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#710 of 11K

70486

HCPCS Procedure Code

HCPCS code 70486 is the #710 most-billed Medicaid procedure code, with $100.4M in payments across 1.4M claims from 2018–2024. The national median cost per claim is $44.28. Costs vary widely — the 90th percentile is $151.54 per claim, 3.4× the median.

Total Paid

$100.4M

0.01% of all spending

Total Claims

1.4M

Providers

2K

Avg Cost/Claim

$71

National Cost Distribution

How much do providers bill per claim for 70486? Based on 2K providers billing this code nationally.

Median

$44.28

Average

$74.12

Std Dev

$101.05

Max

$2,519.99

Percentile Distribution (Cost per Claim)

p10
$21.91
p25
$29.37
Median
$44.28
p75
$91.69
p90
$151.54
p95
$214.20
p99
$406.81

50% of providers bill between $29.37 and $91.69 per claim for this code.

90% bill between $21.91 and $151.54.

Top 1% bill above $406.81.

About This Procedure

HCPCS code 70486 was billed by 2K providers across 1.4M claims, totaling $100.4M in Medicaid payments from 2018–2024. This code was used for 1.3M unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$44.28

Providers Billing

2K

National Spending

$100.4M

Avg/Median Ratio

1.67×

Moderately skewed

Top Providers Billing This Code

Ranked by total Medicaid payments for 70486

#ProviderTotal Paid
1University Of Kentucky

Lexington, KY · General Acute Care Hospital

$2.3M
2Beverly Radiology Medical Group Iii

Los Angeles, CA · Radiology, Diagnostic Radiology

$1.4M
3Scottish Rite Children's Medical Center

Atlanta, GA · Pediatrics Pediatric Hematology-Oncology

$1.3M
4Lenox Hill Radiology & Medical Imaging Associates, Pc

New York, NY · Radiology, Body Imaging

$912K
5Norton Hospitals Inc

Louisville, KY · General Acute Care Hospital

$825K
6University Medical Center, Inc

Louisville, KY · Student in an Organized Health Care Education/Training Program

$825K
7Regents Of The University Of California

Sacramento, CA · General Acute Care Hospital

$804K
8Tucson Medical Center

Tucson, AZ · Clinic/Center, Hearing and Speech

$801K
9Grossmont Hospital Corporation

La Mesa, CA · General Acute Care Hospital

$799K
10Alameda Health System

Oakland, CA · General Acute Care Hospital

$757K
11Norton Hospitals, Inc

Louisville, KY · General Acute Care Hospital

$753K
12Uofl Health-louisville Inc

Louisville, KY · Psychiatric Hospital

$748K
131568416147$657K
14Unm Hospital

Albuquerque, NM · General Acute Care Hospital

$645K
151972004489$622K
16St Josephs University Medical Center Inc.

Paterson, NJ · General Acute Care Hospital

$613K
171548393127$605K
18University Hospital

Newark, NJ · General Acute Care Hospital

$603K
19Presbyterian Healthcare Services

Albuquerque, NM · Emergency Medicine

$582K
20Sharp Memorial Hospital

San Diego, CA · General Acute Care Hospital, Women

$578K

Showing top 20 of 2K providers billing this code