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

⚖️ Compare🖨️ Print Report

SAINT JOSEPH HEALTH SYSTEM, INC

General Acute Care Hospital·MT STERLING, KY·NPI: 1679679146Share

Compared to General Acute Care Hospital Peers

Total spending distribution among 156 providers in this specialty

P25MedianP75P90

This provider's total spending of $37.2M is at the below 25th percentile among 156 General Acute Care Hospital providers.

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

Total Paid

$37.2M

$37,208,551

Total Claims

805K

Beneficiaries

563K

1.4 claims/patient

Avg Cost/Claim

$46

Monthly Spending Trend

Yearly Spending

2018
$5.3M
-11%
2019
$4.7M
-10%
2020
$4.3M
+29%
2021
$5.5M
-5%
2022
$5.2M
+27%
2023
$6.6M
-15%
2024
$5.6M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 50 distinct procedure codes. The top code (99283 (Emergency dept visit, moderate complexity)) accounts for 10% of total spending.

99283Top 25%

Emergency dept visit, moderate complexity

$3.6M

29K claims · 9.8%

Your Cost: $123.99/claim|Median: $42.48
2.9× median
99284Top 25%

Emergency dept visit, high complexity

$3.5M

24K claims · 9.3%

Your Cost: $145.33/claim|Median: $69.51
2.1× median
74177Top 5%

CT abdomen and pelvis with contrast

$3.3M

5,949 claims · 8.9%

Your Cost: $557.67/claim|Median: $65.76
8.5× median
99285Top 25%

Emergency dept visit, high/urgent complexity

$2.5M

16K claims · 6.6%

Your Cost: $154.86/claim|Median: $85.65
1.8× median
41899Normal range

Unlisted procedure, dentoalveolar structures

$1.7M

1,888 claims · 4.6%

Your Cost: $915.36/claim|Median: $763.43
1.2× median
74176Top 5%

CT abdomen and pelvis without contrast

$1.6M

3,684 claims · 4.3%

Your Cost: $434.31/claim|Median: $60.19
7.2× median
70450Top 10%

CT head/brain without contrast

$1.2M

6,249 claims · 3.3%

Your Cost: $196.28/claim|Median: $45.53
4.3× median
93306Top 5%

Echocardiography, transthoracic, complete, with Doppler

$977K

2,458 claims · 2.6%

Your Cost: $397.34/claim|Median: $54.68
7.3× median
97110Top 25%

Therapeutic exercises, each 15 min

$873K

14K claims · 2.3%

Your Cost: $60.67/claim|Median: $24.49
2.5× median
71046Top 5%

Chest X-ray, 2 views

$705K

11K claims · 1.9%

Your Cost: $63.38/claim|Median: $8.92
7.1× median
71045Top 10%

Chest X-ray, single view

$669K

16K claims · 1.8%

Your Cost: $42.44/claim|Median: $4.93
8.6× median
43239Normal range

Upper GI endoscopy with biopsy

$650K

2,659 claims · 1.7%

Your Cost: $244.55/claim|Median: $151.68
1.6× median
92507Top 25%

Speech/hearing/language treatment

$607K

8,886 claims · 1.6%

Your Cost: $68.36/claim|Median: $49.45
1.4× median
97530Top 25%

Therapeutic activities, each 15 min

$556K

8,334 claims · 1.5%

Your Cost: $66.75/claim|Median: $33.11
2.0× median
96374Normal range

Therapeutic/prophylactic/diagnostic IV push, single substance

$555K

28K claims · 1.5%

Your Cost: $20.04/claim|Median: $21.76
0.9× median
71275Top 5%

CT angiography, chest, with contrast

$550K

1,414 claims · 1.5%

Your Cost: $389.01/claim|Median: $92.96
4.2× median
93005Top 25%

Electrocardiogram, tracing only, without interpretation

$539K

18K claims · 1.4%

Your Cost: $30.39/claim|Median: $7.50
4.1× median
96365Normal range

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

$527K

13K claims · 1.4%

Your Cost: $41.17/claim|Median: $54.77
0.8× median
Q9967Top 10%

Low osmolar contrast material, 300-399 mg iodine/ml, per ml

$465K

9,935 claims · 1.2%

Your Cost: $46.78/claim|Median: $3.42
13.7× median
80053Top 25%

Comprehensive metabolic panel

$452K

41K claims · 1.2%

Your Cost: $11.12/claim|Median: $7.24
1.5× median
76705Top 5%

Ultrasound, abdominal, limited

$449K

2,623 claims · 1.2%

Your Cost: $171.00/claim|Median: $23.81
7.2× median
99282Top 25%

Emergency dept visit, low complexity

$444K

4,587 claims · 1.2%

Your Cost: $96.69/claim|Median: $37.72
2.6× median
72148Top 5%

MRI lumbar spine without contrast

$423K

1,147 claims · 1.1%

Your Cost: $369.20/claim|Median: $101.03
3.7× median
36415Top 10%

Collection of venous blood by venipuncture

