#6784 of 11K

87176

HCPCS Procedure Code

HCPCS code 87176 is the #6,784 most-billed Medicaid procedure code, with $43K in payments across 20K claims from 2018–2024. The national median cost per claim is $1.89. Costs vary widely — the 90th percentile is $4.69 per claim, 2.5× the median.

Total Paid

$43K

0.00% of all spending

Total Claims

20K

Providers

Avg Cost/Claim

National Cost Distribution

How much do providers bill per claim for 87176? Based on 68 providers billing this code nationally.

Median

$1.89

Average

$2.61

Std Dev

$2.84

Max

$19.56

Percentile Distribution (Cost per Claim)

p10

$0.19

p25

$0.59

Median

$1.89

p75

$4.18

p90

$4.69

p95

$5.75

p99

$12.09

50% of providers bill between $0.59 and $4.18 per claim for this code.

90% bill between $0.19 and $4.69.

Top 1% bill above $12.09.

About This Procedure

HCPCS code 87176 was billed by 79 providers across 20K claims, totaling $43K in Medicaid payments from 2018–2024. This code was used for 17K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$1.89

Providers Billing

National Spending

$43K

Avg/Median Ratio

1.38×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for 87176

#	Provider	Total Paid	Cost/Claim	vs Median	Tier
1	University Of Kentucky Lexington, KY · General Acute Care Hospital	$10K	$8.41	4.4× median	Top 10%
2	1942749387	$3K	$2.49	1.3× median	Above Median
3	1578504056	$3K	$5.81	3.1× median	Top 10%
4	1376624981	$3K	$3.22	1.7× median	Above Median
5	1467669259	$2K	$4.33	2.3× median	Above 75th
6	University Of California Irvine Orange, CA · General Acute Care Hospital	$2K	$2.96	1.6× median	Above Median
7	Aurora Health Care Metro, Inc. Milwaukee, WI · Internal Medicine, Hematology & Oncology	$2K	$4.31	2.3× median	Above 75th
8	1457354656	$1K	$4.35	2.3× median	Above 75th
9	1730264128	$1K	$4.69	2.5× median	Top 10%
10	A2cl Services, Llc West Allis, WI · Clinical Medical Laboratory	$1K	$4.69	2.5× median	Above 75th
11	1437135886	$1K	$3.90	2.1× median	Above Median
12	Ohiohealth Corporation Columbus, OH · General Acute Care Hospital	$1K	$2.15	1.1× median	Above Median
13	Unm Hospital Albuquerque, NM · General Acute Care Hospital	$988	$5.78	3.1× median	Top 10%
14	Orlando Health Inc. Orlando, FL · General Acute Care Hospital	$900	$0.38	0.2× median	Below Median
15	1669430773	$685	$3.89	2.1× median	Above Median
16	1184606600	$685	$19.56	10.4× median	Top 1%
17	1366449282	$601	$1.18	0.6× median	Below Median
18	1902996028	$596	$3.73	2.0× median	Above Median
19	1144471715	$563	$1.67	0.9× median	Below Median
20	1114902814	$526	$4.65	2.5× median	Above 75th

Showing top 20 of 79 providers billing this code

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