C1726
HCPCS Procedure Code
HCPCS code C1726 is the #3,522 most-billed Medicaid procedure code, with $1.6M in payments across 48K claims from 2018–2024. The national median cost per claim is $27.12. Costs vary widely — the 90th percentile is $213.88 per claim, 7.9× the median.
Total Paid
$1.6M
0.00% of all spending
Total Claims
48K
Providers
167
Avg Cost/Claim
$33
National Cost Distribution
How much do providers bill per claim for C1726? Based on 79 providers billing this code nationally.
Median
$27.12
Average
$73.45
Std Dev
$93.24
Max
$438.60
Percentile Distribution (Cost per Claim)
50% of providers bill between $2.14 and $114.66 per claim for this code.
90% bill between $0.61 and $213.88.
Top 1% bill above $334.11.
About This Procedure
HCPCS code C1726 was billed by 167 providers across 48K claims, totaling $1.6M in Medicaid payments from 2018–2024. This code was used for 41K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$27.12
Providers Billing
79
National Spending
$1.6M
Avg/Median Ratio
2.71×
Highly skewed — outlier-driven
Top Providers Billing This Code
Ranked by total Medicaid payments for C1726
| # | Provider | Total Paid |
|---|---|---|
| 1 | University Of Kentucky Lexington, KY · General Acute Care Hospital | $574K |
| 2 | Norton Hospitals, Inc Louisville, KY · General Acute Care Hospital | $153K |
| 3 | Norton Hospitals Inc Louisville, KY · General Acute Care Hospital | $121K |
| 4 | Nyu Langone Hospitals New York, NY · Clinic/Center, Oncology | $76K |
| 5 | Montefiore Medical Center Bronx, NY · General Acute Care Hospital | $66K |
| 6 | Banner - University Medical Center Phoenix Phoenix, AZ · Clinic/Center, Sleep Disorder Diagnostic | $66K |
| 7 | 1407805971 | $46K |
| 8 | Banner - University Medical Center Tucson Campus Llc Tucson, AZ · Clinic/Center, Multi-Specialty | $46K |
| 9 | University Of California Irvine Orange, CA · General Acute Care Hospital | $38K |
| 10 | Unm Hospital Albuquerque, NM · General Acute Care Hospital | $37K |
| 11 | Maimonides Medical Center Brooklyn, NY · General Acute Care Hospital | $33K |
| 12 | 1689282147 | $32K |
| 13 | Arthur G James Cancer Hospital And Research Institute Columbus, OH · Special Hospital | $32K |
| 14 | 1699874248 | $23K |
| 15 | Phoenix Children's Hospital Phoenix, AZ · General Acute Care Hospital Children | $20K |
| 16 | 1235212721 | $16K |
| 17 | Uofl Health-louisville Inc Louisville, KY · Psychiatric Hospital | $13K |
| 18 | The Cooper Health System Camden, NJ · General Acute Care Hospital | $12K |
| 19 | Virginia Commonwealth University Health System Authority Richmond, VA · General Acute Care Hospital | $11K |
| 20 | Charleston Area Medical Center Inc Charleston, WV · General Acute Care Hospital | $11K |
Showing top 20 of 167 providers billing this code