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ADENA HEALTH SYSTEM

General Acute Care Hospital·CHILLICOTHE, OH·NPI: 1902839673Share

Compared to General Acute Care Hospital Peers

Total spending distribution among 156 providers in this specialty

P25MedianP75P90

This provider's total spending of $98.1M is at the below 25th percentile among 156 General Acute Care Hospital providers.

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

Total Paid

$98.1M

$98,117,533

Total Claims

2.5M

Beneficiaries

1.9M

1.3 claims/patient

Avg Cost/Claim

$39

Monthly Spending Trend

Yearly Spending

2018
$7.8M
-2%
2019
$7.7M
+28%
2020
$9.8M
+8%
2021
$10.6M
-4%
2022
$10.2M
+183%
2023
$28.8M
-19%
2024
$23.3M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 50 distinct procedure codes. The top code (G0463 (Hospital outpatient clinic visit)) accounts for 15% of total spending.

G0463Top 25%

Hospital outpatient clinic visit

$14.4M

215K claims · 14.7%

Your Cost: $67.16/claim|Median: $26.41
2.5× median
99212Top 10%

Office/outpatient visit, low complexity

$12.9M

141K claims · 13.2%

Your Cost: $91.92/claim|Median: $25.06
3.7× median
99214Top 10%

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

$9.1M

86K claims · 9.3%

Your Cost: $105.78/claim|Median: $53.41
2.0× median
99213Top 5%

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

$5.8M

55K claims · 5.9%

Your Cost: $104.52/claim|Median: $37.81
2.8× median
99283Top 25%

Emergency dept visit, moderate complexity

$4.7M

44K claims · 4.8%

Your Cost: $108.49/claim|Median: $42.48
2.6× median
99284Top 25%

Emergency dept visit, high complexity

$3.7M

32K claims · 3.8%

Your Cost: $117.19/claim|Median: $69.51
1.7× median
99285Normal range

Emergency dept visit, high/urgent complexity

$2.1M

20K claims · 2.2%

Your Cost: $104.21/claim|Median: $85.65
1.2× median
97110Top 25%

Therapeutic exercises, each 15 min

$2.1M

32K claims · 2.1%

Your Cost: $64.34/claim|Median: $24.49
2.6× median
99391Top 25%

Preventive medicine, established patient, infant (under 1)

$1.7M

17K claims · 1.7%

Your Cost: $96.67/claim|Median: $69.35
1.4× median
99392Top 25%

Preventive medicine, established patient, age 1-4

$1.4M

13K claims · 1.4%

Your Cost: $105.19/claim|Median: $75.18
1.4× median
G0378Normal range

Hospital observation service, per hour

$1.3M

23K claims · 1.3%

Your Cost: $56.01/claim|Median: $99.39
0.6× median
74177Top 25%

CT abdomen and pelvis with contrast

$1.2M

5,236 claims · 1.2%

Your Cost: $227.13/claim|Median: $65.76
3.5× median
70450Top 10%

CT head/brain without contrast

$1.2M

5,532 claims · 1.2%

Your Cost: $211.26/claim|Median: $45.53
4.6× median
0241UNormal range

Proprietary lab analysis, genomic sequencing

$976K

9,956 claims · 1.0%

Your Cost: $98.00/claim|Median: $91.47
1.1× median
20610Top 10%

Arthrocentesis, aspiration/injection, major joint

$899K

7,187 claims · 0.9%

Your Cost: $125.07/claim|Median: $29.03
4.3× median
U0003Top 1%

Infectious disease detection (COVID-19)

