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UPMC ALTOONA

General Acute Care Hospital·ALTOONA, PA·NPI: 1649278730Share

Compared to General Acute Care Hospital Peers

Total spending distribution among 156 providers in this specialty

P25MedianP75P90

This provider's total spending of $19.7M is at the below 25th percentile among 156 General Acute Care Hospital providers.

Active Billing Period:2018-01→2024-12(77 months)

Total Paid

$19.7M

$19,673,575

Total Claims

721K

Beneficiaries

628K

1.1 claims/patient

Avg Cost/Claim

$27

Monthly Spending Trend

Yearly Spending

2018
$27K
+14%
2019
$31K
+5409%
2020
$1.7M
+413%
2021
$8.7M
-67%
2022
$2.9M
+26%
2023
$3.6M
-23%
2024
$2.8M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 50 distinct procedure codes. The top code (99284 (Emergency dept visit, high complexity)) accounts for 24% of total spending.

99284Top 25%

Emergency dept visit, high complexity

$4.7M

32K claims · 23.8%

Your Cost: $147.30/claim|Median: $69.51
2.1× median
T1015Normal range

Clinic visit/encounter, all-inclusive

$2.1M

61K claims · 10.5%

Your Cost: $33.79/claim|Median: $121.16
0.3× median
99283Top 25%

Emergency dept visit, moderate complexity

$1.5M

16K claims · 7.9%

Your Cost: $94.51/claim|Median: $42.48
2.2× median
G0378Normal range

Hospital observation service, per hour

$1.5M

5,449 claims · 7.7%

Your Cost: $278.30/claim|Median: $99.39
2.8× median
99285Top 25%

Emergency dept visit, high/urgent complexity

$1.4M

7,812 claims · 7.0%

Your Cost: $176.42/claim|Median: $85.65
2.1× median
99215Normal range

Office/outpatient visit, high complexity

$426K

4,836 claims · 2.2%

Your Cost: $88.00/claim|Median: $74.09
1.2× median
96413Normal range

Chemotherapy administration, IV infusion, up to 1 hour

$323K

3,605 claims · 1.6%

Your Cost: $89.73/claim|Median: $75.28
1.2× median
74177Normal range

CT abdomen and pelvis with contrast

$317K

2,453 claims · 1.6%

Your Cost: $129.38/claim|Median: $65.76
2.0× median
80053Normal range

Comprehensive metabolic panel

$301K

34K claims · 1.5%

Your Cost: $8.87/claim|Median: $7.24
1.2× median
59400Top 25%

Routine obstetric care, vaginal delivery, including postpartum

$297K

139 claims · 1.5%

Your Cost: $2,137.20/claim|Median: $1,482.45
1.4× median
96374Normal range

Therapeutic/prophylactic/diagnostic IV push, single substance

$247K

12K claims · 1.3%

Your Cost: $19.83/claim|Median: $21.76
0.9× median
85025Normal range

Complete blood count (CBC) with differential, automated

$240K

52K claims · 1.2%

Your Cost: $4.65/claim|Median: $4.71
1.0× median
80050Top 25%

General health panel

$201K

4,469 claims · 1.0%

Your Cost: $44.94/claim|Median: $25.59
1.8× median
78452Normal range

Myocardial perfusion imaging, SPECT, multiple studies

$194K

1,172 claims · 1.0%

Your Cost: $165.52/claim|Median: $106.14
1.6× median
0241UNormal range

Proprietary lab analysis, genomic sequencing

$185K

2,858 claims · 0.9%

Your Cost: $64.88/claim|Median: $91.47
0.7× median
70450Normal range

CT head/brain without contrast

$171K

3,290 claims · 0.9%

Your Cost: $51.94/claim|Median: $45.53
1.1× median
80307Normal range

Drug test, presumptive, by chemistry analyzers

$136K

3,298 claims · 0.7%

Your Cost: $41.15/claim|Median: $35.43
1.2× median
87491Normal range

Chlamydia detection, nucleic acid, amplified probe

$128K

5,327 claims · 0.7%

Your Cost: $24.02/claim|Median: $24.95
1.0× median
87591Normal range

Neisseria gonorrhoeae detection, nucleic acid, amplified probe

$119K

5,271 claims · 0.6%

Your Cost: $22.51/claim|Median: $23.39
1.0× median
84443Top 10%

Thyroid stimulating hormone (TSH)

