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SKAGGS COMMUNITY HOSPITAL ASSOCIATION

General Acute Care Hospital·BRANSON, MO·NPI: 1760443980Share

Compared to General Acute Care Hospital Peers

Total spending distribution among 156 providers in this specialty

P25MedianP75P90

This provider's total spending of $18.8M is at the below 25th percentile among 156 General Acute Care Hospital providers.

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

Total Paid

$18.8M

$18,836,290

Total Claims

209K

Beneficiaries

194K

1.1 claims/patient

Avg Cost/Claim

$90

Monthly Spending Trend

Yearly Spending

2018
$4.2M
-2%
2019
$4.1M
-62%
2020
$1.6M
-63%
2021
$583K
+182%
2022
$1.6M
+124%
2023
$3.7M
-18%
2024
$3.0M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 50 distinct procedure codes. The top code (X4011 (Healthcare procedure, code X4011)) accounts for 27% of total spending.

X4011Normal range

Healthcare procedure, code X4011

$5.2M

21K claims · 27.4%

Your Cost: $246.22/claim|Median: $268.66
0.9× median
99285Top 5%

Emergency dept visit, high/urgent complexity

$2.2M

6,200 claims · 11.7%

Your Cost: $354.03/claim|Median: $85.65
4.1× median
99284Top 5%

Emergency dept visit, high complexity

$2.0M

7,367 claims · 10.7%

Your Cost: $272.44/claim|Median: $69.51
3.9× median
99283Top 5%

Emergency dept visit, moderate complexity

$1.6M

8,045 claims · 8.3%

Your Cost: $194.78/claim|Median: $42.48
4.6× median
85025Top 5%

Complete blood count (CBC) with differential, automated

$1.2M

32K claims · 6.5%

Your Cost: $37.61/claim|Median: $4.71
8.0× median
80053Top 10%

Comprehensive metabolic panel

$1.2M

30K claims · 6.1%

Your Cost: $38.15/claim|Median: $7.24
5.3× median
81001Top 5%

Urinalysis, automated, with microscopy

$905K

19K claims · 4.8%

Your Cost: $47.97/claim|Median: $2.03
23.6× median
Y7506Normal range

Healthcare procedure, code Y7506

$768K

3,799 claims · 4.1%

Your Cost: $202.08/claim|Median: $146.80
1.4× median
93005Top 25%

Electrocardiogram, tracing only, without interpretation

$696K

14K claims · 3.7%

Your Cost: $48.58/claim|Median: $7.50
6.5× median
96374Top 5%

Therapeutic/prophylactic/diagnostic IV push, single substance

$505K

3,699 claims · 2.7%

Your Cost: $136.42/claim|Median: $21.76
6.3× median
G0463Normal range

Hospital outpatient clinic visit

$380K

7,022 claims · 2.0%

Your Cost: $54.07/claim|Median: $26.41
2.0× median
71045Top 5%

Chest X-ray, single view

$367K

6,708 claims · 1.9%

Your Cost: $54.75/claim|Median: $4.93
11.1× median
87637Normal range

Respiratory virus detection, 3-5 targets, nucleic acid

$253K

2,068 claims · 1.3%

Your Cost: $122.49/claim|Median: $100.62
1.2× median
X4003Normal range

$213K

2,302 claims · 1.1%

Your Cost: $92.33/claim|Median: $74.03
1.2× median
83690Top 5%

$153K

8,162 claims · 0.8%

Your Cost: $18.79/claim|Median: $3.35
5.6× median
99282Top 25%

Emergency dept visit, low complexity

$110K

1,046 claims · 0.6%

Your Cost: $105.37/claim|Median: $37.72
2.8× median
74177Top 25%

CT abdomen and pelvis with contrast

$97K

378 claims · 0.5%

Your Cost: $257.52/claim|Median: $65.76
3.9× median
J3490Normal range

Unclassified drugs

$94K

7,682 claims · 0.5%

Your Cost: $12.22/claim|Median: $5.70
2.1× median
96375Top 25%

Therapeutic/prophylactic/diagnostic IV push, each additional substance

$85K

1,958 claims · 0.5%

Your Cost: $43.56/claim|Median: $14.92
2.9× median
81025Top 5%

Urine pregnancy test

$78K

2,513 claims · 0.4%

Your Cost: $31.08/claim|Median: $4.81
6.5× median
87804Top 1%

Influenza virus detection, rapid test

$70K

471 claims · 0.4%

Your Cost: $147.60/claim|Median: $12.59
11.7× median
G0480Top 10%

Drug test, definitive, 1-7 drug classes

$66K

769 claims · 0.4%

Your Cost: $86.36/claim|Median: $37.56
2.3× median
84484Top 25%

Troponin, quantitative

$63K

4,423 claims · 0.3%

Your Cost: $14.22/claim|Median: $4.84
2.9× median
U0003Normal range

Infectious disease detection (COVID-19)

