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MERCY HEALTH YOUNGSTOWN LLC

General Acute Care Hospital·YOUNGSTOWN, OH·NPI: 1790868982Share

Compared to General Acute Care Hospital Peers

Total spending distribution among 156 providers in this specialty

P25MedianP75P90

This provider's total spending of $36.6M is at the below 25th percentile among 156 General Acute Care Hospital providers.

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

Total Paid

$36.6M

$36,603,079

Total Claims

1.0M

Beneficiaries

829K

1.2 claims/patient

Avg Cost/Claim

$35

Monthly Spending Trend

Yearly Spending

2018
$3.2M
+9%
2019
$3.5M
-1%
2020
$3.4M
+11%
2021
$3.8M
+6%
2022
$4.0M
+162%
2023
$10.6M
-24%
2024
$8.1M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 50 distinct procedure codes. The top code (99284 (Emergency dept visit, high complexity)) accounts for 16% of total spending.

99284Top 25%

Emergency dept visit, high complexity

$6.0M

49K claims · 16.4%

Your Cost: $123.12/claim|Median: $69.51
1.8× median
G0463Top 5%

Hospital outpatient clinic visit

$4.4M

39K claims · 12.1%

Your Cost: $114.99/claim|Median: $26.41
4.4× median
99283Top 25%

Emergency dept visit, moderate complexity

$3.9M

34K claims · 10.5%

Your Cost: $113.91/claim|Median: $42.48
2.7× median
99285Top 25%

Emergency dept visit, high/urgent complexity

$3.4M

26K claims · 9.2%

Your Cost: $128.29/claim|Median: $85.65
1.5× median
74177Top 25%

CT abdomen and pelvis with contrast

$2.6M

9,894 claims · 7.1%

Your Cost: $264.04/claim|Median: $65.76
4.0× median
70450Top 10%

CT head/brain without contrast

$2.2M

9,462 claims · 5.9%

Your Cost: $228.52/claim|Median: $45.53
5.0× median
96361Top 10%

IV infusion, hydration, each additional hour

$1.7M

5,564 claims · 4.7%

Your Cost: $312.48/claim|Median: $38.92
8.0× median
G0378Normal range

Hospital observation service, per hour

$886K

9,991 claims · 2.4%

Your Cost: $88.66/claim|Median: $99.39
0.9× median
74176Top 25%

CT abdomen and pelvis without contrast

$651K

2,739 claims · 1.8%

Your Cost: $237.56/claim|Median: $60.19
3.9× median
99282Top 25%

Emergency dept visit, low complexity

$608K

6,308 claims · 1.7%

Your Cost: $96.36/claim|Median: $37.72
2.6× median
96366Top 10%

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

$497K

2,059 claims · 1.4%

Your Cost: $241.22/claim|Median: $40.12
6.0× median
71275Top 25%

CT angiography, chest, with contrast

$457K

1,746 claims · 1.2%

Your Cost: $261.99/claim|Median: $92.96
2.8× median
96365Top 25%

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

$410K

3,318 claims · 1.1%

Your Cost: $123.52/claim|Median: $54.77
2.3× median
80053Normal range

Comprehensive metabolic panel

$405K

56K claims · 1.1%

Your Cost: $7.26/claim|Median: $7.24
1.0× median
64483Top 10%

$382K

728 claims · 1.0%

Your Cost: $525.31/claim|Median: $124.24
4.2× median
95811Top 25%

Sleep study with CPAP titration, polysomnography

$283K

461 claims · 0.8%

Your Cost: $614.64/claim|Median: $255.03
2.4× median
11042Top 25%

Debridement, subcutaneous tissue, first 20 sq cm

$282K

2,644 claims · 0.8%

Your Cost: $106.52/claim|Median: $36.13
2.9× median
41899Normal range

Unlisted procedure, dentoalveolar structures

$271K

414 claims · 0.7%

Your Cost: $654.33/claim|Median: $763.43
0.9× median
43239Top 25%

Upper GI endoscopy with biopsy

$265K

695 claims · 0.7%

Your Cost: $381.17/claim|Median: $151.68
2.5× median
U0003Top 5%

Infectious disease detection (COVID-19)

