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

⚖️ Compare🖨️ Print Report

SAN JACINTO METHODIST HOSPITAL

General Acute Care Hospital·BAYTOWN, TX·NPI: 1891789772Share

Compared to General Acute Care Hospital Peers

Total spending distribution among 156 providers in this specialty

P25MedianP75P90

This provider's total spending of $27.8M is at the below 25th percentile among 156 General Acute Care Hospital providers.

Active Billing Period:2020-01→2024-12(60 months)

Total Paid

$27.8M

$27,816,437

Total Claims

226K

Beneficiaries

204K

1.1 claims/patient

Avg Cost/Claim

$123

Monthly Spending Trend

Yearly Spending

2020
$1.0M
+513%
2021
$6.3M
+31%
2022
$8.2M
+11%
2023
$9.1M
-65%
2024
$3.2M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 50 distinct procedure codes. The top code (99284 (Emergency dept visit, high complexity)) accounts for 63% of total spending.

99284Top 1%

Emergency dept visit, high complexity

$17.6M

19K claims · 63.4%

Your Cost: $932.53/claim|Median: $69.51
13.4× median
99285Top 1%

Emergency dept visit, high/urgent complexity

$5.2M

6,339 claims · 18.6%

Your Cost: $816.62/claim|Median: $85.65
9.5× median
99283Top 5%

Emergency dept visit, moderate complexity

$1.9M

10K claims · 6.7%

Your Cost: $184.38/claim|Median: $42.48
4.3× median
93005Top 5%

Electrocardiogram, tracing only, without interpretation

$611K

5,662 claims · 2.2%

Your Cost: $107.89/claim|Median: $7.50
14.4× median
76805Top 1%

Ultrasound, pregnant uterus, complete, single fetus

$257K

501 claims · 0.9%

Your Cost: $512.20/claim|Median: $74.78
6.8× median
C9803Normal range

$217K

13K claims · 0.8%

Your Cost: $16.50/claim|Median: $13.20
1.2× median
U0003Normal range

Infectious disease detection (COVID-19)

