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MOTHER FRANCES HOSPITAL REGIONAL HEALTH CARE CENTER

General Acute Care Hospital·TYLER, TX·NPI: 1679578439Share

Compared to General Acute Care Hospital Peers

Total spending distribution among 156 providers in this specialty

P25MedianP75P90

This provider's total spending of $33.0M is at the below 25th percentile among 156 General Acute Care Hospital providers.

Active Billing Period:2018-01→2024-12(79 months)

Total Paid

$33.0M

$32,982,380

Total Claims

637K

Beneficiaries

546K

1.2 claims/patient

Avg Cost/Claim

$52

Monthly Spending Trend

Yearly Spending

2018
$9K
+171%
2019
$24K
+2791%
2020
$684K
+756%
2021
$5.9M
+80%
2022
$10.6M
+9%
2023
$11.6M
-63%
2024
$4.3M

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 32% of total spending.

99284Top 10%

Emergency dept visit, high complexity

$10.5M

54K claims · 31.8%

Your Cost: $193.49/claim|Median: $69.51
2.8× median
99283Normal range

Emergency dept visit, moderate complexity

$6.4M

124K claims · 19.3%

Your Cost: $51.15/claim|Median: $42.48
1.2× median
99213Normal range

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

$2.6M

56K claims · 8.0%

Your Cost: $47.01/claim|Median: $37.81
1.2× median
87428Normal range

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

$2.1M

38K claims · 6.2%

Your Cost: $53.46/claim|Median: $39.63
1.3× median
99285Top 5%

Emergency dept visit, high/urgent complexity

$1.9M

5,893 claims · 5.8%

Your Cost: $323.59/claim|Median: $85.65
3.8× median
99214Normal range

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

$1.7M

26K claims · 5.3%

Your Cost: $67.88/claim|Median: $53.41
1.3× median
99282Normal range

Emergency dept visit, low complexity

$1.7M

40K claims · 5.0%

Your Cost: $41.66/claim|Median: $37.72
1.1× median
U0003Top 5%

Infectious disease detection (COVID-19)

$847K

7,181 claims · 2.6%

Your Cost: $117.89/claim|Median: $63.08
1.9× median
87880Top 5%

Streptococcus, Group A, rapid antigen detection

$459K

27K claims · 1.4%

Your Cost: $17.11/claim|Median: $11.48
1.5× median
93306Top 5%

Echocardiography, transthoracic, complete, with Doppler

$382K

858 claims · 1.2%

Your Cost: $445.49/claim|Median: $54.68
8.1× median
74177Top 25%

CT abdomen and pelvis with contrast

$274K

1,153 claims · 0.8%

Your Cost: $237.25/claim|Median: $65.76
3.6× median
U0005Top 5%

Infectious disease detection, COVID-19, antigen

$229K

6,076 claims · 0.7%

Your Cost: $37.62/claim|Median: $15.76
2.4× median
93005Top 25%

Electrocardiogram, tracing only, without interpretation

$223K

5,135 claims · 0.7%

Your Cost: $43.38/claim|Median: $7.50
5.8× median
71045Top 10%

Chest X-ray, single view

$220K

6,975 claims · 0.7%

Your Cost: $31.48/claim|Median: $4.93
6.4× median
85025Top 25%

Complete blood count (CBC) with differential, automated

$192K

27K claims · 0.6%

Your Cost: $7.16/claim|Median: $4.71
1.5× median
87070Top 25%

Bacterial culture, any source except blood or urine

$183K

13K claims · 0.6%

Your Cost: $14.09/claim|Median: $5.89
2.4× median
97110Top 5%

Therapeutic exercises, each 15 min

$182K

1,462 claims · 0.6%

Your Cost: $124.21/claim|Median: $24.49
5.1× median
G0378Top 10%

Hospital observation service, per hour

$180K

260 claims · 0.5%

Your Cost: $692.20/claim|Median: $99.39
7.0× median
80053Normal range

Comprehensive metabolic panel

$148K

15K claims · 0.4%

Your Cost: $9.77/claim|Median: $7.24
1.3× median
01967Normal range

Anesthesia, neuraxial labor analgesia/delivery

$146K

736 claims · 0.4%

Your Cost: $198.00/claim|Median: $283.78
0.7× median
84443Top 25%

Thyroid stimulating hormone (TSH)

