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

SSM HEALTH CARE ST. LOUIS

General Acute Care Hospital·BRIDGETON, MO·NPI: 1598835308Share

Compared to General Acute Care Hospital Peers

Total spending distribution among 156 providers in this specialty

P25MedianP75P90

This provider's total spending of $27.7M is at the below 25th percentile among 156 General Acute Care Hospital providers.

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

Total Paid

$27.7M

$27,711,765

Total Claims

323K

Beneficiaries

282K

1.1 claims/patient

Avg Cost/Claim

$86

Monthly Spending Trend

Yearly Spending

2018
$7.3M
-40%
2019
$4.4M
-36%
2020
$2.8M
-24%
2021
$2.1M
+51%
2022
$3.2M
+31%
2023
$4.2M
-15%
2024
$3.6M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 50 distinct procedure codes. The top code (X4011 (Healthcare procedure, code X4011)) accounts for 25% of total spending.

X4011Normal range

Healthcare procedure, code X4011

$7.0M

26K claims · 25.3%

Your Cost: $266.45/claim|Median: $268.66
1.0× median
G0463Top 25%

Hospital outpatient clinic visit

$3.0M

36K claims · 10.9%

Your Cost: $83.62/claim|Median: $26.41
3.2× median
99283Top 10%

Emergency dept visit, moderate complexity

$2.9M

20K claims · 10.4%

Your Cost: $144.51/claim|Median: $42.48
3.4× median
99284Top 10%

Emergency dept visit, high complexity

$2.6M

13K claims · 9.5%

Your Cost: $202.50/claim|Median: $69.51
2.9× median
85025Top 5%

Complete blood count (CBC) with differential, automated

$1.7M

47K claims · 6.1%

Your Cost: $35.98/claim|Median: $4.71
7.6× median
80053Top 10%

Comprehensive metabolic panel

$1.5M

39K claims · 5.4%

Your Cost: $38.46/claim|Median: $7.24
5.3× median
X4003Top 25%

$1.3M

11K claims · 4.7%

Your Cost: $120.66/claim|Median: $74.03
1.6× median
93005Top 25%

Electrocardiogram, tracing only, without interpretation

$787K

16K claims · 2.8%

Your Cost: $50.59/claim|Median: $7.50
6.7× median
99285Top 5%

Emergency dept visit, high/urgent complexity

$705K

2,222 claims · 2.5%

Your Cost: $317.33/claim|Median: $85.65
3.7× median
96374Top 25%

Therapeutic/prophylactic/diagnostic IV push, single substance

$571K

5,697 claims · 2.1%

Your Cost: $100.27/claim|Median: $21.76
4.6× median
76816Top 5%

Ultrasound, pregnant uterus, follow-up

$416K

3,192 claims · 1.5%

Your Cost: $130.33/claim|Median: $58.55
2.2× median
81003Top 1%

Urinalysis, automated without microscopy

$358K

5,614 claims · 1.3%

Your Cost: $63.71/claim|Median: $1.48
43.0× median
96372Top 10%

Therapeutic injection, subcutaneous/intramuscular

$355K

9,973 claims · 1.3%

Your Cost: $35.58/claim|Median: $9.56
3.7× median
71045Top 5%

Chest X-ray, single view

$325K

7,090 claims · 1.2%

Your Cost: $45.84/claim|Median: $4.93
9.3× median
36902Top 25%

$320K

658 claims · 1.2%

Your Cost: $486.57/claim|Median: $178.61
2.7× median
84484Top 10%

Troponin, quantitative

$297K

12K claims · 1.1%

Your Cost: $24.16/claim|Median: $4.84
5.0× median
J2426Normal range

$264K

1,286 claims · 1.0%

Your Cost: $204.97/claim|Median: $625.59
0.3× median
81001Top 1%

Urinalysis, automated, with microscopy

$244K

3,072 claims · 0.9%

Your Cost: $79.46/claim|Median: $2.03
39.1× median
G0378Top 25%

Hospital observation service, per hour

$214K

733 claims · 0.8%

Your Cost: $291.83/claim|Median: $99.39
2.9× median
X4006Normal range

$205K

229 claims · 0.7%

Your Cost: $894.15/claim|Median: $668.05
1.3× median
99282Normal range

Emergency dept visit, low complexity

$179K

2,657 claims · 0.6%

Your Cost: $67.46/claim|Median: $37.72
1.8× median
76817Top 5%

Ultrasound, pregnant uterus, transvaginal

$170K

1,394 claims · 0.6%

Your Cost: $121.85/claim|Median: $47.65
2.6× median
