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#307 of 11K

76856

Ultrasound, pelvic, complete

Ultrasound, pelvic, complete is the #307 most-billed Medicaid procedure code, with $459.7M in payments across 7.3M claims from 2018–2024. The national median cost per claim is $47.58. Costs vary widely — the 90th percentile is $115.66 per claim, 2.4× the median.

Total Paid

$459.7M

0.04% of all spending

Total Claims

7.3M

Providers

6K

Avg Cost/Claim

$63

National Cost Distribution

How much do providers bill per claim for 76856? Based on 6K providers billing this code nationally.

Median

$47.58

Average

$62.67

Std Dev

$64.07

Max

$716.03

Percentile Distribution (Cost per Claim)

p10
$17.90
p25
$26.45
Median
$47.58
p75
$75.28
p90
$115.66
p95
$173.90
p99
$341.12

50% of providers bill between $26.45 and $75.28 per claim for this code.

90% bill between $17.90 and $115.66.

Top 1% bill above $341.12.

About This Procedure

HCPCS code 76856 (Ultrasound, pelvic, complete) was billed by 6K providers across 7.3M claims, totaling $459.7M in Medicaid payments from 2018–2024. This code was used for 6.9M unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$47.58

Providers Billing

6K

National Spending

$459.7M

Avg/Median Ratio

1.32×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for 76856

#ProviderTotal Paid
1Beverly Radiology Medical Group Iii

Los Angeles, CA · Radiology, Diagnostic Radiology

$4.1M
2United Medical Imaging Healthcare, Inc.

Los Angeles, CA · Clinic/Center, Radiology

$3.8M
3The New York And Presbyterian Hospital

New York, NY · General Acute Care Hospital

$3.8M
4Lenox Hill Radiology & Medical Imaging Associates, Pc

New York, NY · Radiology, Body Imaging

$3.5M
5Rochester General Hospital

Rochester, NY · Dentist, General Practice

$3.1M
6Boston Medical Center Corporation

Boston, MA · General Acute Care Hospital

$2.9M
7The Cleveland Clinic Foundation

Cleveland, OH · General Acute Care Hospital

$2.9M
81497148456$2.7M
9New York Network Ipa Inc

Brooklyn, NY · Exclusive Provider Organization

$2.6M
10Yuma Regional Medical Center

Yuma, AZ · General Acute Care Hospital

$2.4M
11The New York And Presbyterian Hospital

New York, NY · General Acute Care Hospital

$2.2M
12Brockton Hospital, Inc.

Brockton, MA · General Acute Care Hospital

$2.2M
131972004489$2.1M
141376577247$2.1M
15Long Island Jewish Medical Center

New Hyde Park, NY · General Acute Care Hospital

$2.0M
16Samaritan Hospital Of Troy, New York

Troy, NY

$2.0M
17Cambridge Public Health Commission

Cambridge, MA · General Acute Care Hospital

$2.0M
181467586792$1.9M
19Umass Memorial Medical Center, Inc.

Worcester, MA · General Acute Care Hospital

$1.9M
201184780355$1.8M

Showing top 20 of 6K providers billing this code