#1160 of 11K

54150

HCPCS Procedure Code

HCPCS code 54150 is the #1,160 most-billed Medicaid procedure code, with $36.2M in payments across 361K claims from 2018–2024. The national median cost per claim is $84.60. Costs vary widely — the 90th percentile is $173.46 per claim, 2.1× the median.

Total Paid

$36.2M

0.00% of all spending

Total Claims

361K

Providers

Avg Cost/Claim

$100

National Cost Distribution

How much do providers bill per claim for 54150? Based on 1K providers billing this code nationally.

Median

$84.60

Average

$125.98

Std Dev

$200.30

Max

$2,783.17

Percentile Distribution (Cost per Claim)

p10

$50.20

p25

$62.38

Median

$84.60

p75

$129.88

p90

$173.46

p95

$261.47

p99

$1,085.09

50% of providers bill between $62.38 and $129.88 per claim for this code.

90% bill between $50.20 and $173.46.

Top 1% bill above $1,085.09.

About This Procedure

HCPCS code 54150 was billed by 1K providers across 361K claims, totaling $36.2M in Medicaid payments from 2018–2024. This code was used for 335K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$84.60

Providers Billing

National Spending

$36.2M

Avg/Median Ratio

1.49×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for 54150

#	Provider	Total Paid	Cost/Claim	vs Median	Tier
1	1992720932	$1.4M	$195.99	2.3× median	Top 10%
2	Children's Hospital Medical Center Of Akron Akron, OH · General Acute Care Hospital Children	$1.1M	$1,591.12	18.8× median	Top 1%
3	1649377359	$993K	$74.05	0.9× median	Below Median
4	1265499628	$835K	$124.42	1.5× median	Above Median
5	1619987302	$747K	$150.05	1.8× median	Above 75th
6	1194836239	$647K	$165.55	2.0× median	Above 75th
7	1023572344	$565K	$168.46	2.0× median	Above 75th
8	Magella Medical Associates Billing, Inc. Round Rock, TX · Obstetrics & Gynecology, Maternal & Fetal Medicine	$523K	$81.98	1.0× median	Below Median
9	1427536325	$490K	$373.38	4.4× median	Top 10%
10	1376593061	$450K	$220.34	2.6× median	Top 10%
11	1083711790	$434K	$166.50	2.0× median	Above 75th
12	1720185432	$426K	$56.36	0.7× median	Below Median
13	1851868863	$368K	$101.63	1.2× median	Above Median
14	1194765685	$361K	$190.68	2.3× median	Top 10%
15	1588654016	$348K	$185.68	2.2× median	Top 10%
16	1396779039	$325K	$148.34	1.8× median	Above 75th
17	1417961137	$320K	$55.65	0.7× median	Below Median
18	The Nemours Foundation Wilmington, DE · Clinic/Center, Developmental Disabilities	$305K	$260.33	3.1× median	Top 10%
19	Lsu Health Sciences Center Shreveport Faculty Group Practice Shreveport, LA · Oral & Maxillofacial Surgery	$304K	$131.74	1.6× median	Above 75th
20	1134163942	$294K	$157.55	1.9× median	Above 75th

Showing top 20 of 1K providers billing this code

Related Procedures

54160$695K

← All procedures Top providers →