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ST ELIZABETH MEDICAL CENTER

General Acute Care Hospital·UTICA, NY·NPI: 1821093402Share

Compared to General Acute Care Hospital Peers

Total spending distribution among 156 providers in this specialty

P25MedianP75P90

This provider's total spending of $27.5M is at the below 25th percentile among 156 General Acute Care Hospital providers.

Active Billing Period:2018-01→2023-10(70 months)
Billing appears to have stoppedLast active: 2023-10

Total Paid

$27.5M

$27,513,617

Total Claims

960K

Beneficiaries

877K

1.1 claims/patient

Avg Cost/Claim

$29

Monthly Spending Trend

Yearly Spending

2018
$1.6M
+50%
2019
$2.4M
+123%
2020
$5.3M
+16%
2021
$6.1M
+3%
2022
$6.3M
-7%
2023
$5.9M

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 10% of total spending.

99285Top 25%

Emergency dept visit, high/urgent complexity

$2.6M

14K claims · 9.5%

Your Cost: $188.83/claim|Median: $85.65
2.2× median
99283Top 10%

Emergency dept visit, moderate complexity

$2.0M

13K claims · 7.2%

Your Cost: $146.69/claim|Median: $42.48
3.5× median
99284Top 25%

Emergency dept visit, high complexity

$2.0M

12K claims · 7.1%

Your Cost: $157.65/claim|Median: $69.51
2.3× median
99213Normal range

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

$1.6M

53K claims · 6.0%

Your Cost: $30.96/claim|Median: $37.81
0.8× median
G0463Top 25%

Hospital outpatient clinic visit

$1.2M

17K claims · 4.3%

Your Cost: $71.63/claim|Median: $26.41
2.7× median
74177Top 10%

CT abdomen and pelvis with contrast

$981K

2,930 claims · 3.6%

Your Cost: $334.67/claim|Median: $65.76
5.1× median
96361Top 25%

IV infusion, hydration, each additional hour

$923K

5,648 claims · 3.4%

Your Cost: $163.34/claim|Median: $38.92
4.2× median
80053Top 25%

Comprehensive metabolic panel

$813K

56K claims · 3.0%

Your Cost: $14.51/claim|Median: $7.24
2.0× median
70450Top 5%

CT head/brain without contrast

$810K

2,799 claims · 2.9%

Your Cost: $289.25/claim|Median: $45.53
6.4× median
97597Top 5%

$656K

4,905 claims · 2.4%

Your Cost: $133.65/claim|Median: $21.22
6.3× median
G0378Top 5%

Hospital observation service, per hour

$626K

503 claims · 2.3%

Your Cost: $1,244.58/claim|Median: $99.39
12.5× median
36415Top 10%

Collection of venous blood by venipuncture

$491K

82K claims · 1.8%

Your Cost: $5.97/claim|Median: $1.57
3.8× median
99214Normal range

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

$476K

10K claims · 1.7%

Your Cost: $47.52/claim|Median: $53.41
0.9× median
99282Top 25%

Emergency dept visit, low complexity

$432K

3,278 claims · 1.6%

Your Cost: $131.91/claim|Median: $37.72
3.5× median
87635Normal range

COVID-19 SARS-CoV-2 amplified probe detection

$427K

9,441 claims · 1.6%

Your Cost: $45.24/claim|Median: $39.70
1.1× median
74176Top 10%

CT abdomen and pelvis without contrast

$426K

1,230 claims · 1.5%

Your Cost: $346.48/claim|Median: $60.19
5.8× median
90791Top 25%

Psychiatric diagnostic evaluation

$366K

2,521 claims · 1.3%

Your Cost: $145.34/claim|Median: $99.21
1.5× median
99281Top 25%

Emergency dept visit, minimal complexity

$349K

3,104 claims · 1.3%

Your Cost: $112.29/claim|Median: $52.03
2.2× median
82306Top 25%

Vitamin D, 25 hydroxy

$338K

11K claims · 1.2%

Your Cost: $29.94/claim|Median: $18.18
1.6× median
96365Top 25%

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

$302K

2,231 claims · 1.1%

Your Cost: $135.30/claim|Median: $54.77
2.5× median
71275Top 10%

CT angiography, chest, with contrast

$290K

857 claims · 1.1%

Your Cost: $338.88/claim|Median: $92.96
3.6× median
99392Normal range

Preventive medicine, established patient, age 1-4

$282K

7,944 claims · 1.0%

Your Cost: $35.53/claim|Median: $75.18
0.5× median
99391Normal range

Preventive medicine, established patient, infant (under 1)

