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SSM HEALTH CARE ST. LOUIS

General Acute Care Hospital·SAINT LOUIS, MO·NPI: 1962572396Share

Compared to General Acute Care Hospital Peers

Total spending distribution among 156 providers in this specialty

P25MedianP75P90

This provider's total spending of $50.1M is at the below 25th percentile among 156 General Acute Care Hospital providers.

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

Total Paid

$50.1M

$50,070,454

Total Claims

529K

Beneficiaries

449K

1.2 claims/patient

Avg Cost/Claim

$95

Monthly Spending Trend

Yearly Spending

2018
$15.3M
-25%
2019
$11.4M
-56%
2020
$5.0M
-54%
2021
$2.3M
+96%
2022
$4.5M
+43%
2023
$6.5M
-21%
2024
$5.1M

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 15% of total spending.

X4011Normal range

Healthcare procedure, code X4011

$7.6M

29K claims · 15.2%

Your Cost: $257.38/claim|Median: $268.66
1.0× median
G0463Top 25%

Hospital outpatient clinic visit

$5.5M

66K claims · 11.0%

Your Cost: $83.10/claim|Median: $26.41
3.1× median
X4003Top 25%

$3.5M

25K claims · 7.1%

Your Cost: $140.22/claim|Median: $74.03
1.9× median
85025Top 5%

Complete blood count (CBC) with differential, automated

$3.2M

70K claims · 6.4%

Your Cost: $45.68/claim|Median: $4.71
9.7× median
99284Top 10%

Emergency dept visit, high complexity

$2.8M

16K claims · 5.6%

Your Cost: $178.62/claim|Median: $69.51
2.6× median
99283Top 25%

Emergency dept visit, moderate complexity

$2.7M

20K claims · 5.3%

Your Cost: $134.93/claim|Median: $42.48
3.2× median
80053Top 5%

Comprehensive metabolic panel

$2.1M

50K claims · 4.3%

Your Cost: $42.79/claim|Median: $7.24
5.9× median
76816Top 5%

Ultrasound, pregnant uterus, follow-up

$1.6M

10K claims · 3.3%

Your Cost: $157.33/claim|Median: $58.55
2.7× median
80307Top 1%

Drug test, presumptive, by chemistry analyzers

$1.6M

8,679 claims · 3.2%

Your Cost: $187.14/claim|Median: $35.43
5.3× median
59025Top 1%

Fetal non-stress test

$1.6M

4,384 claims · 3.2%

Your Cost: $362.52/claim|Median: $26.45
13.7× median
99285Top 10%

Emergency dept visit, high/urgent complexity

$1.4M

5,282 claims · 2.9%

Your Cost: $273.64/claim|Median: $85.65
3.2× median
87086Top 1%

Urine culture, colony count, with identification

$978K

4,837 claims · 2.0%

Your Cost: $202.23/claim|Median: $5.31
38.1× median
99213Top 5%

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

$955K

8,796 claims · 1.9%

Your Cost: $108.61/claim|Median: $37.81
2.9× median
76815Top 1%

Ultrasound, pregnant uterus, limited

$950K

4,371 claims · 1.9%

Your Cost: $217.29/claim|Median: $36.79
5.9× median
81001Top 1%

Urinalysis, automated, with microscopy

$905K

10K claims · 1.8%

Your Cost: $89.32/claim|Median: $2.03
44.0× median
96374Top 10%

Therapeutic/prophylactic/diagnostic IV push, single substance

$841K

8,249 claims · 1.7%

Your Cost: $101.96/claim|Median: $21.76
4.7× median
X4006Normal range

$822K

1,984 claims · 1.6%

Your Cost: $414.36/claim|Median: $668.05
0.6× median
93005Top 25%

Electrocardiogram, tracing only, without interpretation

$705K

15K claims · 1.4%

Your Cost: $46.73/claim|Median: $7.50
6.2× median
87808Top 1%

$671K

4,235 claims · 1.3%

Your Cost: $158.51/claim|Median: $9.35
17.0× median
87591Top 1%

Neisseria gonorrhoeae detection, nucleic acid, amplified probe

$617K

3,750 claims · 1.2%

Your Cost: $164.64/claim|Median: $23.39
7.0× median
87389Top 1%

HIV-1 antigen with HIV-1 and HIV-2 antibodies

$614K

4,168 claims · 1.2%

Your Cost: $147.28/claim|Median: $18.03
8.2× median
87491Top 1%

Chlamydia detection, nucleic acid, amplified probe

$611K

3,754 claims · 1.2%

Your Cost: $162.83/claim|Median: $24.95
6.5× median
G0480Top 1%

Drug test, definitive, 1-7 drug classes

$528K

1,314 claims · 1.1%

Your Cost: $401.70/claim|Median: $37.56
