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COVENANT MEDICAL CENTER INC

General Acute Care Hospital·WATERLOO, IA·NPI: 1700827896Share

Compared to General Acute Care Hospital Peers

Total spending distribution among 156 providers in this specialty

P25MedianP75P90

This provider's total spending of $63.1M is at the below 25th percentile among 156 General Acute Care Hospital providers.

Active Billing Period:2018-012024-12(84 months)

Total Paid

$63.1M

$63,084,054

Total Claims

1.1M

Beneficiaries

949K

1.1 claims/patient

Avg Cost/Claim

$58

Monthly Spending Trend

Yearly Spending

2018
$8.9M
+12%
2019
$10.0M
-22%
2020
$7.8M
+26%
2021
$9.9M
+2%
2022
$10.1M
-4%
2023
$9.7M
-31%
2024
$6.7M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 50 distinct procedure codes. The top code (G0463 (Hospital outpatient clinic visit)) accounts for 58% of total spending.

G0463Top 10%

Hospital outpatient clinic visit

$36.5M

386K claims · 57.9%

Your Cost: $94.76/claim|Median: $26.41
3.6× median
99284Top 10%

Emergency dept visit, high complexity

$5.3M

24K claims · 8.4%

Your Cost: $222.35/claim|Median: $69.51
3.2× median
99283Top 25%

Emergency dept visit, moderate complexity

$2.7M

20K claims · 4.3%

Your Cost: $138.85/claim|Median: $42.48
3.3× median
99285Top 5%

Emergency dept visit, high/urgent complexity

$2.1M

5,071 claims · 3.4%

Your Cost: $420.84/claim|Median: $85.65
4.9× median
90471Top 5%

Immunization administration, 1 vaccine, percutaneous/ID/SC/IM

$1.2M

30K claims · 1.9%

Your Cost: $40.43/claim|Median: $9.80
4.1× median
96374Top 10%

Therapeutic/prophylactic/diagnostic IV push, single substance

$1.2M

9,987 claims · 1.9%

Your Cost: $119.87/claim|Median: $21.76
5.5× median
92507Normal range

Speech/hearing/language treatment

$1.2M

19K claims · 1.9%

Your Cost: $62.14/claim|Median: $49.45
1.3× median
99391Normal range

Preventive medicine, established patient, infant (under 1)

$976K

12K claims · 1.5%

Your Cost: $78.56/claim|Median: $69.35
1.1× median
41874Top 1%

$937K

456 claims · 1.5%

Your Cost: $2,054.70/claim|Median: $276.56
7.4× median
99392Normal range

Preventive medicine, established patient, age 1-4

$824K

10K claims · 1.3%

Your Cost: $79.65/claim|Median: $75.18
1.1× median
20610Top 5%

Arthrocentesis, aspiration/injection, major joint

$764K

4,533 claims · 1.2%

Your Cost: $168.53/claim|Median: $29.03
5.8× median
93303Top 10%

Echocardiography, transthoracic, limited

$693K

2,002 claims · 1.1%

Your Cost: $346.13/claim|Median: $112.83
3.1× median
90853Top 10%

Group psychotherapy

$660K

10K claims · 1.0%

Your Cost: $65.31/claim|Median: $25.02
2.6× median
D7311Top 1%

$583K

653 claims · 0.9%

Your Cost: $892.27/claim|Median: $91.31
9.8× median
45380Top 25%

Colonoscopy with biopsy

$560K

1,022 claims · 0.9%

Your Cost: $547.70/claim|Median: $200.68
2.7× median
96110Top 5%

Developmental screening, per standardized instrument

$559K

8,959 claims · 0.9%

Your Cost: $62.41/claim|Median: $9.10
6.9× median
99393Normal range

Preventive medicine, established patient, age 5-11

$531K

6,783 claims · 0.8%

Your Cost: $78.25/claim|Median: $74.82
1.0× median
43239Top 25%

Upper GI endoscopy with biopsy

$491K

1,739 claims · 0.8%

Your Cost: $282.53/claim|Median: $151.68
1.9× median
87811Top 25%

SARS-CoV-2 COVID-19 antigen detection, rapid, instrument-read

$481K

12K claims · 0.8%

Your Cost: $40.03/claim|Median: $30.53
1.3× median
96361Normal range

IV infusion, hydration, each additional hour

$323K

6,796 claims · 0.5%

Your Cost: $47.59/claim|Median: $38.92
1.2× median
U0003Normal range

Infectious disease detection (COVID-19)

