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#272 of 11K

59025

Fetal non-stress test

Fetal non-stress test is the #272 most-billed Medicaid procedure code, with $516.8M in payments across 9.0M claims from 2018–2024. The national median cost per claim is $26.45. Costs vary widely — the 90th percentile is $132.56 per claim, 5.0× the median.

Total Paid

$516.8M

0.05% of all spending

Total Claims

9.0M

Providers

5K

Avg Cost/Claim

$58

National Cost Distribution

How much do providers bill per claim for 59025? Based on 5K providers billing this code nationally.

Median

$26.45

Average

$48.35

Std Dev

$62.39

Max

$777.87

Percentile Distribution (Cost per Claim)

p10
$8.19
p25
$17.12
Median
$26.45
p75
$44.12
p90
$132.56
p95
$175.08
p99
$289.81

50% of providers bill between $17.12 and $44.12 per claim for this code.

90% bill between $8.19 and $132.56.

Top 1% bill above $289.81.

About This Procedure

HCPCS code 59025 (Fetal non-stress test) was billed by 5K providers across 9.0M claims, totaling $516.8M in Medicaid payments from 2018–2024. This code was used for 5.4M unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$26.45

Providers Billing

5K

National Spending

$516.8M

Avg/Median Ratio

1.83×

Moderately skewed

Top Providers Billing This Code

Ranked by total Medicaid payments for 59025

#ProviderTotal Paid
1Capital Health System, Inc.

Pennington, NJ · General Acute Care Hospital

$6.3M
2Boston Medical Center Corporation

Boston, MA · General Acute Care Hospital

$5.3M
3Yale New Haven Hospital

New Haven, CT · General Acute Care Hospital

$5.1M
4Baystate Medical Center Inc

Springfield, MA · General Acute Care Hospital

$4.8M
5Medstar Washington Hospital Center

Washington, DC · General Acute Care Hospital

$4.5M
6Inspira Medical Centers Inc.

Vineland, NJ · General Acute Care Hospital

$3.8M
71700037801$3.8M
8Atlanticare Regional Medical Center

Pomona, NJ · General Acute Care Hospital

$3.5M
9The Lowell General Hospital

Lowell, MA · Pharmacy, Institutional Pharmacy

$3.4M
10The Cooper Health System

Camden, NJ · General Acute Care Hospital

$3.4M
11Saint Peter's University Hospital

New Brunswick, NJ · General Acute Care Hospital

$3.3M
12Harbinder Brar

Riverside, CA · Obstetrics & Gynecology Maternal & Fetal Medicine

$3.2M
13Hartford Hospital

Hartford, CT · General Acute Care Hospital

$3.2M
14Ohio State University Hospitals

Columbus, OH · General Acute Care Hospital

$3.0M
15Bridgeport Hospital

Bridgeport, CT · General Acute Care Hospital

$2.9M
161033421664$2.6M
17Miami Valley Hospital

Dayton, OH · General Acute Care Hospital

$2.6M
18Rector & Visitors Of The University Of Virginia

Charlottesville, VA · General Acute Care Hospital

$2.6M
191477549756$2.5M
201487740957$2.4M

Showing top 20 of 5K providers billing this code

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