$54K

1,983 claims · 0.3%

Your Cost: $27.06/claim|Median: $63.08
0.4× median
80306Top 25%

$48K

1,771 claims · 0.3%

Your Cost: $27.36/claim|Median: $10.29
2.7× median
X4006Top 25%

$42K

29 claims · 0.2%

Your Cost: $1,453.26/claim|Median: $668.05
2.2× median
96365Top 25%

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

$40K

308 claims · 0.2%

Your Cost: $128.26/claim|Median: $54.77
2.3× median
Y7507Normal range

$36K

257 claims · 0.2%

Your Cost: $138.88/claim|Median: $172.12
0.8× median
84443Top 10%

Thyroid stimulating hormone (TSH)

$33K

1,280 claims · 0.2%

Your Cost: $25.50/claim|Median: $9.87
2.6× median
99281Normal range

Emergency dept visit, minimal complexity

$28K

448 claims · 0.2%

Your Cost: $63.45/claim|Median: $52.03
1.2× median
0241UNormal range

Proprietary lab analysis, genomic sequencing

$22K

224 claims · 0.1%

Your Cost: $98.84/claim|Median: $91.47
1.1× median
87086Top 5%

Urine culture, colony count, with identification

$21K

747 claims · 0.1%

Your Cost: $27.50/claim|Median: $5.31
5.2× median
93306Top 25%

Echocardiography, transthoracic, complete, with Doppler

$21K

104 claims · 0.1%

Your Cost: $197.43/claim|Median: $54.68
3.6× median
96413Normal range

Chemotherapy administration, IV infusion, up to 1 hour

$19K

166 claims · 0.1%

Your Cost: $115.46/claim|Median: $75.28
1.5× median
87635Normal range

COVID-19 SARS-CoV-2 amplified probe detection

$18K

420 claims · 0.1%

Your Cost: $43.21/claim|Median: $39.70
1.1× median
87880Top 1%

Streptococcus, Group A, rapid antigen detection

$18K

114 claims · 0.1%

Your Cost: $158.06/claim|Median: $11.48
13.8× median
X4014Normal range

$18K

49 claims · 0.1%

Your Cost: $361.40/claim|Median: $424.85
0.9× median
83735Top 10%

Magnesium blood level test

$16K

1,250 claims · 0.1%

Your Cost: $12.84/claim|Median: $2.77
4.6× median
80081Top 25%

$15K

180 claims · 0.1%

Your Cost: $84.30/claim|Median: $59.44
1.4× median
87502Top 1%

Influenza virus detection, reverse transcription, amplified probe

$14K

37 claims · 0.1%

Your Cost: $390.13/claim|Median: $65.64
5.9× median
71046Top 5%

Chest X-ray, 2 views

$13K

129 claims · 0.1%

Your Cost: $100.13/claim|Median: $8.92
11.2× median
76815Top 25%

Ultrasound, pregnant uterus, limited

$13K

186 claims · 0.1%

Your Cost: $69.24/claim|Median: $36.79
1.9× median
99211Top 10%

Office/outpatient visit, minimal complexity

$10K

181 claims · 0.1%

Your Cost: $55.98/claim|Median: $12.93
4.3× median
87081Top 25%

Culture screening for pathogenic organisms

$10K

752 claims · 0.1%

Your Cost: $13.20/claim|Median: $5.09
2.6× median
70450Normal range

CT head/brain without contrast

$9K

149 claims · 0.0%

Your Cost: $59.13/claim|Median: $45.53
1.3× median
83880Normal range

$8K

402 claims · 0.0%

Your Cost: $20.15/claim|Median: $11.81
1.7× median
80048Top 10%

Basic metabolic panel

$8K

348 claims · 0.0%

Your Cost: $22.30/claim|Median: $5.78
3.9× median
87077Top 25%

Bacterial culture, aerobic, additional methods required

$5K

524 claims · 0.0%

Your Cost: $9.67/claim|Median: $4.52
2.1× median
86803Top 10%

Hepatitis C antibody

$5K

201 claims · 0.0%

Your Cost: $25.08/claim|Median: $10.17
2.5× median
82950Top 5%

$5K

193 claims · 0.0%

Your Cost: $25.77/claim|Median: $4.18
6.2× median