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MOUNTAIN STATES HEALTH ALLIANCE

General Acute Care Hospital·JOHNSON CITY, TN·NPI: 1972606465Share

Compared to General Acute Care Hospital Peers

Total spending distribution among 156 providers in this specialty

P25MedianP75P90

This provider's total spending of $31.3M is at the below 25th percentile among 156 General Acute Care Hospital providers.

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

Total Paid

$31.3M

$31,314,117

Total Claims

547K

Beneficiaries

448K

1.2 claims/patient

Avg Cost/Claim

$57

Monthly Spending Trend

Yearly Spending

2018
$3.5M
-3%
2019
$3.4M
-36%
2020
$2.2M
+118%
2021
$4.8M
+23%
2022
$5.9M
+5%
2023
$6.2M
-13%
2024
$5.4M

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 35% of total spending.

99284Top 5%

Emergency dept visit, high complexity

$11.0M

46K claims · 35.1%

Your Cost: $237.36/claim|Median: $69.51
3.4× median
99283Top 10%

Emergency dept visit, moderate complexity

$5.4M

33K claims · 17.3%

Your Cost: $165.24/claim|Median: $42.48
3.9× median
99285Top 10%

Emergency dept visit, high/urgent complexity

$4.9M

23K claims · 15.6%

Your Cost: $213.18/claim|Median: $85.65
2.5× median
0202UNormal range

Proprietary lab analysis, human genomic sequencing

$3.3M

13K claims · 10.4%

Your Cost: $246.29/claim|Median: $144.30
1.7× median
U0003Normal range

Infectious disease detection (COVID-19)

