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

⚖️ Compare🖨️ Print Report

THE PRESBYTERIAN HOSPITAL

General Acute Care Hospital·CHARLOTTE, NC·NPI: 1881647204Share

Compared to General Acute Care Hospital Peers

Total spending distribution among 156 providers in this specialty

P25MedianP75P90

This provider's total spending of $33.5M is at the below 25th percentile among 156 General Acute Care Hospital providers.

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

Total Paid

$33.5M

$33,506,383

Total Claims

641K

Beneficiaries

475K

1.4 claims/patient

Avg Cost/Claim

$52

Monthly Spending Trend

Yearly Spending

2018
$4.5M
-5%
2019
$4.2M
-42%
2020
$2.5M
+102%
2021
$4.9M
+18%
2022
$5.8M
-3%
2023
$5.7M
+4%
2024
$5.9M

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 40% of total spending.

99283Top 5%

Emergency dept visit, moderate complexity

$13.4M

69K claims · 40.1%

Your Cost: $193.65/claim|Median: $42.48
4.6× median
99284Top 10%

Emergency dept visit, high complexity

$8.8M

39K claims · 26.2%

Your Cost: $226.02/claim|Median: $69.51
3.3× median
99282Normal range

Emergency dept visit, low complexity

$1.7M

23K claims · 5.0%

Your Cost: $74.17/claim|Median: $37.72
2.0× median
99285Top 10%

Emergency dept visit, high/urgent complexity

$1.1M

4,837 claims · 3.4%

Your Cost: $237.47/claim|Median: $85.65
2.8× median
0241UTop 5%

Proprietary lab analysis, genomic sequencing

$1.0M

5,643 claims · 3.1%

Your Cost: $184.76/claim|Median: $91.47
2.0× median
J3490Normal range

Unclassified drugs

$598K

189K claims · 1.8%

Your Cost: $3.16/claim|Median: $5.70
0.6× median
G0463Normal range

Hospital outpatient clinic visit

$597K

29K claims · 1.8%

Your Cost: $20.37/claim|Median: $26.41
0.8× median
93005Top 25%

Electrocardiogram, tracing only, without interpretation

$581K

12K claims · 1.7%

Your Cost: $48.12/claim|Median: $7.50
6.4× median
88305Top 5%

Surgical pathology, gross and microscopic examination

$499K

3,757 claims · 1.5%

Your Cost: $132.78/claim|Median: $35.80
3.7× median
43239Normal range

Upper GI endoscopy with biopsy

$479K

2,451 claims · 1.4%

Your Cost: $195.37/claim|Median: $151.68
1.3× median
80053Top 25%

Comprehensive metabolic panel

$458K

43K claims · 1.4%

Your Cost: $10.64/claim|Median: $7.24
1.5× median
85025Top 25%

Complete blood count (CBC) with differential, automated

$452K

57K claims · 1.3%

Your Cost: $7.94/claim|Median: $4.71
1.7× median
0202UNormal range

Proprietary lab analysis, human genomic sequencing

$427K

2,217 claims · 1.3%

Your Cost: $192.55/claim|Median: $144.30
1.3× median
C9803Top 25%

$254K

7,803 claims · 0.8%

Your Cost: $32.58/claim|Median: $13.20
2.5× median
71046Top 5%

Chest X-ray, 2 views

$230K

4,394 claims · 0.7%

Your Cost: $52.23/claim|Median: $8.92
5.9× median
96374Normal range

Therapeutic/prophylactic/diagnostic IV push, single substance

$159K

4,905 claims · 0.5%

Your Cost: $32.31/claim|Median: $21.76
1.5× median
J2704Top 10%

$140K

6,492 claims · 0.4%

Your Cost: $21.56/claim|Median: $0.76
28.4× median
80307Top 10%

Drug test, presumptive, by chemistry analyzers

$138K

2,041 claims · 0.4%

Your Cost: $67.69/claim|Median: $35.43
1.9× median
70450Top 10%

CT head/brain without contrast

$124K

603 claims · 0.4%

Your Cost: $205.66/claim|Median: $45.53
4.5× median
J2323Normal range

Injection, natalizumab, one milligram

$117K

52 claims · 0.3%

Your Cost: $2,243.53/claim|Median: $2,797.07
0.8× median
Q0138Top 25%

$116K

235 claims · 0.3%

Your Cost: $491.51/claim|Median: $214.34
2.3× median
71045Top 10%

Chest X-ray, single view

$94K

2,163 claims · 0.3%

Your Cost: $43.41/claim|Median: $4.93
8.8× median
U0003Normal range

Infectious disease detection (COVID-19)

