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#1936 of 11K

45384

HCPCS Procedure Code

HCPCS code 45384 is the #1,936 most-billed Medicaid procedure code, with $11.3M in payments across 42K claims from 2018–2024. The national median cost per claim is $179.47. Costs vary widely — the 90th percentile is $428.90 per claim, 2.4× the median.

Total Paid

$11.3M

0.00% of all spending

Total Claims

42K

Providers

135

Avg Cost/Claim

$269

National Cost Distribution

How much do providers bill per claim for 45384? Based on 133 providers billing this code nationally.

Median

$179.47

Average

$228.46

Std Dev

$203.38

Max

$1,199.95

Percentile Distribution (Cost per Claim)

p10
$46.48
p25
$106.76
Median
$179.47
p75
$292.72
p90
$428.90
p95
$605.66
p99
$1,095.88

50% of providers bill between $106.76 and $292.72 per claim for this code.

90% bill between $46.48 and $428.90.

Top 1% bill above $1,095.88.

About This Procedure

HCPCS code 45384 was billed by 135 providers across 42K claims, totaling $11.3M in Medicaid payments from 2018–2024. This code was used for 37K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$179.47

Providers Billing

133

National Spending

$11.3M

Avg/Median Ratio

1.27×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for 45384

#ProviderTotal Paid
1Bakersfield Memorial Hospital

Bakersfield, CA · General Acute Care Hospital

$2.8M
21851369284$2.0M
31376875518$761K
41780727636$587K
51861484842$453K
61932202959$333K
71912334533$320K
81558475459$314K
91598966301$268K
101093140600$254K
111194701706$239K
121508965401$191K
131215931134$183K
141962423053$180K
151285727669$144K
161780153874$137K
171073711339$132K
181093712911$110K
191356644066$107K
201548415177$106K

Showing top 20 of 135 providers billing this code