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#796 of 11K

87581

HCPCS Procedure Code

HCPCS code 87581 is the #796 most-billed Medicaid procedure code, with $78.4M in payments across 4.4M claims from 2018–2024. The national median cost per claim is $17.13. Costs vary widely — the 90th percentile is $37.34 per claim, 2.2× the median.

Total Paid

$78.4M

0.01% of all spending

Total Claims

4.4M

Providers

2K

Avg Cost/Claim

$18

National Cost Distribution

How much do providers bill per claim for 87581? Based on 2K providers billing this code nationally.

Median

$17.13

Average

$21.15

Std Dev

$35.84

Max

$784.90

Percentile Distribution (Cost per Claim)

p10
$1.25
p25
$5.66
Median
$17.13
p75
$28.01
p90
$37.34
p95
$48.61
p99
$110.67

50% of providers bill between $5.66 and $28.01 per claim for this code.

90% bill between $1.25 and $37.34.

Top 1% bill above $110.67.

About This Procedure

HCPCS code 87581 was billed by 2K providers across 4.4M claims, totaling $78.4M in Medicaid payments from 2018–2024. This code was used for 3.9M unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$17.13

Providers Billing

2K

National Spending

$78.4M

Avg/Median Ratio

1.23×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for 87581

#ProviderTotal Paid
1Eurofins Diatherix Laboratories Llc

Huntsville, AL · Clinical Medical Laboratory

$8.6M
2Physicians Group Laboratories, Llc

Houma, LA · Clinical Medical Laboratory

$4.7M
3Healthtrackrx Indiana, Inc

Denton, TX · Clinical Medical Laboratory

$4.6M
4Northwell Health Laboratories

New Hyde Park, NY · Clinical Medical Laboratory

$2.7M
51255875746$2.3M
6Sherman Abrams Laboratory Inc

Brooklyn, NY · Clinical Medical Laboratory

$2.3M
71053721373$1.4M
8Arkansas Childrens Hospital

Little Rock, AR · Clinic/Center, Critical Access Hospital

$1.3M
91598266421$1.3M
101861900698$1.3M
11The New York And Presbyterian Hospital

New York, NY · General Acute Care Hospital

$1.3M
12Suny Health Science Center At Syracuse

Syracuse, NY · General Acute Care Hospital

$1.2M
131649829987$1.1M
14Empire City Laboratories, Inc

Brooklyn, NY · Clinical Medical Laboratory

$1.1M
15Newyork-presbyterian-queens

Flushing, NY · General Acute Care Hospital

$1.0M
16Doctors Hospital At Renaissance, Ltd

Edinburg, TX · Clinic/Center, Ambulatory Surgical

$944K
17Boston Medical Center Corporation

Boston, MA · General Acute Care Hospital

$915K
18Accu Reference Medical Lab, Llc

Linden, NJ · Clinical Medical Laboratory

$854K
191033239413$817K
201730582594$766K

Showing top 20 of 2K providers billing this code