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#407 of 11K

76801

Ultrasound, pregnant uterus, single fetus, first trimester

Ultrasound, pregnant uterus, single fetus, first trimester is the #407 most-billed Medicaid procedure code, with $260.0M in payments across 4.2M claims from 2018–2024. The national median cost per claim is $58.16.

Total Paid

$260.0M

0.02% of all spending

Total Claims

4.2M

Providers

5K

Avg Cost/Claim

$62

National Cost Distribution

How much do providers bill per claim for 76801? Based on 5K providers billing this code nationally.

Median

$58.16

Average

$63.68

Std Dev

$43.49

Max

$770.07

Percentile Distribution (Cost per Claim)

p10
$23.07
p25
$34.30
Median
$58.16
p75
$83.67
p90
$106.87
p95
$128.91
p99
$216.69

50% of providers bill between $34.30 and $83.67 per claim for this code.

90% bill between $23.07 and $106.87.

Top 1% bill above $216.69.

About This Procedure

HCPCS code 76801 (Ultrasound, pregnant uterus, single fetus, first trimester) was billed by 5K providers across 4.2M claims, totaling $260.0M in Medicaid payments from 2018–2024. This code was used for 3.8M unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$58.16

Providers Billing

5K

National Spending

$260.0M

Avg/Median Ratio

1.09×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for 76801

#ProviderTotal Paid
1The Cleveland Clinic Foundation

Cleveland, OH · General Acute Care Hospital

$2.6M
21750494373$2.3M
3Boston Medical Center Corporation

Boston, MA · General Acute Care Hospital

$2.2M
41376565952$1.9M
51184780355$1.9M
6University Hospitals Cleveland Medical Center

Cleveland, OH · General Acute Care Hospital

$1.4M
7The Metrohealth System

Cleveland, OH · General Acute Care Hospital

$1.4M
8Brockton Hospital, Inc.

Brockton, MA · General Acute Care Hospital

$1.3M
9Grossmont Hospital Corporation

La Mesa, CA · General Acute Care Hospital

$1.3M
10Montefiore Medical Center

Bronx, NY · Anesthesiology

$1.3M
11Yale New Haven Hospital

New Haven, CT · General Acute Care Hospital

$1.2M
12Women & Infants Hospital Of Rhode Island

Providence, RI · Clinic/Center, Ambulatory Family Planning Facility

$1.1M
13Saint Francis Hospital And Medical Center

Hartford, CT · General Acute Care Hospital

$1.1M
14Cambridge Public Health Commission

Cambridge, MA · General Acute Care Hospital

$1.1M
15University Of Texas Medical Branch At Galveston

Galveston, TX · Clinic/Center, Ambulatory Surgical

$1.1M
161992994214$1.1M
17Harbinder Brar

Riverside, CA · Obstetrics & Gynecology Maternal & Fetal Medicine

$1.1M
181093829210$1.0M
19Ou Health Partners, Inc

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

$994K
201235363045$985K

Showing top 20 of 5K providers billing this code