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CIBOLA GENERAL HOSPITAL CORPORATION

General Acute Care Hospital, Critical Access·GRANTS, NM·NPI: 1780677039Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$26.5M

$26,501,418

Total Claims

291K

Beneficiaries

250K

1.2 claims/patient

Avg Cost/Claim

$91

Monthly Spending Trend

Yearly Spending

2018
$3.1M
-38%
2019
$1.9M
-20%
2020
$1.5M
+75%
2021
$2.7M
+92%
2022
$5.2M
+46%
2023
$7.5M
-39%
2024
$4.6M

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 19% of total spending.

99283Top 5%

Emergency dept visit, moderate complexity

$5.0M

15K claims · 19.0%

Your Cost: $347.50/claim|Median: $42.48
8.2× median
99284Top 1%

Emergency dept visit, high complexity

$3.3M

7,028 claims · 12.6%

Your Cost: $475.03/claim|Median: $69.51
6.8× median
99282Top 5%

Emergency dept visit, low complexity

$2.3M

10K claims · 8.7%

Your Cost: $227.92/claim|Median: $37.72
6.0× median
99285Top 1%

Emergency dept visit, high/urgent complexity

$1.5M

2,489 claims · 5.6%

Your Cost: $600.69/claim|Median: $85.65
7.0× median
74177Top 5%

CT abdomen and pelvis with contrast

$1.1M

1,521 claims · 4.3%

Your Cost: $743.00/claim|Median: $65.76
11.3× median
96365Top 5%

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

$798K

3,403 claims · 3.0%

Your Cost: $234.38/claim|Median: $54.77
4.3× median
70450Top 1%

CT head/brain without contrast

$772K

1,790 claims · 2.9%

Your Cost: $431.08/claim|Median: $45.53
9.5× median
0241UTop 1%

Proprietary lab analysis, genomic sequencing

$687K

2,787 claims · 2.6%

Your Cost: $246.33/claim|Median: $91.47
2.7× median
93005Top 1%

Electrocardiogram, tracing only, without interpretation

$602K

4,461 claims · 2.3%

Your Cost: $134.92/claim|Median: $7.50
18.0× median
96375Top 5%

Therapeutic/prophylactic/diagnostic IV push, each additional substance

$533K

4,370 claims · 2.0%

Your Cost: $121.88/claim|Median: $14.92
8.2× median
96361Top 25%

IV infusion, hydration, each additional hour

$525K

4,307 claims · 2.0%

Your Cost: $121.82/claim|Median: $38.92
3.1× median
J3490Top 25%

Unclassified drugs

$489K

8,183 claims · 1.8%

Your Cost: $59.81/claim|Median: $5.70
10.5× median
71045Top 1%

Chest X-ray, single view

$431K

3,465 claims · 1.6%

Your Cost: $124.27/claim|Median: $4.93
25.2× median
97110Top 5%

Therapeutic exercises, each 15 min

$421K

3,422 claims · 1.6%

Your Cost: $123.08/claim|Median: $24.49
5.0× median
80053Top 10%

Comprehensive metabolic panel

$416K

18K claims · 1.6%

Your Cost: $23.16/claim|Median: $7.24
3.2× median
96374Top 25%

Therapeutic/prophylactic/diagnostic IV push, single substance

$404K

4,630 claims · 1.5%

Your Cost: $87.22/claim|Median: $21.76
4.0× median
74176Top 5%

CT abdomen and pelvis without contrast

$340K

573 claims · 1.3%

Your Cost: $594.05/claim|Median: $60.19
9.9× median
99281Top 25%

Emergency dept visit, minimal complexity

$329K

2,835 claims · 1.2%

Your Cost: $116.06/claim|Median: $52.03
2.2× median
80307Top 5%

Drug test, presumptive, by chemistry analyzers

$302K

3,413 claims · 1.1%

Your Cost: $88.44/claim|Median: $35.43
2.5× median
85025Top 10%

Complete blood count (CBC) with differential, automated

$291K

19K claims · 1.1%

Your Cost: $15.68/claim|Median: $4.71
3.3× median
71046Top 1%

Chest X-ray, 2 views

$282K

2,167 claims · 1.1%

Your Cost: $130.19/claim|Median: $8.92
14.6× median
96372Top 5%

Therapeutic injection, subcutaneous/intramuscular

$272K

4,150 claims · 1.0%

Your Cost: $65.51/claim|Median: $9.56
6.9× median
94640Top 1%

Pressurized or nonpressurized inhalation treatment

$266K

1,161 claims · 1.0%

Your Cost: $229.30/claim|Median: $10.88
21.1× median
99213Normal range

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

$239K

5,379 claims · 0.9%

Your Cost: $44.50/claim|Median: $37.81
1.2× median
U0003Top 5%

Infectious disease detection (COVID-19)

