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EAST TENNESSEE CHILDREN'S HOSPITAL ASSOCIATION INC.

General Acute Care Hospital, Children·KNOXVILLE, TN·NPI: 1760476659Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$88.6M

$88,611,677

Total Claims

1.2M

Beneficiaries

1.0M

1.1 claims/patient

Avg Cost/Claim

$77

Monthly Spending Trend

Yearly Spending

2018
$11.1M
+5%
2019
$11.7M
-27%
2020
$8.5M
+55%
2021
$13.1M
+3%
2022
$13.6M
+13%
2023
$15.4M
-2%
2024
$15.1M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 50 distinct procedure codes. The top code (99283 (Emergency dept visit, moderate complexity)) accounts for 31% of total spending.

99283Top 5%

Emergency dept visit, moderate complexity

$27.2M

130K claims · 30.7%

Your Cost: $209.62/claim|Median: $42.48
4.9× median
99284Top 5%

Emergency dept visit, high complexity

$13.3M

49K claims · 15.0%

Your Cost: $273.38/claim|Median: $69.51
3.9× median
43239Top 5%

Upper GI endoscopy with biopsy

$6.8M

8,798 claims · 7.6%

Your Cost: $768.20/claim|Median: $151.68
5.1× median
99282Top 10%

Emergency dept visit, low complexity

$5.1M

34K claims · 5.7%

Your Cost: $149.92/claim|Median: $37.72
4.0× median
41899Normal range

Unlisted procedure, dentoalveolar structures

$3.4M

4,847 claims · 3.9%

Your Cost: $706.95/claim|Median: $763.43
0.9× median
45380Top 25%

Colonoscopy with biopsy

$2.2M

4,866 claims · 2.5%

Your Cost: $456.25/claim|Median: $200.68
2.3× median
69436Top 10%

Tympanostomy, general anesthesia

$2.0M

1,447 claims · 2.3%

Your Cost: $1,412.54/claim|Median: $205.50
6.9× median
G0378Top 25%

Hospital observation service, per hour

$2.0M

3,327 claims · 2.3%

Your Cost: $602.63/claim|Median: $99.39
6.1× median
95782Normal range

$2.0M

2,596 claims · 2.2%

Your Cost: $764.91/claim|Median: $216.35
3.5× median
99214Normal range

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

$1.7M

36K claims · 1.9%

Your Cost: $45.28/claim|Median: $53.41
0.8× median
93303Normal range

Echocardiography, transthoracic, limited

$1.6M

12K claims · 1.8%

Your Cost: $136.89/claim|Median: $112.83
1.2× median
93306Top 25%

Echocardiography, transthoracic, complete, with Doppler

$1.6M

9,291 claims · 1.7%

Your Cost: $166.86/claim|Median: $54.68
3.1× median
U0003Normal range

Infectious disease detection (COVID-19)

