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

⚖️ Compare🖨️ Print Report

CAROLINAEAST MEDICAL CENTER

General Acute Care Hospital·NEW BERN, NC·NPI: 1801852835Share

Compared to General Acute Care Hospital Peers

Total spending distribution among 156 providers in this specialty

P25MedianP75P90

This provider's total spending of $22.9M is at the below 25th percentile among 156 General Acute Care Hospital providers.

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

Total Paid

$22.9M

$22,858,287

Total Claims

525K

Beneficiaries

435K

1.2 claims/patient

Avg Cost/Claim

$44

Monthly Spending Trend

Yearly Spending

2018
$1.9M
+19%
2019
$2.2M
-22%
2020
$1.8M
+62%
2021
$2.8M
+41%
2022
$4.0M
+23%
2023
$4.9M
+7%
2024
$5.2M

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 19% of total spending.

99284Top 25%

Emergency dept visit, high complexity

$4.4M

30K claims · 19.3%

Your Cost: $149.34/claim|Median: $69.51
2.1× median
99285Top 25%

Emergency dept visit, high/urgent complexity

$3.6M

19K claims · 15.9%

Your Cost: $186.70/claim|Median: $85.65
2.2× median
99283Top 25%

Emergency dept visit, moderate complexity

$3.1M

30K claims · 13.7%

Your Cost: $105.29/claim|Median: $42.48
2.5× median
74177Top 5%

CT abdomen and pelvis with contrast

$2.3M

4,147 claims · 10.0%

Your Cost: $548.89/claim|Median: $65.76
8.3× median
0241UTop 10%

Proprietary lab analysis, genomic sequencing

$854K

5,453 claims · 3.7%

Your Cost: $156.70/claim|Median: $91.47
1.7× median
70450Top 25%

CT head/brain without contrast

$597K

3,832 claims · 2.6%

Your Cost: $155.77/claim|Median: $45.53
3.4× median
74176Top 5%

CT abdomen and pelvis without contrast

$564K

1,513 claims · 2.5%

Your Cost: $372.52/claim|Median: $60.19
6.2× median
U0003Normal range

Infectious disease detection (COVID-19)

