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#2115 of 11K

A9577

HCPCS Procedure Code

HCPCS code A9577 is the #2,115 most-billed Medicaid procedure code, with $8.8M in payments across 445K claims from 2018–2024. The national median cost per claim is $8.56. Costs vary widely — the 90th percentile is $60.09 per claim, 7.0× the median.

Total Paid

$8.8M

0.00% of all spending

Total Claims

445K

Providers

446

Avg Cost/Claim

$20

National Cost Distribution

How much do providers bill per claim for A9577? Based on 339 providers billing this code nationally.

Median

$8.56

Average

$37.65

Std Dev

$110.23

Max

$841.96

Percentile Distribution (Cost per Claim)

p10
$0.09
p25
$0.96
Median
$8.56
p75
$26.99
p90
$60.09
p95
$112.79
p99
$705.69

50% of providers bill between $0.96 and $26.99 per claim for this code.

90% bill between $0.09 and $60.09.

Top 1% bill above $705.69.

About This Procedure

HCPCS code A9577 was billed by 446 providers across 445K claims, totaling $8.8M in Medicaid payments from 2018–2024. This code was used for 398K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$8.56

Providers Billing

339

National Spending

$8.8M

Avg/Median Ratio

4.40×

Highly skewed — outlier-driven

Top Providers Billing This Code

Ranked by total Medicaid payments for A9577

#ProviderTotal Paid
11679660617$541K
2Stanford Health Care

Stanford, CA · General Acute Care Hospital

$460K
31356366314$442K
41972503910$432K
5Lexington Health Inc

West Columbia, SC · General Acute Care Hospital

$426K
6Keck Medical Center Of Usc

Los Angeles, CA · General Acute Care Hospital

$377K
7University Of Utah

Salt Lake City, UT · Clinic/Center, Dental

$371K
8Seventh-day Adventists Loma Linda University Medical Center

Loma Linda, CA · General Acute Care Hospital

$301K
9University Medical Center, Inc

Louisville, KY · Student in an Organized Health Care Education/Training Program

$297K
101538244918$254K
111952546616$198K
121073518007$182K
13Spartanburg Medical Center

Spartanburg, SC · Ambulance

$168K
141235196510$168K
15West Virginia University Medical Corporation

Morgantown, WV · Anesthesiology

$165K
16Unm Hospital

Albuquerque, NM · General Acute Care Hospital

$163K
171588663769$151K
181265539498$151K
191104821305$148K
201730264128$142K

Showing top 20 of 446 providers billing this code