#1878 of 11K

64450

HCPCS Procedure Code

HCPCS code 64450 is the #1,878 most-billed Medicaid procedure code, with $12.3M in payments across 200K claims from 2018–2024. The national median cost per claim is $33.48. Costs vary widely — the 90th percentile is $192.27 per claim, 5.7× the median.

Total Paid

$12.3M

0.00% of all spending

Total Claims

200K

Providers

460

Avg Cost/Claim

$61

National Cost Distribution

How much do providers bill per claim for 64450? Based on 442 providers billing this code nationally.

Median

$33.48

Average

$71.32

Std Dev

$105.41

Max

$774.31

Percentile Distribution (Cost per Claim)

p10

$8.29

p25

$17.58

Median

$33.48

p75

$70.71

p90

$192.27

p95

$264.39

p99

$583.24

50% of providers bill between $17.58 and $70.71 per claim for this code.

90% bill between $8.29 and $192.27.

Top 1% bill above $583.24.

About This Procedure

HCPCS code 64450 was billed by 460 providers across 200K claims, totaling $12.3M in Medicaid payments from 2018–2024. This code was used for 137K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$33.48

Providers Billing

442

National Spending

$12.3M

Avg/Median Ratio

2.13×

Highly skewed — outlier-driven

Top Providers Billing This Code

Ranked by total Medicaid payments for 64450

#	Provider	Total Paid	Cost/Claim	vs Median	Tier
1	1457319485	$1.2M	$586.41	17.5× median	Top 1%
2	1033497714	$994K	$53.26	1.6× median	Above Median
3	1154636397	$658K	$35.82	1.1× median	Above Median
4	1023143757	$528K	$35.82	1.1× median	Above Median
5	1033548581	$489K	$38.96	1.2× median	Above Median
6	Berkshire Medical Center, Inc Pittsfield, MA · General Acute Care Hospital	$483K	$77.89	2.3× median	Above 75th
7	Hartford Hospital Hartford, CT · General Acute Care Hospital	$470K	$661.05	19.7× median	Top 1%
8	Yale New Haven Hospital New Haven, CT · General Acute Care Hospital	$346K	$153.03	4.6× median	Above 75th
9	1932164795	$272K	$228.02	6.8× median	Top 10%
10	1710491253	$264K	$193.36	5.8× median	Top 10%
11	Henry Ford Health System Detroit, MI · General Acute Care Hospital	$209K	$238.05	7.1× median	Top 10%
12	1346411915	$192K	$39.80	1.2× median	Above Median
13	University Of Kentucky Lexington, KY · General Acute Care Hospital	$174K	$455.00	13.6× median	Top 10%
14	1053354233	$164K	$131.27	3.9× median	Above 75th
15	1336319086	$152K	$38.27	1.1× median	Above Median
16	1013047042	$147K	$157.42	4.7× median	Above 75th
17	Ohio State University Hospitals Columbus, OH · General Acute Care Hospital	$145K	$139.64	4.2× median	Above 75th
18	Phoenix Children's Hospital Phoenix, AZ · General Acute Care Hospital Children	$142K	$161.28	4.8× median	Above 75th
19	1548212939	$131K	$20.72	0.6× median	Below Median
20	Multicare Health System Tacoma, WA · Community/Behavioral Health	$128K	$260.93	7.8× median	Top 10%

Showing top 20 of 460 providers billing this code

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