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#1177 of 11K

58661

HCPCS Procedure Code

HCPCS code 58661 is the #1,177 most-billed Medicaid procedure code, with $35.3M in payments across 18K claims from 2018–2024. The national median cost per claim is $1,598.21.

Total Paid

$35.3M

0.00% of all spending

Total Claims

18K

Providers

154

Avg Cost/Claim

$2K

National Cost Distribution

How much do providers bill per claim for 58661? Based on 151 providers billing this code nationally.

Median

$1,598.21

Average

$1,746.33

Std Dev

$1,259.19

Max

$5,952.64

Percentile Distribution (Cost per Claim)

p10
$262.69
p25
$698.64
Median
$1,598.21
p75
$2,589.49
p90
$3,133.01
p95
$4,099.64
p99
$5,420.32

50% of providers bill between $698.64 and $2,589.49 per claim for this code.

90% bill between $262.69 and $3,133.01.

Top 1% bill above $5,420.32.

About This Procedure

HCPCS code 58661 was billed by 154 providers across 18K claims, totaling $35.3M in Medicaid payments from 2018–2024. This code was used for 15K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$1,598.21

Providers Billing

151

National Spending

$35.3M

Avg/Median Ratio

1.09×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for 58661

#ProviderTotal Paid
1Norton Hospitals Inc

Louisville, KY · General Acute Care Hospital

$2.4M
2Hartford Hospital

Hartford, CT · General Acute Care Hospital

$2.2M
3Yuma Regional Medical Center

Yuma, AZ · General Acute Care Hospital

$1.7M
4Banner - University Medical Center Phoenix

Phoenix, AZ · Clinic/Center, Sleep Disorder Diagnostic

$1.6M
5Baystate Medical Center Inc

Springfield, MA · General Acute Care Hospital

$1.6M
6Yale New Haven Hospital

New Haven, CT · General Acute Care Hospital

$1.6M
71326022765$1.1M
81275566200$1.1M
9Norton Hospitals, Inc

Louisville, KY · General Acute Care Hospital

$1.0M
101598717480$971K
11Ashland Hospital Corporation

Ashland, KY · Clinic/Center, Rural Health

$926K
121982799375$892K
131477902641$891K
141356528269$838K
15Spectrum Health Hospitals

Grand Rapids, MI · General Acute Care Hospital

$630K
16Summa Health System

Akron, OH · General Acute Care Hospital

$615K
17Inova Health Care Services

Falls Church, VA · Clinic/Center, Rehabilitation, Substance Use Disorder

$612K
18Dayton Osteopathic Hospital

Dayton, OH · General Acute Care Hospital

$593K
19Ohiohealth Corporation

Columbus, OH · General Acute Care Hospital

$468K
201194762294$464K

Showing top 20 of 154 providers billing this code