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

EPHRAIM MCDOWELL REGIONAL MEDICAL CENTER INCORPORATED

General Acute Care Hospital·DANVILLE, KY·NPI: 1821135963Share

Compared to General Acute Care Hospital Peers

Total spending distribution among 156 providers in this specialty

P25MedianP75P90

This provider's total spending of $60.0M is at the below 25th percentile among 156 General Acute Care Hospital providers.

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

Total Paid

$60.0M

$59,954,001

Total Claims

1.0M

Beneficiaries

735K

1.4 claims/patient

Avg Cost/Claim

$58

Monthly Spending Trend

Yearly Spending

2018
$8.2M
-2%
2019
$8.0M
-15%
2020
$6.8M
+23%
2021
$8.4M
+7%
2022
$9.0M
+17%
2023
$10.5M
-13%
2024
$9.1M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 50 distinct procedure codes. The top code (74177 (CT abdomen and pelvis with contrast)) accounts for 10% of total spending.

74177Top 5%

CT abdomen and pelvis with contrast

$6.3M

7,785 claims · 10.5%

Your Cost: $805.15/claim|Median: $65.76
12.2× median
99285Top 25%

Emergency dept visit, high/urgent complexity

$3.7M

21K claims · 6.1%

Your Cost: $176.80/claim|Median: $85.65
2.1× median
99284Top 25%

Emergency dept visit, high complexity

$3.1M

22K claims · 5.2%

Your Cost: $142.45/claim|Median: $69.51
2.0× median
99283Top 25%

Emergency dept visit, moderate complexity

$2.7M

26K claims · 4.4%

Your Cost: $101.72/claim|Median: $42.48
2.4× median
93306Top 5%

Echocardiography, transthoracic, complete, with Doppler

$2.3M

4,612 claims · 3.9%

Your Cost: $508.28/claim|Median: $54.68
9.3× median
97110Top 10%

Therapeutic exercises, each 15 min

$1.9M

23K claims · 3.1%

Your Cost: $82.07/claim|Median: $24.49
3.4× median
97530Top 10%

Therapeutic activities, each 15 min

$1.8M

19K claims · 3.0%

Your Cost: $91.89/claim|Median: $33.11
2.8× median
70450Top 5%

CT head/brain without contrast

$1.5M

5,914 claims · 2.6%

Your Cost: $260.95/claim|Median: $45.53
5.7× median
87633Top 25%

Respiratory virus detection, 12-25 targets, nucleic acid

$1.5M

4,180 claims · 2.5%

Your Cost: $355.41/claim|Median: $169.17
2.1× median
74176Top 5%

CT abdomen and pelvis without contrast

$1.5M

2,609 claims · 2.5%

Your Cost: $568.41/claim|Median: $60.19
9.4× median
92507Top 10%

Speech/hearing/language treatment

$1.4M

16K claims · 2.3%

Your Cost: $87.88/claim|Median: $49.45
1.8× median
78452Top 25%

Myocardial perfusion imaging, SPECT, multiple studies

$1.3M

3,221 claims · 2.1%

Your Cost: $399.18/claim|Median: $106.14
3.8× median
96365Normal range

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

$1.1M

12K claims · 1.8%

Your Cost: $88.81/claim|Median: $54.77
1.6× median
96375Top 10%

Therapeutic/prophylactic/diagnostic IV push, each additional substance

$1.1M

15K claims · 1.8%

Your Cost: $71.10/claim|Median: $14.92
4.8× median
G0378Normal range

Hospital observation service, per hour

$938K

9,006 claims · 1.6%

Your Cost: $104.14/claim|Median: $99.39
1.0× median
71275Top 5%

CT angiography, chest, with contrast

$928K

2,337 claims · 1.5%

Your Cost: $397.05/claim|Median: $92.96
4.3× median
96374Normal range

Therapeutic/prophylactic/diagnostic IV push, single substance

$787K

17K claims · 1.3%

Your Cost: $47.22/claim|Median: $21.76
2.2× median
43239Normal range

Upper GI endoscopy with biopsy

$768K

2,925 claims · 1.3%

Your Cost: $262.67/claim|Median: $151.68
1.7× median
71045Top 10%

Chest X-ray, single view

$676K

18K claims · 1.1%

Your Cost: $38.56/claim|Median: $4.93
7.8× median
47563Normal range

$672K

442 claims · 1.1%

Your Cost: $1,519.26/claim|Median: $701.74
2.2× median
94640Top 1%

Pressurized or nonpressurized inhalation treatment

$652K

3,218 claims · 1.1%

Your Cost: $202.56/claim|Median: $10.88
18.6× median
96413Top 25%

Chemotherapy administration, IV infusion, up to 1 hour

$644K

4,492 claims · 1.1%

