#2852 of 11K

71270

HCPCS Procedure Code

HCPCS code 71270 is the #2,852 most-billed Medicaid procedure code, with $3.3M in payments across 26K claims from 2018–2024. The national median cost per claim is $61.20. Costs vary widely — the 90th percentile is $200.68 per claim, 3.3× the median.

Total Paid

$3.3M

0.00% of all spending

Total Claims

26K

Providers

Avg Cost/Claim

$126

National Cost Distribution

How much do providers bill per claim for 71270? Based on 88 providers billing this code nationally.

Median

$61.20

Average

$111.47

Std Dev

$178.94

Max

$1,628.65

Percentile Distribution (Cost per Claim)

p10

$29.64

p25

$36.25

Median

$61.20

p75

$146.45

p90

$200.68

p95

$230.83

p99

$493.79

50% of providers bill between $36.25 and $146.45 per claim for this code.

90% bill between $29.64 and $200.68.

Top 1% bill above $493.79.

About This Procedure

HCPCS code 71270 was billed by 89 providers across 26K claims, totaling $3.3M in Medicaid payments from 2018–2024. This code was used for 24K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$61.20

Providers Billing

National Spending

$3.3M

Avg/Median Ratio

1.82×

Moderately skewed

Top Providers Billing This Code

Ranked by total Medicaid payments for 71270

#	Provider	Total Paid	Cost/Claim	vs Median	Tier
1	United Medical Imaging Healthcare, Inc. Los Angeles, CA · Clinic/Center, Radiology	$557K	$1,628.65	26.6× median	Top 1%
2	Pikeville Medical Center Inc Pikeville, KY · General Acute Care Hospital	$437K	$223.13	3.6× median	Top 10%
3	Beverly Radiology Medical Group Iii Los Angeles, CA · Radiology, Diagnostic Radiology	$414K	$139.78	2.3× median	Above Median
4	1093884538	$210K	$198.36	3.2× median	Above 75th
5	1285785519	$203K	$162.26	2.7× median	Above 75th
6	1124079868	$187K	$71.03	1.2× median	Above Median
7	Miami Valley Hospital Dayton, OH · General Acute Care Hospital	$158K	$200.33	3.3× median	Above 75th
8	Henry Ford Health System Detroit, MI · General Acute Care Hospital	$111K	$112.31	1.8× median	Above Median
9	1720016728	$102K	$62.06	1.0× median	Above Median
10	1902062136	$102K	$86.14	1.4× median	Above Median
11	1508942681	$84K	$36.28	0.6× median	Below Median
12	1679663447	$77K	$131.38	2.1× median	Above Median
13	1407963275	$76K	$148.08	2.4× median	Above 75th
14	1013981554	$66K	$324.21	5.3× median	Top 10%
15	1568416147	$55K	$257.00	4.2× median	Top 10%
16	1477503407	$42K	$50.77	0.8× median	Below Median
17	1639137938	$34K	$103.81	1.7× median	Above Median
18	1700821477	$31K	$202.22	3.3× median	Top 10%
19	Montefiore Medical Center Bronx, NY · General Acute Care Hospital	$30K	$173.76	2.8× median	Above 75th
20	Yuma Regional Medical Center Yuma, AZ · General Acute Care Hospital	$29K	$93.68	1.5× median	Above Median

Showing top 20 of 89 providers billing this code

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