$804K

16K claims · 2.6%

Your Cost: $49.20/claim|Median: $63.08
0.8× median
G0463Normal range

Hospital outpatient clinic visit

$767K

21K claims · 2.5%

Your Cost: $37.05/claim|Median: $26.41
1.4× median
G0378Normal range

Hospital observation service, per hour

$669K

3,498 claims · 2.1%

Your Cost: $191.17/claim|Median: $99.39
1.9× median
96361Top 25%

IV infusion, hydration, each additional hour

$487K

2,855 claims · 1.6%

Your Cost: $170.55/claim|Median: $38.92
4.4× median
0241UNormal range

Proprietary lab analysis, genomic sequencing

$484K

4,864 claims · 1.5%

Your Cost: $99.58/claim|Median: $91.47
1.1× median
99282Top 25%

Emergency dept visit, low complexity

$389K

3,121 claims · 1.2%

Your Cost: $124.64/claim|Median: $37.72
3.3× median
41899Normal range

Unlisted procedure, dentoalveolar structures

$365K

1,098 claims · 1.2%

Your Cost: $332.43/claim|Median: $763.43
0.4× median
85025Normal range

Complete blood count (CBC) with differential, automated

$259K

68K claims · 0.8%

Your Cost: $3.82/claim|Median: $4.71
0.8× median
96413Normal range

Chemotherapy administration, IV infusion, up to 1 hour

$232K

2,788 claims · 0.7%

Your Cost: $83.33/claim|Median: $75.28
1.1× median
96374Normal range

Therapeutic/prophylactic/diagnostic IV push, single substance

$164K

9,695 claims · 0.5%

Your Cost: $16.96/claim|Median: $21.76
0.8× median
43239Top 5%

Upper GI endoscopy with biopsy

$161K

241 claims · 0.5%

Your Cost: $667.76/claim|Median: $151.68
4.4× median
80053Normal range

Comprehensive metabolic panel

$133K

34K claims · 0.4%

Your Cost: $3.88/claim|Median: $7.24
0.5× median
95810Normal range

Polysomnography, sleep study, 6+ hours

$116K

309 claims · 0.4%

Your Cost: $374.69/claim|Median: $233.73
1.6× median
70450Top 25%

CT head/brain without contrast

$115K

1,007 claims · 0.4%

Your Cost: $114.45/claim|Median: $45.53
2.5× median
87631Normal range

Respiratory virus detection, 3-5 targets, multiplex

$114K

1,823 claims · 0.4%

Your Cost: $62.72/claim|Median: $65.45
1.0× median
99211Top 5%

Office/outpatient visit, minimal complexity

$106K

965 claims · 0.3%

Your Cost: $109.39/claim|Median: $12.93
8.5× median
84484Top 25%

Troponin, quantitative

$100K

12K claims · 0.3%

Your Cost: $8.59/claim|Median: $4.84
1.8× median
36415Normal range

Collection of venous blood by venipuncture

$96K

53K claims · 0.3%

Your Cost: $1.82/claim|Median: $1.57
1.2× median
87624Normal range

HPV detection, high-risk types, nucleic acid

$59K

3,292 claims · 0.2%

Your Cost: $17.80/claim|Median: $25.57
0.7× median
Q9967Top 25%

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

$54K

4,178 claims · 0.2%

Your Cost: $12.83/claim|Median: $3.42
3.8× median
97597Normal range

$50K

2,059 claims · 0.2%

Your Cost: $24.18/claim|Median: $21.22
1.1× median
74177Normal range

CT abdomen and pelvis with contrast

$49K

577 claims · 0.2%

Your Cost: $85.34/claim|Median: $65.76
1.3× median
87502Normal range

Influenza virus detection, reverse transcription, amplified probe

$48K

1,371 claims · 0.2%

Your Cost: $35.18/claim|Median: $65.64
0.5× median
93005Normal range

Electrocardiogram, tracing only, without interpretation

$48K

15K claims · 0.2%

Your Cost: $3.19/claim|Median: $7.50
0.4× median
96360Normal range

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

$45K

594 claims · 0.1%

Your Cost: $75.11/claim|Median: $61.57
1.2× median
99212Top 25%

Office/outpatient visit, low complexity

$43K

1,124 claims · 0.1%

Your Cost: $38.68/claim|Median: $25.06
1.5× median
87491Normal range

Chlamydia detection, nucleic acid, amplified probe

$43K

1,803 claims · 0.1%

Your Cost: $24.09/claim|Median: $24.95
1.0× median
80307Normal range

Drug test, presumptive, by chemistry analyzers

$43K

1,050 claims · 0.1%

Your Cost: $41.21/claim|Median: $35.43
1.2× median
76705Top 25%

Ultrasound, abdominal, limited

$33K

444 claims · 0.1%

Your Cost: $74.92/claim|Median: $23.81
3.1× median
71046Normal range

Chest X-ray, 2 views

$32K

4,639 claims · 0.1%

Your Cost: $6.94/claim|Median: $8.92
0.8× median
80047Normal range

$32K

14K claims · 0.1%

Your Cost: $2.19/claim|Median: $6.12
0.4× median
81001Normal range

Urinalysis, automated, with microscopy

$31K

12K claims · 0.1%

Your Cost: $2.55/claim|Median: $2.03
1.3× median
87651Normal range

Streptococcus Group A detection, nucleic acid, amplified probe

$30K

1,618 claims · 0.1%

Your Cost: $18.67/claim|Median: $28.46
0.7× median
80048Normal range

Basic metabolic panel

$28K

9,739 claims · 0.1%

Your Cost: $2.85/claim|Median: $5.78
0.5× median
84443Normal range

Thyroid stimulating hormone (TSH)

$27K

4,337 claims · 0.1%

Your Cost: $6.18/claim|Median: $9.87
0.6× median
82306Normal range

Vitamin D, 25 hydroxy

$25K

1,585 claims · 0.1%

Your Cost: $15.67/claim|Median: $18.18
0.9× median
87633Normal range

Respiratory virus detection, 12-25 targets, nucleic acid

$24K

162 claims · 0.1%

Your Cost: $145.42/claim|Median: $169.17
0.9× median
80076Normal range

Hepatic function panel

$24K

16K claims · 0.1%

Your Cost: $1.49/claim|Median: $4.59
0.3× median
99213Normal range

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

$23K

1,161 claims · 0.1%

Your Cost: $20.03/claim|Median: $37.81
0.5× median
84439Normal range

Free thyroxine level blood test

$22K

2,993 claims · 0.1%

Your Cost: $7.40/claim|Median: $6.31
1.2× median
96365Normal range

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

$21K

288 claims · 0.1%

Your Cost: $72.27/claim|Median: $54.77
1.3× median
87591Normal range

Neisseria gonorrhoeae detection, nucleic acid, amplified probe

$18K

1,804 claims · 0.1%

Your Cost: $10.23/claim|Median: $23.39
0.4× median
70553Top 25%

MRI brain without contrast, then with contrast

$18K

63 claims · 0.1%

Your Cost: $290.74/claim|Median: $133.68
2.2× median
71045Normal range

Chest X-ray, single view

$18K

5,545 claims · 0.1%

Your Cost: $3.23/claim|Median: $4.93
0.7× median
74018Normal range

$14K

967 claims · 0.0%

Your Cost: $14.96/claim|Median: $7.00
2.1× median
95813Normal range

$14K

119 claims · 0.0%

Your Cost: $116.15/claim|Median: $121.48
1.0× median

Other Top Providers in Tennessee

View all →

Department of Intellectual and Developmental Disabilities, State of Tn

Public Health or Welfare

$2.60B

Department of Intellectual and Developmental Disabilities, State of Tn

Public Health or Welfare

$1.45B

Tennessee Department of Children's Services

Public Health or Welfare

$781.0M

Youth Villages Inc.

Community/Behavioral Health

$615.3M

Mental Health Cooperative INC

Clinic/Center Mental Health (Including Community

$363.8M

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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