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SSM-SLUH INC

General Acute Care Hospital·SAINT LOUIS, MO·NPI: 1942685920Share

Compared to General Acute Care Hospital Peers

Total spending distribution among 156 providers in this specialty

P25MedianP75P90

This provider's total spending of $20.6M is at the below 25th percentile among 156 General Acute Care Hospital providers.

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

Total Paid

$20.6M

$20,648,503

Total Claims

257K

Beneficiaries

210K

1.2 claims/patient

Avg Cost/Claim

$80

Monthly Spending Trend

Yearly Spending

2018
$4.5M
-24%
2019
$3.4M
-19%
2020
$2.8M
-24%
2021
$2.1M
+9%
2022
$2.3M
+21%
2023
$2.8M
-7%
2024
$2.6M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 50 distinct procedure codes. The top code (X4011 (Healthcare procedure, code X4011)) accounts for 35% of total spending.

X4011Top 25%

Healthcare procedure, code X4011

$7.2M

18K claims · 35.0%

Your Cost: $401.75/claim|Median: $268.66
1.5× median
99284Top 10%

Emergency dept visit, high complexity

$3.0M

16K claims · 14.7%

Your Cost: $195.03/claim|Median: $69.51
2.8× median
G0463Top 25%

Hospital outpatient clinic visit

$1.3M

20K claims · 6.3%

Your Cost: $65.37/claim|Median: $26.41
2.5× median
85025Top 10%

Complete blood count (CBC) with differential, automated

$1.2M

49K claims · 5.7%

Your Cost: $23.89/claim|Median: $4.71
5.1× median
99285Top 10%

Emergency dept visit, high/urgent complexity

$1.1M

3,779 claims · 5.3%

Your Cost: $292.29/claim|Median: $85.65
3.4× median
80053Top 10%

Comprehensive metabolic panel

$946K

42K claims · 4.6%

Your Cost: $22.43/claim|Median: $7.24
3.1× median
99283Top 10%

Emergency dept visit, moderate complexity

$743K

4,840 claims · 3.6%

Your Cost: $153.48/claim|Median: $42.48
3.6× median
X4014Normal range

$725K

1,485 claims · 3.5%

Your Cost: $488.30/claim|Median: $424.85
1.1× median
93005Top 25%

Electrocardiogram, tracing only, without interpretation

$548K

11K claims · 2.7%

Your Cost: $49.11/claim|Median: $7.50
6.5× median
96374Top 10%

Therapeutic/prophylactic/diagnostic IV push, single substance

$364K

3,411 claims · 1.8%

Your Cost: $106.74/claim|Median: $21.76
4.9× median
X4006Normal range

$342K

1,055 claims · 1.7%

Your Cost: $323.70/claim|Median: $668.05
0.5× median
80307Normal range

Drug test, presumptive, by chemistry analyzers

$266K

5,902 claims · 1.3%

Your Cost: $45.10/claim|Median: $35.43
1.3× median
66984Top 25%

Extracapsular cataract removal with IOL insertion

$240K

418 claims · 1.2%

Your Cost: $573.78/claim|Median: $268.70
2.1× median
X4003Normal range

$212K

3,442 claims · 1.0%

Your Cost: $61.72/claim|Median: $74.03
0.8× median
71046Top 5%

Chest X-ray, 2 views

$190K

3,795 claims · 0.9%

Your Cost: $50.04/claim|Median: $8.92
5.6× median
81001Top 5%

Urinalysis, automated, with microscopy

$180K

4,444 claims · 0.9%

Your Cost: $40.45/claim|Median: $2.03
19.9× median
97110Top 25%

Therapeutic exercises, each 15 min

$160K

2,797 claims · 0.8%

Your Cost: $57.38/claim|Median: $24.49
2.3× median
20610Top 25%

Arthrocentesis, aspiration/injection, major joint

$149K

3,371 claims · 0.7%

Your Cost: $44.25/claim|Median: $29.03
1.5× median
G0378Top 25%

Hospital observation service, per hour

$148K

390 claims · 0.7%

Your Cost: $380.24/claim|Median: $99.39
3.8× median
84484Top 10%

Troponin, quantitative

$145K

7,178 claims · 0.7%

Your Cost: $20.17/claim|Median: $4.84
4.2× median
Y7506Normal range

Healthcare procedure, code Y7506

$144K

694 claims · 0.7%

Your Cost: $207.37/claim|Median: $146.80
1.4× median
99281Normal range

Emergency dept visit, minimal complexity

$127K

2,514 claims · 0.6%

Your Cost: $50.67/claim|Median: $52.03
1.0× median
70450Normal range

