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ST. LOUIS CHILDREN'S HOSPITAL

General Acute Care Hospital, Children·SAINT LOUIS, MO·NPI: 1992727663Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$66.9M

$66,867,436

Total Claims

221K

Beneficiaries

201K

1.1 claims/patient

Avg Cost/Claim

$303

Monthly Spending Trend

Yearly Spending

2018
$20.8M
-16%
2019
$17.5M
-64%
2020
$6.3M
-75%
2021
$1.6M
+371%
2022
$7.5M
-2%
2023
$7.4M
-23%
2024
$5.7M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 50 distinct procedure codes. The top code (99283 (Emergency dept visit, moderate complexity)) accounts for 26% of total spending.

99283Top 5%

Emergency dept visit, moderate complexity

$17.3M

63K claims · 25.9%

Your Cost: $274.84/claim|Median: $42.48
6.5× median
Y7506Top 5%

Healthcare procedure, code Y7506

$6.5M

3,319 claims · 9.8%

Your Cost: $1,967.62/claim|Median: $146.80
13.4× median
A0426Top 1%

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

$4.1M

2,878 claims · 6.1%

Your Cost: $1,425.40/claim|Median: $104.69
13.6× median
85025Top 1%

Complete blood count (CBC) with differential, automated

$4.0M

21K claims · 6.0%

Your Cost: $194.51/claim|Median: $4.71
41.3× median
A0425Top 1%

Ground mileage, per statute mile

$3.3M

3,917 claims · 4.9%

Your Cost: $834.88/claim|Median: $23.36
35.7× median
99285Top 5%

Emergency dept visit, high/urgent complexity

$3.1M

5,921 claims · 4.6%

Your Cost: $517.78/claim|Median: $85.65
6.0× median
X4011Top 25%

Healthcare procedure, code X4011

$2.7M

7,486 claims · 4.0%

Your Cost: $360.26/claim|Median: $268.66
1.3× median
J3490Top 5%

Unclassified drugs

$2.3M

14K claims · 3.5%

Your Cost: $172.97/claim|Median: $5.70
30.3× median
99284Top 5%

Emergency dept visit, high complexity

$2.1M

5,462 claims · 3.2%

Your Cost: $387.35/claim|Median: $69.51
5.6× median
0202UTop 5%

Proprietary lab analysis, human genomic sequencing

$1.9M

3,442 claims · 2.8%

Your Cost: $539.28/claim|Median: $144.30
3.7× median
80053Top 1%

Comprehensive metabolic panel

$1.5M

12K claims · 2.2%

Your Cost: $120.64/claim|Median: $7.24
16.7× median
92567Top 1%

$1.5M

8,699 claims · 2.2%

Your Cost: $168.56/claim|Median: $11.50
14.7× median
67311Top 25%

$1.4M

691 claims · 2.1%

Your Cost: $2,064.42/claim|Median: $610.94
3.4× median
0241UTop 10%

Proprietary lab analysis, genomic sequencing

$1.2M

8,118 claims · 1.8%

Your Cost: $144.36/claim|Median: $91.47
1.6× median
85045Top 1%

$1.1M

2,797 claims · 1.7%

Your Cost: $406.42/claim|Median: $1.64
247.8× median
87631Top 1%

Respiratory virus detection, 3-5 targets, multiplex

$1.0M

2,406 claims · 1.6%

Your Cost: $431.15/claim|Median: $65.45
6.6× median
36415Top 1%

Collection of venous blood by venipuncture

$1.0M

4,232 claims · 1.5%

Your Cost: $237.40/claim|Median: $1.57
151.2× median
99282Top 5%

Emergency dept visit, low complexity

$957K

4,457 claims · 1.4%

Your Cost: $214.78/claim|Median: $37.72
5.7× median
95782Top 1%

$948K

179 claims · 1.4%

Your Cost: $5,296.19/claim|Median: $216.35
24.5× median
97110Top 1%

Therapeutic exercises, each 15 min

$695K

4,349 claims · 1.0%

Your Cost: $159.84/claim|Median: $24.49
6.5× median
A0427Top 1%

Ambulance, ALS emergency transport Level 1

$632K

395 claims · 0.9%

Your Cost: $1,599.63/claim|Median: $164.22
9.7× median
83020Top 1%

$524K

646 claims · 0.8%

Your Cost: $811.13/claim|Median: $9.42
86.1× median
95810Top 1%

