78803
HCPCS Procedure Code
HCPCS code 78803 is the #4,873 most-billed Medicaid procedure code, with $367K in payments across 2K claims from 2018–2024. The national median cost per claim is $77.95. Costs vary widely — the 90th percentile is $341.83 per claim, 4.4× the median.
Total Paid
$367K
0.00% of all spending
Total Claims
2K
Providers
17
Avg Cost/Claim
$163
National Cost Distribution
How much do providers bill per claim for 78803? Based on 17 providers billing this code nationally.
Median
$77.95
Average
$161.07
Std Dev
$191.02
Max
$724.99
Percentile Distribution (Cost per Claim)
50% of providers bill between $32.01 and $216.44 per claim for this code.
90% bill between $25.19 and $341.83.
Top 1% bill above $689.20.
About This Procedure
HCPCS code 78803 was billed by 17 providers across 2K claims, totaling $367K in Medicaid payments from 2018–2024. This code was used for 2K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$77.95
Providers Billing
17
National Spending
$367K
Avg/Median Ratio
2.07×
Highly skewed — outlier-driven
Top Providers Billing This Code
Ranked by total Medicaid payments for 78803
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1972004489 | $171K |
| 2 | Boston Medical Center Corporation Boston, MA · General Acute Care Hospital | $109K |
| 3 | University Hospital Newark, NJ · General Acute Care Hospital | $30K |
| 4 | State Of Mississippi - University Of Mississippi Medical Center Jackson, MS · General Acute Care Hospital | $17K |
| 5 | Hartford Hospital Hartford, CT · General Acute Care Hospital | $9K |
| 6 | 1437119310 | $9K |
| 7 | Lsu Health Sciences Center Shreveport Faculty Group Practice Shreveport, LA · Oral & Maxillofacial Surgery | $6K |
| 8 | 1265437644 | $4K |
| 9 | Temple University Hospital Inc Philadelphia, PA · General Acute Care Hospital | $2K |
| 10 | 1134166945 | $2K |
| 11 | 1740283324 | $2K |
| 12 | 1578682464 | $2K |
| 13 | 1316957913 | $1K |
| 14 | 1780684431 | $1K |
| 15 | Texas Children's Physician Group Houston, TX · Pediatrics | $844 |
| 16 | Medical University Hospital Authority Charleston, SC · General Acute Care Hospital | $731 |
| 17 | 1376730358 | $374 |
Showing top 17 of 17 providers billing this code