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Saint Mary's Hospital, Inc.

General Acute Care Hospital·Waterbury, CT·NPI: 1760426969Share

Compared to General Acute Care Hospital Peers

Total spending distribution among 156 providers in this specialty

P25MedianP75P90

This provider's total spending of $163.3M is at the 25th percentile among 156 General Acute Care Hospital providers.

Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$163.3M

$163,267,654

Total Claims

4.9M

Beneficiaries

4.2M

1.2 claims/patient

Avg Cost/Claim

$33

#623 of 618K providers by total spending(top 0.1%)

🔍 Analysis

Provider Overview

Saint Mary's Hospital, Inc. is a General Acute Care Hospital provider based in Waterbury, CT. From the 2018–2024 period, this provider received $163.3M in Medicaid payments across 4.9M claims.

Why This Matters

This provider received $163.3M in taxpayer-funded Medicaid payments — enough to fund healthcare for approximately 20,408 Medicaid beneficiaries for a full year at average per-enrollee costs.

↓ 3% growthsince first billing year

Monthly Spending Trend

Yearly Spending

2018
$24.4M
+2%
2019
$25.0M
-19%
2020
$20.3M
+9%
2021
$22.2M
+7%
2022
$23.8M
+1%
2023
$24.0M
-2%
2024
$23.6M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (99285 (Emergency dept visit, high/urgent complexity)) accounts for 22% of total spending.

99285Top 5%

Emergency dept visit, high/urgent complexity

$35.6M

75K claims · 21.8%

Your Cost: $476.85/claim|Median: $85.65
5.6× median
99284Top 5%

Emergency dept visit, high complexity

$18.2M

57K claims · 11.1%

Your Cost: $320.50/claim|Median: $69.51
4.6× median
99283Top 5%

Emergency dept visit, moderate complexity

$18.0M

81K claims · 11.0%

Your Cost: $222.64/claim|Median: $42.48
5.2× median
G0463Top 10%

Hospital outpatient clinic visit

$7.3M

73K claims · 4.5%

Your Cost: $99.97/claim|Median: $26.41
3.8× median
96374Top 5%

Therapeutic/prophylactic/diagnostic IV push, single substance

$6.2M

43K claims · 3.8%

Your Cost: $146.77/claim|Median: $21.76
6.7× median
43239Top 10%

Upper GI endoscopy with biopsy

$4.8M

10K claims · 2.9%

Your Cost: $501.25/claim|Median: $151.68
3.3× median
99282Top 25%

Emergency dept visit, low complexity

$2.8M

21K claims · 1.7%

Your Cost: $131.57/claim|Median: $37.72
3.5× median
74177Top 25%

CT abdomen and pelvis with contrast

$2.7M

15K claims · 1.6%

Your Cost: $181.37/claim|Median: $65.76
2.8× median
45380Top 10%

Colonoscopy with biopsy

$2.3M

3K claims · 1.4%

Your Cost: $727.40/claim|Median: $200.68
3.6× median
11042Top 10%

Debridement, subcutaneous tissue, first 20 sq cm

$2.3M

14K claims · 1.4%

Your Cost: $165.46/claim|Median: $36.13
4.6× median
99291Top 1%

Critical care, first 30-74 minutes

$2.3M

3K claims · 1.4%

Your Cost: $834.88/claim|Median: $101.24
8.3× median
93306Top 5%

Echocardiography, transthoracic, complete, with Doppler

$2.2M

8K claims · 1.3%

Your Cost: $279.15/claim|Median: $54.68
5.1× median
47562Top 10%

$2.1M

528 claims · 1.3%

Your Cost: $4,065.38/claim|Median: $731.87
5.5× median
71046Top 5%

Chest X-ray, 2 views

$2.1M

37K claims · 1.3%

Your Cost: $55.95/claim|Median: $8.92
6.3× median
45385Top 25%

Colonoscopy with polyp removal, snare technique

$2.0M

4K claims · 1.3%

Your Cost: $566.95/claim|Median: $255.17
2.2× median
96365Top 25%

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

$2.0M

16K claims · 1.2%

Your Cost: $121.59/claim|Median: $54.77
2.2× median
70450Top 25%

CT head/brain without contrast

$2.0M

20K claims · 1.2%

Your Cost: $99.30/claim|Median: $45.53
2.2× median
78452Top 5%

Myocardial perfusion imaging, SPECT, multiple studies

$2.0M

3K claims · 1.2%

Your Cost: $657.05/claim|Median: $106.14
6.2× median
96361Normal range

IV infusion, hydration, each additional hour

$1.9M

31K claims · 1.1%

Your Cost: $59.69/claim|Median: $38.92
1.5× median
97110Top 25%

Therapeutic exercises, each 15 min

$1.8M

29K claims · 1.1%

Your Cost: $62.34/claim|Median: $24.49
2.5× median
95810Top 10%

Polysomnography, sleep study, 6+ hours

$1.8M

2K claims · 1.1%

Your Cost: $841.96/claim|Median: $233.73
3.6× median
45378Top 25%

Colonoscopy, diagnostic

$1.8M

3K claims · 1.1%

Your Cost: $584.87/claim|Median: $225.49
2.6× median
U0003Normal range

Infectious disease detection (COVID-19)

$1.5M

21K claims · 0.9%

Your Cost: $71.35/claim|Median: $63.08
1.1× median
96413Top 10%

Chemotherapy administration, IV infusion, up to 1 hour

$1.5M

7K claims · 0.9%

Your Cost: $204.87/claim|Median: $75.28
2.7× median
J9271Normal range

Injection, pembrolizumab, 1 mg

$1.4M

214 claims · 0.9%

Your Cost: $6,555.50/claim|Median: $5,391.55
1.2× median
J2350Normal range

Ocrelizumab (Ocrevus) injection, 1 mg

$1.4M

88 claims · 0.8%

Your Cost: $15,601.48/claim|Median: $17,264.74
0.9× median
96375Top 25%

Therapeutic/prophylactic/diagnostic IV push, each additional substance

$1.3M

32K claims · 0.8%

Your Cost: $41.19/claim|Median: $14.92
2.8× median
96360Top 25%

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

$1.3M

9K claims · 0.8%

Your Cost: $145.89/claim|Median: $61.57
2.4× median
0241UNormal range

Proprietary lab analysis, genomic sequencing

$1.1M

10K claims · 0.7%

Your Cost: $110.82/claim|Median: $91.47
1.2× median
99281Normal range

Emergency dept visit, minimal complexity

$1000K

15K claims · 0.6%

Your Cost: $66.74/claim|Median: $52.03
1.3× median

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