Your Cost: $143.31/claim|Median: $75.28
1.9× median
93005Top 25%

Electrocardiogram, tracing only, without interpretation

$632K

16K claims · 1.1%

Your Cost: $39.46/claim|Median: $7.50
5.3× median
80053Normal range

Comprehensive metabolic panel

$628K

72K claims · 1.0%

Your Cost: $8.67/claim|Median: $7.24
1.2× median
72148Top 10%

MRI lumbar spine without contrast

$591K

1,622 claims · 1.0%

Your Cost: $364.51/claim|Median: $101.03
3.6× median
71260Top 5%

CT chest with contrast

$583K

1,394 claims · 1.0%

Your Cost: $418.04/claim|Median: $48.36
8.6× median
99211Top 10%

Office/outpatient visit, minimal complexity

$579K

11K claims · 1.0%

Your Cost: $52.99/claim|Median: $12.93
4.1× median
76705Top 5%

Ultrasound, abdominal, limited

$570K

3,242 claims · 1.0%

Your Cost: $175.96/claim|Median: $23.81
7.4× median
80307Top 25%

Drug test, presumptive, by chemistry analyzers

$563K

11K claims · 0.9%

Your Cost: $49.54/claim|Median: $35.43
1.4× median
88305Normal range

Surgical pathology, gross and microscopic examination

$553K

11K claims · 0.9%

Your Cost: $51.65/claim|Median: $35.80
1.4× median
69436Top 10%

Tympanostomy, general anesthesia

$538K

454 claims · 0.9%

Your Cost: $1,185.90/claim|Median: $205.50
5.8× median
93017Top 10%

$512K

2,190 claims · 0.9%

Your Cost: $233.57/claim|Median: $56.03
4.2× median
96361Normal range

IV infusion, hydration, each additional hour

$450K

15K claims · 0.8%

Your Cost: $29.90/claim|Median: $38.92
0.8× median
72125Top 5%

CT cervical spine without contrast

$443K

1,728 claims · 0.7%

Your Cost: $256.11/claim|Median: $32.30
7.9× median
77067Top 25%

Screening mammography, bilateral, including CAD

$427K

4,244 claims · 0.7%

Your Cost: $100.55/claim|Median: $39.33
2.6× median
87631Top 25%

Respiratory virus detection, 3-5 targets, multiplex

$427K

3,916 claims · 0.7%

Your Cost: $108.92/claim|Median: $65.45
1.7× median
85025Top 25%

Complete blood count (CBC) with differential, automated

$405K

57K claims · 0.7%

Your Cost: $7.06/claim|Median: $4.71
1.5× median
G0480Top 25%

Drug test, definitive, 1-7 drug classes

$400K

5,639 claims · 0.7%

Your Cost: $70.99/claim|Median: $37.56
1.9× median
42820Normal range

Tonsillectomy and adenoidectomy, under age 12

$393K

323 claims · 0.7%

Your Cost: $1,216.78/claim|Median: $331.68
3.7× median
71250Top 5%

CT scan of chest without contrast

$389K

1,361 claims · 0.6%

Your Cost: $285.63/claim|Median: $39.11
7.3× median
87798Normal range

Infectious agent detection, nucleic acid, not otherwise specified

$378K

14K claims · 0.6%

Your Cost: $27.54/claim|Median: $26.72
1.0× median
36415Top 25%

Collection of venous blood by venipuncture

$345K

91K claims · 0.6%

Your Cost: $3.79/claim|Median: $1.57
2.4× median
70553Top 10%

MRI brain without contrast, then with contrast

$331K

586 claims · 0.6%

Your Cost: $564.64/claim|Median: $133.68
4.2× median
95810Top 5%

Polysomnography, sleep study, 6+ hours

$318K

370 claims · 0.5%

Your Cost: $859.14/claim|Median: $233.73
3.7× median
0241UNormal range

Proprietary lab analysis, genomic sequencing

$317K

4,367 claims · 0.5%

Your Cost: $72.59/claim|Median: $91.47
0.8× median
97140Top 5%

Manual therapy techniques, per 15 minutes

$314K

4,317 claims · 0.5%

Your Cost: $72.64/claim|Median: $16.79
4.3× median
96360Normal range

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

$303K

3,529 claims · 0.5%

Your Cost: $85.88/claim|Median: $61.57
1.4× median
45378Normal range

Colonoscopy, diagnostic

$298K

895 claims · 0.5%

Your Cost: $333.09/claim|Median: $225.49
1.5× median
92526Top 25%

Treatment of swallowing dysfunction and/or oral function

$293K

3,191 claims · 0.5%

Your Cost: $91.67/claim|Median: $49.74
1.8× median
96366Normal range

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

$290K

5,325 claims · 0.5%

Your Cost: $54.53/claim|Median: $40.12
1.4× median