$402K

78K claims · 1.1%

Your Cost: $5.17/claim|Median: $1.57
3.3× median
73721Top 10%

MRI joint of lower extremity without contrast

$392K

1,058 claims · 1.1%

Your Cost: $370.06/claim|Median: $127.34
2.9× median
72125Top 5%

CT cervical spine without contrast

$347K

1,189 claims · 0.9%

Your Cost: $292.00/claim|Median: $32.30
9.0× median
71260Top 10%

CT chest with contrast

$324K

1,305 claims · 0.9%

Your Cost: $248.29/claim|Median: $48.36
5.1× median
G0480Top 25%

Drug test, definitive, 1-7 drug classes

$303K

4,676 claims · 0.8%

Your Cost: $64.72/claim|Median: $37.56
1.7× median
96375Normal range

Therapeutic/prophylactic/diagnostic IV push, each additional substance

$291K

13K claims · 0.8%

Your Cost: $22.62/claim|Median: $14.92
1.5× median
85025Normal range

Complete blood count (CBC) with differential, automated

$279K

41K claims · 0.7%

Your Cost: $6.84/claim|Median: $4.71
1.5× median
78452Top 5%

Myocardial perfusion imaging, SPECT, multiple studies

$255K

446 claims · 0.7%

Your Cost: $571.21/claim|Median: $106.14
5.4× median
96372Top 10%

Therapeutic injection, subcutaneous/intramuscular

$247K

9,064 claims · 0.7%

Your Cost: $27.23/claim|Median: $9.56
2.8× median
87635Normal range

COVID-19 SARS-CoV-2 amplified probe detection

$246K

6,396 claims · 0.7%

Your Cost: $38.54/claim|Median: $39.70
1.0× median
0241UNormal range

Proprietary lab analysis, genomic sequencing

$232K

3,193 claims · 0.6%

Your Cost: $72.60/claim|Median: $91.47
0.8× median
45385Normal range

Colonoscopy with polyp removal, snare technique

$226K

841 claims · 0.6%

Your Cost: $268.51/claim|Median: $255.17
1.1× median
72100Top 5%

$217K

2,844 claims · 0.6%

Your Cost: $76.23/claim|Median: $15.14
5.0× median
96361Normal range

IV infusion, hydration, each additional hour

$205K

12K claims · 0.6%

Your Cost: $17.25/claim|Median: $38.92
0.4× median
96360Normal range

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

$168K

4,629 claims · 0.5%

Your Cost: $36.22/claim|Median: $61.57
0.6× median
73630Top 5%

X-ray, foot, complete, minimum 3 views

$160K

2,821 claims · 0.4%

Your Cost: $56.86/claim|Median: $12.06
4.7× median
G0378Normal range

Hospital observation service, per hour

$160K

917 claims · 0.4%

Your Cost: $174.02/claim|Median: $99.39
1.8× median
93971Top 10%

Duplex scan of extremity veins, unilateral or limited

$155K

1,171 claims · 0.4%

Your Cost: $132.39/claim|Median: $25.43
5.2× median
77067Normal range

Screening mammography, bilateral, including CAD

$155K

3,118 claims · 0.4%

Your Cost: $49.71/claim|Median: $39.33
1.3× median
96413Normal range

Chemotherapy administration, IV infusion, up to 1 hour

$149K

1,351 claims · 0.4%

Your Cost: $110.43/claim|Median: $75.28
1.5× median
76700Top 5%

Ultrasound, abdominal, complete

$148K

680 claims · 0.4%

Your Cost: $217.89/claim|Median: $50.69
4.3× median
72131Top 5%

$146K

433 claims · 0.4%

Your Cost: $337.65/claim|Median: $42.82
7.9× median
84484Top 25%

Troponin, quantitative

$142K

14K claims · 0.4%

Your Cost: $9.85/claim|Median: $4.84
2.0× median
0240UNormal range

$136K

1,951 claims · 0.4%

Your Cost: $69.61/claim|Median: $89.76
0.8× median
74018Top 10%

$125K

2,918 claims · 0.3%

Your Cost: $42.91/claim|Median: $7.00
6.1× median
97161Top 25%

Physical therapy evaluation, low complexity

$124K

1,854 claims · 0.3%

Your Cost: $67.08/claim|Median: $47.89
1.4× median
73130Top 10%

$121K

2,144 claims · 0.3%

Your Cost: $56.37/claim|Median: $10.69
5.3× median

Other Top Providers in Kentucky

View all →

University of Kentucky

General Acute Care Hospital

$716.4M

Norton Hospitals INC

General Acute Care Hospital

$419.6M

Seven Counties Services Inc.

Clinic/Center Developmental Disabilities

$375.8M

Cumberland River Behavioral Health INC

Community/Behavioral Health

$349.2M

Addiction Recovery Care LLC

Community Based Residential Treatment Facility, Me

$309.0M

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

← All providersAll providers in Kentucky →How we detect fraud →