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#3255 of 11K

88271

HCPCS Procedure Code

HCPCS code 88271 is the #3,255 most-billed Medicaid procedure code, with $2.1M in payments across 49K claims from 2018–2024. The national median cost per claim is $34.96. Costs vary widely — the 90th percentile is $86.11 per claim, 2.5× the median.

Total Paid

$2.1M

0.00% of all spending

Total Claims

49K

Providers

83

Avg Cost/Claim

$43

National Cost Distribution

How much do providers bill per claim for 88271? Based on 79 providers billing this code nationally.

Median

$34.96

Average

$52.20

Std Dev

$60.51

Max

$323.62

Percentile Distribution (Cost per Claim)

p10
$12.85
p25
$21.35
Median
$34.96
p75
$53.25
p90
$86.11
p95
$165.77
p99
$311.68

50% of providers bill between $21.35 and $53.25 per claim for this code.

90% bill between $12.85 and $86.11.

Top 1% bill above $311.68.

About This Procedure

HCPCS code 88271 was billed by 83 providers across 49K claims, totaling $2.1M in Medicaid payments from 2018–2024. This code was used for 40K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$34.96

Providers Billing

79

National Spending

$2.1M

Avg/Median Ratio

1.49×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for 88271

#ProviderTotal Paid
11306875877$222K
21801197256$217K
3Laboratory Corporation Of America Holdings

Research Triangle Park, NC · Clinical Medical Laboratory

$164K
4City Of Hope National Medical Center

Duarte, CA · General Acute Care Hospital

$150K
51699115857$142K
61871615708$118K
7Mount Sinai Hospital

New York, NY · Ambulance

$91K
81689975021$86K
9Quest Diagnostics Incorporated

Clifton, NJ · Clinical Medical Laboratory

$74K
101124269717$70K
111124536107$68K
12Northwell Health Laboratories

New Hyde Park, NY · Clinical Medical Laboratory

$49K
13Unilab Corporation

West Hills, CA · Clinical Medical Laboratory

$44K
14Virginia Commonwealth University Health System Authority

Richmond, VA · General Acute Care Hospital

$44K
15Arthur G James Cancer Hospital And Research Institute

Columbus, OH · Special Hospital

$42K
161366459570$38K
17Mayo Collaborative Services, Inc

Rochester, MN · Clinical Medical Laboratory

$38K
18Montefiore Medical Center

Bronx, NY · General Acute Care Hospital

$36K
19Children's Hospital Medical Center

Cincinnati, OH · Clinic/Center, Primary Care

$30K
201164493847$29K

Showing top 20 of 83 providers billing this code