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RADY CHILDREN'S HOSPITAL SAN DIEGO

General Acute Care Hospital, Children·SAN DIEGO, CA·NPI: 1710065933Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$69.0M

$69,039,659

Total Claims

1.5M

Beneficiaries

1.3M

1.1 claims/patient

Avg Cost/Claim

$48

Monthly Spending Trend

Yearly Spending

2018
$11.0M
+16%
2019
$12.8M
-16%
2020
$10.7M
-26%
2021
$7.9M
+17%
2022
$9.3M
-2%
2023
$9.0M
-8%
2024
$8.3M

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 12% of total spending.

99283Top 25%

Emergency dept visit, moderate complexity

$8.2M

91K claims · 11.9%

Your Cost: $90.01/claim|Median: $42.48
2.1× median
J0585Top 10%

Injection, onabotulinumtoxinA, 1 unit

$5.8M

4,720 claims · 8.5%

Your Cost: $1,237.44/claim|Median: $470.36
2.6× median
0450Top 25%

Emergency room visit

$5.6M

74K claims · 8.1%

Your Cost: $75.77/claim|Median: $44.95
1.7× median
Z7500Normal range

$5.4M

159K claims · 7.9%

Your Cost: $34.02/claim|Median: $33.71
1.0× median
87635Normal range

COVID-19 SARS-CoV-2 amplified probe detection

$4.2M

100K claims · 6.1%

Your Cost: $41.99/claim|Median: $39.70
1.1× median
0113Normal range

$3.3M

1,738 claims · 4.7%

Your Cost: $1,886.19/claim|Median: $1,005.24
1.9× median
41899Top 25%

Unlisted procedure, dentoalveolar structures

$2.7M

1,498 claims · 3.9%

Your Cost: $1,800.44/claim|Median: $763.43
2.4× median
0123Normal range

$1.9M

1,207 claims · 2.7%

Your Cost: $1,537.61/claim|Median: $3,178.88
0.5× median
0510Normal range

Revenue code, clinic services

$1.4M

41K claims · 2.0%

Your Cost: $34.53/claim|Median: $28.38
1.2× median
93325Top 5%

$1.3M

9,579 claims · 1.8%

Your Cost: $131.41/claim|Median: $14.61
9.0× median
99199Top 10%

Unlisted special service, procedure, or report

$1.0M

10K claims · 1.5%

Your Cost: $98.04/claim|Median: $5.39
18.2× median
90378Normal range

$929K

529 claims · 1.3%

Your Cost: $1,755.63/claim|Median: $1,627.19
1.1× median
0360Normal range

$836K

7,776 claims · 1.2%

Your Cost: $107.47/claim|Median: $95.40
1.1× median
G0463Normal range

Hospital outpatient clinic visit

$835K

21K claims · 1.2%

Your Cost: $40.52/claim|Median: $26.41
1.5× median
99284Top 5%

Emergency dept visit, high complexity

$809K

2,389 claims · 1.2%

Your Cost: $338.79/claim|Median: $69.51
4.9× median
J1745Normal range

Injection, infliximab, excludes biosimilar, 10 mg

$801K

462 claims · 1.2%

Your Cost: $1,732.71/claim|Median: $1,587.53
1.1× median
0710Top 10%

$792K

8,170 claims · 1.1%

Your Cost: $96.92/claim|Median: $18.49
5.2× median
99285Top 1%

Emergency dept visit, high/urgent complexity

$690K

847 claims · 1.0%

Your Cost: $814.51/claim|Median: $85.65
9.5× median
93306Top 25%

Echocardiography, transthoracic, complete, with Doppler

$666K

3,223 claims · 1.0%

Your Cost: $206.61/claim|Median: $54.68
3.8× median
Z7502Top 25%

$661K

17K claims · 1.0%

Your Cost: $38.14/claim|Median: $37.17
1.0× median
J0475Top 25%

Injection, baclofen, ten milligrams

$619K

639 claims · 0.9%

Your Cost: $969.08/claim|Median: $384.42
2.5× median
87633Normal range

Respiratory virus detection, 12-25 targets, nucleic acid

$600K

2,924 claims · 0.9%

Your Cost: $205.32/claim|Median: $169.17
1.2× median
93303Top 25%

Echocardiography, transthoracic, limited

$573K

3,122 claims · 0.8%

Your Cost: $183.53/claim|Median: $112.83
1.6× median
85025Top 25%

Complete blood count (CBC) with differential, automated

$506K

58K claims · 0.7%

Your Cost: $8.70/claim|Median: $4.71
1.8× median
80053Top 25%

Comprehensive metabolic panel

$482K

38K claims · 0.7%

Your Cost: $12.86/claim|Median: $7.24
1.8× median
