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PRISMA HEALTH-UPSTATE

General Acute Care Hospital·GREENVILLE, SC·NPI: 1649726738Share

Compared to General Acute Care Hospital Peers

Total spending distribution among 156 providers in this specialty

P25MedianP75P90

This provider's total spending of $86.9M is at the below 25th percentile among 156 General Acute Care Hospital providers.

Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$86.9M

$86,906,306

Total Claims

2.8M

Beneficiaries

2.4M

1.2 claims/patient

Avg Cost/Claim

$31

Monthly Spending Trend

Yearly Spending

2018
$11.8M
-5%
2019
$11.2M
+4%
2020
$11.6M
+36%
2021
$15.8M
-6%
2022
$14.8M
-16%
2023
$12.5M
-26%
2024
$9.2M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 50 distinct procedure codes. The top code (80053 (Comprehensive metabolic panel)) accounts for 8% of total spending.

80053Top 5%

Comprehensive metabolic panel

$7.3M

106K claims · 8.4%

Your Cost: $68.93/claim|Median: $7.24
9.5× median
36415Top 1%

Collection of venous blood by venipuncture

$6.5M

72K claims · 7.5%

Your Cost: $90.72/claim|Median: $1.57
57.8× median
99283Normal range

Emergency dept visit, moderate complexity

$5.6M

94K claims · 6.5%

Your Cost: $60.30/claim|Median: $42.48
1.4× median
70553Top 5%

MRI brain without contrast, then with contrast

$4.3M

3,850 claims · 4.9%

Your Cost: $1,116.15/claim|Median: $133.68
8.3× median
99282Top 25%

Emergency dept visit, low complexity

$4.1M

29K claims · 4.8%

Your Cost: $144.63/claim|Median: $37.72
3.8× median
80048Top 5%

Basic metabolic panel

$3.5M

57K claims · 4.1%

Your Cost: $62.05/claim|Median: $5.78
10.7× median
A9552Top 1%

$2.9M

1,633 claims · 3.3%

Your Cost: $1,779.73/claim|Median: $89.01
20.0× median
70551Top 5%

MRI brain without contrast

$2.7M

4,623 claims · 3.1%

Your Cost: $584.96/claim|Median: $85.39
6.9× median
96361Normal range

IV infusion, hydration, each additional hour

$2.5M

41K claims · 2.9%

Your Cost: $60.81/claim|Median: $38.92
1.6× median
86850Top 1%

$1.8M

18K claims · 2.1%

Your Cost: $103.92/claim|Median: $5.44
19.1× median
C9803Top 5%

$1.8M

16K claims · 2.0%

Your Cost: $107.56/claim|Median: $13.20
8.1× median
96360Normal range

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

$1.7M

16K claims · 1.9%

Your Cost: $107.57/claim|Median: $61.57
1.7× median
U0003Top 25%

Infectious disease detection (COVID-19)

