Median: $9.83
0.9× median
86803Normal range

Hepatitis C antibody

$447K

49K claims · 1.1%

Your Cost: $9.03/claim|Median: $10.17
0.9× median
G0481Normal range

Drug test, definitive, 8-14 drug classes

$432K

6,016 claims · 1.1%

Your Cost: $71.87/claim|Median: $64.72
1.1× median
80053Normal range

Comprehensive metabolic panel

$423K

152K claims · 1.0%

Your Cost: $2.78/claim|Median: $7.24
0.4× median
86003Normal range

Allergen specific IgE blood test, each allergen

$412K

18K claims · 1.0%

Your Cost: $23.05/claim|Median: $40.67
0.6× median
88305Normal range

Surgical pathology, gross and microscopic examination

$408K

9,602 claims · 1.0%

Your Cost: $42.52/claim|Median: $35.80
1.2× median
87086Normal range

Urine culture, colony count, with identification

$396K

75K claims · 1.0%

Your Cost: $5.25/claim|Median: $5.31
1.0× median
87536Normal range

HIV-1 detection by nucleic acid, quantitative

$392K

7,783 claims · 1.0%

Your Cost: $50.31/claim|Median: $51.73
1.0× median
80061Normal range

Lipid panel

$381K

121K claims · 0.9%

Your Cost: $3.14/claim|Median: $8.41
0.4× median
G0480Normal range

Drug test, definitive, 1-7 drug classes

$358K

13K claims · 0.9%

Your Cost: $27.89/claim|Median: $37.56
0.7× median
0241UNormal range

Proprietary lab analysis, genomic sequencing

$345K

5,103 claims · 0.9%

Your Cost: $67.69/claim|Median: $91.47
0.7× median
83655Normal range

$318K

29K claims · 0.8%

Your Cost: $10.83/claim|Median: $10.49
1.0× median
85027Normal range

Complete blood count (CBC), automated

$305K

78K claims · 0.8%

Your Cost: $3.89/claim|Median: $3.72
1.0× median
83013Normal range

$304K

6,486 claims · 0.8%

Your Cost: $46.91/claim|Median: $46.17
1.0× median
82607Normal range

Cyanocobalamin (vitamin B-12)

$303K

39K claims · 0.7%

Your Cost: $7.71/claim|Median: $8.72
0.9× median
87633Normal range

Respiratory virus detection, 12-25 targets, nucleic acid

$290K

1,035 claims · 0.7%

Your Cost: $279.78/claim|Median: $169.17
1.7× median
82728Normal range

Ferritin

$288K

37K claims · 0.7%

Your Cost: $7.78/claim|Median: $6.00
1.3× median
87902Normal range

$283K

1,865 claims · 0.7%

Your Cost: $151.73/claim|Median: $156.75
1.0× median
83970Normal range

Parathormone (parathyroid hormone) blood test

$283K

17K claims · 0.7%

Your Cost: $17.00/claim|Median: $10.20
1.7× median
87088Top 25%

$278K

35K claims · 0.7%

Your Cost: $8.03/claim|Median: $5.45
1.5× median
87522Normal range

$261K

9,376 claims · 0.6%

Your Cost: $27.83/claim|Median: $29.66
0.9× median
84439Normal range

Free thyroxine level blood test

$247K

45K claims · 0.6%

Your Cost: $5.43/claim|Median: $6.31
0.9× median
80050Normal range

General health panel

$224K

8,764 claims · 0.6%

Your Cost: $25.58/claim|Median: $25.59
1.0× median
87340Normal range

Hepatitis B surface antigen detection

$222K

33K claims · 0.5%

Your Cost: $6.64/claim|Median: $5.52
1.2× median
ATP17Normal range

$203K

31K claims · 0.5%

Your Cost: $6.48/claim|Median: $5.06
1.3× median
86481Normal range

$199K

3,931 claims · 0.5%

Your Cost: $50.52/claim|Median: $52.45
1.0× median
84702Normal range

$196K

17K claims · 0.5%

Your Cost: $11.67/claim|Median: $8.25
1.4× median
ATP14Normal range

$187K

36K claims · 0.5%

Your Cost: $5.27/claim|Median: $6.69
0.8× median
86317Normal range

$182K

17K claims · 0.4%

Your Cost: $10.44/claim|Median: $9.56
1.1× median
84403Normal range

Testosterone, total blood test

$158K

9,502 claims · 0.4%

Your Cost: $16.59/claim|Median: $17.03
1.0× median
81001Normal range

Urinalysis, automated, with microscopy

$152K

85K claims · 0.4%

Your Cost: $1.78/claim|Median: $2.03
0.9× median
80048Normal range

Basic metabolic panel

$152K

72K claims · 0.4%

Your Cost: $2.10/claim|Median: $5.78
0.4× median