Polysomnography, sleep study, 6+ hours

$510K

168 claims · 0.8%

Your Cost: $3,035.86/claim|Median: $233.73
13.0× median
87804Top 1%

Influenza virus detection, rapid test

$453K

1,353 claims · 0.7%

Your Cost: $334.70/claim|Median: $12.59
26.6× median
95812Top 1%

$423K

352 claims · 0.6%

Your Cost: $1,200.64/claim|Median: $104.99
11.4× median
87070Top 1%

Bacterial culture, any source except blood or urine

$334K

1,502 claims · 0.5%

Your Cost: $222.62/claim|Median: $5.89
37.8× median
G0463Top 5%

Hospital outpatient clinic visit

$306K

1,764 claims · 0.5%

Your Cost: $173.26/claim|Median: $26.41
6.6× median
87880Top 1%

Streptococcus, Group A, rapid antigen detection

$276K

759 claims · 0.4%

Your Cost: $363.18/claim|Median: $11.48
31.6× median
86900Top 1%

$236K

336 claims · 0.4%

Your Cost: $702.92/claim|Median: $2.55
275.7× median
86901Top 1%

$235K

336 claims · 0.4%

Your Cost: $699.62/claim|Median: $2.26
309.6× median
92507Top 10%

Speech/hearing/language treatment

$234K

2,675 claims · 0.3%

Your Cost: $87.38/claim|Median: $49.45
1.8× median
71046Top 1%

Chest X-ray, 2 views

$230K

1,593 claims · 0.3%

Your Cost: $144.10/claim|Median: $8.92
16.2× median
99281Top 5%

Emergency dept visit, minimal complexity

$212K

1,063 claims · 0.3%

Your Cost: $199.49/claim|Median: $52.03
3.8× median
G0378Top 5%

Hospital observation service, per hour

$206K

208 claims · 0.3%

Your Cost: $991.21/claim|Median: $99.39
10.0× median
86850Top 1%

$203K

295 claims · 0.3%

Your Cost: $688.45/claim|Median: $5.44
126.6× median
92582Top 5%

$173K

630 claims · 0.3%

Your Cost: $274.92/claim|Median: $46.66
5.9× median
92555Top 1%

$154K

441 claims · 0.2%

Your Cost: $348.19/claim|Median: $14.17
24.6× median
87651Top 5%

Streptococcus Group A detection, nucleic acid, amplified probe

$150K

1,850 claims · 0.2%

Your Cost: $80.95/claim|Median: $28.46
2.8× median
92556Top 1%

$141K

372 claims · 0.2%

Your Cost: $379.11/claim|Median: $24.07
15.8× median
76770Top 1%

Ultrasound, retroperitoneal, complete

$123K

452 claims · 0.2%

Your Cost: $271.83/claim|Median: $37.35
7.3× median
81001Top 1%

Urinalysis, automated, with microscopy

$120K

854 claims · 0.2%

Your Cost: $140.21/claim|Median: $2.03
69.1× median
73100Top 5%

$111K

1,016 claims · 0.2%

Your Cost: $109.59/claim|Median: $13.37
8.2× median
77073Top 5%

$110K

871 claims · 0.2%

Your Cost: $125.86/claim|Median: $19.29
6.5× median
84443Top 1%

Thyroid stimulating hormone (TSH)

$109K

1,500 claims · 0.2%

Your Cost: $72.72/claim|Median: $9.87
7.4× median
82977Top 1%

$109K

1,577 claims · 0.2%

Your Cost: $68.95/claim|Median: $3.95
17.5× median
92552Top 1%

Pure tone audiometry, air only, each ear

$104K

207 claims · 0.2%

Your Cost: $501.10/claim|Median: $12.63
39.7× median
84439Top 1%

Free thyroxine level blood test

$98K

1,321 claims · 0.1%

Your Cost: $73.95/claim|Median: $6.31
11.7× median
80076Top 1%

Hepatic function panel

$94K

315 claims · 0.1%

Your Cost: $298.19/claim|Median: $4.59
65.0× median
83516Top 1%

$89K

246 claims · 0.1%

Your Cost: $363.71/claim|Median: $9.72
37.4× median
82306Top 5%

Vitamin D, 25 hydroxy

$84K

624 claims · 0.1%

Your Cost: $134.51/claim|Median: $18.18
7.4× 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, Children

Dayton Children's Hospital

Dayton, OH

$290.6M

Connecticut Children's Medical Center

Hartford, CT

$248.9M

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