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COLUMBIA ST. MARY'S HOSPITAL MILWAUKEE, INC.

General Acute Care Hospital·MILWAUKEE, WI·NPI: 1871656082Share

Compared to General Acute Care Hospital Peers

Total spending distribution among 156 providers in this specialty

P25MedianP75P90

This provider's total spending of $64.5M is at the below 25th percentile among 156 General Acute Care Hospital providers.

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

Total Paid

$64.5M

$64,534,329

Total Claims

3.0M

Beneficiaries

2.3M

1.3 claims/patient

Avg Cost/Claim

$21

Monthly Spending Trend

Yearly Spending

2018
$10.4M
-11%
2019
$9.3M
-12%
2020
$8.2M
+6%
2021
$8.6M
+5%
2022
$9.0M
+18%
2023
$10.7M
-23%
2024
$8.3M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 50 distinct procedure codes. The top code (99283 (Emergency dept visit, moderate complexity)) accounts for 7% of total spending.

99283Normal range

Emergency dept visit, moderate complexity

$4.8M

78K claims · 7.5%

Your Cost: $61.57/claim|Median: $42.48
1.4× median
96361Top 25%

IV infusion, hydration, each additional hour

$4.4M

36K claims · 6.8%

Your Cost: $122.81/claim|Median: $38.92
3.2× median
99284Normal range

Emergency dept visit, high complexity

$3.6M

68K claims · 5.6%

Your Cost: $53.22/claim|Median: $69.51
0.8× median
99213Normal range

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

$2.3M

50K claims · 3.6%

Your Cost: $46.08/claim|Median: $37.81
1.2× median
99285Normal range

Emergency dept visit, high/urgent complexity

$2.2M

44K claims · 3.4%

Your Cost: $50.82/claim|Median: $85.65
0.6× median
99212Top 25%

Office/outpatient visit, low complexity

$2.0M

44K claims · 3.2%

Your Cost: $46.62/claim|Median: $25.06
1.9× median
80053Top 25%

Comprehensive metabolic panel

$2.0M

104K claims · 3.1%

Your Cost: $19.02/claim|Median: $7.24
2.6× median
U0003Top 25%

Infectious disease detection (COVID-19)

