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MCHS HOSPITALS INC

General Acute Care Hospital, Rural·MARSHFIELD, WI·NPI: 1942749387Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$45.3M

$45,305,701

Total Claims

1.6M

Beneficiaries

1.3M

1.3 claims/patient

Avg Cost/Claim

$28

Monthly Spending Trend

Yearly Spending

2018
$4.9M
+48%
2019
$7.3M
-22%
2020
$5.7M
+1%
2021
$5.8M
+9%
2022
$6.3M
+26%
2023
$7.9M
-8%
2024
$7.3M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 50 distinct procedure codes. The top code (99214 (Office/outpatient visit, est. patient, mod-high complexity)) accounts for 13% of total spending.

99214Normal range

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

$6.0M

85K claims · 13.2%

Your Cost: $70.03/claim|Median: $53.41
1.3× median
99213Top 25%

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

$4.5M

69K claims · 9.9%

Your Cost: $64.62/claim|Median: $37.81
1.7× median
99215Normal range

Office/outpatient visit, high complexity

$1.9M

23K claims · 4.2%

Your Cost: $83.18/claim|Median: $74.09
1.1× median
96361Normal range

IV infusion, hydration, each additional hour

$1.5M

14K claims · 3.4%

Your Cost: $107.66/claim|Median: $38.92
2.8× median
T2023Normal range

Community transition, waiver; per service

$1.4M

3,839 claims · 3.1%

Your Cost: $367.58/claim|Median: $300.13
1.2× median
99283Normal range

Emergency dept visit, moderate complexity

$991K

17K claims · 2.2%

Your Cost: $59.91/claim|Median: $42.48
1.4× median
99244Normal range

Office or other outpatient consultation, moderate complexity

$789K

11K claims · 1.7%

Your Cost: $73.22/claim|Median: $121.58
0.6× median
99212Top 25%

Office/outpatient visit, low complexity

$667K

13K claims · 1.5%

Your Cost: $50.99/claim|Median: $25.06
2.0× median
99284Normal range

Emergency dept visit, high complexity

$646K

14K claims · 1.4%

Your Cost: $46.27/claim|Median: $69.51
0.7× median
80053Top 25%

Comprehensive metabolic panel

$643K

37K claims · 1.4%

Your Cost: $17.52/claim|Median: $7.24
2.4× median
43239Normal range

Upper GI endoscopy with biopsy

$600K

2,700 claims · 1.3%

Your Cost: $222.37/claim|Median: $151.68
1.5× median
90834Normal range

Psychotherapy, 45 minutes

$532K

9,910 claims · 1.2%

Your Cost: $53.72/claim|Median: $63.65
0.8× median
99391Normal range

Preventive medicine, established patient, infant (under 1)

$527K

7,800 claims · 1.2%

Your Cost: $67.53/claim|Median: $69.35
1.0× median
99243Normal range

Office or other outpatient consultation, low complexity

$525K

7,194 claims · 1.2%

Your Cost: $72.98/claim|Median: $82.43
0.9× median
99203Normal range

Office/outpatient visit, new patient, low-mod complexity

$492K

8,450 claims · 1.1%

Your Cost: $58.19/claim|Median: $57.85
1.0× median
99392Normal range

Preventive medicine, established patient, age 1-4

$489K

7,142 claims · 1.1%

Your Cost: $68.52/claim|Median: $75.18
0.9× median
99393Normal range

Preventive medicine, established patient, age 5-11

$436K

6,794 claims · 1.0%

Your Cost: $64.12/claim|Median: $74.82
0.9× median
87637Normal range

Respiratory virus detection, 3-5 targets, nucleic acid

$414K

3,469 claims · 0.9%

Your Cost: $119.34/claim|Median: $100.62
1.2× median
96365Normal range

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

$405K

6,202 claims · 0.9%

Your Cost: $65.33/claim|Median: $54.77
1.2× median
85025Top 25%

Complete blood count (CBC) with differential, automated

$390K

48K claims · 0.9%

Your Cost: $8.05/claim|Median: $4.71
1.7× median
99245Normal range

Office consultation, high complexity

$387K

4,893 claims · 0.9%

Your Cost: $79.10/claim|Median: $143.30
0.6× median
U0003Normal range

Infectious disease detection (COVID-19)

