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MERCY HOSPITAL SPRINGFIELD

General Acute Care Hospital·SPRINGFIELD, MO·NPI: 1578504056Share

Compared to General Acute Care Hospital Peers

Total spending distribution among 156 providers in this specialty

P25MedianP75P90

This provider's total spending of $64.6M is at the below 25th percentile among 156 General Acute Care Hospital providers.

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

Total Paid

$64.6M

$64,601,159

Total Claims

417K

Beneficiaries

368K

1.1 claims/patient

Avg Cost/Claim

$155

Monthly Spending Trend

Yearly Spending

2018
$20.3M
-12%
2019
$17.8M
-61%
2020
$6.9M
-65%
2021
$2.4M
+77%
2022
$4.2M
+65%
2023
$7.0M
-13%
2024
$6.0M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 50 distinct procedure codes. The top code (Y7506 (Healthcare procedure, code Y7506)) accounts for 33% of total spending.

Y7506Top 25%

Healthcare procedure, code Y7506

$21.2M

83K claims · 32.8%

Your Cost: $255.36/claim|Median: $146.80
1.7× median
99285Top 10%

Emergency dept visit, high/urgent complexity

$6.4M

21K claims · 9.9%

Your Cost: $309.27/claim|Median: $85.65
3.6× median
X4011Normal range

Healthcare procedure, code X4011

$5.1M

21K claims · 7.9%

Your Cost: $242.56/claim|Median: $268.66
0.9× median
85025Top 5%

Complete blood count (CBC) with differential, automated

$4.3M

75K claims · 6.7%

Your Cost: $57.01/claim|Median: $4.71
12.1× median
X4006Normal range

$3.3M

7,166 claims · 5.1%

Your Cost: $463.25/claim|Median: $668.05
0.7× median
80053Top 5%

Comprehensive metabolic panel

$3.3M

62K claims · 5.1%

Your Cost: $53.37/claim|Median: $7.24
7.4× median
99283Top 5%

Emergency dept visit, moderate complexity

$2.8M

15K claims · 4.3%

Your Cost: $183.79/claim|Median: $42.48
4.3× median
42820Top 10%

Tonsillectomy and adenoidectomy, under age 12

$2.7M

950 claims · 4.2%

Your Cost: $2,848.43/claim|Median: $331.68
8.6× median
69436Top 10%

Tympanostomy, general anesthesia

$2.4M

1,857 claims · 3.7%

Your Cost: $1,294.17/claim|Median: $205.50
6.3× median
99284Top 5%

Emergency dept visit, high complexity

$1.8M

7,392 claims · 2.8%

Your Cost: $244.38/claim|Median: $69.51
3.5× median
G0463Top 25%

Hospital outpatient clinic visit

$1.5M

20K claims · 2.4%

Your Cost: $75.14/claim|Median: $26.41
2.8× median
88305Top 1%

Surgical pathology, gross and microscopic examination

$874K

3,492 claims · 1.4%

Your Cost: $250.42/claim|Median: $35.80
7.0× median
43239Top 5%

Upper GI endoscopy with biopsy

$864K

1,188 claims · 1.3%

Your Cost: $726.87/claim|Median: $151.68
4.8× median
93005Top 10%

Electrocardiogram, tracing only, without interpretation

$777K

14K claims · 1.2%

Your Cost: $55.36/claim|Median: $7.50
7.4× median
X4003Top 25%

$589K

4,063 claims · 0.9%

Your Cost: $144.98/claim|Median: $74.03
2.0× median
99212Top 5%

Office/outpatient visit, low complexity

$400K

3,388 claims · 0.6%

Your Cost: $117.96/claim|Median: $25.06
4.7× median
88312Top 1%

$388K

230 claims · 0.6%

Your Cost: $1,685.63/claim|Median: $24.56
68.6× median
96374Top 10%

Therapeutic/prophylactic/diagnostic IV push, single substance

$354K

3,092 claims · 0.5%

Your Cost: $114.52/claim|Median: $21.76
5.3× median
0202UTop 25%

Proprietary lab analysis, human genomic sequencing

$327K

980 claims · 0.5%

Your Cost: $333.96/claim|Median: $144.30
2.3× median
97110Top 1%

Therapeutic exercises, each 15 min

$323K

1,943 claims · 0.5%

Your Cost: $166.13/claim|Median: $24.49
6.8× median
99213Top 1%

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

$313K

1,800 claims · 0.5%

Your Cost: $173.74/claim|Median: $37.81
4.6× median
80307Top 5%

Drug test, presumptive, by chemistry analyzers