10.7× median
G0378Top 25%

Hospital observation service, per hour

$412K

953 claims · 0.8%

Your Cost: $432.84/claim|Median: $99.39
4.4× median
99212Top 5%

Office/outpatient visit, low complexity

$365K

3,721 claims · 0.7%

Your Cost: $98.11/claim|Median: $25.06
3.9× median
76817Top 5%

Ultrasound, pregnant uterus, transvaginal

$348K

2,172 claims · 0.7%

Your Cost: $160.38/claim|Median: $47.65
3.4× median
45380Top 25%

Colonoscopy with biopsy

$337K

836 claims · 0.7%

Your Cost: $403.62/claim|Median: $200.68
2.0× median
71046Top 5%

Chest X-ray, 2 views

$337K

5,261 claims · 0.7%

Your Cost: $64.00/claim|Median: $8.92
7.2× median
99214Top 1%

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

$320K

1,590 claims · 0.6%

Your Cost: $201.51/claim|Median: $53.41
3.8× median
84702Top 5%

$306K

7,349 claims · 0.6%

Your Cost: $41.64/claim|Median: $8.25
5.0× median
76818Top 25%

$299K

2,943 claims · 0.6%

Your Cost: $101.76/claim|Median: $68.15
1.5× median
0241UNormal range

Proprietary lab analysis, genomic sequencing

$298K

3,454 claims · 0.6%

Your Cost: $86.37/claim|Median: $91.47
0.9× median
84484Top 10%

Troponin, quantitative

$274K

12K claims · 0.5%

Your Cost: $22.00/claim|Median: $4.84
4.5× median
90853Normal range

Group psychotherapy

$245K

18K claims · 0.5%

Your Cost: $13.60/claim|Median: $25.02
0.5× median
36415Top 1%

Collection of venous blood by venipuncture

$241K

3,409 claims · 0.5%

Your Cost: $70.55/claim|Median: $1.57
44.9× median
99282Normal range

Emergency dept visit, low complexity

$236K

3,114 claims · 0.5%

Your Cost: $75.71/claim|Median: $37.72
2.0× median
86780Top 1%

$205K

2,860 claims · 0.4%

Your Cost: $71.65/claim|Median: $9.83
7.3× median
81025Top 1%

Urine pregnancy test

$182K

3,199 claims · 0.4%

Your Cost: $56.99/claim|Median: $4.81
11.8× median
74177Top 25%

CT abdomen and pelvis with contrast

$152K

804 claims · 0.3%

Your Cost: $189.17/claim|Median: $65.76
2.9× median
88305Normal range

Surgical pathology, gross and microscopic examination

$148K

2,814 claims · 0.3%

Your Cost: $52.58/claim|Median: $35.80
1.5× median
86900Top 1%

$137K

848 claims · 0.3%

Your Cost: $161.50/claim|Median: $2.55
63.3× median
43239Top 25%

Upper GI endoscopy with biopsy

$125K

438 claims · 0.2%

Your Cost: $284.31/claim|Median: $151.68
1.9× median
86901Top 1%

$118K

843 claims · 0.2%

Your Cost: $139.97/claim|Median: $2.26
61.9× median
71045Top 10%

Chest X-ray, single view

$117K

3,325 claims · 0.2%

Your Cost: $35.29/claim|Median: $4.93
7.2× median
86850Top 1%

$114K

853 claims · 0.2%

Your Cost: $133.32/claim|Median: $5.44
24.5× median
96413Normal range

Chemotherapy administration, IV infusion, up to 1 hour

$107K

1,276 claims · 0.2%

Your Cost: $84.16/claim|Median: $75.28
1.1× median
76811Top 25%

Ultrasound, pregnant uterus, detailed, single fetus

$101K

619 claims · 0.2%

Your Cost: $163.64/claim|Median: $106.79
1.5× median
96372Top 5%

Therapeutic injection, subcutaneous/intramuscular

$101K

2,287 claims · 0.2%

Your Cost: $44.06/claim|Median: $9.56
4.6× median
87651Normal range

Streptococcus Group A detection, nucleic acid, amplified probe

$95K

3,316 claims · 0.2%

Your Cost: $28.57/claim|Median: $28.46
1.0× median
96375Top 25%

Therapeutic/prophylactic/diagnostic IV push, each additional substance

$87K

2,617 claims · 0.2%

Your Cost: $33.13/claim|Median: $14.92
2.2× median

Other Top Providers in Missouri

View all →

Compass Health Inc.

Community/Behavioral Health

$1.28B

Medical Transportation Management Inc.

Transportation Broker

$894.4M

Burrell Inc.

Community/Behavioral Health

$759.7M

Access2care LLC

Transportation Broker

$600.9M

State of Missouri

Psychologist, Rehabilitation

$493.6M

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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