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

MERCY HEALTH-ST RITAS MEDICAL CENTER LLC

General Acute Care Hospital·LIMA, OH·NPI: 1811939887Share

Compared to General Acute Care Hospital Peers

Total spending distribution among 156 providers in this specialty

P25MedianP75P90

This provider's total spending of $48.0M is at the below 25th percentile among 156 General Acute Care Hospital providers.

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

Total Paid

$48.0M

$48,022,592

Total Claims

1.3M

Beneficiaries

1.0M

1.3 claims/patient

Avg Cost/Claim

$36

Monthly Spending Trend

Yearly Spending

2018
$3.3M
+1%
2019
$3.4M
+19%
2020
$4.0M
+28%
2021
$5.1M
+4%
2022
$5.3M
+225%
2023
$17.3M
-44%
2024
$9.7M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 50 distinct procedure codes. The top code (G0463 (Hospital outpatient clinic visit)) accounts for 21% of total spending.

G0463Top 10%

Hospital outpatient clinic visit

$10.2M

98K claims · 21.3%

Your Cost: $104.78/claim|Median: $26.41
4.0× median
99283Top 25%

Emergency dept visit, moderate complexity

$6.1M

56K claims · 12.8%

Your Cost: $109.28/claim|Median: $42.48
2.6× median
99284Top 25%

Emergency dept visit, high complexity

$5.2M

46K claims · 10.7%

Your Cost: $112.83/claim|Median: $69.51
1.6× median
99285Normal range

Emergency dept visit, high/urgent complexity

$3.3M

27K claims · 6.8%

Your Cost: $120.65/claim|Median: $85.65
1.4× median
99282Top 25%

Emergency dept visit, low complexity

$2.1M

19K claims · 4.5%

Your Cost: $111.41/claim|Median: $37.72
3.0× median
41899Normal range

Unlisted procedure, dentoalveolar structures

$1.8M

1,594 claims · 3.8%

Your Cost: $1,147.36/claim|Median: $763.43
1.5× median
96361Top 10%

IV infusion, hydration, each additional hour

$1.8M

5,934 claims · 3.7%

Your Cost: $301.70/claim|Median: $38.92
7.8× median
74177Top 25%

CT abdomen and pelvis with contrast

$1.3M

5,469 claims · 2.8%

Your Cost: $245.21/claim|Median: $65.76
3.7× median
70450Top 10%

CT head/brain without contrast

$1.2M

5,196 claims · 2.4%

Your Cost: $224.02/claim|Median: $45.53
4.9× median
97110Top 25%

Therapeutic exercises, each 15 min

$996K

16K claims · 2.1%

Your Cost: $60.92/claim|Median: $24.49
2.5× median
96366Top 10%

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

$792K

3,196 claims · 1.6%

Your Cost: $247.81/claim|Median: $40.12
6.2× median
96365Top 25%

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

$706K

6,065 claims · 1.5%

Your Cost: $116.33/claim|Median: $54.77
2.1× median
93306Top 25%

Echocardiography, transthoracic, complete, with Doppler

$589K

3,250 claims · 1.2%

Your Cost: $181.30/claim|Median: $54.68
3.3× median
G0378Normal range

Hospital observation service, per hour

$523K

8,460 claims · 1.1%

Your Cost: $61.82/claim|Median: $99.39
0.6× median
64635Top 25%

$511K

1,212 claims · 1.1%

Your Cost: $421.92/claim|Median: $207.78
2.0× median
92507Normal range

Speech/hearing/language treatment

$471K

7,175 claims · 1.0%

Your Cost: $65.61/claim|Median: $49.45
1.3× median
97530Normal range

Therapeutic activities, each 15 min

$442K

7,545 claims · 0.9%

Your Cost: $58.60/claim|Median: $33.11
1.8× median
95810Top 25%

Polysomnography, sleep study, 6+ hours

$429K

815 claims · 0.9%

Your Cost: $525.93/claim|Median: $233.73
2.3× median
94640Top 5%

Pressurized or nonpressurized inhalation treatment

$424K

3,824 claims · 0.9%

Your Cost: $110.83/claim|Median: $10.88
10.2× median
74176Top 10%

CT abdomen and pelvis without contrast

$411K

1,542 claims · 0.9%

Your Cost: $266.62/claim|Median: $60.19
4.4× median
78452Top 25%

Myocardial perfusion imaging, SPECT, multiple studies

$400K

1,384 claims · 0.8%

Your Cost: $289.37/claim|Median: $106.14
2.7× median
99213Top 5%

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

$371K

3,973 claims · 0.8%

Your Cost: $93.40/claim|Median: $37.81
2.5× median
80053Normal range

Comprehensive metabolic panel

$356K

52K claims · 0.7%

Your Cost: $6.83/claim|Median: $7.24
0.9× median
71275Top 25%

CT angiography, chest, with contrast

$350K

1,427 claims · 0.7%

Your Cost: $245.25/claim|Median: $92.96
2.6× median
64493Top 10%

$266K

534 claims · 0.6%

Your Cost: $498.07/claim|Median: $103.44
4.8× median
U0003Top 5%

Infectious disease detection (COVID-19)

