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#4018 of 11K

70546

HCPCS Procedure Code

HCPCS code 70546 is the #4,018 most-billed Medicaid procedure code, with $929K in payments across 7K claims from 2018–2024. The national median cost per claim is $77.66. Costs vary widely — the 90th percentile is $358.94 per claim, 4.6× the median.

Total Paid

$929K

0.00% of all spending

Total Claims

7K

Providers

31

Avg Cost/Claim

$132

National Cost Distribution

How much do providers bill per claim for 70546? Based on 30 providers billing this code nationally.

Median

$77.66

Average

$139.23

Std Dev

$128.74

Max

$438.45

Percentile Distribution (Cost per Claim)

p10
$33.92
p25
$39.62
Median
$77.66
p75
$187.24
p90
$358.94
p95
$367.01
p99
$419.05

50% of providers bill between $39.62 and $187.24 per claim for this code.

90% bill between $33.92 and $358.94.

Top 1% bill above $419.05.

About This Procedure

HCPCS code 70546 was billed by 31 providers across 7K claims, totaling $929K in Medicaid payments from 2018–2024. This code was used for 6K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$77.66

Providers Billing

30

National Spending

$929K

Avg/Median Ratio

1.79×

Moderately skewed

Top Providers Billing This Code

Ranked by total Medicaid payments for 70546

#ProviderTotal Paid
11972004489$262K
2Yale New Haven Hospital

New Haven, CT · General Acute Care Hospital

$147K
3University Of Wisconsin Hospitals And Clinics Authority

Madison, WI · General Acute Care Hospital

$127K
4The Cleveland Clinic Foundation

Cleveland, OH · General Acute Care Hospital

$86K
5Seventh-day Adventists Loma Linda University Medical Center

Loma Linda, CA · General Acute Care Hospital

$68K
6Beverly Radiology Medical Group Iii

Los Angeles, CA · Radiology, Diagnostic Radiology

$67K
71740283324$43K
81871528026$16K
9State Of Mississippi - University Of Mississippi Medical Center

Jackson, MS · General Acute Care Hospital

$14K
10Banner-university Medical Group

Phoenix, AZ · Clinic/Center, Primary Care

$12K
11State Of Connecticut

Farmington, CT · Counselor, Professional

$12K
12Banner - University Medical Center Tucson Campus Llc

Tucson, AZ · Clinic/Center, Multi-Specialty

$11K
131932280666$10K
14University Of Rochester

Rochester, NY · General Acute Care Hospital

$8K
151558759498$6K
161508942681$6K
17Froedtert Memorial Lutheran Hospital, Inc.

Milwaukee, WI · Clinic/Center, Radiology

$5K
18Regents Of The University Of Michigan

Ann Arbor, MI · Clinic/Center, End-Stage Renal Disease (ESRD) Treatment

$4K
19West Virginia University Medical Corporation

Morgantown, WV · Anesthesiology

$4K
201477554814$3K

Showing top 20 of 31 providers billing this code