$111K

6,892 claims · 0.3%

Your Cost: $16.09/claim|Median: $9.87
1.6× median
42820Top 5%

Tonsillectomy and adenoidectomy, under age 12

$99K

28 claims · 0.3%

Your Cost: $3,526.93/claim|Median: $331.68
10.6× median
77067Normal range

Screening mammography, bilateral, including CAD

$95K

1,998 claims · 0.3%

Your Cost: $47.74/claim|Median: $39.33
1.2× median
70450Normal range

CT head/brain without contrast

$90K

1,486 claims · 0.3%

Your Cost: $60.85/claim|Median: $45.53
1.3× median
87081Top 25%

Culture screening for pathogenic organisms

$86K

8,023 claims · 0.3%

Your Cost: $10.70/claim|Median: $5.09
2.1× median
87491Top 10%

Chlamydia detection, nucleic acid, amplified probe

$84K

1,834 claims · 0.3%

Your Cost: $45.63/claim|Median: $24.95
1.8× median
87591Top 10%

Neisseria gonorrhoeae detection, nucleic acid, amplified probe

$84K

1,834 claims · 0.3%

Your Cost: $45.62/claim|Median: $23.39
2.0× median
99203Normal range

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

$81K

1,462 claims · 0.2%

Your Cost: $55.30/claim|Median: $57.85
1.0× median
G0463Normal range

Hospital outpatient clinic visit

$81K

20K claims · 0.2%

Your Cost: $4.05/claim|Median: $26.41
0.2× median
69436Top 25%

Tympanostomy, general anesthesia

$79K

120 claims · 0.2%

Your Cost: $661.78/claim|Median: $205.50
3.2× median
99215Top 25%

Office/outpatient visit, high complexity

$76K

645 claims · 0.2%

Your Cost: $118.05/claim|Median: $74.09
1.6× median
96361Normal range

IV infusion, hydration, each additional hour

$63K

804 claims · 0.2%

Your Cost: $77.87/claim|Median: $38.92
2.0× median
80061Normal range

Lipid panel

$58K

5,926 claims · 0.2%

Your Cost: $9.81/claim|Median: $8.41
1.2× median
80307Normal range

Drug test, presumptive, by chemistry analyzers

$46K

1,033 claims · 0.1%

Your Cost: $44.09/claim|Median: $35.43
1.2× median
84439Top 25%

Free thyroxine level blood test

$45K

4,184 claims · 0.1%

Your Cost: $10.83/claim|Median: $6.31
1.7× median
83880Normal range

$45K

2,336 claims · 0.1%

Your Cost: $19.26/claim|Median: $11.81
1.6× median
87807Top 5%

$44K

2,221 claims · 0.1%

Your Cost: $19.81/claim|Median: $10.06
2.0× median
74176Top 25%

CT abdomen and pelvis without contrast

$44K

331 claims · 0.1%

Your Cost: $132.72/claim|Median: $60.19
2.2× median
80048Normal range

Basic metabolic panel

$42K

7,448 claims · 0.1%

Your Cost: $5.57/claim|Median: $5.78
1.0× median
J2270Top 5%

Injection, morphine sulfate, up to ten milligrams

$39K

866 claims · 0.1%

Your Cost: $44.60/claim|Median: $1.00
44.6× median
93017Top 1%

$36K

71 claims · 0.1%

Your Cost: $513.89/claim|Median: $56.03
9.2× median
71046Top 25%

Chest X-ray, 2 views

$32K

1,152 claims · 0.1%

Your Cost: $27.75/claim|Median: $8.92
3.1× median
77063Normal range

Screening digital breast tomosynthesis, bilateral

$32K

1,415 claims · 0.1%

Your Cost: $22.29/claim|Median: $21.41
1.0× median
76801Top 25%

Ultrasound, pregnant uterus, single fetus, first trimester

$30K

340 claims · 0.1%

Your Cost: $89.41/claim|Median: $58.16
1.5× median
99211Top 10%

Office/outpatient visit, minimal complexity

$30K

719 claims · 0.1%

Your Cost: $42.16/claim|Median: $12.93
3.3× median
84484Normal range

Troponin, quantitative

$30K

4,068 claims · 0.1%

Your Cost: $7.29/claim|Median: $4.84
1.5× median
99291Top 10%

Critical care, first 30-74 minutes

$29K

108 claims · 0.1%

Your Cost: $268.33/claim|Median: $101.24
2.7× median
87426Normal range

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

$27K

2,474 claims · 0.1%

Your Cost: $10.82/claim|Median: $30.04
0.4× median
81001Normal range

Urinalysis, automated, with microscopy

$26K

8,686 claims · 0.1%

Your Cost: $3.01/claim|Median: $2.03
1.5× median
99212Normal range

Office/outpatient visit, low complexity

$24K

755 claims · 0.1%

Your Cost: $31.97/claim|Median: $25.06
1.3× median

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