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#4681 of 11K

C1758

HCPCS Procedure Code

HCPCS code C1758 is the #4,681 most-billed Medicaid procedure code, with $454K in payments across 69K claims from 2018–2024. The national median cost per claim is $4.02. Costs vary widely — the 90th percentile is $26.22 per claim, 6.5× the median.

Total Paid

$454K

0.00% of all spending

Total Claims

69K

Providers

230

Avg Cost/Claim

$7

National Cost Distribution

How much do providers bill per claim for C1758? Based on 91 providers billing this code nationally.

Median

$4.02

Average

$11.64

Std Dev

$24.74

Max

$189.22

Percentile Distribution (Cost per Claim)

p10
$0.05
p25
$0.43
Median
$4.02
p75
$12.49
p90
$26.22
p95
$41.88
p99
$121.83

50% of providers bill between $0.43 and $12.49 per claim for this code.

90% bill between $0.05 and $26.22.

Top 1% bill above $121.83.

About This Procedure

HCPCS code C1758 was billed by 230 providers across 69K claims, totaling $454K in Medicaid payments from 2018–2024. This code was used for 60K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$4.02

Providers Billing

91

National Spending

$454K

Avg/Median Ratio

2.90×

Highly skewed — outlier-driven

Top Providers Billing This Code

Ranked by total Medicaid payments for C1758

#ProviderTotal Paid
1Charleston Area Medical Center Inc

Charleston, WV · General Acute Care Hospital

$154K
2Rector & Visitors Of The University Of Virginia

Charlottesville, VA · General Acute Care Hospital

$64K
3Montefiore Medical Center

Bronx, NY · General Acute Care Hospital

$23K
4Norton Hospitals Inc

Louisville, KY · General Acute Care Hospital

$22K
5University Of Kentucky

Lexington, KY · General Acute Care Hospital

$21K
6Adventist Health System-sunbelt, Inc

Orlando, FL · Ambulance, Land Transport

$18K
7Dignity Health

San Bernardino, CA · General Acute Care Hospital

$15K
81548205818$14K
91689282147$12K
10Norton Hospitals, Inc

Louisville, KY · General Acute Care Hospital

$12K
111699874248$10K
121619038247$8K
131235139312$7K
14Owensboro Health Inc

Owensboro, KY · General Acute Care Hospital

$6K
15St Elizabeth Medical Center, Inc

Edgewood, KY · Portable X-Ray and/or Other Portable Diagnostic Imaging Supplier

$5K
161700979465$5K
17Nyu Langone Hospitals

New York, NY · Clinic/Center, Oncology

$5K
181881785863$4K
191184197683$4K
20The Cooper Health System

Camden, NJ · General Acute Care Hospital

$4K

Showing top 20 of 230 providers billing this code