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SAINT MARY'S HEALTH SERVICES

General Acute Care Hospital·GRAND RAPIDS, MI·NPI: 1639111057Share

Compared to General Acute Care Hospital Peers

Total spending distribution among 156 providers in this specialty

P25MedianP75P90

This provider's total spending of $91.9M is at the below 25th percentile among 156 General Acute Care Hospital providers.

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

Total Paid

$91.9M

$91,918,470

Total Claims

2.8M

Beneficiaries

2.6M

1.1 claims/patient

Avg Cost/Claim

$32

Monthly Spending Trend

Yearly Spending

2018
$10.4M
-9%
2019
$9.5M
+5%
2020
$9.9M
+59%
2021
$15.8M
+2%
2022
$16.1M
+5%
2023
$16.9M
-21%
2024
$13.3M

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 23% of total spending.

G0463Top 25%

Hospital outpatient clinic visit

$20.8M

342K claims · 22.6%

Your Cost: $60.64/claim|Median: $26.41
2.3× median
99285Top 5%

Emergency dept visit, high/urgent complexity

$13.4M

43K claims · 14.5%

Your Cost: $314.04/claim|Median: $85.65
3.7× median
99284Top 10%

Emergency dept visit, high complexity

$9.8M

50K claims · 10.6%

Your Cost: $193.57/claim|Median: $69.51
2.8× median
99283Top 25%

Emergency dept visit, moderate complexity

$7.9M

64K claims · 8.6%

Your Cost: $123.30/claim|Median: $42.48
2.9× median
96374Top 25%

Therapeutic/prophylactic/diagnostic IV push, single substance

$3.7M

39K claims · 4.0%

Your Cost: $95.31/claim|Median: $21.76
4.4× median
99282Normal range

Emergency dept visit, low complexity

$1.6M

22K claims · 1.7%

Your Cost: $72.08/claim|Median: $37.72
1.9× median
99391Normal range

Preventive medicine, established patient, infant (under 1)

$1.4M

22K claims · 1.5%

Your Cost: $63.69/claim|Median: $69.35
0.9× median
U0003Normal range

Infectious disease detection (COVID-19)

