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MEMORIAL HERMANN HEALTH SYSTEM

General Acute Care Hospital·HOUSTON, TX·NPI: 1982666111Share

Compared to General Acute Care Hospital Peers

Total spending distribution among 156 providers in this specialty

P25MedianP75P90

This provider's total spending of $39.5M is at the below 25th percentile among 156 General Acute Care Hospital providers.

Active Billing Period:2018-02→2024-12(75 months)

Total Paid

$39.5M

$39,461,598

Total Claims

207K

Beneficiaries

182K

1.1 claims/patient

Avg Cost/Claim

$191

Monthly Spending Trend

Yearly Spending

2018
$272K
+27%
2019
$346K
+248%
2020
$1.2M
+681%
2021
$9.4M
+8%
2022
$10.2M
+20%
2023
$12.2M
-52%
2024
$5.8M

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 30% of total spending.

99284Top 1%

Emergency dept visit, high complexity

$11.9M

20K claims · 30.1%

Your Cost: $590.75/claim|Median: $69.51
8.5× median
A0431Top 5%

Ambulance service, conventional air, transport, one way

$10.6M

2,935 claims · 26.8%

Your Cost: $3,605.67/claim|Median: $1,650.68
2.2× median
99283Top 10%

Emergency dept visit, moderate complexity

$3.0M

18K claims · 7.6%

Your Cost: $162.26/claim|Median: $42.48
3.8× median
A0436Normal range

ALS mileage, per mile, level 2

$3.0M

2,929 claims · 7.5%

Your Cost: $1,016.97/claim|Median: $705.08
1.4× median
95716Top 5%

$2.1M

1,057 claims · 5.4%

Your Cost: $2,006.46/claim|Median: $685.48
2.9× median
99285Top 5%

Emergency dept visit, high/urgent complexity

$2.0M

4,624 claims · 5.1%

Your Cost: $432.06/claim|Median: $85.65
5.0× median
42820Top 10%

Tonsillectomy and adenoidectomy, under age 12

$982K

318 claims · 2.5%

Your Cost: $3,086.72/claim|Median: $331.68
9.3× median
95810Top 5%

Polysomnography, sleep study, 6+ hours

$784K

529 claims · 2.0%

Your Cost: $1,481.55/claim|Median: $233.73
6.3× median
95700Top 5%

$536K

1,099 claims · 1.4%

Your Cost: $488.16/claim|Median: $154.31
3.2× median
85025Top 10%

Complete blood count (CBC) with differential, automated

$383K

21K claims · 1.0%

Your Cost: $17.97/claim|Median: $4.71
3.8× median
93005Top 10%

Electrocardiogram, tracing only, without interpretation

$344K

5,351 claims · 0.9%

Your Cost: $64.32/claim|Median: $7.50
8.6× median
69436Top 10%

Tympanostomy, general anesthesia

$314K

238 claims · 0.8%

Your Cost: $1,318.46/claim|Median: $205.50
6.4× median
80053Top 10%

Comprehensive metabolic panel

$309K

8,470 claims · 0.8%

Your Cost: $36.51/claim|Median: $7.24
5.0× median
95782Top 10%

$213K

156 claims · 0.5%

Your Cost: $1,363.09/claim|Median: $216.35
6.3× median
A0434Top 5%

Ambulance, specialty care transport

$210K

203 claims · 0.5%

Your Cost: $1,032.54/claim|Median: $252.36
4.1× median
A0427Top 5%

Ambulance, ALS emergency transport Level 1

$195K

246 claims · 0.5%

Your Cost: $792.89/claim|Median: $164.22
4.8× median
A0425Top 10%

Ground mileage, per statute mile

$188K

1,506 claims · 0.5%

Your Cost: $124.77/claim|Median: $23.36
5.3× median
80048Top 25%

Basic metabolic panel

$164K

10K claims · 0.4%

Your Cost: $16.26/claim|Median: $5.78
2.8× median
P9016Top 1%

$152K

99 claims · 0.4%

Your Cost: $1,537.61/claim|Median: $122.26
12.6× median
74177Normal range

CT abdomen and pelvis with contrast

$150K

936 claims · 0.4%

Your Cost: $160.76/claim|Median: $65.76
2.4× median
81001Top 5%

Urinalysis, automated, with microscopy

$132K

8,270 claims · 0.3%

Your Cost: $15.91/claim|Median: $2.03
7.8× median
87635Normal range

COVID-19 SARS-CoV-2 amplified probe detection

$131K

2,938 claims · 0.3%

Your Cost: $44.56/claim|Median: $39.70