$306K

5,072 claims · 0.5%

Your Cost: $60.28/claim|Median: $63.08
1.0× median
99394Normal range

Preventive medicine, established patient, age 12-17

$278K

3,039 claims · 0.4%

Your Cost: $91.54/claim|Median: $80.15
1.1× median
G0378Normal range

Hospital observation service, per hour

$273K

4,194 claims · 0.4%

Your Cost: $65.04/claim|Median: $99.39
0.7× median
97530Normal range

Therapeutic activities, each 15 min

$218K

4,910 claims · 0.3%

Your Cost: $44.45/claim|Median: $33.11
1.3× median
71045Top 5%

Chest X-ray, single view

$202K

3,885 claims · 0.3%

Your Cost: $52.00/claim|Median: $4.93
10.5× median
90834Normal range

Psychotherapy, 45 minutes

$201K

2,713 claims · 0.3%

Your Cost: $74.01/claim|Median: $63.65
1.2× median
G0330Normal range

$175K

146 claims · 0.3%

Your Cost: $1,199.60/claim|Median: $1,205.70
1.0× median
96375Top 25%

Therapeutic/prophylactic/diagnostic IV push, each additional substance

$171K

4,968 claims · 0.3%

Your Cost: $34.43/claim|Median: $14.92
2.3× median
11042Top 10%

Debridement, subcutaneous tissue, first 20 sq cm

$170K

1,051 claims · 0.3%

Your Cost: $161.56/claim|Median: $36.13
4.5× median
96413Top 5%

Chemotherapy administration, IV infusion, up to 1 hour

$150K

600 claims · 0.2%

Your Cost: $250.54/claim|Median: $75.28
3.3× median
97110Normal range

Therapeutic exercises, each 15 min

$130K

3,987 claims · 0.2%

Your Cost: $32.55/claim|Median: $24.49
1.3× median
95911Top 5%

$111K

328 claims · 0.2%

Your Cost: $337.05/claim|Median: $122.86
2.7× median
69436Top 25%

Tympanostomy, general anesthesia

$101K

112 claims · 0.2%

Your Cost: $901.49/claim|Median: $205.50
4.4× median
95250Normal range

$83K

1,243 claims · 0.1%

Your Cost: $66.58/claim|Median: $59.66
1.1× median
95117Top 5%

$80K

2,741 claims · 0.1%

Your Cost: $29.10/claim|Median: $8.34
3.5× median
90686Normal range

Influenza virus vaccine, quadrivalent, preservative-free, IM

$77K

6,925 claims · 0.1%

Your Cost: $11.14/claim|Median: $7.18
1.6× median
71046Top 5%

Chest X-ray, 2 views

$71K

1,269 claims · 0.1%

Your Cost: $55.85/claim|Median: $8.92
6.3× median
D2930Top 5%

Prefabricated stainless steel crown, primary tooth

$68K

179 claims · 0.1%

Your Cost: $380.41/claim|Median: $120.85
3.1× median
C9803Normal range

$68K

6,163 claims · 0.1%

Your Cost: $11.01/claim|Median: $13.20
0.8× median
U0005Normal range

Infectious disease detection, COVID-19, antigen

$63K

3,739 claims · 0.1%

Your Cost: $16.72/claim|Median: $15.76
1.1× median
80061Normal range

Lipid panel

$62K

5,330 claims · 0.1%

Your Cost: $11.69/claim|Median: $8.41
1.4× median
D7230Top 25%

Extraction, impacted tooth, partial bony

$62K

245 claims · 0.1%

Your Cost: $251.66/claim|Median: $187.09
1.3× median
92587Top 1%

$60K

273 claims · 0.1%

Your Cost: $218.33/claim|Median: $19.24
11.3× median
36415Normal range

Collection of venous blood by venipuncture

$48K

66K claims · 0.1%

Your Cost: $0.73/claim|Median: $1.57
0.5× median
87491Normal range

Chlamydia detection, nucleic acid, amplified probe

$39K

2,692 claims · 0.1%

Your Cost: $14.32/claim|Median: $24.95
0.6× median
95909Top 10%

$37K

207 claims · 0.1%

Your Cost: $180.37/claim|Median: $73.56
2.5× median
70553Top 25%

MRI brain without contrast, then with contrast

$37K

105 claims · 0.1%

Your Cost: $354.54/claim|Median: $133.68
2.7× median
99282Normal range

Emergency dept visit, low complexity

$37K

478 claims · 0.1%

Your Cost: $77.25/claim|Median: $37.72
2.0× median
H0035Normal range

Mental health partial hospitalization, treatment, per hour

$37K

429 claims · 0.1%

Your Cost: $85.16/claim|Median: $148.53
0.6× median
11056Top 5%

Paring or cutting of benign hyperkeratotic lesions, two to four

$35K

690 claims · 0.1%

Your Cost: $51.02/claim|Median: $11.01
4.6× median