$93K

1,226 claims · 0.3%

Your Cost: $75.93/claim|Median: $63.08
1.2× median
J1100Top 5%

$89K

6,335 claims · 0.3%

Your Cost: $14.01/claim|Median: $0.52
26.9× median
96365Normal range

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

$83K

1,125 claims · 0.2%

Your Cost: $73.90/claim|Median: $54.77
1.3× median
87430Top 25%

$83K

5,339 claims · 0.2%

Your Cost: $15.56/claim|Median: $9.41
1.7× median
96375Top 25%

Therapeutic/prophylactic/diagnostic IV push, each additional substance

$79K

1,614 claims · 0.2%

Your Cost: $48.93/claim|Median: $14.92
3.3× median
82728Top 25%

Ferritin

$70K

3,926 claims · 0.2%

Your Cost: $17.83/claim|Median: $6.00
3.0× median
94640Top 25%

Pressurized or nonpressurized inhalation treatment

$70K

1,782 claims · 0.2%

Your Cost: $39.12/claim|Median: $10.88
3.6× median
96361Normal range

IV infusion, hydration, each additional hour

$63K

1,331 claims · 0.2%

Your Cost: $47.50/claim|Median: $38.92
1.2× median
54300Normal range

$63K

199 claims · 0.2%

Your Cost: $314.65/claim|Median: $588.34
0.5× median
87070Top 25%

Bacterial culture, any source except blood or urine

$62K

5,133 claims · 0.2%

Your Cost: $12.06/claim|Median: $5.89
2.0× median
J1439Normal range

$55K

127 claims · 0.2%

Your Cost: $434.58/claim|Median: $477.34
0.9× median
J3010Top 5%

$55K

3,012 claims · 0.2%

Your Cost: $18.25/claim|Median: $0.55
33.2× median
J2405Top 10%

Injection, ondansetron HCl, per one milligram

$51K

5,355 claims · 0.2%

Your Cost: $9.57/claim|Median: $0.58
16.5× median
J7120Normal range

Ringer's lactate infusion, up to 1000 cc

$44K

8,945 claims · 0.1%

Your Cost: $4.90/claim|Median: $1.51
3.2× median
87086Top 25%

Urine culture, colony count, with identification

$43K

3,947 claims · 0.1%

Your Cost: $10.83/claim|Median: $5.31
2.0× median
81001Top 25%

Urinalysis, automated, with microscopy

$42K

11K claims · 0.1%

Your Cost: $3.69/claim|Median: $2.03
1.8× median
74018Top 5%

$40K

721 claims · 0.1%

Your Cost: $56.11/claim|Median: $7.00
8.0× median
J1885Top 5%

Injection, ketorolac tromethamine, fifteen milligrams

$39K

2,633 claims · 0.1%

Your Cost: $14.69/claim|Median: $0.91
16.1× median
G0378Normal range

Hospital observation service, per hour

$36K

345 claims · 0.1%

Your Cost: $104.85/claim|Median: $99.39
1.1× median
95810Top 10%

Polysomnography, sleep study, 6+ hours

$36K

47 claims · 0.1%

Your Cost: $762.16/claim|Median: $233.73
3.3× median
80299Top 25%

$33K

1,644 claims · 0.1%

Your Cost: $19.83/claim|Median: $9.91
2.0× median
U0005Top 5%

Infectious disease detection, COVID-19, antigen

$32K

1,176 claims · 0.1%

Your Cost: $27.52/claim|Median: $15.76
1.7× median
81025Top 10%

Urine pregnancy test

$31K

3,769 claims · 0.1%

Your Cost: $8.16/claim|Median: $4.81
1.7× median
D2930Normal range

Prefabricated stainless steel crown, primary tooth

$30K

345 claims · 0.1%

Your Cost: $86.36/claim|Median: $120.85
0.7× median
83550Top 25%

$28K

2,491 claims · 0.1%

Your Cost: $11.19/claim|Median: $3.49
3.2× median
96413Normal range

Chemotherapy administration, IV infusion, up to 1 hour

$28K

553 claims · 0.1%

Your Cost: $50.01/claim|Median: $75.28
0.7× median
87502Normal range

Influenza virus detection, reverse transcription, amplified probe

$27K

427 claims · 0.1%

Your Cost: $63.05/claim|Median: $65.64
1.0× median
C1713Top 5%

Anchor or screw for tissue to bone fixation

$26K

14 claims · 0.1%

Your Cost: $1,876.24/claim|Median: $123.40
15.2× 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 →