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#595 of 11K

76818

HCPCS Procedure Code

HCPCS code 76818 is the #595 most-billed Medicaid procedure code, with $135.2M in payments across 1.6M claims from 2018–2024. The national median cost per claim is $68.15.

Total Paid

$135.2M

0.01% of all spending

Total Claims

1.6M

Providers

1K

Avg Cost/Claim

$83

National Cost Distribution

How much do providers bill per claim for 76818? Based on 1K providers billing this code nationally.

Median

$68.15

Average

$73.24

Std Dev

$44.75

Max

$615.78

Percentile Distribution (Cost per Claim)

p10
$30.02
p25
$43.99
Median
$68.15
p75
$91.46
p90
$118.50
p95
$136.85
p99
$220.12

50% of providers bill between $43.99 and $91.46 per claim for this code.

90% bill between $30.02 and $118.50.

Top 1% bill above $220.12.

About This Procedure

HCPCS code 76818 was billed by 1K providers across 1.6M claims, totaling $135.2M in Medicaid payments from 2018–2024. This code was used for 957K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$68.15

Providers Billing

1K

National Spending

$135.2M

Avg/Median Ratio

1.07×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for 76818

#ProviderTotal Paid
11376565952$8.8M
21336148543$4.3M
31467496240$4.1M
4Women & Infants Hospital Of Rhode Island

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

$3.3M
5Newark Beth Israel Medical Center Inc

Newark, NJ · General Acute Care Hospital

$3.0M
61104973064$2.9M
7North Shore-lij Medical Pc

Great Neck, NY · Urology

$2.4M
81881817930$2.0M
91639166382$1.9M
10Jersey City Medical Center

Jersey City, NJ · General Acute Care Hospital

$1.9M
111891349817$1.8M
121467586792$1.7M
131003811381$1.5M
141326045477$1.3M
15Magella Medical Associates Billing, Inc.

Round Rock, TX · Obstetrics & Gynecology, Maternal & Fetal Medicine

$1.3M
16Montefiore Medical Center

Bronx, NY · General Acute Care Hospital

$1.2M
171568486264$1.2M
18St Elizabeth Medical Center, Inc

Edgewood, KY · Portable X-Ray and/or Other Portable Diagnostic Imaging Supplier

$1.2M
19Montefiore Medical Center

Bronx, NY · Anesthesiology

$1.1M
201174557979$1.1M

Showing top 20 of 1K providers billing this code