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

⚖️ Compare🖨️ Print Report

BAPTIST HEALTHCARE SYSTEM INC

General Acute Care Hospital·ELIZABETHTOWN, KY·NPI: 1689282147Share

Compared to General Acute Care Hospital Peers

Total spending distribution among 156 providers in this specialty

P25MedianP75P90

This provider's total spending of $95.6M is at the below 25th percentile among 156 General Acute Care Hospital providers.

Active Billing Period:2020-09→2024-12(52 months)

Total Paid

$95.6M

$95,608,950

Total Claims

1.8M

Beneficiaries

1.4M

1.3 claims/patient

Avg Cost/Claim

$53

Monthly Spending Trend

Yearly Spending

2020
$11
+213720603%
2021
$23.3M
+3%
2022
$23.9M
+3%
2023
$24.8M
-5%
2024
$23.6M

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 13% of total spending.

99283Top 5%

Emergency dept visit, moderate complexity

$12.1M

52K claims · 12.7%

Your Cost: $234.70/claim|Median: $42.48
5.5× median
74177Top 5%

CT abdomen and pelvis with contrast

$7.4M

12K claims · 7.8%

Your Cost: $633.78/claim|Median: $65.76
9.6× median
99284Top 5%

Emergency dept visit, high complexity

$6.1M

21K claims · 6.4%

Your Cost: $286.00/claim|Median: $69.51
4.1× median
99285Top 5%

Emergency dept visit, high/urgent complexity

$3.2M

8,860 claims · 3.3%

Your Cost: $358.63/claim|Median: $85.65
4.2× median
70450Top 5%

CT head/brain without contrast

$2.2M

7,455 claims · 2.3%

Your Cost: $293.68/claim|Median: $45.53
6.5× median
74176Top 5%

CT abdomen and pelvis without contrast

$2.0M

3,529 claims · 2.0%

Your Cost: $553.74/claim|Median: $60.19
9.2× median
43239Top 10%

Upper GI endoscopy with biopsy

$1.9M

4,173 claims · 2.0%

Your Cost: $461.47/claim|Median: $151.68
3.0× median
78452Top 5%

Myocardial perfusion imaging, SPECT, multiple studies

$1.8M

3,421 claims · 1.9%

Your Cost: $540.23/claim|Median: $106.14
5.1× median
99282Top 25%

Emergency dept visit, low complexity

$1.6M

11K claims · 1.7%

Your Cost: $141.75/claim|Median: $37.72
3.8× median
96374Normal range

Therapeutic/prophylactic/diagnostic IV push, single substance

$1.5M

38K claims · 1.6%

Your Cost: $39.00/claim|Median: $21.76
1.8× median
96365Top 25%

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

$1.4M

12K claims · 1.5%

Your Cost: $121.98/claim|Median: $54.77
2.2× median
96375Top 10%

Therapeutic/prophylactic/diagnostic IV push, each additional substance

$1.4M

20K claims · 1.5%

Your Cost: $69.50/claim|Median: $14.92
4.7× median
93306Top 5%

Echocardiography, transthoracic, complete, with Doppler

$1.3M

2,507 claims · 1.4%

Your Cost: $535.28/claim|Median: $54.68
9.8× median
C1713Top 25%

Anchor or screw for tissue to bone fixation

$1.3M

1,112 claims · 1.4%

Your Cost: $1,173.01/claim|Median: $123.40
9.5× median
41899Top 10%

Unlisted procedure, dentoalveolar structures

$1.3M

537 claims · 1.4%

Your Cost: $2,428.42/claim|Median: $763.43
3.2× median
96413Top 5%

Chemotherapy administration, IV infusion, up to 1 hour

$1.2M

2,622 claims · 1.3%

Your Cost: $456.71/claim|Median: $75.28
6.1× median
71260Top 5%

CT chest with contrast

$1.2M

3,746 claims · 1.2%

Your Cost: $314.21/claim|Median: $48.36
6.5× median
80053Normal range

Comprehensive metabolic panel

$1.2M

122K claims · 1.2%

Your Cost: $9.59/claim|Median: $7.24
1.3× median
93005Top 25%

Electrocardiogram, tracing only, without interpretation

$1.1M

24K claims · 1.1%

Your Cost: $45.02/claim|Median: $7.50
6.0× median
45385Top 25%

Colonoscopy with polyp removal, snare technique

$1.0M

1,896 claims · 1.1%

Your Cost: $553.45/claim|Median: $255.17
2.2× median
U0004Normal range

COVID-19 test, nucleic acid detection, CDC lab only

$1.0M

17K claims · 1.1%

Your Cost: $62.26/claim|Median: $60.05
1.0× median