$1.5M

20K claims · 1.7%

Your Cost: $72.69/claim|Median: $63.08
1.2× median
42820Normal range

Tonsillectomy and adenoidectomy, under age 12

$1.2M

1,019 claims · 1.4%

Your Cost: $1,174.82/claim|Median: $331.68
3.5× median
95810Normal range

Polysomnography, sleep study, 6+ hours

$1.1M

3,523 claims · 1.2%

Your Cost: $309.45/claim|Median: $233.73
1.3× median
99285Top 5%

Emergency dept visit, high/urgent complexity

$1.0M

2,745 claims · 1.2%

Your Cost: $381.79/claim|Median: $85.65
4.5× median
87633Normal range

Respiratory virus detection, 12-25 targets, nucleic acid

$927K

4,115 claims · 1.0%

Your Cost: $225.22/claim|Median: $169.17
1.3× median
G0463Top 25%

Hospital outpatient clinic visit

$923K

13K claims · 1.0%

Your Cost: $69.94/claim|Median: $26.41
2.6× median
G0175Top 25%

$834K

4,714 claims · 0.9%

Your Cost: $176.87/claim|Median: $51.98
3.4× median
87635Normal range

COVID-19 SARS-CoV-2 amplified probe detection

$804K

17K claims · 0.9%

Your Cost: $48.47/claim|Median: $39.70
1.2× median
99204Normal range

Office/outpatient visit, new patient, mod-high complexity

$602K

9,544 claims · 0.7%

Your Cost: $63.10/claim|Median: $84.03
0.8× median
97110Top 10%

Therapeutic exercises, each 15 min

$579K

7,362 claims · 0.7%

Your Cost: $78.62/claim|Median: $24.49
3.2× median
93325Top 25%

$533K

13K claims · 0.6%

Your Cost: $42.34/claim|Median: $14.61
2.9× median
70551Top 25%

MRI brain without contrast

$518K

1,821 claims · 0.6%

Your Cost: $284.70/claim|Median: $85.39
3.3× median
99281Normal range

Emergency dept visit, minimal complexity

$515K

6,377 claims · 0.6%

Your Cost: $80.72/claim|Median: $52.03
1.6× median
99213Normal range

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

$487K

19K claims · 0.5%

Your Cost: $26.03/claim|Median: $37.81
0.7× median
93320Normal range

$412K

12K claims · 0.5%

Your Cost: $34.61/claim|Median: $28.68
1.2× median
71046Normal range

Chest X-ray, 2 views

$375K

33K claims · 0.4%

Your Cost: $11.41/claim|Median: $8.92
1.3× median
97530Top 25%

Therapeutic activities, each 15 min

$371K

4,545 claims · 0.4%

Your Cost: $81.68/claim|Median: $33.11
2.5× median
36415Top 25%

Collection of venous blood by venipuncture

$355K

121K claims · 0.4%

Your Cost: $2.94/claim|Median: $1.57
1.9× median
95819Normal range

Electroencephalogram with sleep recording

$326K

2,885 claims · 0.4%

Your Cost: $112.97/claim|Median: $62.75
1.8× median
81001Top 10%

Urinalysis, automated, with microscopy

$321K

37K claims · 0.4%

Your Cost: $8.64/claim|Median: $2.03
4.3× median
92507Top 10%

Speech/hearing/language treatment

$312K

3,263 claims · 0.4%

Your Cost: $95.72/claim|Median: $49.45
1.9× median
94060Normal range

$312K

7,745 claims · 0.4%

Your Cost: $40.29/claim|Median: $25.18
1.6× median
85025Normal range

Complete blood count (CBC) with differential, automated

$281K

52K claims · 0.3%

Your Cost: $5.37/claim|Median: $4.71
1.1× median
99215Normal range

Office/outpatient visit, high complexity

$273K

4,462 claims · 0.3%

Your Cost: $61.13/claim|Median: $74.09
0.8× median
A0225Top 25%

$257K

807 claims · 0.3%

Your Cost: $319.02/claim|Median: $182.63
1.7× median
87426Normal range

SARS-CoV-2 COVID-19 antigen detection, immunoassay

$245K

9,317 claims · 0.3%

Your Cost: $26.33/claim|Median: $30.04
0.9× median
74019Normal range

$232K

23K claims · 0.3%

Your Cost: $10.04/claim|Median: $9.82
1.0× median
87400Normal range

$207K

35K claims · 0.2%

Your Cost: $5.95/claim|Median: $8.40
0.7× median
96360Normal range

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

$205K

7,710 claims · 0.2%

Your Cost: $26.53/claim|Median: $61.57
0.4× median
J1100Top 10%

$191K

39K claims · 0.2%

Your Cost: $4.84/claim|Median: $0.52
9.3× median
94010Normal range

$176K

7,720 claims · 0.2%

Your Cost: $22.76/claim|Median: $18.11
1.3× median
72146Top 10%

MRI of thoracic spine without contrast

$165K

530 claims · 0.2%

Your Cost: $311.37/claim|Median: $82.59
3.8× median
72148Top 10%

MRI lumbar spine without contrast

$161K

519 claims · 0.2%

Your Cost: $309.53/claim|Median: $101.03
3.1× median
72141Top 10%

MRI of cervical spine without contrast

$156K

543 claims · 0.2%

Your Cost: $287.21/claim|Median: $112.68
2.5× median
80053Normal range

Comprehensive metabolic panel

$148K

22K claims · 0.2%

Your Cost: $6.58/claim|Median: $7.24
0.9× median
87880Normal range

Streptococcus, Group A, rapid antigen detection

$145K

23K claims · 0.2%

Your Cost: $6.25/claim|Median: $11.48
0.5× median
87651Normal range

Streptococcus Group A detection, nucleic acid, amplified probe

$120K

21K claims · 0.1%

Your Cost: $5.67/claim|Median: $28.46
0.2× median
C1713Normal range

Anchor or screw for tissue to bone fixation

$120K

309 claims · 0.1%

Your Cost: $386.83/claim|Median: $123.40
3.1× median

Other Top Providers in Tennessee

View all →

Department of Intellectual and Developmental Disabilities, State of Tn

Public Health or Welfare

$2.60B

Department of Intellectual and Developmental Disabilities, State of Tn

Public Health or Welfare

$1.45B

Tennessee Department of Children's Services

Public Health or Welfare

$781.0M

Youth Villages Inc.

Community/Behavioral Health

$615.3M

Mental Health Cooperative INC

Clinic/Center Mental Health (Including Community

$363.8M

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$290.6M

Connecticut Children's Medical Center

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$248.9M

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