$428K

5,861 claims · 1.9%

Your Cost: $72.95/claim|Median: $63.08
1.2× median
G0382Normal range

$424K

6,422 claims · 1.9%

Your Cost: $66.06/claim|Median: $80.53
0.8× median
99282Normal range

Emergency dept visit, low complexity

$389K

7,046 claims · 1.7%

Your Cost: $55.22/claim|Median: $37.72
1.5× median
96374Normal range

Therapeutic/prophylactic/diagnostic IV push, single substance

$389K

14K claims · 1.7%

Your Cost: $27.01/claim|Median: $21.76
1.2× median
41899Normal range

Unlisted procedure, dentoalveolar structures

$345K

1,459 claims · 1.5%

Your Cost: $236.80/claim|Median: $763.43
0.3× median
93005Normal range

Electrocardiogram, tracing only, without interpretation

$329K

19K claims · 1.4%

Your Cost: $17.61/claim|Median: $7.50
2.3× median
80053Normal range

Comprehensive metabolic panel

$325K

43K claims · 1.4%

Your Cost: $7.57/claim|Median: $7.24
1.0× median
96375Top 25%

Therapeutic/prophylactic/diagnostic IV push, each additional substance

$309K

8,912 claims · 1.4%

Your Cost: $34.66/claim|Median: $14.92
2.3× median
85025Normal range

Complete blood count (CBC) with differential, automated

$305K

47K claims · 1.3%

Your Cost: $6.45/claim|Median: $4.71
1.4× median
71045Top 25%

Chest X-ray, single view

$233K

10K claims · 1.0%

Your Cost: $22.19/claim|Median: $4.93
4.5× median
72125Top 10%

CT cervical spine without contrast

$205K

1,345 claims · 0.9%

Your Cost: $152.32/claim|Median: $32.30
4.7× median
71046Top 10%

Chest X-ray, 2 views

$187K

5,108 claims · 0.8%

Your Cost: $36.59/claim|Median: $8.92
4.1× median
71275Top 5%

CT angiography, chest, with contrast

$181K

496 claims · 0.8%

Your Cost: $364.74/claim|Median: $92.96
3.9× median
87591Normal range

Neisseria gonorrhoeae detection, nucleic acid, amplified probe

$132K

4,386 claims · 0.6%

Your Cost: $30.11/claim|Median: $23.39
1.3× median
87491Normal range

Chlamydia detection, nucleic acid, amplified probe

$132K

4,386 claims · 0.6%

Your Cost: $30.11/claim|Median: $24.95
1.2× median
96372Top 25%

Therapeutic injection, subcutaneous/intramuscular

$114K

6,564 claims · 0.5%

Your Cost: $17.34/claim|Median: $9.56
1.8× median
96361Normal range

IV infusion, hydration, each additional hour

$109K

5,407 claims · 0.5%

Your Cost: $20.11/claim|Median: $38.92
0.5× median
G0383Normal range

$107K

976 claims · 0.5%

Your Cost: $109.46/claim|Median: $108.78
1.0× median
76816Normal range

Ultrasound, pregnant uterus, follow-up

$95K

1,898 claims · 0.4%

Your Cost: $50.12/claim|Median: $58.55
0.9× median
84484Normal range

Troponin, quantitative

$94K

14K claims · 0.4%

Your Cost: $6.86/claim|Median: $4.84
1.4× median
96413Normal range

Chemotherapy administration, IV infusion, up to 1 hour

$86K

2,276 claims · 0.4%

Your Cost: $37.93/claim|Median: $75.28
0.5× median
36415Normal range

Collection of venous blood by venipuncture

$80K

44K claims · 0.3%

Your Cost: $1.79/claim|Median: $1.57
1.1× median
99291Top 5%

Critical care, first 30-74 minutes

$77K

257 claims · 0.3%

Your Cost: $299.97/claim|Median: $101.24
3.0× median
G0330Normal range

$76K

195 claims · 0.3%

Your Cost: $387.36/claim|Median: $1,205.70
0.3× median
73630Top 10%

X-ray, foot, complete, minimum 3 views

$76K

1,600 claims · 0.3%

Your Cost: $47.21/claim|Median: $12.06
3.9× median
76805Normal range

Ultrasound, pregnant uterus, complete, single fetus

$75K

965 claims · 0.3%

Your Cost: $77.59/claim|Median: $74.78
1.0× median
76801Top 25%

Ultrasound, pregnant uterus, single fetus, first trimester

$73K

811 claims · 0.3%

Your Cost: $89.97/claim|Median: $58.16
1.5× median
87651Top 25%

Streptococcus Group A detection, nucleic acid, amplified probe

$70K

1,972 claims · 0.3%

Your Cost: $35.56/claim|Median: $28.46
1.2× median
73610Top 10%

X-ray of ankle, complete, minimum three views

$66K

1,259 claims · 0.3%

Your Cost: $52.06/claim|Median: $13.55
3.8× median
96365Normal range

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

$63K

2,427 claims · 0.3%

Your Cost: $26.06/claim|Median: $54.77
0.5× median
76819Normal range

Fetal biophysical profile with non-stress test

$62K

1,481 claims · 0.3%

Your Cost: $41.76/claim|Median: $49.45
0.8× median
0240UTop 25%

$60K

428 claims · 0.3%

Your Cost: $140.88/claim|Median: $89.76
1.6× median
81001Top 25%

Urinalysis, automated, with microscopy

$59K

19K claims · 0.3%

Your Cost: $3.18/claim|Median: $2.03
1.6× median
81025Top 25%

Urine pregnancy test

$58K

7,925 claims · 0.3%

Your Cost: $7.38/claim|Median: $4.81
1.5× median
G0381Normal range

$58K

1,373 claims · 0.3%

Your Cost: $42.49/claim|Median: $59.47
0.7× median
87400Normal range

$58K

4,135 claims · 0.3%

Your Cost: $13.94/claim|Median: $8.40
1.7× median
83690Top 25%

$55K

8,299 claims · 0.2%

Your Cost: $6.66/claim|Median: $3.35
2.0× median
J1439Normal range

$51K

139 claims · 0.2%

Your Cost: $364.70/claim|Median: $477.34
0.8× median
J7030Normal range

Normal saline solution infusion, 1000 cc

$49K

9,153 claims · 0.2%

Your Cost: $5.38/claim|Median: $1.53
3.5× median
96360Normal range

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

$47K

1,135 claims · 0.2%

Your Cost: $41.79/claim|Median: $61.57
0.7× median
J2405Top 25%

Injection, ondansetron HCl, per one milligram

$44K

8,031 claims · 0.2%

Your Cost: $5.53/claim|Median: $0.58
9.5× median
Q9967Normal range

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

$44K

5,378 claims · 0.2%

Your Cost: $8.20/claim|Median: $3.42
2.4× median
83735Top 25%

Magnesium blood level test

$42K

7,738 claims · 0.2%

Your Cost: $5.42/claim|Median: $2.77
2.0× median

Other Top Providers in North Carolina

View all →

Laboratory Corporation of America Holdings

Clinical Medical Laboratory

$1.44B

Aeroflow INC

Durable Medical Equipment & Medical Supplies

$571.7M

Abound Health, LLC

In Home Supportive Care

$324.3M

Laboratory Corporation of America Holdings

Clinical Medical Laboratory

$281.4M

Laboratory Corporation of America Holdings

Clinical Medical Laboratory

$264.3M

Similar Providers

Other top providers in General Acute Care Hospital

Yale New Haven Hospital

New Haven, CT

$1.08B

Montefiore Medical Center

Bronx, NY

$961.1M

The Cleveland Clinic Foundation

Cleveland, OH

$863.5M

Nationwide Children's Hospital

Columbus, OH

$777.5M

Boston Medical Center Corporation

Boston, MA

$768.5M

← All providersAll providers in North Carolina →How we detect fraud →