$845K

4,330 claims · 0.9%

Your Cost: $195.04/claim|Median: $63.08
3.1× median
95886Top 10%

$809K

4,681 claims · 0.8%

Your Cost: $172.85/claim|Median: $67.70
2.6× median
96366Top 10%

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

$809K

3,483 claims · 0.8%

Your Cost: $232.13/claim|Median: $40.12
5.8× median
99282Top 25%

Emergency dept visit, low complexity

$790K

7,762 claims · 0.8%

Your Cost: $101.75/claim|Median: $37.72
2.7× median
97530Top 25%

Therapeutic activities, each 15 min

$783K

11K claims · 0.8%

Your Cost: $69.36/claim|Median: $33.11
2.1× median
96365Top 25%

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

$765K

5,785 claims · 0.8%

Your Cost: $132.27/claim|Median: $54.77
2.4× median
96361Top 10%

IV infusion, hydration, each additional hour

$707K

2,299 claims · 0.7%

Your Cost: $307.48/claim|Median: $38.92
7.9× median
71275Top 25%

CT angiography, chest, with contrast

$689K

2,867 claims · 0.7%

Your Cost: $240.19/claim|Median: $92.96
2.6× median
92507Normal range

Speech/hearing/language treatment

$683K

10K claims · 0.7%

Your Cost: $66.19/claim|Median: $49.45
1.3× median
74176Top 25%

CT abdomen and pelvis without contrast

$678K

3,124 claims · 0.7%

Your Cost: $216.89/claim|Median: $60.19
3.6× median
43239Top 25%

Upper GI endoscopy with biopsy

$616K

2,049 claims · 0.6%

Your Cost: $300.87/claim|Median: $151.68
2.0× median
80053Normal range

Comprehensive metabolic panel

$555K

59K claims · 0.6%

Your Cost: $9.42/claim|Median: $7.24
1.3× median
90834Top 10%

Psychotherapy, 45 minutes

$504K

4,478 claims · 0.5%

Your Cost: $112.47/claim|Median: $63.65
1.8× median
99393Top 25%

Preventive medicine, established patient, age 5-11

$484K

5,232 claims · 0.5%

Your Cost: $92.47/claim|Median: $74.82
1.2× median
45385Top 25%

Colonoscopy with polyp removal, snare technique

$478K

1,077 claims · 0.5%

Your Cost: $444.07/claim|Median: $255.17
1.7× median
80048Normal range

Basic metabolic panel

$453K

56K claims · 0.5%

Your Cost: $8.13/claim|Median: $5.78
1.4× median
0202UNormal range

Proprietary lab analysis, human genomic sequencing

$451K

3,194 claims · 0.5%

Your Cost: $141.15/claim|Median: $144.30
1.0× median
J9271Normal range

Injection, pembrolizumab, 1 mg

$446K

120 claims · 0.5%

Your Cost: $3,713.93/claim|Median: $5,391.55
0.7× median
93306Top 25%

Echocardiography, transthoracic, complete, with Doppler

$434K

2,158 claims · 0.4%

Your Cost: $201.32/claim|Median: $54.68
3.7× median
96413Normal range

Chemotherapy administration, IV infusion, up to 1 hour

$382K

4,690 claims · 0.4%

Your Cost: $81.47/claim|Median: $75.28
1.1× median
78452Top 25%

Myocardial perfusion imaging, SPECT, multiple studies

$379K

1,064 claims · 0.4%

Your Cost: $356.61/claim|Median: $106.14
3.4× median
59025Top 10%

Fetal non-stress test

$374K

2,254 claims · 0.4%

Your Cost: $166.04/claim|Median: $26.45
6.3× median
87081Top 10%

Culture screening for pathogenic organisms

$365K

18K claims · 0.4%

Your Cost: $19.88/claim|Median: $5.09
3.9× median
85025Normal range

Complete blood count (CBC) with differential, automated

$360K

125K claims · 0.4%

Your Cost: $2.89/claim|Median: $4.71
0.6× median
29848Top 25%

$344K

324 claims · 0.4%

Your Cost: $1,060.50/claim|Median: $371.94
2.9× median
J3490Normal range

Unclassified drugs

$319K

31K claims · 0.3%

Your Cost: $10.38/claim|Median: $5.70
1.8× median
71046Top 10%

Chest X-ray, 2 views

$312K

8,240 claims · 0.3%

Your Cost: $37.83/claim|Median: $8.92
4.2× median
69436Top 10%

Tympanostomy, general anesthesia

$307K

224 claims · 0.3%

Your Cost: $1,368.80/claim|Median: $205.50
6.7× median
99281Top 25%

Emergency dept visit, minimal complexity

$305K

2,765 claims · 0.3%

Your Cost: $110.14/claim|Median: $52.03
2.1× median
99395Top 25%

Preventive medicine, established patient, age 18-39

$296K

2,795 claims · 0.3%

Your Cost: $106.02/claim|Median: $72.71
1.5× median
C1713Normal range

Anchor or screw for tissue to bone fixation

$290K

1,369 claims · 0.3%

Your Cost: $211.81/claim|Median: $123.40
1.7× median
90837Top 10%

Psychotherapy, 60 minutes

$287K

2,149 claims · 0.3%

Your Cost: $133.61/claim|Median: $85.66
1.6× median
20611Top 5%

Aspiration or injection of intermediate joint or bursa

$285K

1,404 claims · 0.3%

Your Cost: $203.19/claim|Median: $42.51
4.8× median
73721Normal range

MRI joint of lower extremity without contrast

$285K

1,468 claims · 0.3%

Your Cost: $194.27/claim|Median: $127.34
1.5× median
84443Normal range

Thyroid stimulating hormone (TSH)

$280K

24K claims · 0.3%

Your Cost: $11.77/claim|Median: $9.87
1.2× median

Other Top Providers in Ohio

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The Cleveland Clinic Foundation

General Acute Care Hospital

$863.5M

Nationwide Children's Hospital

General Acute Care Hospital

$777.5M

Laboratory Corporation of America Holdings

Clinical Medical Laboratory

$617.0M

The Metrohealth System

General Acute Care Hospital

$574.1M

Children's Hospital Medical Center of Akron

General Acute Care Hospital Children

$556.6M

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

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