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#1397 of 11K

82805

HCPCS Procedure Code

HCPCS code 82805 is the #1,397 most-billed Medicaid procedure code, with $24.7M in payments across 1.5M claims from 2018–2024. The national median cost per claim is $17.63. Costs vary widely — the 90th percentile is $42.70 per claim, 2.4× the median.

Total Paid

$24.7M

0.00% of all spending

Total Claims

1.5M

Providers

977

Avg Cost/Claim

$17

National Cost Distribution

How much do providers bill per claim for 82805? Based on 910 providers billing this code nationally.

Median

$17.63

Average

$20.31

Std Dev

$19.16

Max

$174.33

Percentile Distribution (Cost per Claim)

p10
$1.60
p25
$5.93
Median
$17.63
p75
$27.91
p90
$42.70
p95
$53.45
p99
$85.97

50% of providers bill between $5.93 and $27.91 per claim for this code.

90% bill between $1.60 and $42.70.

Top 1% bill above $85.97.

About This Procedure

HCPCS code 82805 was billed by 977 providers across 1.5M claims, totaling $24.7M in Medicaid payments from 2018–2024. This code was used for 874K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$17.63

Providers Billing

910

National Spending

$24.7M

Avg/Median Ratio

1.15×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for 82805

#ProviderTotal Paid
11205800638$1.2M
2Boston Medical Center Corporation

Boston, MA · General Acute Care Hospital

$1.1M
3Florida Clinical Practice Association Inc

Gainesville, FL · Surgery

$963K
41922089242$794K
51457354656$768K
6University Of Kentucky

Lexington, KY · General Acute Care Hospital

$715K
71467669259$534K
8Rhode Island Hospital

Providence, RI · General Acute Care Hospital

$468K
9Ohiohealth Corporation

Columbus, OH · General Acute Care Hospital

$423K
10University Hospitals Cleveland Medical Center

Cleveland, OH · General Acute Care Hospital

$388K
11Regents Of The University Of California

Sacramento, CA · General Acute Care Hospital

$366K
12University Of Cincinnati Medical Center, Llc

Cincinnati, OH · General Acute Care Hospital

$318K
131972575157$313K
14Arrowhead Regional Medical Center

Colton, CA · General Acute Care Hospital

$291K
151215692934$254K
16Integrated Regional Laboratories Pathology Services Llc

Atlantis, FL · Pathology Anatomic Pathology & Clinical Pathology

$253K
17West Virginia University Hospitals, Inc

Morgantown, WV · Clinical Medical Laboratory

$250K
181669430773$250K
19Baptist Healthcare System Inc

Corbin, KY · General Acute Care Hospital

$247K
20Brockton Hospital, Inc.

Brockton, MA · General Acute Care Hospital

$247K

Showing top 20 of 977 providers billing this code