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#3287 of 11K

C1751

HCPCS Procedure Code

HCPCS code C1751 is the #3,287 most-billed Medicaid procedure code, with $2.0M in payments across 175K claims from 2018–2024. The national median cost per claim is $7.06. Costs vary widely — the 90th percentile is $69.01 per claim, 9.8× the median.

Total Paid

$2.0M

0.00% of all spending

Total Claims

175K

Providers

220

Avg Cost/Claim

$12

National Cost Distribution

How much do providers bill per claim for C1751? Based on 134 providers billing this code nationally.

Median

$7.06

Average

$23.17

Std Dev

$39.23

Max

$203.30

Percentile Distribution (Cost per Claim)

p10
$0.04
p25
$0.64
Median
$7.06
p75
$25.05
p90
$69.01
p95
$107.06
p99
$187.51

50% of providers bill between $0.64 and $25.05 per claim for this code.

90% bill between $0.04 and $69.01.

Top 1% bill above $187.51.

About This Procedure

HCPCS code C1751 was billed by 220 providers across 175K claims, totaling $2.0M in Medicaid payments from 2018–2024. This code was used for 146K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$7.06

Providers Billing

134

National Spending

$2.0M

Avg/Median Ratio

3.28×

Highly skewed — outlier-driven

Top Providers Billing This Code

Ranked by total Medicaid payments for C1751

#ProviderTotal Paid
1University Of Utah

Salt Lake City, UT · Clinic/Center, Dental

$985K
2West Virginia University Hospitals, Inc

Morgantown, WV · Clinical Medical Laboratory

$154K
31285681908$117K
41538535158$100K
5Norton Hospitals Inc

Louisville, KY · General Acute Care Hospital

$74K
6Norton Hospitals, Inc

Louisville, KY · General Acute Care Hospital

$62K
71417975061$42K
8Montefiore Medical Center

Bronx, NY · General Acute Care Hospital

$31K
9State Of Mississippi - University Of Mississippi Medical Center

Jackson, MS · General Acute Care Hospital

$27K
101053301127$22K
11Virginia Commonwealth University Health System Authority

Richmond, VA · General Acute Care Hospital

$21K
12Southern Ohio Medical Center

Portsmouth, OH · Clinical Medical Laboratory

$21K
13Rector & Visitors Of The University Of Virginia

Charlottesville, VA · General Acute Care Hospital

$18K
14Adventist Health System-sunbelt, Inc

Orlando, FL · Ambulance, Land Transport

$17K
151710984299$17K
16Orlando Health Inc.

Orlando, FL · General Acute Care Hospital

$15K
17Baptist Healthcare System Inc

Corbin, KY · General Acute Care Hospital

$14K
18Dignity Health

Phoenix, AZ · Rehabilitation Unit

$14K
19Medical University Hospital Authority

Charleston, SC · General Acute Care Hospital

$14K
20University Of Kentucky

Lexington, KY · General Acute Care Hospital

$14K

Showing top 20 of 220 providers billing this code