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

ST. MARY MEDICAL CENTER

General Acute Care Hospital·APPLE VALLEY, CA·NPI: 1710109186Share

Compared to General Acute Care Hospital Peers

Total spending distribution among 156 providers in this specialty

P25MedianP75P90

This provider's total spending of $52.4M is at the below 25th percentile among 156 General Acute Care Hospital providers.

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

Total Paid

$52.4M

$52,357,754

Total Claims

2.0M

Beneficiaries

1.6M

1.2 claims/patient

Avg Cost/Claim

$26

Monthly Spending Trend

Yearly Spending

2018
$6.7M
+14%
2019
$7.7M
-14%
2020
$6.6M
-4%
2021
$6.3M
+19%
2022
$7.5M
+16%
2023
$8.7M
+2%
2024
$8.9M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 50 distinct procedure codes. The top code (0450 (Emergency room visit)) accounts for 12% of total spending.

0450Normal range

Emergency room visit

$6.3M

130K claims · 11.9%

Your Cost: $48.03/claim|Median: $44.95
1.1× median
99283Normal range

Emergency dept visit, moderate complexity

$4.2M

85K claims · 8.1%

Your Cost: $49.34/claim|Median: $42.48
1.2× median
70450Top 25%

CT head/brain without contrast

$2.7M

18K claims · 5.1%

Your Cost: $147.86/claim|Median: $45.53
3.2× median
74177Top 25%

CT abdomen and pelvis with contrast

$2.1M

11K claims · 3.9%

Your Cost: $186.82/claim|Median: $65.76
2.8× median
11042Top 10%

Debridement, subcutaneous tissue, first 20 sq cm

$1.6M

7,118 claims · 3.0%

Your Cost: $218.55/claim|Median: $36.13
6.0× median
80053Top 25%

Comprehensive metabolic panel

$1.5M

103K claims · 2.8%

Your Cost: $14.27/claim|Median: $7.24
2.0× median
96374Top 25%

Therapeutic/prophylactic/diagnostic IV push, single substance

$1.4M

26K claims · 2.8%

Your Cost: $54.79/claim|Median: $21.76
2.5× median
0241UNormal range

Proprietary lab analysis, genomic sequencing

$1.4M

11K claims · 2.8%

Your Cost: $125.97/claim|Median: $91.47
1.4× median
93005Top 25%

Electrocardiogram, tracing only, without interpretation

$1.3M

50K claims · 2.6%

Your Cost: $26.87/claim|Median: $7.50
3.6× median
85025Top 10%

Complete blood count (CBC) with differential, automated

$1.3M

123K claims · 2.4%

Your Cost: $10.21/claim|Median: $4.71
2.2× median
74176Normal range

CT abdomen and pelvis without contrast

$1.2M

13K claims · 2.3%

Your Cost: $92.82/claim|Median: $60.19
1.5× median
96372Top 10%

Therapeutic injection, subcutaneous/intramuscular

$1.1M

41K claims · 2.1%

Your Cost: $26.53/claim|Median: $9.56
2.8× median
80307Top 25%

Drug test, presumptive, by chemistry analyzers

$978K

18K claims · 1.9%

Your Cost: $54.47/claim|Median: $35.43
1.5× median
Z7502Normal range

$844K

22K claims · 1.6%

Your Cost: $37.61/claim|Median: $37.17
1.0× median
99285Normal range

Emergency dept visit, high/urgent complexity

$777K

7,541 claims · 1.5%

Your Cost: $103.02/claim|Median: $85.65
1.2× median
96375Top 25%

Therapeutic/prophylactic/diagnostic IV push, each additional substance

$756K

22K claims · 1.4%

Your Cost: $35.17/claim|Median: $14.92
2.4× median
15275Top 5%

$740K

647 claims · 1.4%

Your Cost: $1,143.50/claim|Median: $51.83
22.1× median
84484Top 25%

Troponin, quantitative

$737K

52K claims · 1.4%

Your Cost: $14.28/claim|Median: $4.84
2.9× median
72125Top 10%

CT cervical spine without contrast

$708K

3,896 claims · 1.4%

Your Cost: $181.80/claim|Median: $32.30
5.6× median
96365Normal range

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

$630K

9,222 claims · 1.2%

Your Cost: $68.34/claim|Median: $54.77
1.2× median
71275Top 25%

CT angiography, chest, with contrast

$583K

3,519 claims · 1.1%

