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#3947 of 11K

82085

HCPCS Procedure Code

HCPCS code 82085 is the #3,947 most-billed Medicaid procedure code, with $989K in payments across 192K claims from 2018–2024. The national median cost per claim is $5.41. Costs vary widely — the 90th percentile is $12.92 per claim, 2.4× the median.

Total Paid

$989K

0.00% of all spending

Total Claims

192K

Providers

161

Avg Cost/Claim

$5

National Cost Distribution

How much do providers bill per claim for 82085? Based on 156 providers billing this code nationally.

Median

$5.41

Average

$7.17

Std Dev

$8.06

Max

$79.06

Percentile Distribution (Cost per Claim)

p10
$1.79
p25
$3.00
Median
$5.41
p75
$9.02
p90
$12.92
p95
$15.45
p99
$34.51

50% of providers bill between $3.00 and $9.02 per claim for this code.

90% bill between $1.79 and $12.92.

Top 1% bill above $34.51.

About This Procedure

HCPCS code 82085 was billed by 161 providers across 192K claims, totaling $989K in Medicaid payments from 2018–2024. This code was used for 182K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$5.41

Providers Billing

156

National Spending

$989K

Avg/Median Ratio

1.33×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for 82085

#ProviderTotal Paid
1Laboratory Corporation Of America Holdings

Burlington, NC · Clinical Medical Laboratory

$120K
2Quest Diagnostics Clinical Laboratories Inc

Miramar, FL · Clinical Medical Laboratory

$90K
3Unilab Corporation

West Hills, CA · Clinical Medical Laboratory

$52K
4Laboratory Corporation Of America Holdings

Raritan, NJ · Clinical Medical Laboratory

$40K
5Johns Hopkins All Children's Hospital Inc

St Petersburg, FL · General Acute Care Hospital Children

$37K
6Laboratory Corporation Of America Holdings

Dublin, OH · Clinical Medical Laboratory

$36K
7Quest Diagnostics Incorporated

Clifton, NJ · Clinical Medical Laboratory

$31K
81891731626$30K
91376548271$27K
10Medical University Hospital Authority

Charleston, SC · General Acute Care Hospital

$23K
11Montefiore Medical Center

Bronx, NY · General Acute Care Hospital

$23K
121447296272$23K
13Sonora Quest Laboratories Llc

Phoenix, AZ · Clinical Medical Laboratory

$22K
14Northwell Health Laboratories

New Hyde Park, NY · Clinical Medical Laboratory

$21K
15Quest Diagnostics Clinical Laboratories Inc

Irving, TX · Clinical Medical Laboratory

$21K
16Nyu Langone Hospitals

New York, NY · Clinic/Center, Oncology

$21K
17Unm Hospital

Albuquerque, NM · General Acute Care Hospital

$20K
18Quest Diagnostics Llc Il

Wood Dale, IL · Clinical Medical Laboratory

$19K
19Pikeville Medical Center Inc

Pikeville, KY · General Acute Care Hospital

$17K
201629109137$16K

Showing top 20 of 161 providers billing this code