$1.9M

24K claims · 2.9%

Your Cost: $79.91/claim|Median: $63.08
1.3× median
87491Top 25%

Chlamydia detection, nucleic acid, amplified probe

$1.3M

39K claims · 2.0%

Your Cost: $33.33/claim|Median: $24.95
1.3× median
80048Top 10%

Basic metabolic panel

$1.1M

58K claims · 1.7%

Your Cost: $19.42/claim|Median: $5.78
3.4× median
99282Normal range

Emergency dept visit, low complexity

$1.1M

17K claims · 1.7%

Your Cost: $65.80/claim|Median: $37.72
1.7× median
87591Normal range

Neisseria gonorrhoeae detection, nucleic acid, amplified probe

$1.1M

39K claims · 1.7%

Your Cost: $28.84/claim|Median: $23.39
1.2× median
85025Top 25%

Complete blood count (CBC) with differential, automated

$1.1M

134K claims · 1.7%

Your Cost: $8.11/claim|Median: $4.71
1.7× median
96360Normal range

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

$1.0M

14K claims · 1.6%

Your Cost: $73.72/claim|Median: $61.57
1.2× median
70450Normal range

CT head/brain without contrast

$977K

15K claims · 1.5%

Your Cost: $67.00/claim|Median: $45.53
1.5× median
99211Top 10%

Office/outpatient visit, minimal complexity

$957K

19K claims · 1.5%

Your Cost: $51.63/claim|Median: $12.93
4.0× median
96365Normal range

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

$941K

13K claims · 1.5%

Your Cost: $73.04/claim|Median: $54.77
1.3× median
99214Normal range

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

$890K

33K claims · 1.4%

Your Cost: $27.08/claim|Median: $53.41
0.5× median
80307Normal range

Drug test, presumptive, by chemistry analyzers

$885K

20K claims · 1.4%

Your Cost: $44.12/claim|Median: $35.43
1.2× median
87661Normal range

Trichomonas vaginalis detection, nucleic acid, amplified probe

$837K

31K claims · 1.3%

Your Cost: $26.66/claim|Median: $21.08
1.3× median
74177Normal range

CT abdomen and pelvis with contrast

$776K

12K claims · 1.2%

Your Cost: $66.15/claim|Median: $65.76
1.0× median
76816Normal range

Ultrasound, pregnant uterus, follow-up

$714K

11K claims · 1.1%

Your Cost: $63.49/claim|Median: $58.55
1.1× median
87635Normal range

COVID-19 SARS-CoV-2 amplified probe detection

$664K

15K claims · 1.0%

Your Cost: $43.25/claim|Median: $39.70
1.1× median
87502Normal range

Influenza virus detection, reverse transcription, amplified probe

$640K

8,083 claims · 1.0%

Your Cost: $79.14/claim|Median: $65.64
1.2× median
97110Normal range

Therapeutic exercises, each 15 min

$638K

31K claims · 1.0%

Your Cost: $20.39/claim|Median: $24.49
0.8× median
59025Top 25%

Fetal non-stress test

$588K

7,644 claims · 0.9%

Your Cost: $76.92/claim|Median: $26.45
2.9× median
43239Normal range

Upper GI endoscopy with biopsy

$531K

3,225 claims · 0.8%

Your Cost: $164.61/claim|Median: $151.68
1.1× median
76805Normal range

Ultrasound, pregnant uterus, complete, single fetus

$518K

5,299 claims · 0.8%

Your Cost: $97.74/claim|Median: $74.78
1.3× median
93306Normal range

Echocardiography, transthoracic, complete, with Doppler

$517K

5,419 claims · 0.8%

Your Cost: $95.35/claim|Median: $54.68
1.7× median
96366Normal range

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

$462K

4,051 claims · 0.7%

Your Cost: $114.00/claim|Median: $40.12
2.8× median
J9271Normal range

Injection, pembrolizumab, 1 mg

$453K

359 claims · 0.7%

Your Cost: $1,261.55/claim|Median: $5,391.55
0.2× median
76811Normal range

Ultrasound, pregnant uterus, detailed, single fetus

$449K

6,358 claims · 0.7%

Your Cost: $70.59/claim|Median: $106.79
0.7× median
94640Top 25%

Pressurized or nonpressurized inhalation treatment

$444K

13K claims · 0.7%

Your Cost: $35.50/claim|Median: $10.88
3.3× median
87081Top 10%

Culture screening for pathogenic organisms

$430K

17K claims · 0.7%

Your Cost: $25.04/claim|Median: $5.09
4.9× median
90853Normal range

Group psychotherapy

$413K

12K claims · 0.6%

Your Cost: $34.18/claim|Median: $25.02
1.4× median
G0480Normal range

Drug test, definitive, 1-7 drug classes

$401K

11K claims · 0.6%

Your Cost: $37.86/claim|Median: $37.56
1.0× median
80061Normal range

Lipid panel

$387K

32K claims · 0.6%

Your Cost: $12.09/claim|Median: $8.41
1.4× median
G0463Normal range

Hospital outpatient clinic visit

$382K

54K claims · 0.6%

Your Cost: $7.11/claim|Median: $26.41
0.3× median
45385Normal range

Colonoscopy with polyp removal, snare technique

$382K

2,366 claims · 0.6%

Your Cost: $161.45/claim|Median: $255.17
0.6× median
96367Top 25%

$378K

5,966 claims · 0.6%

Your Cost: $63.44/claim|Median: $29.27
2.2× median
87086Top 10%

Urine culture, colony count, with identification

$356K

28K claims · 0.6%

Your Cost: $12.80/claim|Median: $5.31
2.4× median
81025Top 10%

Urine pregnancy test

$341K

39K claims · 0.5%

Your Cost: $8.84/claim|Median: $4.81
1.8× median
82962Top 5%

Blood glucose test by monitoring device

$336K

29K claims · 0.5%

Your Cost: $11.75/claim|Median: $1.40
8.4× median
84443Normal range

Thyroid stimulating hormone (TSH)

$324K

31K claims · 0.5%

Your Cost: $10.51/claim|Median: $9.87
1.1× median
76801Normal range

Ultrasound, pregnant uterus, single fetus, first trimester

$318K

7,989 claims · 0.5%

Your Cost: $39.85/claim|Median: $58.16
0.7× median
99281Normal range

Emergency dept visit, minimal complexity

$311K

4,890 claims · 0.5%

Your Cost: $63.69/claim|Median: $52.03
1.2× median
71275Normal range

CT angiography, chest, with contrast

$295K

3,994 claims · 0.5%

Your Cost: $73.84/claim|Median: $92.96
0.8× median
45380Normal range

Colonoscopy with biopsy

$290K

1,801 claims · 0.4%

Your Cost: $160.93/claim|Median: $200.68
0.8× median
96413Normal range

Chemotherapy administration, IV infusion, up to 1 hour

$285K

7,778 claims · 0.4%

Your Cost: $36.63/claim|Median: $75.28
0.5× median
84484Top 25%

Troponin, quantitative

$283K

32K claims · 0.4%

Your Cost: $8.90/claim|Median: $4.84
1.8× median

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$234.1M

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$182.0M

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$1.08B

Montefiore Medical Center

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$961.1M

The Cleveland Clinic Foundation

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$863.5M

Nationwide Children's Hospital

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$777.5M

Boston Medical Center Corporation

Boston, MA

$768.5M

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