#1009 of 11K

58558

HCPCS Procedure Code

HCPCS code 58558 is the #1,009 most-billed Medicaid procedure code, with $48.4M in payments across 73K claims from 2018–2024. The national median cost per claim is $942.89.

Total Paid

$48.4M

0.00% of all spending

Total Claims

73K

Providers

278

Avg Cost/Claim

$665

National Cost Distribution

How much do providers bill per claim for 58558? Based on 270 providers billing this code nationally.

Median

$942.89

Average

$889.81

Std Dev

$572.28

Max

$2,632.62

Percentile Distribution (Cost per Claim)

p10

$119.71

p25

$339.50

Median

$942.89

p75

$1,273.36

p90

$1,536.52

p95

$1,810.33

p99

$2,328.86

50% of providers bill between $339.50 and $1,273.36 per claim for this code.

90% bill between $119.71 and $1,536.52.

Top 1% bill above $2,328.86.

About This Procedure

HCPCS code 58558 was billed by 278 providers across 73K claims, totaling $48.4M in Medicaid payments from 2018–2024. This code was used for 58K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$942.89

Providers Billing

270

National Spending

$48.4M

Avg/Median Ratio

0.94×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for 58558

#	Provider	Total Paid	Cost/Claim	vs Median	Tier
1	1124588793	$4.2M	$221.24	0.2× median	Below Median
2	Clara Maass Medical Center Belleville, NJ · General Acute Care Hospital	$3.4M	$1,695.33	1.8× median	Top 10%
3	Yale New Haven Hospital New Haven, CT · General Acute Care Hospital	$2.4M	$1,811.71	1.9× median	Top 10%
4	1285873166	$2.2M	$1,414.79	1.5× median	Above 75th
5	Oakwood Healthcare, Inc. Dearborn, MI · General Acute Care Hospital	$1.6M	$1,363.10	1.4× median	Above 75th
6	1699216069	$1.6M	$1,104.33	1.2× median	Above Median
7	1205074739	$1.2M	$1,231.12	1.3× median	Above Median
8	1164848453	$1.1M	$817.67	0.9× median	Below Median
9	1578832242	$1.1M	$823.49	0.9× median	Below Median
10	1770901761	$985K	$1,259.12	1.3× median	Above Median
11	1336361831	$953K	$1,189.67	1.3× median	Above Median
12	1760794044	$925K	$1,463.06	1.6× median	Above 75th
13	Yuma Regional Medical Center Yuma, AZ · General Acute Care Hospital	$740K	$1,876.91	2.0× median	Top 10%
14	1942475793	$718K	$1,190.42	1.3× median	Above Median
15	1427360700	$665K	$1,227.63	1.3× median	Above Median
16	Bridgeport Hospital Bridgeport, CT · General Acute Care Hospital	$633K	$1,998.32	2.1× median	Top 10%
17	1245526987	$629K	$1,575.59	1.7× median	Top 10%
18	Bronxcare Health System Bronx, NY · General Acute Care Hospital	$589K	$1,190.67	1.3× median	Above Median
19	1477616571	$559K	$1,524.21	1.6× median	Above 75th
20	1932381530	$553K	$310.22	0.3× median	Below Median

Showing top 20 of 278 providers billing this code

Related Procedures

58563$616K 58552$73K 58555$46K 58561$10K

← All procedures Top providers →