Statistical flags indicate unusual patterns — not proof of fraud or wrongdoing. Read our methodology

#1658 of 11K

86141

C-reactive protein, high sensitivity blood test

C-reactive protein, high sensitivity blood test is the #1,658 most-billed Medicaid procedure code, with $16.7M in payments across 2.5M claims from 2018–2024. The national median cost per claim is $6.50. Costs vary widely — the 90th percentile is $13.57 per claim, 2.1× the median.

Total Paid

$16.7M

0.00% of all spending

Total Claims

2.5M

Providers

1K

Avg Cost/Claim

$7

National Cost Distribution

How much do providers bill per claim for 86141? Based on 1K providers billing this code nationally.

Median

$6.50

Average

$8.03

Std Dev

$13.26

Max

$286.46

Percentile Distribution (Cost per Claim)

p10
$0.76
p25
$2.39
Median
$6.50
p75
$9.75
p90
$13.57
p95
$18.13
p99
$50.69

50% of providers bill between $2.39 and $9.75 per claim for this code.

90% bill between $0.76 and $13.57.

Top 1% bill above $50.69.

About This Procedure

HCPCS code 86141 (C-reactive protein, high sensitivity blood test) was billed by 1K providers across 2.5M claims, totaling $16.7M in Medicaid payments from 2018–2024. This code was used for 2.2M unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$6.50

Providers Billing

1K

National Spending

$16.7M

Avg/Median Ratio

1.24×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for 86141

#ProviderTotal Paid
11972625499$806K
2Bioreference Health Llc

Elmwood Park, NJ · Clinical Medical Laboratory

$746K
3Boston Medical Center Corporation

Boston, MA · General Acute Care Hospital

$472K
4Alaska Native Tribal Health Consortium

Anchorage, AK · General Acute Care Hospital

$406K
5Norton Sound Health Corporation

Nome, AK · General Acute Care Hospital, Critical Access

$393K
61396287082$388K
7Laboratory Corporation Of America Holdings

Raritan, NJ · Clinical Medical Laboratory

$313K
8Cook Children's Medical Center

Fort Worth, TX · General Acute Care Hospital Children

$310K
91538570528$304K
10Quest Diagnostics Incorporated

Clifton, NJ · Clinical Medical Laboratory

$277K
11Laboratory Corporation Of America Holdings

Burlington, NC · Clinical Medical Laboratory

$271K
12Unilab Corporation

West Hills, CA · Clinical Medical Laboratory

$254K
13Laboratory Corporation Of America Holdings

Dublin, OH · Clinical Medical Laboratory

$215K
14Children's Hospital Corporation

Boston, MA · Clinic/Center

$196K
15Florida Clinical Practice Association Inc

Gainesville, FL · Surgery

$182K
161891873303$174K
171821143777$170K
18Accurate Diagnostics Labs, Inc.

South Plainfield, NJ · Clinical Medical Laboratory

$168K
19Laboratory Corporation Of America

Seattle, WA · Clinical Medical Laboratory

$154K
201013332014$153K

Showing top 20 of 1K providers billing this code