CT head/brain without contrast

$114K

1,873 claims · 0.6%

Your Cost: $60.97/claim|Median: $45.53
1.3× median
81025Top 1%

Urine pregnancy test

$91K

844 claims · 0.4%

Your Cost: $108.37/claim|Median: $4.81
22.5× median
99282Normal range

Emergency dept visit, low complexity

$87K

974 claims · 0.4%

Your Cost: $89.44/claim|Median: $37.72
2.4× median
96413Normal range

Chemotherapy administration, IV infusion, up to 1 hour

$86K

1,420 claims · 0.4%

Your Cost: $60.80/claim|Median: $75.28
0.8× median
J3490Normal range

Unclassified drugs

$67K

3,587 claims · 0.3%

Your Cost: $18.79/claim|Median: $5.70
3.3× median
71045Top 10%

Chest X-ray, single view

$63K

1,557 claims · 0.3%

Your Cost: $40.57/claim|Median: $4.93
8.2× median
80048Top 5%

Basic metabolic panel

$56K

1,276 claims · 0.3%

Your Cost: $43.94/claim|Median: $5.78
7.6× median
85610Top 5%

Prothrombin time (PT) blood clotting test

$30K

1,996 claims · 0.1%

Your Cost: $14.98/claim|Median: $2.14
7.0× median
83690Top 5%

$28K

1,218 claims · 0.1%

Your Cost: $22.99/claim|Median: $3.35
6.9× median
0240UNormal range

$27K

308 claims · 0.1%

Your Cost: $87.54/claim|Median: $89.76
1.0× median
73610Top 25%

X-ray of ankle, complete, minimum three views

$27K

708 claims · 0.1%

Your Cost: $37.90/claim|Median: $13.55
2.8× median
87502Normal range

Influenza virus detection, reverse transcription, amplified probe

$26K

425 claims · 0.1%

Your Cost: $62.02/claim|Median: $65.64
0.9× median
C9803Normal range

$25K

1,359 claims · 0.1%

Your Cost: $18.08/claim|Median: $13.20
1.4× median
84702Normal range

$25K

2,130 claims · 0.1%

Your Cost: $11.51/claim|Median: $8.25
1.4× median
74177Normal range

CT abdomen and pelvis with contrast

$24K

181 claims · 0.1%

Your Cost: $130.75/claim|Median: $65.76
2.0× median
73630Top 10%

X-ray, foot, complete, minimum 3 views

$22K

583 claims · 0.1%

Your Cost: $37.49/claim|Median: $12.06
3.1× median
G0480Top 10%

Drug test, definitive, 1-7 drug classes

$21K

217 claims · 0.1%

Your Cost: $94.95/claim|Median: $37.56
2.5× median
96375Normal range

Therapeutic/prophylactic/diagnostic IV push, each additional substance

$20K

768 claims · 0.1%

Your Cost: $25.70/claim|Median: $14.92
1.7× median
96372Top 5%

Therapeutic injection, subcutaneous/intramuscular

$20K

417 claims · 0.1%

Your Cost: $47.14/claim|Median: $9.56
4.9× median
80050Top 1%

General health panel

$18K

44 claims · 0.1%

Your Cost: $409.36/claim|Median: $25.59
16.0× median
96361Normal range

IV infusion, hydration, each additional hour

$15K

302 claims · 0.1%

Your Cost: $50.52/claim|Median: $38.92
1.3× median
87635Normal range

COVID-19 SARS-CoV-2 amplified probe detection

$12K

466 claims · 0.1%

Your Cost: $26.69/claim|Median: $39.70
0.7× median
U0003Normal range

Infectious disease detection (COVID-19)

$11K

159 claims · 0.1%

Your Cost: $72.01/claim|Median: $63.08
1.1× median
73564Top 25%

$11K

381 claims · 0.1%

Your Cost: $29.65/claim|Median: $15.00
2.0× median
84443Normal range

Thyroid stimulating hormone (TSH)

$11K

1,790 claims · 0.1%

Your Cost: $6.21/claim|Median: $9.87
0.6× median
92134Top 25%

$11K

396 claims · 0.1%

Your Cost: $27.57/claim|Median: $15.46
1.8× median
73560Top 5%

$11K

163 claims · 0.1%

Your Cost: $65.96/claim|Median: $10.28
6.4× median
97162Top 10%

PT evaluation, moderate complexity

$10K

83 claims · 0.0%

Your Cost: $119.63/claim|Median: $46.10
2.6× median

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$1.08B

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$961.1M

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$777.5M

Boston Medical Center Corporation

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$768.5M

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