#1488 of 11K

19318

HCPCS Procedure Code

HCPCS code 19318 is the #1,488 most-billed Medicaid procedure code, with $21.4M in payments across 11K claims from 2018–2024. The national median cost per claim is $1,485.84. Costs vary widely — the 90th percentile is $5,240.37 per claim, 3.5× the median.

Total Paid

$21.4M

0.00% of all spending

Total Claims

11K

Providers

Avg Cost/Claim

$2K

National Cost Distribution

How much do providers bill per claim for 19318? Based on 44 providers billing this code nationally.

Median

$1,485.84

Average

$2,515.15

Std Dev

$2,376.20

Max

$10,191.12

Percentile Distribution (Cost per Claim)

p10

$451.68

p25

$789.45

Median

$1,485.84

p75

$3,668.88

p90

$5,240.37

p95

$7,227.69

p99

$9,301.03

50% of providers bill between $789.45 and $3,668.88 per claim for this code.

90% bill between $451.68 and $5,240.37.

Top 1% bill above $9,301.03.

About This Procedure

HCPCS code 19318 was billed by 44 providers across 11K claims, totaling $21.4M in Medicaid payments from 2018–2024. This code was used for 8K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$1,485.84

Providers Billing

National Spending

$21.4M

Avg/Median Ratio

1.69×

Moderately skewed

Top Providers Billing This Code

Ranked by total Medicaid payments for 19318

#	Provider	Total Paid	Cost/Claim	vs Median	Tier
1	1508847690	$4.3M	$1,836.10	1.2× median	Above Median
2	1477616571	$3.6M	$4,901.53	3.3× median	Above 75th
3	Montefiore Medical Center Bronx, NY · General Acute Care Hospital	$3.0M	$2,563.40	1.7× median	Above Median
4	Hartford Hospital Hartford, CT · General Acute Care Hospital	$2.8M	$5,248.70	3.5× median	Top 10%
5	The Cleveland Clinic Foundation Cleveland, OH · General Acute Care Hospital	$1.0M	$5,220.95	3.5× median	Above 75th
6	1780608216	$701K	$4,612.09	3.1× median	Above 75th
7	Ohio State University Hospitals Columbus, OH · General Acute Care Hospital	$529K	$5,184.53	3.5× median	Above 75th
8	1831298975	$509K	$1,063.29	0.7× median	Below Median
9	1538730221	$471K	$906.65	0.6× median	Below Median
10	Albert Einstein Medical Center Phila, PA · General Acute Care Hospital	$452K	$1,547.05	1.0× median	Above Median
11	1932256179	$441K	$753.66	0.5× median	Below Median
12	1912943184	$346K	$491.97	0.3× median	Below Median
13	1619548302	$328K	$792.16	0.5× median	Below Median
14	1962537407	$306K	$434.41	0.3× median	Below Median
15	1598708513	$306K	$10,191.12	6.9× median	Top 1%
16	St Lukes Roosevelt Hospital Center New York, NY · Case Management	$299K	$3,249.96	2.2× median	Above Median
17	1922050509	$225K	$853.49	0.6× median	Below Median
18	1427041581	$211K	$8,121.15	5.5× median	Top 10%
19	1932126695	$209K	$394.52	0.3× median	Below Median
20	1811955602	$125K	$1,136.30	0.8× median	Below Median

Showing top 20 of 44 providers billing this code

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