$251K

1,488 claims · 0.5%

Your Cost: $168.47/claim|Median: $63.08
2.7× median
87636Normal range

Respiratory virus detection, 6-11 targets, nucleic acid

$219K

13K claims · 0.5%

Your Cost: $16.25/claim|Median: $97.61
0.2× median
97140Top 5%

Manual therapy techniques, per 15 minutes

$186K

4,073 claims · 0.4%

Your Cost: $45.65/claim|Median: $16.79
2.7× median
99212Top 10%

Office/outpatient visit, low complexity

$172K

2,089 claims · 0.4%

Your Cost: $82.14/claim|Median: $25.06
3.3× median
80048Normal range

Basic metabolic panel

$152K

27K claims · 0.3%

Your Cost: $5.64/claim|Median: $5.78
1.0× median
C1713Normal range

Anchor or screw for tissue to bone fixation

$151K

1,097 claims · 0.3%

Your Cost: $137.35/claim|Median: $123.40
1.1× median
70553Normal range

MRI brain without contrast, then with contrast

$150K

750 claims · 0.3%

Your Cost: $199.38/claim|Median: $133.68
1.5× median
99281Top 25%

Emergency dept visit, minimal complexity

$141K

1,184 claims · 0.3%

Your Cost: $119.44/claim|Median: $52.03
2.3× median
43239Top 25%

Upper GI endoscopy with biopsy

$132K

413 claims · 0.3%

Your Cost: $319.25/claim|Median: $151.68
2.1× median
71046Normal range

Chest X-ray, 2 views

$132K

16K claims · 0.3%

Your Cost: $8.49/claim|Median: $8.92
1.0× median
93303Top 25%

Echocardiography, transthoracic, limited

$129K

447 claims · 0.3%

Your Cost: $288.59/claim|Median: $112.83
2.6× median
76705Top 25%

Ultrasound, abdominal, limited

$127K

1,638 claims · 0.3%

Your Cost: $77.65/claim|Median: $23.81
3.3× median
80307Normal range

Drug test, presumptive, by chemistry analyzers

$127K

9,940 claims · 0.3%

Your Cost: $12.73/claim|Median: $35.43
0.4× median
95811Top 25%

Sleep study with CPAP titration, polysomnography

$126K

227 claims · 0.3%

Your Cost: $555.67/claim|Median: $255.03
2.2× median
93017Normal range

$122K

1,831 claims · 0.3%

Your Cost: $66.72/claim|Median: $56.03
1.2× median
96360Normal range

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

$116K

1,406 claims · 0.2%

Your Cost: $82.38/claim|Median: $61.57
1.3× median
70496Top 25%

$111K

544 claims · 0.2%

Your Cost: $203.52/claim|Median: $78.92
2.6× median
76770Top 10%

Ultrasound, retroperitoneal, complete

$109K

709 claims · 0.2%

Your Cost: $154.30/claim|Median: $37.35
4.1× median
96413Normal range

Chemotherapy administration, IV infusion, up to 1 hour

$104K

1,278 claims · 0.2%

Your Cost: $81.63/claim|Median: $75.28
1.1× median
76642Top 5%

$103K

855 claims · 0.2%

Your Cost: $120.10/claim|Median: $32.06
3.7× median
87651Normal range

Streptococcus Group A detection, nucleic acid, amplified probe

$101K

10K claims · 0.2%

Your Cost: $10.05/claim|Median: $28.46
0.4× median
85025Normal range

Complete blood count (CBC) with differential, automated

$92K

90K claims · 0.2%

Your Cost: $1.02/claim|Median: $4.71
0.2× median
94726Top 5%

$91K

850 claims · 0.2%

Your Cost: $107.64/claim|Median: $13.41
8.0× median
99214Top 25%

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

$87K

948 claims · 0.2%

Your Cost: $91.57/claim|Median: $53.41
1.7× median
84443Normal range

Thyroid stimulating hormone (TSH)

$86K

8,732 claims · 0.2%

Your Cost: $9.81/claim|Median: $9.87
1.0× median