$115K

5,430 claims · 0.6%

Your Cost: $21.13/claim|Median: $9.87
2.1× median
99214Normal range

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

$110K

1,842 claims · 0.6%

Your Cost: $59.85/claim|Median: $53.41
1.1× median
71275Normal range

CT angiography, chest, with contrast

$108K

742 claims · 0.5%

Your Cost: $145.37/claim|Median: $92.96
1.6× median
74176Normal range

CT abdomen and pelvis without contrast

$104K

1,507 claims · 0.5%

Your Cost: $69.00/claim|Median: $60.19
1.1× median
70553Normal range

MRI brain without contrast, then with contrast

$96K

475 claims · 0.5%

Your Cost: $203.04/claim|Median: $133.68
1.5× median
80061Top 25%

Lipid panel

$94K

7,428 claims · 0.5%

Your Cost: $12.62/claim|Median: $8.41
1.5× median
T1001Top 10%

Nursing assessment/evaluation, per visit

$94K

503 claims · 0.5%

Your Cost: $186.31/claim|Median: $49.05
3.8× median
82306Normal range

Vitamin D, 25 hydroxy

$93K

3,749 claims · 0.5%

Your Cost: $24.91/claim|Median: $18.18
1.4× median
93458Normal range

Left heart catheterization with imaging

$91K

121 claims · 0.5%

Your Cost: $750.77/claim|Median: $183.33
4.1× median
96375Normal range

Therapeutic/prophylactic/diagnostic IV push, each additional substance

$90K

7,213 claims · 0.5%

Your Cost: $12.44/claim|Median: $14.92
0.8× median
81220Top 10%

CFTR gene analysis, common variants

$89K

198 claims · 0.5%

Your Cost: $449.37/claim|Median: $183.31
2.5× median
78815Top 25%

PET imaging for limited area

$87K

105 claims · 0.4%

Your Cost: $824.40/claim|Median: $325.10
2.5× median
93005Normal range

Electrocardiogram, tracing only, without interpretation

$84K

11K claims · 0.4%

Your Cost: $7.42/claim|Median: $7.50
1.0× median
43239Normal range

Upper GI endoscopy with biopsy

$82K

484 claims · 0.4%

Your Cost: $169.11/claim|Median: $151.68
1.1× median
88175Top 25%

Cytopathology, cervical or vaginal, ThinPrep

$80K

2,600 claims · 0.4%

Your Cost: $30.71/claim|Median: $19.06
1.6× median
77067Top 25%

Screening mammography, bilateral, including CAD

$79K

983 claims · 0.4%

Your Cost: $80.77/claim|Median: $39.33
2.1× median
U0003Normal range

Infectious disease detection (COVID-19)

$78K

1,261 claims · 0.4%

Your Cost: $61.47/claim|Median: $63.08
1.0× median
71046Normal range

Chest X-ray, 2 views

$76K

6,217 claims · 0.4%

Your Cost: $12.27/claim|Median: $8.92
1.4× median
80048Normal range

Basic metabolic panel

$74K

11K claims · 0.4%

Your Cost: $6.67/claim|Median: $5.78
1.2× median
72148Normal range

MRI lumbar spine without contrast

$69K

490 claims · 0.3%

Your Cost: $140.35/claim|Median: $101.03
1.4× median
84484Normal range

Troponin, quantitative

$68K

8,452 claims · 0.3%

Your Cost: $8.07/claim|Median: $4.84
1.7× median
87086Normal range

Urine culture, colony count, with identification

$67K

9,540 claims · 0.3%

Your Cost: $7.03/claim|Median: $5.31
1.3× median
77386Normal range

Intensity modulated radiation treatment delivery, complex

$57K

229 claims · 0.3%

Your Cost: $250.13/claim|Median: $260.56
1.0× median
84703Top 25%

Human chorionic gonadotropin (hCG) quantitative blood test

$53K

6,797 claims · 0.3%

Your Cost: $7.81/claim|Median: $4.20
1.9× median
70551Normal range

MRI brain without contrast

$53K

298 claims · 0.3%

Your Cost: $177.08/claim|Median: $85.39
2.1× median
73721Top 25%

MRI joint of lower extremity without contrast

$51K

203 claims · 0.3%

Your Cost: $252.91/claim|Median: $127.34
2.0× median
72141Top 25%

MRI of cervical spine without contrast

$50K

245 claims · 0.3%

Your Cost: $205.06/claim|Median: $112.68
1.8× median
95811Normal range

Sleep study with CPAP titration, polysomnography

$48K

132 claims · 0.2%

Your Cost: $366.53/claim|Median: $255.03
1.4× median
95810Normal range

Polysomnography, sleep study, 6+ hours

$48K

257 claims · 0.2%

Your Cost: $187.11/claim|Median: $233.73
0.8× median
96365Normal range

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

$47K

2,055 claims · 0.2%

Your Cost: $23.01/claim|Median: $54.77
0.4× median
87624Top 10%

HPV detection, high-risk types, nucleic acid

$46K

1,169 claims · 0.2%

Your Cost: $39.61/claim|Median: $25.57
1.5× median

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$504.0M

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$326.0M

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$308.4M

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$286.9M

Procare Pharmacy Direct, Llc.

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$227.3M

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$1.08B

Montefiore Medical Center

Bronx, NY

$961.1M

The Cleveland Clinic Foundation

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$863.5M

Nationwide Children's Hospital

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$777.5M

Boston Medical Center Corporation

Boston, MA

$768.5M

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