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#745 of 11K

0360

HCPCS Procedure Code

HCPCS code 0360 is the #745 most-billed Medicaid procedure code, with $90.4M in payments across 763K claims from 2018–2024. The national median cost per claim is $95.40. Costs vary widely — the 90th percentile is $257.76 per claim, 2.7× the median.

Total Paid

$90.4M

0.01% of all spending

Total Claims

763K

Providers

259

Avg Cost/Claim

$118

National Cost Distribution

How much do providers bill per claim for 0360? Based on 232 providers billing this code nationally.

Median

$95.40

Average

$166.06

Std Dev

$284.63

Max

$2,116.74

Percentile Distribution (Cost per Claim)

p10
$6.21
p25
$45.37
Median
$95.40
p75
$154.34
p90
$257.76
p95
$713.95
p99
$1,385.61

50% of providers bill between $45.37 and $154.34 per claim for this code.

90% bill between $6.21 and $257.76.

Top 1% bill above $1,385.61.

About This Procedure

HCPCS code 0360 was billed by 259 providers across 763K claims, totaling $90.4M in Medicaid payments from 2018–2024. This code was used for 523K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$95.40

Providers Billing

232

National Spending

$90.4M

Avg/Median Ratio

1.74×

Moderately skewed

Top Providers Billing This Code

Ranked by total Medicaid payments for 0360

#ProviderTotal Paid
11700949336$11.6M
2Grossmont Hospital Corporation

La Mesa, CA · General Acute Care Hospital

$5.0M
3Sharp Chula Vista Medical Center

Chula Vista, CA · General Acute Care Hospital

$4.8M
41215903018$3.6M
5Seventh-day Adventists Loma Linda University Medical Center

Loma Linda, CA · General Acute Care Hospital

$3.6M
61215927470$3.5M
7Sharp Memorial Hospital

San Diego, CA · General Acute Care Hospital, Women

$2.2M
81952546616$2.1M
9County Of Ventura

Ventura, CA · Clinic/Center, Emergency Care

$2.1M
101154533826$1.8M
11Keck Medical Center Of Usc

Los Angeles, CA · General Acute Care Hospital

$1.8M
12Riverside University Health Systems - Medical Center

Moreno Valley, CA · General Acute Care Hospital

$1.8M
13Childrens Hospital Of Los Angeles

Los Angeles, CA · Case Manager/Care Coordinator

$1.6M
141467560599$1.4M
15Loma Linda University Children's Hospital

Loma Linda, CA · General Acute Care Hospital Children

$1.3M
16Regents Of The University Of California

San Diego, CA · General Acute Care Hospital

$1.2M
17Arrowhead Regional Medical Center

Colton, CA · General Acute Care Hospital

$1.1M
18Dignity Health

San Bernardino, CA · General Acute Care Hospital

$1.1M
191467442749$1.1M
201639143381$1.1M

Showing top 20 of 259 providers billing this code