$380K

5,253 claims · 0.8%

Your Cost: $72.30/claim|Median: $63.08
1.1× median
96139Normal range

$379K

3,284 claims · 0.8%

Your Cost: $115.32/claim|Median: $97.14
1.2× median
99285Normal range

Emergency dept visit, high/urgent complexity

$378K

9,408 claims · 0.8%

Your Cost: $40.23/claim|Median: $85.65
0.5× median
82306Top 10%

Vitamin D, 25 hydroxy

$375K

7,621 claims · 0.8%

Your Cost: $49.18/claim|Median: $18.18
2.7× median
84443Top 5%

Thyroid stimulating hormone (TSH)

$363K

13K claims · 0.8%

Your Cost: $27.18/claim|Median: $9.87
2.8× median
87491Top 10%

Chlamydia detection, nucleic acid, amplified probe

$355K

6,646 claims · 0.8%

Your Cost: $53.42/claim|Median: $24.95
2.1× median
G0463Normal range

Hospital outpatient clinic visit

$347K

61K claims · 0.8%

Your Cost: $5.67/claim|Median: $26.41
0.2× median
80048Top 25%

Basic metabolic panel

$336K

24K claims · 0.7%

Your Cost: $14.06/claim|Median: $5.78
2.4× median
80307Top 25%

Drug test, presumptive, by chemistry analyzers

$332K

5,646 claims · 0.7%

Your Cost: $58.73/claim|Median: $35.43
1.7× median
96138Top 5%

$326K

3,442 claims · 0.7%

Your Cost: $94.85/claim|Median: $19.87
4.8× median
99394Normal range

Preventive medicine, established patient, age 12-17

$317K

4,927 claims · 0.7%

Your Cost: $64.40/claim|Median: $80.15
0.8× median
96133Normal range

$304K

2,530 claims · 0.7%

Your Cost: $120.33/claim|Median: $185.94
0.6× median
90847Top 25%

Family psychotherapy with patient, 50 min

$296K

2,649 claims · 0.7%

Your Cost: $111.93/claim|Median: $77.33
1.4× median
93306Normal range

Echocardiography, transthoracic, complete, with Doppler

$290K

3,416 claims · 0.6%

Your Cost: $84.91/claim|Median: $54.68
1.6× median
45380Normal range

Colonoscopy with biopsy

$290K

1,470 claims · 0.6%

Your Cost: $197.18/claim|Median: $200.68
1.0× median
96366Normal range

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

$287K

3,744 claims · 0.6%

Your Cost: $76.72/claim|Median: $40.12
1.9× median
74177Normal range

CT abdomen and pelvis with contrast

$286K

4,768 claims · 0.6%

Your Cost: $60.04/claim|Median: $65.76
0.9× median
99282Normal range

Emergency dept visit, low complexity

$280K

4,342 claims · 0.6%

Your Cost: $64.41/claim|Median: $37.72
1.7× median
99204Normal range

Office/outpatient visit, new patient, mod-high complexity

$277K

5,121 claims · 0.6%

Your Cost: $54.04/claim|Median: $84.03
0.6× median
96360Normal range

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

$276K

3,649 claims · 0.6%

Your Cost: $75.58/claim|Median: $61.57
1.2× median
80061Top 10%

Lipid panel

$271K

14K claims · 0.6%

Your Cost: $19.29/claim|Median: $8.41
2.3× median
59025Top 25%

Fetal non-stress test

$266K

3,383 claims · 0.6%

Your Cost: $78.52/claim|Median: $26.45
3.0× median
99396Normal range

Preventive medicine, established patient, age 40-64

$261K

4,651 claims · 0.6%

Your Cost: $56.19/claim|Median: $76.06
0.7× median
99395Normal range

Preventive medicine, established patient, age 18-39

$257K

4,133 claims · 0.6%

Your Cost: $62.29/claim|Median: $72.71
0.9× median
92014Normal range

Ophthalmological exam, comprehensive, established patient

$248K

4,959 claims · 0.5%

Your Cost: $49.91/claim|Median: $47.08
1.1× median
96132Normal range

$247K

2,592 claims · 0.5%

Your Cost: $95.31/claim|Median: $70.53
1.4× median
96413Normal range

Chemotherapy administration, IV infusion, up to 1 hour

$230K

4,228 claims · 0.5%

Your Cost: $54.43/claim|Median: $75.28
0.7× median
99205Normal range

Office/outpatient visit, new patient, high complexity

$216K

3,231 claims · 0.5%

Your Cost: $66.70/claim|Median: $111.09
0.6× median
70450Normal range

CT head/brain without contrast

$212K

3,780 claims · 0.5%

Your Cost: $56.10/claim|Median: $45.53
1.2× median

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