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)
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
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1013259084 | $299K |
| 2 | Scottish Rite Children's Medical Center Atlanta, GA · Pediatrics Pediatric Hematology-Oncology | $213K |
| 3 | Norton Hospitals Inc Louisville, KY · General Acute Care Hospital | $134K |
| 4 | Children's Hospital Medical Center Of Akron Akron, OH · General Acute Care Hospital Children | $109K |
| 5 | 1740586627 | $64K |
| 6 | Nationwide Children's Hospital Columbus, OH · General Acute Care Hospital | $63K |
| 7 | Norton Hospitals, Inc Louisville, KY · General Acute Care Hospital | $50K |
| 8 | Variety Children's Hospital Miami, FL · General Acute Care Hospital Children | $43K |
| 9 | 1740283324 | $41K |
| 10 | Phoenix Children's Hospital Phoenix, AZ · General Acute Care Hospital Children | $40K |
| 11 | Childrens Hospital Of Philadelphia Philadelphia, PA · General Acute Care Hospital Children | $31K |
| 12 | Connecticut Children's Medical Center Hartford, CT · General Acute Care Hospital, Children | $26K |
| 13 | 1245365196 | $20K |
| 14 | Upmc Children's Hospital Of Pittsburgh Pittsburgh, PA · Clinic/Center | $17K |
| 15 | 1801869250 | $15K |
| 16 | Dayton Children's Hospital Dayton, OH · General Acute Care Hospital, Children | $13K |
| 17 | Ou Health Partners, Inc Oklahoma City, OK · Clinic/Center, Multi-Specialty | $10K |
| 18 | Seattle Children's Hospital Seattle, WA · Prosthetic/Orthotic Supplier | $9K |
| 19 | Children's Hospital Medical Center Cincinnati, OH · Clinic/Center, Primary Care | $9K |
| 20 | 1487396289 | $9K |
Showing top 20 of 54 providers billing this code