#1582 of 11K

76857

Pelvic ultrasound, limited

Pelvic ultrasound, limited is the #1,582 most-billed Medicaid procedure code, with $18.6M in payments across 545K claims from 2018–2024. The national median cost per claim is $26.23. Costs vary widely — the 90th percentile is $62.47 per claim, 2.4× the median.

Total Paid

$18.6M

0.00% of all spending

Total Claims

545K

Providers

981

Avg Cost/Claim

$34

National Cost Distribution

How much do providers bill per claim for 76857? Based on 959 providers billing this code nationally.

Median

$26.23

Average

$32.46

Std Dev

$29.82

Max

$471.69

Percentile Distribution (Cost per Claim)

p10

$8.05

p25

$14.65

Median

$26.23

p75

$41.10

p90

$62.47

p95

$77.47

p99

$135.25

50% of providers bill between $14.65 and $41.10 per claim for this code.

90% bill between $8.05 and $62.47.

Top 1% bill above $135.25.

About This Procedure

HCPCS code 76857 (Pelvic ultrasound, limited) was billed by 981 providers across 545K claims, totaling $18.6M in Medicaid payments from 2018–2024. This code was used for 512K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$26.23

Providers Billing

959

National Spending

$18.6M

Avg/Median Ratio

1.24×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for 76857

#	Provider	Total Paid	Cost/Claim	vs Median	Tier
1	Montefiore Medical Center Bronx, NY · Anesthesiology	$1.0M	$46.69	1.8× median	Above 75th
2	University Of Kentucky Lexington, KY · General Acute Care Hospital	$674K	$240.19	9.2× median	Top 1%
3	1255469110	$618K	$63.20	2.4× median	Top 10%
4	1417211533	$603K	$31.52	1.2× median	Above Median
5	Regents Of The University Of Michigan Ann Arbor, MI · Clinic/Center, End-Stage Renal Disease (ESRD) Treatment	$580K	$50.33	1.9× median	Above 75th
6	Yale New Haven Hospital New Haven, CT · General Acute Care Hospital	$548K	$75.50	2.9× median	Top 10%
7	Bridgeport Hospital Bridgeport, CT · General Acute Care Hospital	$482K	$91.59	3.5× median	Top 10%
8	Boston Medical Center Corporation Boston, MA · General Acute Care Hospital	$464K	$86.12	3.3× median	Top 10%
9	1396779039	$391K	$40.31	1.5× median	Above Median
10	1467586792	$326K	$65.41	2.5× median	Top 10%
11	1154430148	$311K	$53.50	2.0× median	Above 75th
12	1417959701	$309K	$132.13	5.0× median	Top 10%
13	1942254347	$282K	$33.80	1.3× median	Above Median
14	1346697331	$231K	$47.94	1.8× median	Above 75th
15	1588822423	$209K	$45.80	1.7× median	Above 75th
16	Children's Hospital Medical Center Of Akron Akron, OH · General Acute Care Hospital Children	$209K	$145.03	5.5× median	Top 1%
17	1174693881	$207K	$38.04	1.5× median	Above Median
18	1891896023	$171K	$34.49	1.3× median	Above Median
19	Montefiore Medical Center Bronx, NY · General Acute Care Hospital	$169K	$11.55	0.4× median	Below Median
20	1396794574	$158K	$36.81	1.4× median	Above Median

Showing top 20 of 981 providers billing this code

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