$203K

3,130 claims · 0.7%

Your Cost: $64.90/claim|Median: $63.08
1.0× median
80053Top 25%

Comprehensive metabolic panel

$187K

18K claims · 0.7%

Your Cost: $10.55/claim|Median: $7.24
1.5× median
99281Top 25%

Emergency dept visit, minimal complexity

$171K

1,267 claims · 0.6%

Your Cost: $135.36/claim|Median: $52.03
2.6× median
0202UNormal range

Proprietary lab analysis, human genomic sequencing

$141K

10K claims · 0.5%

Your Cost: $13.60/claim|Median: $144.30
0.1× median
85025Normal range

Complete blood count (CBC) with differential, automated

$135K

21K claims · 0.5%

Your Cost: $6.50/claim|Median: $4.71
1.4× median
74177Normal range

CT abdomen and pelvis with contrast

$127K

823 claims · 0.5%

Your Cost: $154.85/claim|Median: $65.76
2.4× median
99282Top 25%

Emergency dept visit, low complexity

$126K

1,001 claims · 0.5%

Your Cost: $125.89/claim|Median: $37.72
3.3× median
71046Top 10%

Chest X-ray, 2 views

$114K

3,566 claims · 0.4%

Your Cost: $31.92/claim|Median: $8.92
3.6× median
84703Normal range

Human chorionic gonadotropin (hCG) quantitative blood test

$55K

8,367 claims · 0.2%

Your Cost: $6.55/claim|Median: $4.20
1.6× median
70450Normal range

CT head/brain without contrast

$54K

996 claims · 0.2%

Your Cost: $54.57/claim|Median: $45.53
1.2× median
87088Normal range

$52K

7,211 claims · 0.2%

Your Cost: $7.27/claim|Median: $5.45
1.3× median
76801Top 25%

Ultrasound, pregnant uterus, single fetus, first trimester

$51K

611 claims · 0.2%

Your Cost: $84.08/claim|Median: $58.16
1.4× median
71045Top 25%

Chest X-ray, single view

$46K

2,276 claims · 0.2%

Your Cost: $20.27/claim|Median: $4.93
4.1× median
87880Normal range

Streptococcus, Group A, rapid antigen detection

$44K

3,628 claims · 0.2%

Your Cost: $12.20/claim|Median: $11.48
1.1× median
U0005Normal range

Infectious disease detection, COVID-19, antigen

$44K

2,235 claims · 0.2%

Your Cost: $19.79/claim|Median: $15.76
1.3× median
74176Normal range

CT abdomen and pelvis without contrast

$44K

581 claims · 0.2%

Your Cost: $75.58/claim|Median: $60.19
1.3× median
81001Top 25%

Urinalysis, automated, with microscopy

$41K

13K claims · 0.1%

Your Cost: $3.24/claim|Median: $2.03
1.6× median
J7120Top 10%

Ringer's lactate infusion, up to 1000 cc

$37K

1,128 claims · 0.1%

Your Cost: $32.47/claim|Median: $1.51
21.5× median
76817Top 25%

Ultrasound, pregnant uterus, transvaginal

$32K

437 claims · 0.1%

Your Cost: $73.48/claim|Median: $47.65
1.5× median
87651Normal range

Streptococcus Group A detection, nucleic acid, amplified probe

$28K

996 claims · 0.1%

Your Cost: $28.07/claim|Median: $28.46
1.0× median
83880Normal range

$28K

1,895 claims · 0.1%

Your Cost: $14.53/claim|Median: $11.81
1.2× median
84484Normal range

Troponin, quantitative

$25K

4,155 claims · 0.1%

Your Cost: $5.95/claim|Median: $4.84
1.2× median
87070Normal range

Bacterial culture, any source except blood or urine

$19K

2,693 claims · 0.1%

Your Cost: $6.95/claim|Median: $5.89
1.2× median
96361Normal range

IV infusion, hydration, each additional hour

$15K

194 claims · 0.1%

Your Cost: $77.18/claim|Median: $38.92
2.0× median
96375Normal range

Therapeutic/prophylactic/diagnostic IV push, each additional substance

$14K

1,237 claims · 0.0%

Your Cost: $11.15/claim|Median: $14.92
0.7× median
96374Normal range

Therapeutic/prophylactic/diagnostic IV push, single substance

$13K

1,240 claims · 0.0%

Your Cost: $10.88/claim|Median: $21.76
0.5× median
83690Normal range

$13K

3,154 claims · 0.0%

Your Cost: $4.21/claim|Median: $3.35
1.3× median
80048Normal range

Basic metabolic panel

$13K

2,752 claims · 0.0%

Your Cost: $4.72/claim|Median: $5.78
0.8× median
84702Normal range

$12K

1,075 claims · 0.0%

Your Cost: $11.62/claim|Median: $8.25
1.4× median
G0378Normal range

Hospital observation service, per hour

$12K

223 claims · 0.0%

Your Cost: $51.91/claim|Median: $99.39
0.5× median
J1100Top 10%

$9K

1,206 claims · 0.0%

Your Cost: $7.54/claim|Median: $0.52
14.5× median
Q9967Normal range

Low osmolar contrast material, 300-399 mg iodine/ml, per ml

$8K

2,079 claims · 0.0%

Your Cost: $3.97/claim|Median: $3.42
1.2× median
76830Top 25%

Ultrasound, transvaginal

$8K

88 claims · 0.0%

Your Cost: $93.39/claim|Median: $57.47
1.6× median
J1885Top 10%

Injection, ketorolac tromethamine, fifteen milligrams

$8K

1,279 claims · 0.0%

Your Cost: $6.05/claim|Median: $0.91
6.6× median
96365Normal range

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

$8K

204 claims · 0.0%

Your Cost: $37.74/claim|Median: $54.77
0.7× median
76856Top 25%

Ultrasound, pelvic, complete

$7K

78 claims · 0.0%

Your Cost: $84.91/claim|Median: $47.58
1.8× median
86900Top 25%

$6K

590 claims · 0.0%

Your Cost: $10.92/claim|Median: $2.55
4.3× median
83605Normal range

$6K

1,357 claims · 0.0%

Your Cost: $4.65/claim|Median: $4.66
1.0× median
J2270Top 25%

Injection, morphine sulfate, up to ten milligrams

$6K

1,419 claims · 0.0%

Your Cost: $4.30/claim|Median: $1.00
4.3× median
80307Normal range

Drug test, presumptive, by chemistry analyzers

$6K

213 claims · 0.0%

Your Cost: $28.38/claim|Median: $35.43
0.8× median
86901Top 25%

$6K

1,290 claims · 0.0%

Your Cost: $4.59/claim|Median: $2.26
2.0× median
J2405Normal range

Injection, ondansetron HCl, per one milligram

$6K

2,255 claims · 0.0%

Your Cost: $2.48/claim|Median: $0.58
4.3× median
84443Normal range

Thyroid stimulating hormone (TSH)

$5K

661 claims · 0.0%

Your Cost: $8.11/claim|Median: $9.87
0.8× median
82805Top 25%

$5K

177 claims · 0.0%

Your Cost: $27.97/claim|Median: $17.63
1.6× median

Other Top Providers in Texas

View all →

Girling Health Care Inc.

Home Health

$858.2M

Aoc TX LLC

Home Health

$708.5M

Consumer Directed Services in Texas Inc.

Supports Brokerage

$624.8M

Caregivers Home Health TX INC

Nursing Care

$477.7M

Legacy Community Health Services, INC

Pediatrics

$406.5M

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 Texas →How we detect fraud →