$257K

6,870 claims · 0.9%

Your Cost: $37.37/claim|Median: $69.35
0.5× median
94060Top 5%

$254K

1,396 claims · 0.9%

Your Cost: $182.00/claim|Median: $25.18
7.2× median
87502Normal range

Influenza virus detection, reverse transcription, amplified probe

$252K

4,632 claims · 0.9%

Your Cost: $54.40/claim|Median: $65.64
0.8× median
99393Normal range

Preventive medicine, established patient, age 5-11

$240K

8,072 claims · 0.9%

Your Cost: $29.71/claim|Median: $74.82
0.4× median
84443Normal range

Thyroid stimulating hormone (TSH)

$222K

22K claims · 0.8%

Your Cost: $9.97/claim|Median: $9.87
1.0× median
76856Top 5%

Ultrasound, pelvic, complete

$206K

968 claims · 0.7%

Your Cost: $212.33/claim|Median: $47.58
4.5× median
90471Normal range

Immunization administration, 1 vaccine, percutaneous/ID/SC/IM

$200K

32K claims · 0.7%

Your Cost: $6.19/claim|Median: $9.80
0.6× median
96360Top 25%

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

$194K

1,497 claims · 0.7%

Your Cost: $129.49/claim|Median: $61.57
2.1× median
87491Normal range

Chlamydia detection, nucleic acid, amplified probe

$193K

7,981 claims · 0.7%

Your Cost: $24.19/claim|Median: $24.95
1.0× median
99232Top 10%

Subsequent hospital care, per day, moderate complexity

$182K

3,554 claims · 0.7%

Your Cost: $51.31/claim|Median: $23.99
2.1× median
87591Normal range

Neisseria gonorrhoeae detection, nucleic acid, amplified probe

$176K

7,953 claims · 0.6%

Your Cost: $22.11/claim|Median: $23.39
0.9× median
90834Top 25%

Psychotherapy, 45 minutes

$171K

1,722 claims · 0.6%

Your Cost: $99.32/claim|Median: $63.65
1.6× median
93458Top 5%

Left heart catheterization with imaging

$170K

90 claims · 0.6%

Your Cost: $1,891.72/claim|Median: $183.33
10.3× median
85025Normal range

Complete blood count (CBC) with differential, automated

$167K

55K claims · 0.6%

Your Cost: $3.03/claim|Median: $4.71
0.6× median
80061Normal range

Lipid panel

$163K

21K claims · 0.6%

Your Cost: $7.63/claim|Median: $8.41
0.9× median
80307Normal range

Drug test, presumptive, by chemistry analyzers

$161K

5,795 claims · 0.6%

Your Cost: $27.86/claim|Median: $35.43
0.8× median
83036Top 25%

Hemoglobin A1c (glycated hemoglobin)

$153K

16K claims · 0.6%

Your Cost: $9.31/claim|Median: $5.50
1.7× median
83880Top 10%

$130K

3,827 claims · 0.5%

Your Cost: $33.85/claim|Median: $11.81
2.9× median
93005Normal range

Electrocardiogram, tracing only, without interpretation

$125K

13K claims · 0.5%

Your Cost: $9.70/claim|Median: $7.50
1.3× median
90832Top 10%

Psychotherapy, 30 minutes

$124K

1,425 claims · 0.5%

Your Cost: $87.25/claim|Median: $41.28
2.1× median
99394Normal range

Preventive medicine, established patient, age 12-17

$117K

4,443 claims · 0.4%

Your Cost: $26.37/claim|Median: $80.15
0.3× median
T1013Normal range

Sign language or oral interpretive services, per 15 minutes

$117K

6,609 claims · 0.4%

Your Cost: $17.63/claim|Median: $17.67
1.0× median
80048Top 25%

Basic metabolic panel

$115K

9,308 claims · 0.4%

Your Cost: $12.35/claim|Median: $5.78
2.1× median
76705Top 25%

Ultrasound, abdominal, limited

$113K

1,600 claims · 0.4%

Your Cost: $70.69/claim|Median: $23.81
3.0× median
76830Normal range

Ultrasound, transvaginal

$113K

1,848 claims · 0.4%

Your Cost: $60.96/claim|Median: $57.47
1.1× median
90792Normal range

Psychiatric diagnostic evaluation with medical services

$106K

1,066 claims · 0.4%

Your Cost: $99.74/claim|Median: $108.91
0.9× median
99231Top 25%

Subsequent hospital care, per day, low complexity

$101K

4,130 claims · 0.4%

Your Cost: $24.47/claim|Median: $16.77
1.5× median
90472Normal range

Immunization administration, each additional vaccine

$96K

11K claims · 0.3%

Your Cost: $8.75/claim|Median: $11.79
0.7× median

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$1.08B

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$961.1M

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$863.5M

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$777.5M

Boston Medical Center Corporation

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$768.5M

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