Statistical flags indicate unusual patterns — not proof of fraud or wrongdoing. Read our methodology

ST JOSEPH MERCY HOSPITAL

General Acute Care Hospital·YPSILANTI, MI·NPI: 1780658443Share

Compared to General Acute Care Hospital Peers

Total spending distribution among 156 providers in this specialty

P25MedianP75P90

This provider's total spending of $65.2M is at the below 25th percentile among 156 General Acute Care Hospital providers.

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

Total Paid

$65.2M

$65,221,233

Total Claims

2.2M

Beneficiaries

2.0M

1.1 claims/patient

Avg Cost/Claim

$29

Monthly Spending Trend

Yearly Spending

2018
$7.0M
+3%
2019
$7.3M
+8%
2020
$7.8M
+43%
2021
$11.2M
-2%
2022
$11.0M
+4%
2023
$11.5M
-18%
2024
$9.5M

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

$12.9M

29K claims · 19.8%

Your Cost: $443.00/claim|Median: $85.65
5.2× median
99284Top 5%

Emergency dept visit, high complexity

$9.4M

38K claims · 14.4%

Your Cost: $243.16/claim|Median: $69.51
3.5× median
99283Top 25%

Emergency dept visit, moderate complexity

$6.0M

46K claims · 9.1%

Your Cost: $129.78/claim|Median: $42.48
3.1× median
G0463Top 25%

Hospital outpatient clinic visit

$4.2M

55K claims · 6.4%

Your Cost: $75.34/claim|Median: $26.41
2.9× median
96374Top 25%

Therapeutic/prophylactic/diagnostic IV push, single substance

$3.4M

36K claims · 5.2%

Your Cost: $94.06/claim|Median: $21.76
4.3× median
99282Normal range

Emergency dept visit, low complexity

$1.4M

20K claims · 2.2%

Your Cost: $70.27/claim|Median: $37.72
1.9× median
U0003Normal range

Infectious disease detection (COVID-19)

$1.4M

24K claims · 2.1%

Your Cost: $57.84/claim|Median: $63.08
0.9× median
74177Normal range

CT abdomen and pelvis with contrast

$1.3M

10K claims · 2.0%

Your Cost: $127.51/claim|Median: $65.76
1.9× median
G0480Normal range

Drug test, definitive, 1-7 drug classes

$881K

24K claims · 1.4%

Your Cost: $36.32/claim|Median: $37.56
1.0× median
96361Normal range

IV infusion, hydration, each additional hour

$827K

25K claims · 1.3%

Your Cost: $33.08/claim|Median: $38.92
0.8× median
71046Top 10%

Chest X-ray, 2 views

$818K

22K claims · 1.3%

Your Cost: $38.01/claim|Median: $8.92
4.3× median
80061Top 10%

Lipid panel

$796K

39K claims · 1.2%

Your Cost: $20.67/claim|Median: $8.41
2.5× median
70450Top 25%

CT head/brain without contrast

$739K

7,787 claims · 1.1%

Your Cost: $94.87/claim|Median: $45.53
2.1× median
96375Normal range

Therapeutic/prophylactic/diagnostic IV push, each additional substance

$732K

27K claims · 1.1%

Your Cost: $27.07/claim|Median: $14.92
1.8× median
87491Normal range

Chlamydia detection, nucleic acid, amplified probe

$719K

39K claims · 1.1%

Your Cost: $18.64/claim|Median: $24.95
0.7× median
87591Normal range

Neisseria gonorrhoeae detection, nucleic acid, amplified probe

$700K

38K claims · 1.1%

Your Cost: $18.49/claim|Median: $23.39
0.8× median
80307Normal range

Drug test, presumptive, by chemistry analyzers

$686K

32K claims · 1.1%

Your Cost: $21.44/claim|Median: $35.43
0.6× median
96360Normal range

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

$684K

6,880 claims · 1.0%

Your Cost: $99.37/claim|Median: $61.57
1.6× median
93306Top 25%

Echocardiography, transthoracic, complete, with Doppler

$621K

3,242 claims · 1.0%

Your Cost: $191.68/claim|Median: $54.68
3.5× median
96365Normal range

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

$554K

7,056 claims · 0.8%

Your Cost: $78.53/claim|Median: $54.77
1.4× median
G0378Normal range

Hospital observation service, per hour

$512K

12K claims · 0.8%

Your Cost: $44.16/claim|Median: $99.39
0.4× median
70553Normal range

MRI brain without contrast, then with contrast

$491K

2,341 claims · 0.8%

Your Cost: $209.63/claim|Median: $133.68
1.6× median
96413Top 25%

Chemotherapy administration, IV infusion, up to 1 hour

$473K

2,994 claims · 0.7%

Your Cost: $157.91/claim|Median: $75.28
2.1× median
43239Top 25%

Upper GI endoscopy with biopsy

$411K

1,219 claims · 0.6%

Your Cost: $336.87/claim|Median: $151.68
2.2× median
87637Normal range

Respiratory virus detection, 3-5 targets, nucleic acid

$396K

5,569 claims · 0.6%

Your Cost: $71.13/claim|Median: $100.62
0.7× median
84443Normal range

Thyroid stimulating hormone (TSH)

