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SAINT JOSEPH HEALTH SYSTEM, INC

General Acute Care Hospital, Critical Access·BEREA, KY·NPI: 1740488386Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$29.8M

$29,770,395

Total Claims

588K

Beneficiaries

413K

1.4 claims/patient

Avg Cost/Claim

$51

Monthly Spending Trend

Yearly Spending

2018
$4.5M
-7%
2019
$4.2M
-14%
2020
$3.7M
+18%
2021
$4.3M
-3%
2022
$4.2M
+5%
2023
$4.4M
-1%
2024
$4.4M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 50 distinct procedure codes. The top code (99284 (Emergency dept visit, high complexity)) accounts for 15% of total spending.

99284Top 10%

Emergency dept visit, high complexity

$4.5M

21K claims · 15.0%

Your Cost: $215.13/claim|Median: $69.51
3.1× median
99283Top 25%

Emergency dept visit, moderate complexity

$3.5M

27K claims · 11.8%

Your Cost: $128.58/claim|Median: $42.48
3.0× median
99285Top 10%

Emergency dept visit, high/urgent complexity

$2.6M

11K claims · 8.6%

Your Cost: $234.79/claim|Median: $85.65
2.7× median
74176Top 10%

CT abdomen and pelvis without contrast

$1.5M

5,544 claims · 5.0%

Your Cost: $269.09/claim|Median: $60.19
4.5× median
96375Top 5%

Therapeutic/prophylactic/diagnostic IV push, each additional substance

$952K

12K claims · 3.2%

Your Cost: $80.14/claim|Median: $14.92
5.4× median
80053Top 10%

Comprehensive metabolic panel

$906K

27K claims · 3.0%

Your Cost: $33.16/claim|Median: $7.24
4.6× median
96365Normal range

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

$853K

15K claims · 2.9%

Your Cost: $56.91/claim|Median: $54.77
1.0× median
96374Normal range

Therapeutic/prophylactic/diagnostic IV push, single substance

$766K

19K claims · 2.6%

Your Cost: $39.98/claim|Median: $21.76
1.8× median
74177Top 10%

CT abdomen and pelvis with contrast

$761K

2,529 claims · 2.6%

Your Cost: $300.85/claim|Median: $65.76
4.6× median
93005Top 10%

Electrocardiogram, tracing only, without interpretation

$560K

8,804 claims · 1.9%

Your Cost: $63.55/claim|Median: $7.50
8.5× median
93306Top 5%

Echocardiography, transthoracic, complete, with Doppler

$511K

1,343 claims · 1.7%

Your Cost: $380.74/claim|Median: $54.68
7.0× median
97110Top 25%

Therapeutic exercises, each 15 min

$506K

12K claims · 1.7%

Your Cost: $41.70/claim|Median: $24.49
1.7× median
70450Top 25%

CT head/brain without contrast

$495K

3,392 claims · 1.7%

Your Cost: $146.00/claim|Median: $45.53
3.2× median
36415Top 10%

Collection of venous blood by venipuncture

$494K

73K claims · 1.7%

Your Cost: $6.74/claim|Median: $1.57
4.3× median
71046Top 5%

Chest X-ray, 2 views

$482K

8,127 claims · 1.6%

Your Cost: $59.28/claim|Median: $8.92
6.6× median
99282Top 25%

Emergency dept visit, low complexity

$460K

3,988 claims · 1.5%

Your Cost: $115.31/claim|Median: $37.72
3.1× median
71045Top 5%

Chest X-ray, single view

$439K

9,839 claims · 1.5%

Your Cost: $44.58/claim|Median: $4.93
9.0× median
85025Top 10%

Complete blood count (CBC) with differential, automated

$425K

26K claims · 1.4%

Your Cost: $16.38/claim|Median: $4.71
3.5× median
96361Normal range

IV infusion, hydration, each additional hour

$388K

13K claims · 1.3%

Your Cost: $28.80/claim|Median: $38.92
0.7× median
96372Top 10%

Therapeutic injection, subcutaneous/intramuscular

$307K

9,215 claims · 1.0%

Your Cost: $33.37/claim|Median: $9.56
3.5× median
78452Top 25%

Myocardial perfusion imaging, SPECT, multiple studies

$301K

795 claims · 1.0%

Your Cost: $378.56/claim|Median: $106.14
