#3129 of 11K

93926

HCPCS Procedure Code

HCPCS code 93926 is the #3,129 most-billed Medicaid procedure code, with $2.4M in payments across 83K claims from 2018–2024. The national median cost per claim is $26.21. Costs vary widely — the 90th percentile is $84.25 per claim, 3.2× the median.

Total Paid

$2.4M

0.00% of all spending

Total Claims

83K

Providers

297

Avg Cost/Claim

$29

National Cost Distribution

How much do providers bill per claim for 93926? Based on 292 providers billing this code nationally.

Median

$26.21

Average

$39.82

Std Dev

$45.14

Max

$333.60

Percentile Distribution (Cost per Claim)

p10

$6.90

p25

$12.68

Median

$26.21

p75

$53.29

p90

$84.25

p95

$102.98

p99

$238.26

50% of providers bill between $12.68 and $53.29 per claim for this code.

90% bill between $6.90 and $84.25.

Top 1% bill above $238.26.

About This Procedure

HCPCS code 93926 was billed by 297 providers across 83K claims, totaling $2.4M in Medicaid payments from 2018–2024. This code was used for 67K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$26.21

Providers Billing

292

National Spending

$2.4M

Avg/Median Ratio

1.52×

Moderately skewed

Top Providers Billing This Code

Ranked by total Medicaid payments for 93926

#	Provider	Total Paid	Cost/Claim	vs Median	Tier
1	1639140387	$171K	$14.06	0.5× median	Below Median
2	Virginia Commonwealth University Health System Authority Richmond, VA · General Acute Care Hospital	$151K	$102.19	3.9× median	Top 10%
3	1023584216	$108K	$22.17	0.8× median	Below Median
4	Yale New Haven Hospital New Haven, CT · General Acute Care Hospital	$80K	$46.26	1.8× median	Above Median
5	1568803047	$78K	$75.98	2.9× median	Above 75th
6	Baystate Medical Center Inc Springfield, MA · General Acute Care Hospital	$75K	$142.02	5.4× median	Top 10%
7	Umass Memorial Medical Center, Inc. Worcester, MA · General Acute Care Hospital	$74K	$136.01	5.2× median	Top 10%
8	University Hospital Newark, NJ · General Acute Care Hospital	$73K	$213.27	8.1× median	Top 10%
9	1710959150	$61K	$54.14	2.1× median	Above 75th
10	1275016941	$54K	$22.03	0.8× median	Below Median
11	1558786830	$47K	$48.97	1.9× median	Above Median
12	1134169568	$47K	$56.31	2.1× median	Above 75th
13	Stanford Health Care Stanford, CA · General Acute Care Hospital	$43K	$104.25	4.0× median	Top 10%
14	1710164504	$42K	$35.34	1.3× median	Above Median
15	Charleston Area Medical Center Inc Charleston, WV · General Acute Care Hospital	$40K	$72.61	2.8× median	Above 75th
16	1932376233	$38K	$7.05	0.3× median	Below Median
17	The Cleveland Clinic Foundation Cleveland, OH · General Acute Care Hospital	$37K	$56.89	2.2× median	Above 75th
18	Norton Hospitals Inc Louisville, KY · General Acute Care Hospital	$32K	$89.97	3.4× median	Top 10%
19	1366449365	$30K	$29.72	1.1× median	Above Median
20	1891190195	$30K	$84.37	3.2× median	Top 10%

Showing top 20 of 297 providers billing this code

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