57455
HCPCS Procedure Code
HCPCS code 57455 is the #6,206 most-billed Medicaid procedure code, with $84K in payments across 756 claims from 2018–2024. The national median cost per claim is $115.46. Costs vary widely — the 90th percentile is $269.41 per claim, 2.3× the median.
Total Paid
$84K
0.00% of all spending
Total Claims
756
Providers
14
Avg Cost/Claim
$111
National Cost Distribution
How much do providers bill per claim for 57455? Based on 11 providers billing this code nationally.
Median
$115.46
Average
$175.41
Std Dev
$179.27
Max
$662.95
Percentile Distribution (Cost per Claim)
50% of providers bill between $67.71 and $218.18 per claim for this code.
90% bill between $53.41 and $269.41.
Top 1% bill above $623.59.
About This Procedure
HCPCS code 57455 was billed by 14 providers across 756 claims, totaling $84K in Medicaid payments from 2018–2024. This code was used for 594 unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$115.46
Providers Billing
11
National Spending
$84K
Avg/Median Ratio
1.52×
Moderately skewed
Top Providers Billing This Code
Ranked by total Medicaid payments for 57455
| # | Provider | Total Paid |
|---|---|---|
| 1 | Umass Memorial Medical Center, Inc. Worcester, MA · General Acute Care Hospital | $27K |
| 2 | The New York And Presbyterian Hospital New York, NY · General Acute Care Hospital | $17K |
| 3 | Upmc Magee-womens Hospital Pittsburgh, PA · General Acute Care Hospital | $9K |
| 4 | Yale New Haven Hospital New Haven, CT · General Acute Care Hospital | $7K |
| 5 | 1588656268 | $6K |
| 6 | 1235177924 | $6K |
| 7 | 1043304769 | $4K |
| 8 | 1912174921 | $2K |
| 9 | 1346414158 | $2K |
| 10 | 1588820518 | $1K |
| 11 | 1508913088 | $950 |
| 12 | 1053651208 | $0 |
| 13 | Group Health Plan, Inc. Minneapolis, MN · Clinic/Center, Multi-Specialty | $0 |
| 14 | 1740437961 | $0 |
Showing top 14 of 14 providers billing this code