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VHS SINAI-GRACE HOSPITAL INC

General Acute Care Hospital·DETROIT, MI·NPI: 1760794044Share

Compared to General Acute Care Hospital Peers

Total spending distribution among 156 providers in this specialty

P25MedianP75P90

This provider's total spending of $96.8M is at the below 25th percentile among 156 General Acute Care Hospital providers.

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

Total Paid

$96.8M

$96,774,063

Total Claims

2.2M

Beneficiaries

2.0M

1.1 claims/patient

Avg Cost/Claim

$43

Monthly Spending Trend

Yearly Spending

2018
$18.0M
+3%
2019
$18.5M
-21%
2020
$14.7M
-10%
2021
$13.3M
-6%
2022
$12.5M
-9%
2023
$11.5M
-28%
2024
$8.3M

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 22% of total spending.

99285Top 5%

Emergency dept visit, high/urgent complexity

$21.4M

49K claims · 22.1%

Your Cost: $439.59/claim|Median: $85.65
5.1× median
99284Top 10%

Emergency dept visit, high complexity

$16.2M

80K claims · 16.8%

Your Cost: $202.21/claim|Median: $69.51
2.9× median
99283Top 25%

Emergency dept visit, moderate complexity

$13.8M

112K claims · 14.3%

Your Cost: $122.95/claim|Median: $42.48
2.9× median
G0463Top 25%

Hospital outpatient clinic visit

$7.3M

124K claims · 7.5%

Your Cost: $59.03/claim|Median: $26.41
2.2× median
G0378Top 25%

Hospital observation service, per hour

$6.7M

17K claims · 6.9%

Your Cost: $397.83/claim|Median: $99.39
4.0× median
96374Top 25%

Therapeutic/prophylactic/diagnostic IV push, single substance

$2.8M

38K claims · 2.9%

Your Cost: $72.82/claim|Median: $21.76
3.3× median
74177Top 25%

CT abdomen and pelvis with contrast

$2.0M

7,173 claims · 2.1%

Your Cost: $281.02/claim|Median: $65.76
4.3× median
43239Top 25%

Upper GI endoscopy with biopsy

$1.9M

5,448 claims · 2.0%

Your Cost: $352.33/claim|Median: $151.68
2.3× median
99282Normal range

Emergency dept visit, low complexity

$1.3M

15K claims · 1.3%

Your Cost: $82.20/claim|Median: $37.72
2.2× median
45380Top 25%

Colonoscopy with biopsy

$1.1M

2,299 claims · 1.2%

Your Cost: $487.04/claim|Median: $200.68
2.4× median
G0121Normal range

Colorectal cancer screening; colonoscopy

$1.1M

2,853 claims · 1.1%

Your Cost: $385.98/claim|Median: $332.07
1.2× median
70450Top 25%

CT head/brain without contrast

$1.0M

13K claims · 1.1%

Your Cost: $80.51/claim|Median: $45.53
1.8× median
71045Top 10%

Chest X-ray, single view

$994K

35K claims · 1.0%

Your Cost: $28.41/claim|Median: $4.93
5.8× median
58558Top 25%

$925K

632 claims · 1.0%

Your Cost: $1,463.06/claim|Median: $942.89
1.6× median
20610Top 5%

Arthrocentesis, aspiration/injection, major joint

$921K

5,515 claims · 1.0%

Your Cost: $166.93/claim|Median: $29.03
5.8× median
45385Normal range

Colonoscopy with polyp removal, snare technique

$636K

1,492 claims · 0.7%

Your Cost: $425.97/claim|Median: $255.17
1.7× median
99281Normal range

Emergency dept visit, minimal complexity

$625K

10K claims · 0.6%

Your Cost: $59.59/claim|Median: $52.03
1.1× median
87637Normal range

Respiratory virus detection, 3-5 targets, nucleic acid

$601K

10K claims · 0.6%

Your Cost: $59.70/claim|Median: $100.62
0.6× median
96375Normal range

Therapeutic/prophylactic/diagnostic IV push, each additional substance

$593K

28K claims · 0.6%

Your Cost: $21.41/claim|Median: $14.92
1.4× median
11042Top 5%

Debridement, subcutaneous tissue, first 20 sq cm

$590K

2,272 claims · 0.6%

Your Cost: $259.59/claim|Median: $36.13
7.2× median
80061Top 5%

Lipid panel

$553K

9,102 claims · 0.6%

Your Cost: $60.70/claim|Median: $8.41
7.2× median
71046Top 25%

Chest X-ray, 2 views

$541K

19K claims · 0.6%

Your Cost: $29.02/claim|Median: $8.92
3.3× median
45378Normal range

Colonoscopy, diagnostic

$488K

1,525 claims · 0.5%

Your Cost: $320.23/claim|Median: $225.49
1.4× median
96365Normal range