$390K

49K claims · 0.6%

Your Cost: $7.93/claim|Median: $9.87
0.8× median
78452Top 25%

Myocardial perfusion imaging, SPECT, multiple studies

$378K

1,001 claims · 0.6%

Your Cost: $378.00/claim|Median: $106.14
3.6× median
93975Normal range

Duplex scan of arterial inflow and venous outflow, complete

$372K

3,203 claims · 0.6%

Your Cost: $116.00/claim|Median: $79.28
1.5× median
80053Normal range

Comprehensive metabolic panel

$342K

92K claims · 0.5%

Your Cost: $3.72/claim|Median: $7.24
0.5× median
59025Top 25%

Fetal non-stress test

$339K

3,460 claims · 0.5%

Your Cost: $97.95/claim|Median: $26.45
3.7× median
G0472Top 25%

$312K

9,948 claims · 0.5%

Your Cost: $31.33/claim|Median: $14.24
2.2× median
U0002Normal range

COVID-19 lab test, non-CDC, nucleic acid

$311K

14K claims · 0.5%

Your Cost: $22.46/claim|Median: $34.62
0.6× median
82306Normal range

Vitamin D, 25 hydroxy

$294K

17K claims · 0.5%

Your Cost: $17.10/claim|Median: $18.18
0.9× median
71045Top 10%

Chest X-ray, single view

$288K

8,309 claims · 0.4%

Your Cost: $34.68/claim|Median: $4.93
7.0× median
76830Normal range

Ultrasound, transvaginal

$288K

5,054 claims · 0.4%

Your Cost: $56.99/claim|Median: $57.47
1.0× median
71260Normal range

CT chest with contrast

$284K

2,647 claims · 0.4%

Your Cost: $107.35/claim|Median: $48.36
2.2× median
77067Normal range

Screening mammography, bilateral, including CAD

$279K

5,762 claims · 0.4%

Your Cost: $48.50/claim|Median: $39.33
1.2× median
76705Top 25%

Ultrasound, abdominal, limited

$275K

4,927 claims · 0.4%

Your Cost: $55.90/claim|Median: $23.81
2.3× median
45385Top 25%

Colonoscopy with polyp removal, snare technique

$261K

569 claims · 0.4%

Your Cost: $457.85/claim|Median: $255.17
1.8× median
74176Normal range

CT abdomen and pelvis without contrast

$244K

2,441 claims · 0.4%

Your Cost: $100.06/claim|Median: $60.19
1.7× median
88305Normal range

Surgical pathology, gross and microscopic examination

$244K

13K claims · 0.4%

Your Cost: $18.51/claim|Median: $35.80
0.5× median
99291Top 5%

Critical care, first 30-74 minutes

$241K

383 claims · 0.4%

Your Cost: $628.01/claim|Median: $101.24
6.2× median
71275Normal range

CT angiography, chest, with contrast

$236K

3,017 claims · 0.4%

Your Cost: $78.07/claim|Median: $92.96
0.8× median
U0005Normal range

Infectious disease detection, COVID-19, antigen

$229K

12K claims · 0.4%

Your Cost: $18.77/claim|Median: $15.76
1.2× median
87624Normal range

HPV detection, high-risk types, nucleic acid

$228K

11K claims · 0.3%

Your Cost: $20.99/claim|Median: $25.57
0.8× median
G0475Normal range

$202K

13K claims · 0.3%

Your Cost: $16.09/claim|Median: $11.30
1.4× median
78815Top 25%

PET imaging for limited area

$199K

259 claims · 0.3%

Your Cost: $766.89/claim|Median: $325.10
2.4× median
41899Normal range

Unlisted procedure, dentoalveolar structures

$192K

596 claims · 0.3%

Your Cost: $321.48/claim|Median: $763.43
0.4× median
88142Normal range

$187K

15K claims · 0.3%

Your Cost: $12.20/claim|Median: $14.75
0.8× median
85025Normal range

Complete blood count (CBC) with differential, automated

$187K

90K claims · 0.3%

Your Cost: $2.07/claim|Median: $4.71
0.4× median