$261K

3,084 claims · 0.4%

Your Cost: $84.72/claim|Median: $35.43
2.4× median
81003Top 1%

Urinalysis, automated without microscopy

$234K

4,798 claims · 0.4%

Your Cost: $48.85/claim|Median: $1.48
33.0× median
71046Top 1%

Chest X-ray, 2 views

$227K

1,705 claims · 0.4%

Your Cost: $132.93/claim|Median: $8.92
14.9× median
96413Top 25%

Chemotherapy administration, IV infusion, up to 1 hour

$223K

1,461 claims · 0.3%

Your Cost: $152.43/claim|Median: $75.28
2.0× median
11042Normal range

Debridement, subcutaneous tissue, first 20 sq cm

$198K

3,297 claims · 0.3%

Your Cost: $59.91/claim|Median: $36.13
1.7× median
66984Top 25%

Extracapsular cataract removal with IOL insertion

$191K

387 claims · 0.3%

Your Cost: $493.05/claim|Median: $268.70
1.8× median
0241UNormal range

Proprietary lab analysis, genomic sequencing

$188K

1,785 claims · 0.3%

Your Cost: $105.38/claim|Median: $91.47
1.2× median
95810Normal range

Polysomnography, sleep study, 6+ hours

$183K

394 claims · 0.3%

Your Cost: $465.43/claim|Median: $233.73
2.0× median
43235Top 25%

Upper GI endoscopy, diagnostic, including collection

$170K

403 claims · 0.3%

Your Cost: $422.88/claim|Median: $114.30
3.7× median
88300Top 1%

$164K

289 claims · 0.3%

Your Cost: $566.27/claim|Median: $4.76
119.0× median
71045Top 5%

Chest X-ray, single view

$162K

2,884 claims · 0.3%

Your Cost: $56.04/claim|Median: $4.93
11.4× median
G0378Top 5%

Hospital observation service, per hour

$157K

145 claims · 0.2%

Your Cost: $1,081.38/claim|Median: $99.39
10.9× median
81001Top 5%

Urinalysis, automated, with microscopy

$137K

2,623 claims · 0.2%

Your Cost: $52.10/claim|Median: $2.03
25.7× median
J3490Normal range

Unclassified drugs

$124K

6,740 claims · 0.2%

Your Cost: $18.36/claim|Median: $5.70
3.2× median
97140Top 1%

Manual therapy techniques, per 15 minutes

$98K

353 claims · 0.2%

Your Cost: $278.80/claim|Median: $16.79
16.6× median
82657Top 1%

$98K

135 claims · 0.2%

Your Cost: $723.05/claim|Median: $15.70
46.1× median
99282Top 25%

Emergency dept visit, low complexity

$88K

627 claims · 0.1%

Your Cost: $140.25/claim|Median: $37.72
3.7× median
62323Normal range

Epidural injection of diagnostic or therapeutic substance, lumbar

$81K

416 claims · 0.1%

Your Cost: $194.15/claim|Median: $111.02
1.7× median
36415Top 5%

Collection of venous blood by venipuncture

$81K

2,829 claims · 0.1%

Your Cost: $28.51/claim|Median: $1.57
18.2× median
G0480Top 10%

Drug test, definitive, 1-7 drug classes

$80K

825 claims · 0.1%

Your Cost: $96.67/claim|Median: $37.56
2.6× median
U0003Normal range

Infectious disease detection (COVID-19)

$64K

5,043 claims · 0.1%

Your Cost: $12.77/claim|Median: $63.08
0.2× median
97112Top 25%

Therapeutic procedure, neuromuscular reeducation, per 15 minutes

$64K

1,759 claims · 0.1%

Your Cost: $36.36/claim|Median: $20.04
1.8× median
47562Top 5%

$58K

12 claims · 0.1%

Your Cost: $4,825.13/claim|Median: $731.87
6.6× median
93798Normal range

Cardiac rehabilitation with continuous ECG monitoring, per session

$57K

932 claims · 0.1%

Your Cost: $61.65/claim|Median: $44.45
1.4× median
95811Normal range

Sleep study with CPAP titration, polysomnography

$53K

134 claims · 0.1%

Your Cost: $398.80/claim|Median: $255.03
1.6× median
64635Top 5%

$53K

68 claims · 0.1%

Your Cost: $777.47/claim|Median: $207.78
3.7× median
83690Top 1%

$49K

570 claims · 0.1%

Your Cost: $85.46/claim|Median: $3.35
25.5× median
87804Top 1%

Influenza virus detection, rapid test

$45K

221 claims · 0.1%

Your Cost: $205.85/claim|Median: $12.59
16.4× median
97530Normal range

Therapeutic activities, each 15 min

$45K

1,082 claims · 0.1%

Your Cost: $41.82/claim|Median: $33.11
1.3× median