93005Top 25%

Electrocardiogram, tracing only, without interpretation

$439K

17K claims · 0.6%

Your Cost: $26.55/claim|Median: $7.50
3.5× median
0636Top 5%

$428K

1,398 claims · 0.6%

Your Cost: $306.00/claim|Median: $5.41
56.6× median
95810Normal range

Polysomnography, sleep study, 6+ hours

$400K

1,414 claims · 0.6%

Your Cost: $282.88/claim|Median: $233.73
1.2× median
99499Top 25%

Unlisted evaluation and management service

$395K

7,570 claims · 0.6%

Your Cost: $52.12/claim|Median: $30.88
1.7× median
99212Normal range

Office/outpatient visit, low complexity

$384K

14K claims · 0.6%

Your Cost: $27.56/claim|Median: $25.06
1.1× median
99282Top 10%

Emergency dept visit, low complexity

$379K

2,445 claims · 0.5%

Your Cost: $155.12/claim|Median: $37.72
4.1× median
0760Normal range

$364K

58K claims · 0.5%

Your Cost: $6.23/claim|Median: $22.01
0.3× median
0250Top 10%

$345K

5,266 claims · 0.5%

Your Cost: $65.54/claim|Median: $3.70
17.7× median
J1569Normal range

$344K

412 claims · 0.5%

Your Cost: $833.99/claim|Median: $1,387.65
0.6× median
93975Normal range

Duplex scan of arterial inflow and venous outflow, complete

$342K

2,428 claims · 0.5%

Your Cost: $140.78/claim|Median: $79.28
1.8× median
72082Top 25%

$336K

5,504 claims · 0.5%

Your Cost: $60.98/claim|Median: $31.02
2.0× median
G9012Top 5%

Other specified case management service, per 15 minutes

$308K

661 claims · 0.4%

Your Cost: $465.24/claim|Median: $137.85
3.4× median
70553Top 25%

MRI brain without contrast, then with contrast

$303K

723 claims · 0.4%

Your Cost: $418.90/claim|Median: $133.68
3.1× median
0410Top 5%

$301K

914 claims · 0.4%

Your Cost: $329.36/claim|Median: $11.44
28.8× median
93320Top 10%

$273K

3,551 claims · 0.4%

Your Cost: $76.83/claim|Median: $28.68
2.7× median
G0378Normal range

Hospital observation service, per hour

$269K

7,060 claims · 0.4%

Your Cost: $38.11/claim|Median: $99.39
0.4× median
0301Top 10%

$261K

1,864 claims · 0.4%

Your Cost: $139.80/claim|Median: $11.15
12.5× median
71046Top 25%

Chest X-ray, 2 views

$259K

8,362 claims · 0.4%

Your Cost: $30.97/claim|Median: $8.92
3.5× median
76770Normal range

Ultrasound, retroperitoneal, complete

$254K

3,989 claims · 0.4%

Your Cost: $63.76/claim|Median: $37.35
1.7× median
97110Normal range

Therapeutic exercises, each 15 min

$254K

22K claims · 0.4%

Your Cost: $11.47/claim|Median: $24.49
0.5× median
V5298Normal range

$242K

185 claims · 0.4%

Your Cost: $1,306.54/claim|Median: $1,373.37
1.0× median
0456Top 25%

$236K

5,190 claims · 0.3%

Your Cost: $45.42/claim|Median: $31.57
1.4× median
Z5942Top 25%

$224K

1,754 claims · 0.3%

Your Cost: $127.79/claim|Median: $101.77
1.3× median
92588Top 25%

Vestibular evoked myogenic potential testing, each side

$213K

4,066 claims · 0.3%

Your Cost: $52.28/claim|Median: $31.08
1.7× median
92507Normal range

Speech/hearing/language treatment

$210K

15K claims · 0.3%

Your Cost: $13.59/claim|Median: $49.45
0.3× median

Other Top Providers in California

View all →

Los Angeles County Department of Mental Health

Clinic/Center, Mental Health (Including Community

$6.78B

County of Santa Clara

Community/Behavioral Health

$1.73B

County of Riverside

Community/Behavioral Health

$1.40B

City & County of San Francisco

Community/Behavioral Health

$1.34B

Los Angeles County Department of Public Health

Public Health or Welfare

$1.13B

Similar Providers

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Dayton Children's Hospital

Dayton, OH

$290.6M

Connecticut Children's Medical Center

Hartford, CT

$248.9M

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