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

$471K

7,200 claims · 0.5%

Your Cost: $65.35/claim|Median: $54.77
1.2× median
76830Normal range

Ultrasound, transvaginal

$431K

7,693 claims · 0.4%

Your Cost: $56.06/claim|Median: $57.47
1.0× median
77067Normal range

Screening mammography, bilateral, including CAD

$430K

9,115 claims · 0.4%

Your Cost: $47.14/claim|Median: $39.33
1.2× median
76856Normal range

Ultrasound, pelvic, complete

$407K

7,891 claims · 0.4%

Your Cost: $51.60/claim|Median: $47.58
1.1× median
93306Normal range

Echocardiography, transthoracic, complete, with Doppler

$365K

3,485 claims · 0.4%

Your Cost: $104.77/claim|Median: $54.68
1.9× median
76801Normal range

Ultrasound, pregnant uterus, single fetus, first trimester

$363K

7,337 claims · 0.4%

Your Cost: $49.42/claim|Median: $58.16
0.8× median
U0003Normal range

Infectious disease detection (COVID-19)

$310K

8,489 claims · 0.3%

Your Cost: $36.55/claim|Median: $63.08
0.6× median
87491Normal range

Chlamydia detection, nucleic acid, amplified probe

$307K

29K claims · 0.3%

Your Cost: $10.59/claim|Median: $24.95
0.4× median
87591Normal range

Neisseria gonorrhoeae detection, nucleic acid, amplified probe

$295K

29K claims · 0.3%

Your Cost: $10.16/claim|Median: $23.39
0.4× median
96413Top 25%

Chemotherapy administration, IV infusion, up to 1 hour

$293K

1,951 claims · 0.3%

Your Cost: $150.30/claim|Median: $75.28
2.0× median
96372Normal range

Therapeutic injection, subcutaneous/intramuscular

$272K

47K claims · 0.3%

Your Cost: $5.78/claim|Median: $9.56
0.6× median
93975Normal range

Duplex scan of arterial inflow and venous outflow, complete

$267K

2,856 claims · 0.3%

Your Cost: $93.49/claim|Median: $79.28
1.2× median
H0032Normal range

Mental health service plan development

$232K

1,979 claims · 0.2%

Your Cost: $117.02/claim|Median: $80.64
1.5× median
74176Normal range

CT abdomen and pelvis without contrast

$229K

2,229 claims · 0.2%

Your Cost: $102.91/claim|Median: $60.19
1.7× median
99213Top 5%

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

$219K

2,197 claims · 0.2%

Your Cost: $99.69/claim|Median: $37.81
2.6× median
71260Normal range

CT chest with contrast

$211K

3,985 claims · 0.2%

Your Cost: $53.02/claim|Median: $48.36
1.1× median
72148Normal range

MRI lumbar spine without contrast

$205K

1,541 claims · 0.2%

Your Cost: $132.81/claim|Median: $101.03
1.3× median
72125Normal range

CT cervical spine without contrast

$199K

6,868 claims · 0.2%

Your Cost: $28.93/claim|Median: $32.30
0.9× median
80048Normal range

Basic metabolic panel

$191K

63K claims · 0.2%

Your Cost: $3.03/claim|Median: $5.78
0.5× median
T1017Top 25%

Targeted case management, per 15 min

$184K

1,147 claims · 0.2%

Your Cost: $160.82/claim|Median: $69.56
2.3× median
76700Normal range

Ultrasound, abdominal, complete

$182K

2,707 claims · 0.2%

Your Cost: $67.31/claim|Median: $50.69
1.3× median
99395Normal range

Preventive medicine, established patient, age 18-39

$182K

3,047 claims · 0.2%

Your Cost: $59.65/claim|Median: $72.71
0.8× median
76811Normal range

Ultrasound, pregnant uterus, detailed, single fetus

$181K

1,599 claims · 0.2%

Your Cost: $113.32/claim|Median: $106.79
1.1× median
99218Top 10%

$174K

744 claims · 0.2%

Your Cost: $233.99/claim|Median: $51.50
4.5× median
10060Normal range

Incision and drainage of abscess, simple

$158K

1,807 claims · 0.2%

Your Cost: $87.61/claim|Median: $75.72
1.2× median
76816Normal range

Ultrasound, pregnant uterus, follow-up

$150K

3,170 claims · 0.2%

Your Cost: $47.47/claim|Median: $58.55
0.8× median
72141Normal range

MRI of cervical spine without contrast

$140K

760 claims · 0.1%

Your Cost: $183.99/claim|Median: $112.68
1.6× median

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$961.1M

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