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#3723 of 11K

76800

HCPCS Procedure Code

HCPCS code 76800 is the #3,723 most-billed Medicaid procedure code, with $1.3M in payments across 13K claims from 2018–2024. The national median cost per claim is $63.59. Costs vary widely — the 90th percentile is $172.05 per claim, 2.7× the median.

Total Paid

$1.3M

0.00% of all spending

Total Claims

13K

Providers

54

Avg Cost/Claim

$102

National Cost Distribution

How much do providers bill per claim for 76800? Based on 50 providers billing this code nationally.

Median

$63.59

Average

$88.64

Std Dev

$69.03

Max

$387.35

Percentile Distribution (Cost per Claim)

p10
$28.47
p25
$42.74
Median
$63.59
p75
$119.65
p90
$172.05
p95
$177.46
p99
$320.77

50% of providers bill between $42.74 and $119.65 per claim for this code.

90% bill between $28.47 and $172.05.

Top 1% bill above $320.77.

About This Procedure

HCPCS code 76800 was billed by 54 providers across 13K claims, totaling $1.3M in Medicaid payments from 2018–2024. This code was used for 11K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$63.59

Providers Billing

50

National Spending

$1.3M

Avg/Median Ratio

1.39×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for 76800

#ProviderTotal Paid
11013259084$299K
2Scottish Rite Children's Medical Center

Atlanta, GA · Pediatrics Pediatric Hematology-Oncology

$213K
3Norton Hospitals Inc

Louisville, KY · General Acute Care Hospital

$134K
4Children's Hospital Medical Center Of Akron

Akron, OH · General Acute Care Hospital Children

$109K
51740586627$64K
6Nationwide Children's Hospital

Columbus, OH · General Acute Care Hospital

$63K
7Norton Hospitals, Inc

Louisville, KY · General Acute Care Hospital

$50K
8Variety Children's Hospital

Miami, FL · General Acute Care Hospital Children

$43K
91740283324$41K
10Phoenix Children's Hospital

Phoenix, AZ · General Acute Care Hospital Children

$40K
11Childrens Hospital Of Philadelphia

Philadelphia, PA · General Acute Care Hospital Children

$31K
12Connecticut Children's Medical Center

Hartford, CT · General Acute Care Hospital, Children

$26K
131245365196$20K
14Upmc Children's Hospital Of Pittsburgh

Pittsburgh, PA · Clinic/Center

$17K
151801869250$15K
16Dayton Children's Hospital

Dayton, OH · General Acute Care Hospital, Children

$13K
17Ou Health Partners, Inc

Oklahoma City, OK · Clinic/Center, Multi-Specialty

$10K
18Seattle Children's Hospital

Seattle, WA · Prosthetic/Orthotic Supplier

$9K
19Children's Hospital Medical Center

Cincinnati, OH · Clinic/Center, Primary Care

$9K
201487396289$9K

Showing top 20 of 54 providers billing this code