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MIDDLESEX HOSPITAL

General Acute Care Hospital·MIDDLETOWN, CT·NPI: 1760454334Share

Compared to General Acute Care Hospital Peers

Total spending distribution among 156 providers in this specialty

P25MedianP75P90

This provider's total spending of $116.1M is at the below 25th percentile among 156 General Acute Care Hospital providers.

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

Total Paid

$116.1M

$116,083,893

Total Claims

2.9M

Beneficiaries

2.1M

1.4 claims/patient

Avg Cost/Claim

$41

Monthly Spending Trend

Yearly Spending

2018
$16.1M
+7%
2019
$17.1M
-21%
2020
$13.5M
+29%
2021
$17.3M
+1%
2022
$17.6M
+3%
2023
$18.2M
-10%
2024
$16.3M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 50 distinct procedure codes. The top code (99285 (Emergency dept visit, high/urgent complexity)) accounts for 20% of total spending.

99285Top 5%

Emergency dept visit, high/urgent complexity

$23.7M

54K claims · 20.4%

Your Cost: $434.62/claim|Median: $85.65
5.1× median
99284Top 5%

Emergency dept visit, high complexity

$12.8M

51K claims · 11.1%

Your Cost: $251.27/claim|Median: $69.51
3.6× median
99283Top 5%

Emergency dept visit, moderate complexity

$12.6M

67K claims · 10.9%

Your Cost: $187.02/claim|Median: $42.48
4.4× median
97110Top 25%

Therapeutic exercises, each 15 min

$5.2M

94K claims · 4.5%

Your Cost: $55.77/claim|Median: $24.49
2.3× median
96374Top 5%

Therapeutic/prophylactic/diagnostic IV push, single substance

$4.8M

37K claims · 4.1%

Your Cost: $129.71/claim|Median: $21.76
6.0× median
H2019Top 10%

Therapeutic behavioral services, per 15 min

$3.7M

15K claims · 3.2%

Your Cost: $251.73/claim|Median: $84.12
3.0× median
S9480Normal range

Intensive outpatient psychiatric services, per diem

$2.6M

24K claims · 2.2%

Your Cost: $106.19/claim|Median: $135.70
0.8× median
90834Normal range

Psychotherapy, 45 minutes

$2.5M

35K claims · 2.1%

Your Cost: $71.01/claim|Median: $63.65
1.1× median
74177Top 25%

CT abdomen and pelvis with contrast

$2.2M

13K claims · 1.9%

Your Cost: $171.05/claim|Median: $65.76
2.6× median
99291Top 5%

Critical care, first 30-74 minutes

$1.5M

2,880 claims · 1.3%

Your Cost: $518.22/claim|Median: $101.24
5.1× median
U0003Normal range

Infectious disease detection (COVID-19)