3.6× median
96376Top 5%

$268K

3,449 claims · 0.9%

Your Cost: $77.61/claim|Median: $3.19
24.3× median
87502Normal range

Influenza virus detection, reverse transcription, amplified probe

$261K

4,253 claims · 0.9%

Your Cost: $61.36/claim|Median: $65.64
0.9× median
74018Top 5%

$238K

4,544 claims · 0.8%

Your Cost: $52.46/claim|Median: $7.00
7.5× median
87086Top 5%

Urine culture, colony count, with identification

$236K

11K claims · 0.8%

Your Cost: $22.38/claim|Median: $5.31
4.2× median
83690Top 5%

$218K

9,116 claims · 0.7%

Your Cost: $23.97/claim|Median: $3.35
7.2× median
84484Top 10%

Troponin, quantitative

$208K

7,837 claims · 0.7%

Your Cost: $26.58/claim|Median: $4.84
5.5× median
73564Top 5%

$195K

2,106 claims · 0.7%

Your Cost: $92.43/claim|Median: $15.00
6.2× median
76705Top 5%

Ultrasound, abdominal, limited

$187K

1,113 claims · 0.6%

Your Cost: $168.33/claim|Median: $23.81
7.1× median
77067Top 25%

Screening mammography, bilateral, including CAD

$185K

2,380 claims · 0.6%

Your Cost: $77.74/claim|Median: $39.33
2.0× median
81001Top 10%

Urinalysis, automated, with microscopy

$174K

16K claims · 0.6%

Your Cost: $11.23/claim|Median: $2.03
5.5× median
80307Normal range

Drug test, presumptive, by chemistry analyzers

$174K

4,302 claims · 0.6%

Your Cost: $40.37/claim|Median: $35.43
1.1× median
84443Top 5%

Thyroid stimulating hormone (TSH)

$170K

5,217 claims · 0.6%

Your Cost: $32.51/claim|Median: $9.87
3.3× median
Q9967Top 25%

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

$161K

5,173 claims · 0.5%

Your Cost: $31.22/claim|Median: $3.42
9.1× median
73630Top 5%

X-ray, foot, complete, minimum 3 views

$158K

2,368 claims · 0.5%

Your Cost: $66.80/claim|Median: $12.06
5.5× median
97530Top 25%

Therapeutic activities, each 15 min

$157K

2,240 claims · 0.5%

Your Cost: $70.27/claim|Median: $33.11
2.1× median
87651Normal range

Streptococcus Group A detection, nucleic acid, amplified probe

$154K

4,892 claims · 0.5%

Your Cost: $31.42/claim|Median: $28.46
1.1× median
G0480Normal range

Drug test, definitive, 1-7 drug classes

$149K

2,954 claims · 0.5%

Your Cost: $50.35/claim|Median: $37.56
1.3× median
73610Top 5%

X-ray of ankle, complete, minimum three views

$143K

1,978 claims · 0.5%

Your Cost: $72.25/claim|Median: $13.55
5.3× median
73030Top 5%

$139K

2,012 claims · 0.5%

Your Cost: $68.90/claim|Median: $10.94
6.3× median
72100Top 5%

$138K

1,893 claims · 0.5%

Your Cost: $72.96/claim|Median: $15.14
4.8× median
73130Top 5%

$134K

1,763 claims · 0.5%

Your Cost: $76.05/claim|Median: $10.69
7.1× median
83880Top 1%

$120K

1,644 claims · 0.4%

Your Cost: $73.04/claim|Median: $11.81
6.2× median
U0002Normal range

COVID-19 lab test, non-CDC, nucleic acid

$119K

4,532 claims · 0.4%

Your Cost: $26.35/claim|Median: $34.62
0.8× median
81025Top 5%

Urine pregnancy test

$113K

6,526 claims · 0.4%

Your Cost: $17.32/claim|Median: $4.81
3.6× median
G0463Top 25%

Hospital outpatient clinic visit

$112K

1,840 claims · 0.4%

Your Cost: $60.84/claim|Median: $26.41
2.3× median
87040Top 5%

$110K

2,430 claims · 0.4%

Your Cost: $45.24/claim|Median: $5.54
8.2× median
82306Top 5%

Vitamin D, 25 hydroxy

$108K

1,848 claims · 0.4%

Your Cost: $58.25/claim|Median: $18.18
3.2× median
80061Top 10%

Lipid panel

$103K

4,044 claims · 0.3%

Your Cost: $25.40/claim|Median: $8.41
3.0× median
83520Top 5%

$102K

1,787 claims · 0.3%

Your Cost: $57.12/claim|Median: $9.71
5.9× median

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