Your Cost: $165.58/claim|Median: $92.96
1.8× median
99499Top 10%

Unlisted evaluation and management service

$564K

6,859 claims · 1.1%

Your Cost: $82.28/claim|Median: $30.88
2.7× median
84702Top 25%

$552K

35K claims · 1.1%

Your Cost: $15.83/claim|Median: $8.25
1.9× median
76705Normal range

Ultrasound, abdominal, limited

$544K

10K claims · 1.0%

Your Cost: $51.79/claim|Median: $23.81
2.2× median
71046Top 25%

Chest X-ray, 2 views

$527K

29K claims · 1.0%

Your Cost: $18.34/claim|Median: $8.92
2.1× median
96361Normal range

IV infusion, hydration, each additional hour

$508K

17K claims · 1.0%

Your Cost: $29.79/claim|Median: $38.92
0.8× median
0206Top 25%

$393K

52 claims · 0.8%

Your Cost: $7,563.48/claim|Median: $2,282.75
3.3× median
11043Top 5%

$357K

954 claims · 0.7%

Your Cost: $374.26/claim|Median: $62.99
5.9× median
0360Normal range

$354K

2,514 claims · 0.7%

Your Cost: $140.70/claim|Median: $95.40
1.5× median
93306Top 25%

Echocardiography, transthoracic, complete, with Doppler

$352K

2,596 claims · 0.7%

Your Cost: $135.57/claim|Median: $54.68
2.5× median
96360Normal range

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

$346K

6,012 claims · 0.7%

Your Cost: $57.59/claim|Median: $61.57
0.9× median
93975Top 25%

Duplex scan of arterial inflow and venous outflow, complete

$343K

1,770 claims · 0.7%

Your Cost: $193.67/claim|Median: $79.28
2.4× median
83690Top 10%

$342K

37K claims · 0.7%

Your Cost: $9.20/claim|Median: $3.35
2.7× median
71045Top 25%

Chest X-ray, single view

$340K

36K claims · 0.6%

Your Cost: $9.48/claim|Median: $4.93
1.9× median
93971Top 25%

Duplex scan of extremity veins, unilateral or limited

$340K

3,670 claims · 0.6%

Your Cost: $92.52/claim|Median: $25.43
3.6× median
72131Top 25%

$327K

1,977 claims · 0.6%

Your Cost: $165.52/claim|Median: $42.82
3.9× median
U0003Normal range

Infectious disease detection (COVID-19)

$323K

4,350 claims · 0.6%

Your Cost: $74.31/claim|Median: $63.08
1.2× median
83880Normal range

$321K

16K claims · 0.6%

Your Cost: $20.65/claim|Median: $11.81
1.7× median
92507Normal range

Speech/hearing/language treatment

$290K

4,830 claims · 0.6%

Your Cost: $60.12/claim|Median: $49.45
1.2× median
94640Top 25%

Pressurized or nonpressurized inhalation treatment

$290K

15K claims · 0.6%

Your Cost: $19.30/claim|Median: $10.88
1.8× median
81001Top 25%

Urinalysis, automated, with microscopy

$278K

61K claims · 0.5%

Your Cost: $4.54/claim|Median: $2.03
2.2× median
99284Normal range

Emergency dept visit, high complexity

$275K

3,772 claims · 0.5%

Your Cost: $72.91/claim|Median: $69.51
1.0× median
76856Normal range

Ultrasound, pelvic, complete

$275K

4,462 claims · 0.5%

Your Cost: $61.57/claim|Median: $47.58
1.3× median
G0378Normal range

Hospital observation service, per hour

$271K

5,637 claims · 0.5%

Your Cost: $48.03/claim|Median: $99.39
0.5× median
70551Top 10%

MRI brain without contrast

$260K

747 claims · 0.5%

Your Cost: $347.94/claim|Median: $85.39
4.1× median
99070Normal range

$255K

139K claims · 0.5%

Your Cost: $1.84/claim|Median: $8.08
0.2× median
Q4133Normal range

$245K

363 claims · 0.5%

Your Cost: $675.04/claim|Median: $642.33
1.1× median
87636Top 25%

Respiratory virus detection, 6-11 targets, nucleic acid

$243K

1,882 claims · 0.5%

Your Cost: $128.99/claim|Median: $97.61
1.3× median
76801Normal range

Ultrasound, pregnant uterus, single fetus, first trimester

$237K

4,696 claims · 0.5%

Your Cost: $50.53/claim|Median: $58.16
0.9× median
80048Top 25%

Basic metabolic panel

$229K

21K claims · 0.4%

Your Cost: $11.04/claim|Median: $5.78
1.9× median