$256K

1,504 claims · 0.7%

Your Cost: $170.00/claim|Median: $63.08
2.7× median
95810Top 25%

Polysomnography, sleep study, 6+ hours

$248K

421 claims · 0.7%

Your Cost: $587.93/claim|Median: $233.73
2.5× median
45380Top 25%

Colonoscopy with biopsy

$229K

466 claims · 0.6%

Your Cost: $491.65/claim|Median: $200.68
2.4× median
94640Top 5%

Pressurized or nonpressurized inhalation treatment

$195K

1,999 claims · 0.5%

Your Cost: $97.42/claim|Median: $10.88
9.0× median
97530Normal range

Therapeutic activities, each 15 min

$192K

3,629 claims · 0.5%

Your Cost: $52.84/claim|Median: $33.11
1.6× median
97110Top 25%

Therapeutic exercises, each 15 min

$182K

3,120 claims · 0.5%

Your Cost: $58.27/claim|Median: $24.49
2.4× median
80048Normal range

Basic metabolic panel

$174K

21K claims · 0.5%

Your Cost: $8.38/claim|Median: $5.78
1.4× median
83605Normal range

$160K

25K claims · 0.4%

Your Cost: $6.28/claim|Median: $4.66
1.3× median
76856Top 10%

Ultrasound, pelvic, complete

$152K

939 claims · 0.4%

Your Cost: $161.56/claim|Median: $47.58
3.4× median
76816Normal range

Ultrasound, pregnant uterus, follow-up

$142K

5,409 claims · 0.4%

Your Cost: $26.25/claim|Median: $58.55
0.4× median
96360Normal range

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

$142K

1,463 claims · 0.4%

Your Cost: $97.06/claim|Median: $61.57
1.6× median
76817Normal range

Ultrasound, pregnant uterus, transvaginal

$130K

6,508 claims · 0.4%

Your Cost: $20.03/claim|Median: $47.65
0.4× median
70553Normal range

MRI brain without contrast, then with contrast

$121K

545 claims · 0.3%

Your Cost: $222.47/claim|Median: $133.68
1.7× median
76820Normal range

$117K

8,023 claims · 0.3%

Your Cost: $14.60/claim|Median: $31.79
0.5× median
99211Top 5%

Office/outpatient visit, minimal complexity

$114K

1,227 claims · 0.3%

Your Cost: $92.84/claim|Median: $12.93
7.2× median
76818Normal range

$112K

6,470 claims · 0.3%

Your Cost: $17.35/claim|Median: $68.15
0.3× median
92507Normal range

Speech/hearing/language treatment

$107K

1,726 claims · 0.3%

Your Cost: $62.07/claim|Median: $49.45
1.3× median
87502Normal range

Influenza virus detection, reverse transcription, amplified probe

$103K

6,745 claims · 0.3%

Your Cost: $15.24/claim|Median: $65.64
0.2× median
76805Normal range

Ultrasound, pregnant uterus, complete, single fetus

$102K

3,616 claims · 0.3%

Your Cost: $28.31/claim|Median: $74.78
0.4× median
76705Top 25%

Ultrasound, abdominal, limited

$99K

1,320 claims · 0.3%

Your Cost: $74.78/claim|Median: $23.81
3.1× median
29848Top 25%

$96K

82 claims · 0.3%

Your Cost: $1,173.54/claim|Median: $371.94
3.2× median
59025Top 10%

Fetal non-stress test

$95K

562 claims · 0.3%

Your Cost: $168.58/claim|Median: $26.45
6.4× median
76811Normal range

Ultrasound, pregnant uterus, detailed, single fetus

$93K

3,222 claims · 0.3%

Your Cost: $28.85/claim|Median: $106.79
0.3× median
99281Top 25%

Emergency dept visit, minimal complexity

$93K

636 claims · 0.3%

Your Cost: $145.85/claim|Median: $52.03
2.8× median
84484Normal range

Troponin, quantitative

$93K

25K claims · 0.3%

Your Cost: $3.64/claim|Median: $4.84
0.8× median
76819Normal range

Fetal biophysical profile with non-stress test

$91K

5,053 claims · 0.2%

Your Cost: $18.10/claim|Median: $49.45
0.4× median
70491Top 25%

$90K

329 claims · 0.2%

Your Cost: $274.67/claim|Median: $98.20
2.8× median
85025Normal range

Complete blood count (CBC) with differential, automated

$88K

73K claims · 0.2%

Your Cost: $1.20/claim|Median: $4.71
0.3× median
93975Normal range

Duplex scan of arterial inflow and venous outflow, complete

$82K

864 claims · 0.2%

Your Cost: $94.45/claim|Median: $79.28
1.2× median
93971Top 25%

Duplex scan of extremity veins, unilateral or limited

$77K

1,121 claims · 0.2%

Your Cost: $68.90/claim|Median: $25.43
2.7× median
72131Normal range

$76K

910 claims · 0.2%

Your Cost: $83.13/claim|Median: $42.82
1.9× median