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MONTCLAIR HOSPITAL LLC

General Acute Care Hospital·MONTCLAIR, NJ·NPI: 1982720249Share

Compared to General Acute Care Hospital Peers

Total spending distribution among 156 providers in this specialty

P25MedianP75P90

This provider's total spending of $48.6M is at the below 25th percentile among 156 General Acute Care Hospital providers.

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

Total Paid

$48.6M

$48,585,208

Total Claims

968K

Beneficiaries

726K

1.3 claims/patient

Avg Cost/Claim

$50

Monthly Spending Trend

Yearly Spending

2018
$7.6M
+1%
2019
$7.7M
-37%
2020
$4.8M
+32%
2021
$6.4M
+23%
2022
$7.8M
+4%
2023
$8.1M
-23%
2024
$6.3M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 50 distinct procedure codes. The top code (99285 (Emergency dept visit, high/urgent complexity)) accounts for 29% of total spending.

99285Top 5%

Emergency dept visit, high/urgent complexity

$14.2M

27K claims · 29.3%

Your Cost: $527.92/claim|Median: $85.65
6.2× median
99284Top 5%

Emergency dept visit, high complexity

$10.8M

27K claims · 22.3%

Your Cost: $394.04/claim|Median: $69.51
5.7× median
99283Top 5%

Emergency dept visit, moderate complexity

$4.6M

18K claims · 9.5%

Your Cost: $251.32/claim|Median: $42.48
5.9× median
G0378Top 25%

Hospital observation service, per hour

$2.9M

5,162 claims · 5.9%

Your Cost: $556.63/claim|Median: $99.39
5.6× median
43239Top 10%

Upper GI endoscopy with biopsy

$1.2M

2,153 claims · 2.5%

Your Cost: $566.30/claim|Median: $151.68
3.7× median
74177Top 25%

CT abdomen and pelvis with contrast

$1.2M

5,981 claims · 2.4%

Your Cost: $197.77/claim|Median: $65.76
3.0× median
70450Top 25%

CT head/brain without contrast

$776K

7,361 claims · 1.6%

Your Cost: $105.41/claim|Median: $45.53
2.3× median
96375Top 25%

Therapeutic/prophylactic/diagnostic IV push, each additional substance

$573K

12K claims · 1.2%

Your Cost: $48.48/claim|Median: $14.92
3.2× median
96361Normal range

IV infusion, hydration, each additional hour

$560K

8,193 claims · 1.2%

Your Cost: $68.31/claim|Median: $38.92
1.8× median
96374Normal range

Therapeutic/prophylactic/diagnostic IV push, single substance

$553K

15K claims · 1.1%

Your Cost: $37.78/claim|Median: $21.76
1.7× median
OP710Normal range

$496K

6,282 claims · 1.0%

Your Cost: $78.89/claim|Median: $68.93
1.1× median
90832Top 25%

Psychotherapy, 30 minutes

$473K

5,829 claims · 1.0%

Your Cost: $81.17/claim|Median: $41.28
2.0× median
93005Normal range

Electrocardiogram, tracing only, without interpretation

$430K

21K claims · 0.9%

Your Cost: $20.43/claim|Median: $7.50
2.7× median
74176Top 25%

CT abdomen and pelvis without contrast

$392K

2,614 claims · 0.8%

Your Cost: $149.94/claim|Median: $60.19
2.5× median
OP370Normal range

$375K

6,326 claims · 0.8%

Your Cost: $59.24/claim|Median: $82.47
0.7× median
97110Normal range

Therapeutic exercises, each 15 min

$360K

12K claims · 0.7%

Your Cost: $30.03/claim|Median: $24.49
1.2× median
90834Normal range

Psychotherapy, 45 minutes

$356K

7,516 claims · 0.7%

Your Cost: $47.32/claim|Median: $63.65
0.7× median
G0463Normal range

Hospital outpatient clinic visit

$326K

7,854 claims · 0.7%

Your Cost: $41.57/claim|Median: $26.41
1.6× median
OP272Normal range

$326K

11K claims · 0.7%

Your Cost: $29.10/claim|Median: $28.37
1.0× median
99282Top 10%

Emergency dept visit, low complexity

$316K

2,029 claims · 0.6%

Your Cost: $155.55/claim|Median: $37.72
4.1× median
88305Top 25%

Surgical pathology, gross and microscopic examination

$308K

4,211 claims · 0.6%

Your Cost: $73.19/claim|Median: $35.80
2.0× median
H0035Top 25%

Mental health partial hospitalization, treatment, per hour

$263K

1,131 claims · 0.5%

Your Cost: $232.66/claim|Median: $148.53
1.6× median
99281Top 25%

Emergency dept visit, minimal complexity

$248K

2,110 claims · 0.5%

Your Cost: $117.69/claim|Median: $52.03
