#4238 of 11K

70470

HCPCS Procedure Code

HCPCS code 70470 is the #4,238 most-billed Medicaid procedure code, with $723K in payments across 8K claims from 2018–2024. The national median cost per claim is $56.82. Costs vary widely — the 90th percentile is $225.65 per claim, 4.0× the median.

Total Paid

$723K

0.00% of all spending

Total Claims

Providers

Avg Cost/Claim

$94

National Cost Distribution

How much do providers bill per claim for 70470? Based on 46 providers billing this code nationally.

Median

$56.82

Average

$100.57

Std Dev

$105.09

Max

$520.61

Percentile Distribution (Cost per Claim)

p10

$31.83

p25

$34.83

Median

$56.82

p75

$107.75

p90

$225.65

p95

$317.46

p99

$454.32

50% of providers bill between $34.83 and $107.75 per claim for this code.

90% bill between $31.83 and $225.65.

Top 1% bill above $454.32.

About This Procedure

HCPCS code 70470 was billed by 46 providers across 8K claims, totaling $723K in Medicaid payments from 2018–2024. This code was used for 7K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$56.82

Providers Billing

National Spending

$723K

Avg/Median Ratio

1.77×

Moderately skewed

Top Providers Billing This Code

Ranked by total Medicaid payments for 70470

#	Provider	Total Paid	Cost/Claim	vs Median	Tier
1	Beverly Radiology Medical Group Iii Los Angeles, CA · Radiology, Diagnostic Radiology	$213K	$168.54	3.0× median	Above 75th
2	1700821477	$91K	$201.52	3.5× median	Above 75th
3	1679549190	$62K	$44.71	0.8× median	Below Median
4	Norton Hospitals Inc Louisville, KY · General Acute Care Hospital	$62K	$373.29	6.6× median	Top 10%
5	1740283324	$27K	$34.08	0.6× median	Below Median
6	Norton Hospitals, Inc Louisville, KY · General Acute Care Hospital	$26K	$297.90	5.2× median	Top 10%
7	1700512365	$24K	$100.81	1.8× median	Above Median
8	1346250594	$21K	$85.55	1.5× median	Above Median
9	Ashland Hospital Corporation Ashland, KY · Clinic/Center, Rural Health	$20K	$142.69	2.5× median	Above 75th
10	Dignity Health Phoenix, AZ · Rehabilitation Unit	$15K	$520.61	9.2× median	Top 1%
11	Henry Ford Health St. John Hospital Chicago, IL · Clinic/Center, Ambulatory Surgical	$14K	$81.35	1.4× median	Above Median
12	Medical Associates Of Ebnhc East Boston, MA · Clinic/Center, Community Health	$14K	$105.16	1.9× median	Above Median
13	1649599085	$13K	$323.98	5.7× median	Top 10%
14	1679513196	$12K	$45.15	0.8× median	Below Median
15	1487730594	$10K	$34.47	0.6× median	Below Median
16	1679529978	$10K	$34.54	0.6× median	Below Median
17	1790896710	$10K	$108.61	1.9× median	Above 75th
18	1376719666	$9K	$31.70	0.6× median	Below Median
19	1376624981	$7K	$91.81	1.6× median	Above Median
20	1619931466	$6K	$165.02	2.9× median	Above 75th

Showing top 20 of 46 providers billing this code

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