$1.6M

21K claims · 1.8%

Your Cost: $76.61/claim|Median: $63.08
1.2× median
96372Top 5%

Therapeutic injection, subcutaneous/intramuscular

$1.5M

34K claims · 1.8%

Your Cost: $45.29/claim|Median: $9.56
4.7× median
96374Normal range

Therapeutic/prophylactic/diagnostic IV push, single substance

$1.5M

33K claims · 1.7%

Your Cost: $44.15/claim|Median: $21.76
2.0× median
88305Top 5%

Surgical pathology, gross and microscopic examination

$1.4M

9,989 claims · 1.6%

Your Cost: $141.31/claim|Median: $35.80
3.9× median
81025Top 1%

Urine pregnancy test

$1.4M

24K claims · 1.6%

Your Cost: $56.86/claim|Median: $4.81
11.8× median
96365Normal range

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

$1.3M

16K claims · 1.5%

Your Cost: $79.59/claim|Median: $54.77
1.5× median
80307Top 25%

Drug test, presumptive, by chemistry analyzers

$1.3M

25K claims · 1.5%

Your Cost: $51.05/claim|Median: $35.43
1.4× median
87086Top 10%

Urine culture, colony count, with identification

$1.0M

55K claims · 1.2%

Your Cost: $18.51/claim|Median: $5.31
3.5× median
0202UNormal range

Proprietary lab analysis, human genomic sequencing

$1.0M

6,533 claims · 1.2%

Your Cost: $154.52/claim|Median: $144.30
1.1× median
0241UNormal range

Proprietary lab analysis, genomic sequencing

$945K

12K claims · 1.1%

Your Cost: $80.37/claim|Median: $91.47
0.9× median
99284Normal range

Emergency dept visit, high complexity

$912K

55K claims · 1.0%

Your Cost: $16.48/claim|Median: $69.51
0.2× median
99213Normal range

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

$891K

21K claims · 1.0%

Your Cost: $42.90/claim|Median: $37.81
1.1× median
93041Top 1%

$705K

2,825 claims · 0.8%

Your Cost: $249.56/claim|Median: $4.36
57.2× median
71046Top 10%

Chest X-ray, 2 views

$673K

20K claims · 0.8%

Your Cost: $33.32/claim|Median: $8.92
3.7× median
87491Top 10%

Chlamydia detection, nucleic acid, amplified probe

$664K

12K claims · 0.8%

Your Cost: $56.51/claim|Median: $24.95
2.3× median
72141Top 1%

MRI of cervical spine without contrast

$659K

910 claims · 0.8%

Your Cost: $723.72/claim|Median: $112.68
6.4× median
99212Top 25%

Office/outpatient visit, low complexity

$654K

13K claims · 0.8%

Your Cost: $49.81/claim|Median: $25.06
2.0× median
81001Top 10%

Urinalysis, automated, with microscopy

$599K

55K claims · 0.7%

Your Cost: $10.98/claim|Median: $2.03
5.4× median
87081Top 10%

Culture screening for pathogenic organisms

$593K

28K claims · 0.7%

Your Cost: $21.28/claim|Median: $5.09
4.2× median
81003Top 1%

Urinalysis, automated without microscopy

$552K

18K claims · 0.6%

Your Cost: $30.22/claim|Median: $1.48
20.4× median
97110Top 10%

Therapeutic exercises, each 15 min

$531K

7,871 claims · 0.6%

Your Cost: $67.45/claim|Median: $24.49
2.8× median
87077Top 5%

Bacterial culture, aerobic, additional methods required

$529K

21K claims · 0.6%

Your Cost: $25.47/claim|Median: $4.52
5.6× median
70450Normal range

CT head/brain without contrast

$522K

15K claims · 0.6%

Your Cost: $34.13/claim|Median: $45.53
0.7× median
99285Normal range

Emergency dept visit, high/urgent complexity

$518K

60K claims · 0.6%

Your Cost: $8.57/claim|Median: $85.65
0.1× median
96375Normal range

Therapeutic/prophylactic/diagnostic IV push, each additional substance

$495K

24K claims · 0.6%

Your Cost: $20.51/claim|Median: $14.92
1.4× median
U0005Top 1%

Infectious disease detection, COVID-19, antigen

$471K

5,987 claims · 0.5%

Your Cost: $78.69/claim|Median: $15.76
5.0× median
87070Top 5%

Bacterial culture, any source except blood or urine

$422K

11K claims · 0.5%

Your Cost: $40.04/claim|Median: $5.89
6.8× median
76705Normal range

Ultrasound, abdominal, limited

$405K

11K claims · 0.5%

Your Cost: $38.25/claim|Median: $23.81
1.6× median
76870Top 1%

$403K

1,548 claims · 0.5%

Your Cost: $260.24/claim|Median: $34.90
7.5× median
76775Top 10%

$390K

4,097 claims · 0.4%

Your Cost: $95.10/claim|Median: $28.03
3.4× median
85610Top 5%

Prothrombin time (PT) blood clotting test

$378K

21K claims · 0.4%

Your Cost: $18.10/claim|Median: $2.14
8.5× median
74018Top 5%

$364K

6,521 claims · 0.4%

Your Cost: $55.80/claim|Median: $7.00
8.0× median
76770Top 25%

Ultrasound, retroperitoneal, complete

$353K

2,959 claims · 0.4%

Your Cost: $119.38/claim|Median: $37.35
3.2× median
99281Top 25%

Emergency dept visit, minimal complexity

$330K

2,849 claims · 0.4%

Your Cost: $115.86/claim|Median: $52.03
2.2× median
71045Top 25%

Chest X-ray, single view

$325K

28K claims · 0.4%

Your Cost: $11.66/claim|Median: $4.93
2.4× median
86900Top 25%

$321K

18K claims · 0.4%

Your Cost: $17.68/claim|Median: $2.55
6.9× median
83986Top 1%

$319K

1,440 claims · 0.4%

Your Cost: $221.39/claim|Median: $2.70
82.0× median
82565Top 5%

Creatinine blood test

$309K

1,797 claims · 0.4%

Your Cost: $171.74/claim|Median: $1.94
88.5× median

Other Top Providers in South Carolina

View all →

Medical University Hospital Authority

General Acute Care Hospital

$241.4M

Spartanburg Medical Center

Ambulance

$187.8M

Prisma Health University Medical Group

Internal Medicine

$172.2M

Similar Providers

Other top providers in General Acute Care Hospital

Yale New Haven Hospital

New Haven, CT

$1.08B

Montefiore Medical Center

Bronx, NY

$961.1M

The Cleveland Clinic Foundation

Cleveland, OH

$863.5M

Nationwide Children's Hospital

Columbus, OH

$777.5M

Boston Medical Center Corporation

Boston, MA

$768.5M

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