$229K

1,895 claims · 0.9%

Your Cost: $121.05/claim|Median: $63.08
1.9× median
96360Top 10%

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

$210K

1,166 claims · 0.8%

Your Cost: $180.06/claim|Median: $61.57
2.9× median
87426Top 5%

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

$173K

3,493 claims · 0.7%

Your Cost: $49.66/claim|Median: $30.04
1.7× median
77067Top 1%

Screening mammography, bilateral, including CAD

$162K

496 claims · 0.6%

Your Cost: $325.89/claim|Median: $39.33
8.3× median
G0463Top 1%

Hospital outpatient clinic visit

$153K

728 claims · 0.6%

Your Cost: $209.93/claim|Median: $26.41
7.9× median
36415Top 10%

Collection of venous blood by venipuncture

$149K

20K claims · 0.6%

Your Cost: $7.61/claim|Median: $1.57
4.8× median
73562Top 1%

$147K

702 claims · 0.6%

Your Cost: $209.27/claim|Median: $12.28
17.0× median
U0002Top 5%

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

$132K

1,551 claims · 0.5%

Your Cost: $84.82/claim|Median: $34.62
2.5× median
96366Top 25%

IV infusion, therapeutic/prophylactic/diagnostic, each additional hour

$113K

747 claims · 0.4%

Your Cost: $150.93/claim|Median: $40.12
3.8× median
73610Top 1%

X-ray of ankle, complete, minimum three views

$103K

447 claims · 0.4%

Your Cost: $231.49/claim|Median: $13.55
17.1× median
93306Top 1%

Echocardiography, transthoracic, complete, with Doppler

$100K

121 claims · 0.4%

Your Cost: $824.77/claim|Median: $54.68
15.1× median
D2930Top 5%

Prefabricated stainless steel crown, primary tooth

$99K

249 claims · 0.4%

Your Cost: $398.22/claim|Median: $120.85
3.3× median
84443Top 10%

Thyroid stimulating hormone (TSH)

$96K

3,884 claims · 0.4%

Your Cost: $24.65/claim|Median: $9.87
2.5× median
Q9967Top 10%

Low osmolar contrast material, 300-399 mg iodine/ml, per ml

$93K

2,197 claims · 0.4%

Your Cost: $42.47/claim|Median: $3.42
12.4× median
87430Top 5%

$91K

2,801 claims · 0.3%

Your Cost: $32.51/claim|Median: $9.41
3.5× median
84484Top 10%

Troponin, quantitative

$88K

3,250 claims · 0.3%

Your Cost: $26.96/claim|Median: $4.84
5.6× median
73630Top 1%

X-ray, foot, complete, minimum 3 views

$80K

492 claims · 0.3%

Your Cost: $163.28/claim|Median: $12.06
13.5× median
73030Top 1%

$75K

371 claims · 0.3%

Your Cost: $201.59/claim|Median: $10.94
18.4× median
83690Top 5%

$74K

3,679 claims · 0.3%

Your Cost: $20.09/claim|Median: $3.35
6.0× median
88305Top 10%

Surgical pathology, gross and microscopic examination

$66K

595 claims · 0.3%

Your Cost: $111.66/claim|Median: $35.80
3.1× median
76856Top 5%

Ultrasound, pelvic, complete

$65K

254 claims · 0.2%

Your Cost: $255.30/claim|Median: $47.58
5.4× median
87086Top 10%

Urine culture, colony count, with identification

$64K

4,211 claims · 0.2%

Your Cost: $15.27/claim|Median: $5.31
2.9× median
82077Top 5%

$61K

1,417 claims · 0.2%

Your Cost: $43.15/claim|Median: $4.44
9.7× median
59025Top 1%

Fetal non-stress test

$59K

191 claims · 0.2%

Your Cost: $309.88/claim|Median: $26.45
11.7× median
76801Top 1%

Ultrasound, pregnant uterus, single fetus, first trimester

$57K

220 claims · 0.2%

Your Cost: $261.24/claim|Median: $58.16
4.5× median
73130Top 1%

$57K

343 claims · 0.2%

Your Cost: $165.37/claim|Median: $10.69
15.5× median

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