86885
HCPCS Procedure Code
HCPCS code 86885 is the #1,793 most-billed Medicaid procedure code, with $13.8M in payments across 523K claims from 2018–2024. The national median cost per claim is $5.28. Costs vary widely — the 90th percentile is $60.86 per claim, 11.5× the median.
Total Paid
$13.8M
0.00% of all spending
Total Claims
523K
Providers
216
Avg Cost/Claim
$26
National Cost Distribution
How much do providers bill per claim for 86885? Based on 204 providers billing this code nationally.
Median
$5.28
Average
$15.80
Std Dev
$24.36
Max
$162.32
Percentile Distribution (Cost per Claim)
50% of providers bill between $2.56 and $13.83 per claim for this code.
90% bill between $0.89 and $60.86.
Top 1% bill above $84.69.
About This Procedure
HCPCS code 86885 was billed by 216 providers across 523K claims, totaling $13.8M in Medicaid payments from 2018–2024. This code was used for 452K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$5.28
Providers Billing
204
National Spending
$13.8M
Avg/Median Ratio
2.99×
Highly skewed — outlier-driven
Top Providers Billing This Code
Ranked by total Medicaid payments for 86885
| # | Provider | Total Paid |
|---|---|---|
| 1 | State Of Mississippi - University Of Mississippi Medical Center Jackson, MS · General Acute Care Hospital | $3.4M |
| 2 | 1356496772 | $715K |
| 3 | Bronxcare Health System Bronx, NY · General Acute Care Hospital | $696K |
| 4 | Kaiser Foundation Hospitals Downey, CA · General Acute Care Hospital | $598K |
| 5 | 1073606901 | $476K |
| 6 | 1821143777 | $470K |
| 7 | 1306876065 | $467K |
| 8 | 1134274897 | $463K |
| 9 | 1013062769 | $448K |
| 10 | Kaiser Foundation Hospitals Baldwin Park, CA · General Acute Care Hospital | $421K |
| 11 | 1922079094 | $406K |
| 12 | 1376698043 | $405K |
| 13 | 1336294040 | $398K |
| 14 | 1598875460 | $397K |
| 15 | 1558798603 | $368K |
| 16 | 1306991211 | $331K |
| 17 | City Of Hope National Medical Center Duarte, CA · General Acute Care Hospital | $300K |
| 18 | 1699756445 | $280K |
| 19 | 1144213117 | $176K |
| 20 | 1639284409 | $173K |
Showing top 20 of 216 providers billing this code