$1.5M

26K claims · 1.3%

Your Cost: $56.14/claim|Median: $63.08
0.9× median
T1017Normal range

Targeted case management, per 15 min

$1.5M

12K claims · 1.3%

Your Cost: $126.02/claim|Median: $69.56
1.8× median
70450Top 25%

CT head/brain without contrast

$1.4M

16K claims · 1.2%

Your Cost: $88.13/claim|Median: $45.53
1.9× median
96360Top 25%

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

$1.4M

11K claims · 1.2%

Your Cost: $120.63/claim|Median: $61.57
2.0× median
99282Top 25%

Emergency dept visit, low complexity

$1.4M

12K claims · 1.2%

Your Cost: $110.30/claim|Median: $37.72
2.9× median
G0463Normal range

Hospital outpatient clinic visit

$1.4M

29K claims · 1.2%

Your Cost: $46.72/claim|Median: $26.41
1.8× median
96361Normal range

IV infusion, hydration, each additional hour

$1.3M

31K claims · 1.1%

Your Cost: $41.77/claim|Median: $38.92
1.1× median
71046Top 10%

Chest X-ray, 2 views

$1.3M

27K claims · 1.1%

Your Cost: $46.36/claim|Median: $8.92
5.2× median
96365Top 25%

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

$1.2M

12K claims · 1.1%

Your Cost: $106.35/claim|Median: $54.77
1.9× median
99213Top 25%

Office/outpatient visit, est. patient, low-mod complexity

$1.2M

22K claims · 1.0%

Your Cost: $54.61/claim|Median: $37.81
1.4× median
J0585Normal range

Injection, onabotulinumtoxinA, 1 unit

$1.0M

2,794 claims · 0.9%

Your Cost: $362.74/claim|Median: $470.36
0.8× median
77067Top 25%

Screening mammography, bilateral, including CAD

$1.0M

10K claims · 0.9%

Your Cost: $97.90/claim|Median: $39.33
2.5× median
97140Normal range

Manual therapy techniques, per 15 minutes

$1.0M

55K claims · 0.9%

Your Cost: $18.10/claim|Median: $16.79
1.1× median
90791Normal range

Psychiatric diagnostic evaluation

$978K

11K claims · 0.8%

Your Cost: $92.45/claim|Median: $99.21
0.9× median
96375Top 25%

Therapeutic/prophylactic/diagnostic IV push, each additional substance

$975K

26K claims · 0.8%

Your Cost: $37.48/claim|Median: $14.92
2.5× median
99214Top 25%

Office/outpatient visit, est. patient, mod-high complexity

$920K

10K claims · 0.8%

Your Cost: $88.12/claim|Median: $53.41
1.6× median
95810Top 25%

Polysomnography, sleep study, 6+ hours

$739K

1,161 claims · 0.6%

Your Cost: $636.52/claim|Median: $233.73
2.7× median
43239Top 25%

Upper GI endoscopy with biopsy

$727K

2,288 claims · 0.6%

Your Cost: $317.84/claim|Median: $151.68
2.1× median
74176Normal range

CT abdomen and pelvis without contrast

$719K

6,257 claims · 0.6%

Your Cost: $114.90/claim|Median: $60.19
1.9× median
70553Normal range

MRI brain without contrast, then with contrast

$708K

2,925 claims · 0.6%

Your Cost: $241.93/claim|Median: $133.68
1.8× median
71045Top 10%

Chest X-ray, single view

$601K

14K claims · 0.5%

Your Cost: $41.53/claim|Median: $4.93
8.4× median
97161Normal range

Physical therapy evaluation, low complexity

$537K

11K claims · 0.5%

Your Cost: $49.76/claim|Median: $47.89
1.0× median
76641Normal range

Ultrasound imaging of one breast, complete

$490K

6,267 claims · 0.4%

Your Cost: $78.23/claim|Median: $49.03
1.6× median
93975Top 25%

Duplex scan of arterial inflow and venous outflow, complete

$473K

2,499 claims · 0.4%

Your Cost: $189.39/claim|Median: $79.28
2.4× median
76705Top 25%

Ultrasound, abdominal, limited

$423K

5,397 claims · 0.4%

Your Cost: $78.37/claim|Median: $23.81
3.3× median
71260Top 25%

CT chest with contrast

$404K

3,032 claims · 0.3%

Your Cost: $133.22/claim|Median: $48.36
2.8× median
U0005Normal range

Infectious disease detection, COVID-19, antigen

$398K

22K claims · 0.3%

Your Cost: $18.02/claim|Median: $15.76
1.1× median
97035Top 5%

Ultrasound therapy

$397K

5,886 claims · 0.3%

Your Cost: $67.47/claim|Median: $7.31
9.2× median
45380Top 25%

Colonoscopy with biopsy

$388K

808 claims · 0.3%

Your Cost: $480.40/claim|Median: $200.68
2.4× median
0240UNormal range

$387K

3,556 claims · 0.3%

Your Cost: $108.79/claim|Median: $89.76
1.2× median
90853Normal range

Group psychotherapy

$386K

23K claims · 0.3%

Your Cost: $16.72/claim|Median: $25.02
0.7× median
71275Normal range

CT angiography, chest, with contrast

$385K

3,436 claims · 0.3%

Your Cost: $112.06/claim|Median: $92.96
1.2× median
80053Normal range

Comprehensive metabolic panel

$353K

104K claims · 0.3%

Your Cost: $3.40/claim|Median: $7.24
0.5× median
90832Normal range

Psychotherapy, 30 minutes

$348K

7,175 claims · 0.3%

Your Cost: $48.56/claim|Median: $41.28
1.2× median
88342Top 10%

$345K

5,350 claims · 0.3%

Your Cost: $64.52/claim|Median: $23.66
2.7× median
H0035Normal range

Mental health partial hospitalization, treatment, per hour

$345K

1,913 claims · 0.3%

Your Cost: $180.37/claim|Median: $148.53
1.2× median
84443Normal range

Thyroid stimulating hormone (TSH)

$339K

36K claims · 0.3%

Your Cost: $9.34/claim|Median: $9.87
0.9× median
86900Top 10%

$335K

11K claims · 0.3%

Your Cost: $31.69/claim|Median: $2.55
12.4× median
72148Normal range

MRI lumbar spine without contrast

$329K

2,574 claims · 0.3%

Your Cost: $127.72/claim|Median: $101.03
1.3× median
77065Top 25%

$327K

3,681 claims · 0.3%

Your Cost: $88.73/claim|Median: $35.39
2.5× median

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Yale New Haven Hospital

New Haven, CT

$1.08B

Montefiore Medical Center

Bronx, NY

$961.1M

The Cleveland Clinic Foundation

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$863.5M

Nationwide Children's Hospital

Columbus, OH

$777.5M

Boston Medical Center Corporation

Boston, MA

$768.5M

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