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#3461 of 11K

81382

HCPCS Procedure Code

HCPCS code 81382 is the #3,461 most-billed Medicaid procedure code, with $1.6M in payments across 15K claims from 2018–2024. The national median cost per claim is $77.76. Costs vary widely — the 90th percentile is $399.70 per claim, 5.1× the median.

Total Paid

$1.6M

0.00% of all spending

Total Claims

15K

Providers

31

Avg Cost/Claim

$111

National Cost Distribution

How much do providers bill per claim for 81382? Based on 29 providers billing this code nationally.

Median

$77.76

Average

$182.80

Std Dev

$281.36

Max

$1,352.33

Percentile Distribution (Cost per Claim)

p10
$10.21
p25
$47.06
Median
$77.76
p75
$176.57
p90
$399.70
p95
$661.54
p99
$1,186.40

50% of providers bill between $47.06 and $176.57 per claim for this code.

90% bill between $10.21 and $399.70.

Top 1% bill above $1,186.40.

About This Procedure

HCPCS code 81382 was billed by 31 providers across 15K claims, totaling $1.6M in Medicaid payments from 2018–2024. This code was used for 10K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$77.76

Providers Billing

29

National Spending

$1.6M

Avg/Median Ratio

2.35×

Highly skewed — outlier-driven

Top Providers Billing This Code

Ranked by total Medicaid payments for 81382

#ProviderTotal Paid
11164493847$380K
2Stanford Health Care

Stanford, CA · General Acute Care Hospital

$358K
3Yale New Haven Hospital

New Haven, CT · General Acute Care Hospital

$176K
4City Of Hope National Medical Center

Duarte, CA · General Acute Care Hospital

$140K
5Quest Diagnostics Incorporated

Clifton, NJ · Clinical Medical Laboratory

$85K
61447296272$74K
7Montefiore Medical Center

Bronx, NY · General Acute Care Hospital

$70K
8Unilab Corporation

West Hills, CA · Clinical Medical Laboratory

$55K
91972557064$47K
101073642641$46K
11Quest Diagnostics Clinical Laboratories Inc

Miramar, FL · Clinical Medical Laboratory

$39K
12The Cleveland Clinic Foundation

Cleveland, OH · General Acute Care Hospital

$35K
13Bioreference Health Llc

Elmwood Park, NJ · Clinical Medical Laboratory

$35K
14Banner - University Medical Center Tucson Campus Llc

Tucson, AZ · Clinic/Center, Multi-Specialty

$28K
15Virginia Commonwealth University Health System Authority

Richmond, VA · General Acute Care Hospital

$25K
161669430773$14K
17Children's Hospital Medical Center

Cincinnati, OH · Clinic/Center, Primary Care

$12K
181912018094$6K
19Quest Diagnostics Clinical Laboratories Inc

Irving, TX · Clinical Medical Laboratory

$5K
20Bexar County Hospital District

San Antonio, TX · Clinical Medical Laboratory

$4K

Showing top 20 of 31 providers billing this code