58571
HCPCS Procedure Code
HCPCS code 58571 is the #1,492 most-billed Medicaid procedure code, with $21.3M in payments across 9K claims from 2018–2024. The national median cost per claim is $1,679.33. Costs vary widely — the 90th percentile is $4,769.33 per claim, 2.8× the median.
Total Paid
$21.3M
0.00% of all spending
Total Claims
9K
Providers
75
Avg Cost/Claim
$2K
National Cost Distribution
How much do providers bill per claim for 58571? Based on 74 providers billing this code nationally.
Median
$1,679.33
Average
$2,156.99
Std Dev
$1,781.45
Max
$6,573.50
Percentile Distribution (Cost per Claim)
50% of providers bill between $524.05 and $3,308.79 per claim for this code.
90% bill between $233.02 and $4,769.33.
Top 1% bill above $6,245.91.
About This Procedure
HCPCS code 58571 was billed by 75 providers across 9K claims, totaling $21.3M in Medicaid payments from 2018–2024. This code was used for 6K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$1,679.33
Providers Billing
74
National Spending
$21.3M
Avg/Median Ratio
1.28×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for 58571
| # | Provider | Total Paid |
|---|---|---|
| 1 | Banner - University Medical Center Phoenix Phoenix, AZ · Clinic/Center, Sleep Disorder Diagnostic | $3.1M |
| 2 | Yale New Haven Hospital New Haven, CT · General Acute Care Hospital | $2.7M |
| 3 | Norton Hospitals Inc Louisville, KY · General Acute Care Hospital | $2.1M |
| 4 | Norton Hospitals, Inc Louisville, KY · General Acute Care Hospital | $1.5M |
| 5 | Banner Thunderbird Medical Center Glendale, AZ · Community/Behavioral Health | $1.4M |
| 6 | Owensboro Health Inc Owensboro, KY · General Acute Care Hospital | $983K |
| 7 | Ashland Hospital Corporation Ashland, KY · Clinic/Center, Rural Health | $953K |
| 8 | University Medical Center, Inc Louisville, KY · Student in an Organized Health Care Education/Training Program | $777K |
| 9 | Summa Health System Akron, OH · General Acute Care Hospital | $698K |
| 10 | University Of Kentucky Lexington, KY · General Acute Care Hospital | $685K |
| 11 | Presbyterian Healthcare Services Albuquerque, NM · Emergency Medicine | $507K |
| 12 | 1144471715 | $362K |
| 13 | Hartford Hospital Hartford, CT · General Acute Care Hospital | $343K |
| 14 | Tucson Medical Center Tucson, AZ · Clinic/Center, Hearing and Speech | $318K |
| 15 | 1952309098 | $317K |
| 16 | 1386608859 | $311K |
| 17 | Ohiohealth Corporation Columbus, OH · General Acute Care Hospital | $269K |
| 18 | Baptist Healthcare System Inc Corbin, KY · General Acute Care Hospital | $250K |
| 19 | Spectrum Health Hospitals Grand Rapids, MI · General Acute Care Hospital | $247K |
| 20 | Multicare Health System Tacoma, WA · Community/Behavioral Health | $225K |
Showing top 20 of 75 providers billing this code