$1.3M

23K claims · 1.4%

Your Cost: $56.08/claim|Median: $63.08
0.9× median
99392Normal range

Preventive medicine, established patient, age 1-4

$1.3M

20K claims · 1.4%

Your Cost: $64.79/claim|Median: $75.18
0.9× median
74177Normal range

CT abdomen and pelvis with contrast

$1.1M

8,099 claims · 1.2%

Your Cost: $136.14/claim|Median: $65.76
2.1× median
J0585Normal range

Injection, onabotulinumtoxinA, 1 unit

$1.0M

2,968 claims · 1.1%

Your Cost: $350.72/claim|Median: $470.36
0.7× median
99393Normal range

Preventive medicine, established patient, age 5-11

$976K

15K claims · 1.1%

Your Cost: $65.47/claim|Median: $74.82
0.9× median
99395Normal range

Preventive medicine, established patient, age 18-39

$797K

12K claims · 0.9%

Your Cost: $64.49/claim|Median: $72.71
0.9× median
96375Normal range

Therapeutic/prophylactic/diagnostic IV push, each additional substance

$793K

28K claims · 0.9%

Your Cost: $28.31/claim|Median: $14.92
1.9× median
70450Top 25%

CT head/brain without contrast

$778K

9,347 claims · 0.8%

Your Cost: $83.24/claim|Median: $45.53
1.8× median
71046Top 10%

Chest X-ray, 2 views

$738K

21K claims · 0.8%

Your Cost: $35.36/claim|Median: $8.92
4.0× median
99394Normal range

Preventive medicine, established patient, age 12-17

$692K

11K claims · 0.8%

Your Cost: $65.65/claim|Median: $80.15
0.8× median
90471Normal range

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

$689K

66K claims · 0.7%

Your Cost: $10.39/claim|Median: $9.80
1.1× median
96365Normal range

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

$664K

7,186 claims · 0.7%

Your Cost: $92.41/claim|Median: $54.77
1.7× median
87637Normal range

Respiratory virus detection, 3-5 targets, nucleic acid

$626K

6,303 claims · 0.7%

Your Cost: $99.38/claim|Median: $100.62
1.0× median
96361Normal range

IV infusion, hydration, each additional hour

$520K

18K claims · 0.6%

Your Cost: $28.68/claim|Median: $38.92
0.7× median
90472Normal range

Immunization administration, each additional vaccine

$515K

28K claims · 0.6%

Your Cost: $18.37/claim|Median: $11.79
1.6× median
99396Normal range

Preventive medicine, established patient, age 40-64

$474K

10K claims · 0.5%

Your Cost: $45.80/claim|Median: $76.06
0.6× median
96360Normal range

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

$468K

5,076 claims · 0.5%

Your Cost: $92.29/claim|Median: $61.57
1.5× median
80307Normal range

Drug test, presumptive, by chemistry analyzers

$458K

23K claims · 0.5%

Your Cost: $19.77/claim|Median: $35.43
0.6× median
95810Top 25%

Polysomnography, sleep study, 6+ hours

$443K

941 claims · 0.5%

Your Cost: $470.91/claim|Median: $233.73
2.0× median
90677Top 25%

$437K

3,511 claims · 0.5%

Your Cost: $124.48/claim|Median: $12.96
9.6× median
87591Normal range

Neisseria gonorrhoeae detection, nucleic acid, amplified probe

$433K

30K claims · 0.5%

Your Cost: $14.34/claim|Median: $23.39
0.6× median
87491Normal range

Chlamydia detection, nucleic acid, amplified probe

$433K

30K claims · 0.5%

Your Cost: $14.34/claim|Median: $24.95
0.6× median
93306Top 25%

Echocardiography, transthoracic, complete, with Doppler

$430K

2,156 claims · 0.5%

Your Cost: $199.44/claim|Median: $54.68
3.6× median
70553Normal range

MRI brain without contrast, then with contrast

$421K

1,919 claims · 0.5%

Your Cost: $219.36/claim|Median: $133.68
1.6× median
59025Top 25%

Fetal non-stress test

$398K

4,243 claims · 0.4%

Your Cost: $93.68/claim|Median: $26.45
3.5× median
71045Top 10%

Chest X-ray, single view

$361K

9,775 claims · 0.4%

Your Cost: $36.89/claim|Median: $4.93
7.5× median
G0480Normal range

Drug test, definitive, 1-7 drug classes

$361K

18K claims · 0.4%

Your Cost: $20.05/claim|Median: $37.56
0.5× median
G0382Normal range

$351K

4,204 claims · 0.4%

Your Cost: $83.45/claim|Median: $80.53
1.0× median
80061Normal range

Lipid panel

$340K

34K claims · 0.4%

Your Cost: $10.13/claim|Median: $8.41
1.2× median
74176Normal range

CT abdomen and pelvis without contrast

$328K

3,100 claims · 0.4%

Your Cost: $105.86/claim|Median: $60.19
1.8× median
76801Normal range

Ultrasound, pregnant uterus, single fetus, first trimester

$318K

5,400 claims · 0.3%

Your Cost: $58.86/claim|Median: $58.16
1.0× median
76705Top 25%

Ultrasound, abdominal, limited

$317K

5,474 claims · 0.3%

Your Cost: $57.88/claim|Median: $23.81
2.4× median
80053Normal range

Comprehensive metabolic panel

$305K

115K claims · 0.3%

Your Cost: $2.66/claim|Median: $7.24
0.4× median
20610Top 5%

Arthrocentesis, aspiration/injection, major joint

$305K

2,097 claims · 0.3%

Your Cost: $145.28/claim|Median: $29.03
5.0× median
76856Normal range

Ultrasound, pelvic, complete

$294K

5,415 claims · 0.3%

Your Cost: $54.33/claim|Median: $47.58
1.1× median
76830Normal range

Ultrasound, transvaginal

$289K

5,007 claims · 0.3%

Your Cost: $57.68/claim|Median: $57.47
1.0× median
J7307Top 25%

Etonogestrel implant system, including implant and supplies

$282K

297 claims · 0.3%

Your Cost: $950.79/claim|Median: $786.43
1.2× median
77067Normal range

Screening mammography, bilateral, including CAD

$251K

5,368 claims · 0.3%

Your Cost: $46.84/claim|Median: $39.33
1.2× median
84443Normal range

Thyroid stimulating hormone (TSH)

$250K

40K claims · 0.3%

Your Cost: $6.20/claim|Median: $9.87
0.6× median
96372Normal range

Therapeutic injection, subcutaneous/intramuscular

$248K

34K claims · 0.3%

Your Cost: $7.33/claim|Median: $9.56
0.8× median
99281Normal range

Emergency dept visit, minimal complexity

$248K

6,371 claims · 0.3%

Your Cost: $38.91/claim|Median: $52.03
0.7× median
11042Top 10%

Debridement, subcutaneous tissue, first 20 sq cm

$240K

1,227 claims · 0.3%

Your Cost: $195.24/claim|Median: $36.13
5.4× median
90460Normal range

Immunization administration, first vaccine/toxoid, with counseling

$236K

8,409 claims · 0.3%

Your Cost: $28.02/claim|Median: $17.85
1.6× median