2.3× median
80053Normal range

Comprehensive metabolic panel

$246K

37K claims · 0.5%

Your Cost: $6.64/claim|Median: $7.24
0.9× median
85025Normal range

Complete blood count (CBC) with differential, automated

$230K

46K claims · 0.5%

Your Cost: $5.04/claim|Median: $4.71
1.1× median
96365Normal range

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

$227K

5,738 claims · 0.5%

Your Cost: $39.48/claim|Median: $54.77
0.7× median
96366Normal range

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

$211K

3,010 claims · 0.4%

Your Cost: $70.14/claim|Median: $40.12
1.7× median
71045Top 25%

Chest X-ray, single view

$205K

15K claims · 0.4%

Your Cost: $13.59/claim|Median: $4.93
2.8× median
0241UNormal range

Proprietary lab analysis, genomic sequencing

$175K

4,205 claims · 0.4%

Your Cost: $41.70/claim|Median: $91.47
0.5× median
92507Normal range

Speech/hearing/language treatment

$169K

4,685 claims · 0.3%

Your Cost: $35.98/claim|Median: $49.45
0.7× median
71275Normal range

CT angiography, chest, with contrast

$165K

1,383 claims · 0.3%

Your Cost: $119.17/claim|Median: $92.96
1.3× median
76830Normal range

Ultrasound, transvaginal

$156K

2,215 claims · 0.3%

Your Cost: $70.22/claim|Median: $57.47
1.2× median
71046Top 25%

Chest X-ray, 2 views

$150K

6,041 claims · 0.3%

Your Cost: $24.88/claim|Median: $8.92
2.8× median
77067Normal range

Screening mammography, bilateral, including CAD

$127K

2,288 claims · 0.3%

Your Cost: $55.29/claim|Median: $39.33
1.4× median
96372Top 25%

Therapeutic injection, subcutaneous/intramuscular

$126K

8,604 claims · 0.3%

Your Cost: $14.65/claim|Median: $9.56
1.5× median
45380Top 25%

Colonoscopy with biopsy

$121K

332 claims · 0.2%

Your Cost: $365.43/claim|Median: $200.68
1.8× median
96376Top 25%

$113K

3,706 claims · 0.2%

Your Cost: $30.36/claim|Median: $3.19
9.5× median
72125Top 25%

CT cervical spine without contrast

$107K

1,283 claims · 0.2%

Your Cost: $83.21/claim|Median: $32.30
2.6× median
76700Normal range

Ultrasound, abdominal, complete

$102K

1,287 claims · 0.2%

Your Cost: $79.18/claim|Median: $50.69
1.6× median
OP250Normal range

Orthotic or prosthetic procedure, not otherwise classified

$102K

122K claims · 0.2%

Your Cost: $0.83/claim|Median: $1.68
0.5× median
87631Normal range

Respiratory virus detection, 3-5 targets, multiplex

$98K

3,837 claims · 0.2%

Your Cost: $25.43/claim|Median: $65.45
0.4× median
80307Normal range

Drug test, presumptive, by chemistry analyzers

$96K

4,772 claims · 0.2%

Your Cost: $20.21/claim|Median: $35.43
0.6× median
87426Normal range

SARS-CoV-2 COVID-19 antigen detection, immunoassay

$94K

3,833 claims · 0.2%

Your Cost: $24.51/claim|Median: $30.04
0.8× median
76817Normal range

Ultrasound, pregnant uterus, transvaginal

$90K

2,013 claims · 0.2%

Your Cost: $44.87/claim|Median: $47.65
0.9× median
G0480Normal range

Drug test, definitive, 1-7 drug classes

$87K

4,286 claims · 0.2%

Your Cost: $20.38/claim|Median: $37.56
0.5× median
88342Normal range

$86K

2,305 claims · 0.2%

Your Cost: $37.18/claim|Median: $23.66
1.6× median
96360Normal range

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

$82K

2,046 claims · 0.2%

Your Cost: $39.92/claim|Median: $61.57
0.6× median
97140Normal range

Manual therapy techniques, per 15 minutes

$80K

4,065 claims · 0.2%

Your Cost: $19.63/claim|Median: $16.79
1.2× median
36415Normal range

Collection of venous blood by venipuncture

$75K

46K claims · 0.2%

Your Cost: $1.62/claim|Median: $1.57
1.0× median
90853Normal range

Group psychotherapy

$74K

3,214 claims · 0.2%

Your Cost: $23.14/claim|Median: $25.02
0.9× median

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$1.08B

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$863.5M

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Boston Medical Center Corporation

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