70553Top 10%

MRI brain without contrast, then with contrast

$993K

2,217 claims · 1.0%

Your Cost: $448.07/claim|Median: $133.68
3.4× median
71045Top 10%

Chest X-ray, single view

$951K

23K claims · 1.0%

Your Cost: $40.82/claim|Median: $4.93
8.3× median
45378Top 10%

Colonoscopy, diagnostic

$917K

1,403 claims · 1.0%

Your Cost: $653.35/claim|Median: $225.49
2.9× median
96372Top 5%

Therapeutic injection, subcutaneous/intramuscular

$914K

20K claims · 1.0%

Your Cost: $45.69/claim|Median: $9.56
4.8× median
G0378Top 25%

Hospital observation service, per hour

$834K

1,637 claims · 0.9%

Your Cost: $509.36/claim|Median: $99.39
5.1× median
73721Top 10%

MRI joint of lower extremity without contrast

$832K

1,947 claims · 0.9%

Your Cost: $427.20/claim|Median: $127.34
3.4× median
45380Top 25%

Colonoscopy with biopsy

$806K

1,655 claims · 0.8%

Your Cost: $487.02/claim|Median: $200.68
2.4× median
72148Top 10%

MRI lumbar spine without contrast

$786K

2,167 claims · 0.8%

Your Cost: $362.63/claim|Median: $101.03
3.6× median
36415Top 25%

Collection of venous blood by venipuncture

$748K

165K claims · 0.8%

Your Cost: $4.52/claim|Median: $1.57
2.9× median
77067Top 10%

Screening mammography, bilateral, including CAD

$727K

6,186 claims · 0.8%

Your Cost: $117.52/claim|Median: $39.33
3.0× median
74178Top 5%

$717K

773 claims · 0.8%

Your Cost: $927.73/claim|Median: $122.85
7.6× median
88305Top 25%

Surgical pathology, gross and microscopic examination

$709K

11K claims · 0.7%

Your Cost: $62.46/claim|Median: $35.80
1.7× median
59025Top 25%

Fetal non-stress test

$668K

5,099 claims · 0.7%

Your Cost: $130.94/claim|Median: $26.45
5.0× median
87637Normal range

Respiratory virus detection, 3-5 targets, nucleic acid

$627K

6,212 claims · 0.7%

Your Cost: $100.96/claim|Median: $100.62
1.0× median
85025Normal range

Complete blood count (CBC) with differential, automated

$615K

97K claims · 0.6%

Your Cost: $6.37/claim|Median: $4.71
1.4× median
71250Top 10%

CT scan of chest without contrast

$566K

3,111 claims · 0.6%

Your Cost: $181.89/claim|Median: $39.11
4.7× median
J2785Top 1%

$529K

784 claims · 0.6%

Your Cost: $675.31/claim|Median: $61.83
10.9× median
73221Top 5%

MRI of upper extremity joint with contrast

$494K

1,273 claims · 0.5%

Your Cost: $387.67/claim|Median: $122.11
3.2× median
93017Top 5%

$475K

1,440 claims · 0.5%

Your Cost: $329.87/claim|Median: $56.03
5.9× median
80307Top 25%

Drug test, presumptive, by chemistry analyzers

$475K

9,743 claims · 0.5%

Your Cost: $48.72/claim|Median: $35.43
1.4× median
95810Top 5%

Polysomnography, sleep study, 6+ hours

$458K

453 claims · 0.5%

Your Cost: $1,011.01/claim|Median: $233.73
4.3× median
84443Normal range

Thyroid stimulating hormone (TSH)

$451K

34K claims · 0.5%

Your Cost: $13.43/claim|Median: $9.87
1.4× median
76705Top 10%

Ultrasound, abdominal, limited

$446K

4,006 claims · 0.5%

Your Cost: $111.30/claim|Median: $23.81
4.7× median
72141Top 5%

MRI of cervical spine without contrast

$437K

1,163 claims · 0.5%

Your Cost: $375.35/claim|Median: $112.68
3.3× median
72125Top 5%

CT cervical spine without contrast

$435K

1,465 claims · 0.5%

Your Cost: $296.97/claim|Median: $32.30
9.2× median
70551Top 10%

MRI brain without contrast

$425K

1,222 claims · 0.4%

Your Cost: $348.18/claim|Median: $85.39
4.1× median
78815Normal range

PET imaging for limited area

$421K

674 claims · 0.4%

Your Cost: $623.92/claim|Median: $325.10
1.9× median
76830Top 5%

Ultrasound, transvaginal

$412K

3,364 claims · 0.4%

Your Cost: $122.52/claim|Median: $57.47
2.1× median
73562Top 1%

$390K

3,314 claims · 0.4%

Your Cost: $117.56/claim|Median: $12.28
9.6× 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 →