1.1× median
A0422Top 5%

$116K

2,726 claims · 0.3%

Your Cost: $42.39/claim|Median: $9.63
4.4× median
93306Top 10%

Echocardiography, transthoracic, complete, with Doppler

$112K

507 claims · 0.3%

Your Cost: $221.89/claim|Median: $54.68
4.1× median
76770Top 5%

Ultrasound, retroperitoneal, complete

$111K

472 claims · 0.3%

Your Cost: $234.93/claim|Median: $37.35
6.3× median
71045Top 10%

Chest X-ray, single view

$109K

3,609 claims · 0.3%

Your Cost: $30.19/claim|Median: $4.93
6.1× median
70450Normal range

CT head/brain without contrast

$81K

1,656 claims · 0.2%

Your Cost: $48.90/claim|Median: $45.53
1.1× median
86850Top 25%

$69K

2,879 claims · 0.2%

Your Cost: $23.82/claim|Median: $5.44
4.4× median
J3490Normal range

Unclassified drugs

$63K

2,626 claims · 0.2%

Your Cost: $24.06/claim|Median: $5.70
4.2× median
71046Top 10%

Chest X-ray, 2 views

$59K

1,537 claims · 0.2%

Your Cost: $38.69/claim|Median: $8.92
4.3× median
87400Top 10%

$56K

1,508 claims · 0.1%

Your Cost: $36.91/claim|Median: $8.40
4.4× median
70551Top 5%

MRI brain without contrast

$54K

136 claims · 0.1%

Your Cost: $398.05/claim|Median: $85.39
4.7× median
99282Top 25%

Emergency dept visit, low complexity

$48K

457 claims · 0.1%

Your Cost: $105.10/claim|Median: $37.72
2.8× median
A0398Top 25%

$44K

732 claims · 0.1%

Your Cost: $59.69/claim|Median: $13.41
4.5× median
72125Normal range

CT cervical spine without contrast

$40K

781 claims · 0.1%

Your Cost: $51.75/claim|Median: $32.30
1.6× median
36512Top 5%

$36K

13 claims · 0.1%

Your Cost: $2,763.16/claim|Median: $118.48
23.3× median
A0426Top 5%

Ambulance service, ALS, non-emergency transport, level 1

$33K

85 claims · 0.1%

Your Cost: $390.77/claim|Median: $104.69
3.7× median
93975Top 25%

Duplex scan of arterial inflow and venous outflow, complete

$33K

178 claims · 0.1%

Your Cost: $184.17/claim|Median: $79.28
2.3× median
96374Normal range

Therapeutic/prophylactic/diagnostic IV push, single substance

$32K

1,730 claims · 0.1%

Your Cost: $18.74/claim|Median: $21.76
0.9× median
99211Top 25%

Office/outpatient visit, minimal complexity

$30K

1,147 claims · 0.1%

Your Cost: $26.50/claim|Median: $12.93
2.0× median
80076Top 10%

Hepatic function panel

$30K

2,314 claims · 0.1%

Your Cost: $12.89/claim|Median: $4.59
2.8× median
80307Normal range

Drug test, presumptive, by chemistry analyzers

$25K

791 claims · 0.1%

Your Cost: $31.53/claim|Median: $35.43
0.9× median
71260Normal range

CT chest with contrast

$24K

273 claims · 0.1%

Your Cost: $87.15/claim|Median: $48.36
1.8× median
76801Top 25%

Ultrasound, pregnant uterus, single fetus, first trimester

$22K

249 claims · 0.1%

Your Cost: $90.32/claim|Median: $58.16
1.6× median
96375Normal range

Therapeutic/prophylactic/diagnostic IV push, each additional substance

$21K

1,482 claims · 0.1%

Your Cost: $14.06/claim|Median: $14.92
0.9× median
82977Top 1%

$21K

534 claims · 0.1%

Your Cost: $38.40/claim|Median: $3.95
9.7× median
76811Top 1%

Ultrasound, pregnant uterus, detailed, single fetus

$20K

48 claims · 0.0%

Your Cost: $406.46/claim|Median: $106.79
3.8× median
96361Normal range

IV infusion, hydration, each additional hour

$17K

485 claims · 0.0%

Your Cost: $35.21/claim|Median: $38.92
0.9× median
96372Normal range

Therapeutic injection, subcutaneous/intramuscular

$17K

1,213 claims · 0.0%

Your Cost: $13.93/claim|Median: $9.56
1.5× median
U0003Normal range

Infectious disease detection (COVID-19)

$16K

498 claims · 0.0%

Your Cost: $33.04/claim|Median: $63.08
0.5× median

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