90791Normal range

Psychiatric diagnostic evaluation

$165K

2,350 claims · 0.6%

Your Cost: $70.40/claim|Median: $99.21
0.7× median
99213Normal range

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

$140K

3,587 claims · 0.5%

Your Cost: $39.10/claim|Median: $37.81
1.0× median
90853Top 5%

Group psychotherapy

$137K

901 claims · 0.5%

Your Cost: $151.99/claim|Median: $25.02
6.1× median
70450Top 25%

CT head/brain without contrast

$132K

1,584 claims · 0.5%

Your Cost: $83.56/claim|Median: $45.53
1.8× median
87880Top 5%

Streptococcus, Group A, rapid antigen detection

$128K

6,988 claims · 0.5%

Your Cost: $18.31/claim|Median: $11.48
1.6× median
81002Top 1%

Urinalysis, non-automated without microscopy

$122K

1,506 claims · 0.4%

Your Cost: $80.84/claim|Median: $2.00
40.4× median
99214Normal range

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

$114K

1,512 claims · 0.4%

Your Cost: $75.32/claim|Median: $53.41
1.4× median
96413Normal range

Chemotherapy administration, IV infusion, up to 1 hour

$109K

1,021 claims · 0.4%

Your Cost: $106.29/claim|Median: $75.28
1.4× median
81025Top 1%

Urine pregnancy test

$101K

1,120 claims · 0.4%

Your Cost: $90.06/claim|Median: $4.81
18.7× median
87086Top 1%

Urine culture, colony count, with identification

$74K

1,130 claims · 0.3%

Your Cost: $65.77/claim|Median: $5.31
12.4× median
83690Top 5%

$66K

1,646 claims · 0.2%

Your Cost: $40.01/claim|Median: $3.35
11.9× median
87635Normal range

COVID-19 SARS-CoV-2 amplified probe detection

$56K

1,823 claims · 0.2%

Your Cost: $30.67/claim|Median: $39.70
0.8× median
87426Normal range

SARS-CoV-2 COVID-19 antigen detection, immunoassay

$56K

2,033 claims · 0.2%

Your Cost: $27.37/claim|Median: $30.04
0.9× median
87804Top 1%

Influenza virus detection, rapid test

$55K

172 claims · 0.2%

Your Cost: $321.18/claim|Median: $12.59
25.5× median
80307Top 25%

Drug test, presumptive, by chemistry analyzers

$53K

899 claims · 0.2%

Your Cost: $58.97/claim|Median: $35.43
1.7× median
76815Top 5%

Ultrasound, pregnant uterus, limited

$52K

523 claims · 0.2%

Your Cost: $99.02/claim|Median: $36.79
2.7× median
96375Top 25%

Therapeutic/prophylactic/diagnostic IV push, each additional substance

$49K

1,312 claims · 0.2%

Your Cost: $37.25/claim|Median: $14.92
2.5× median
90792Normal range

Psychiatric diagnostic evaluation with medical services

$47K

445 claims · 0.2%

Your Cost: $106.19/claim|Median: $108.91
1.0× median
74177Top 25%

CT abdomen and pelvis with contrast

$45K

209 claims · 0.2%

Your Cost: $215.46/claim|Median: $65.76
3.3× median
76811Normal range

Ultrasound, pregnant uterus, detailed, single fetus

$42K

359 claims · 0.2%

Your Cost: $117.08/claim|Median: $106.79
1.1× median
76805Top 25%

Ultrasound, pregnant uterus, complete, single fetus

$37K

291 claims · 0.1%

Your Cost: $125.96/claim|Median: $74.78
1.7× median
C9803Normal range

$33K

3,378 claims · 0.1%

Your Cost: $9.72/claim|Median: $13.20
0.7× median
99203Normal range

Office/outpatient visit, new patient, low-mod complexity

$32K

1,722 claims · 0.1%

Your Cost: $18.42/claim|Median: $57.85
0.3× median
76818Normal range

$31K

552 claims · 0.1%

Your Cost: $56.00/claim|Median: $68.15
0.8× median
0241UNormal range

Proprietary lab analysis, genomic sequencing

$26K

338 claims · 0.1%

Your Cost: $75.88/claim|Median: $91.47
0.8× median
59025Top 5%

Fetal non-stress test

$24K

90 claims · 0.1%

Your Cost: $265.31/claim|Median: $26.45
10.0× median
84702Top 1%

$22K

95 claims · 0.1%

Your Cost: $235.63/claim|Median: $8.25
28.6× median
J3490Normal range

Unclassified drugs

$21K

3,529 claims · 0.1%

Your Cost: $5.93/claim|Median: $5.70
1.0× median