C1766
HCPCS Procedure Code
HCPCS code C1766 is the #4,111 most-billed Medicaid procedure code, with $837K in payments across 8K claims from 2018–2024. The national median cost per claim is $10.41. Costs vary widely — the 90th percentile is $325.13 per claim, 31.2× the median.
Total Paid
$837K
0.00% of all spending
Total Claims
8K
Providers
27
Avg Cost/Claim
$102
National Cost Distribution
How much do providers bill per claim for C1766? Based on 13 providers billing this code nationally.
Median
$10.41
Average
$98.48
Std Dev
$170.18
Max
$543.61
Percentile Distribution (Cost per Claim)
50% of providers bill between $1.84 and $73.08 per claim for this code.
90% bill between $0.58 and $325.13.
Top 1% bill above $520.78.
About This Procedure
HCPCS code C1766 was billed by 27 providers across 8K claims, totaling $837K in Medicaid payments from 2018–2024. This code was used for 7K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$10.41
Providers Billing
13
National Spending
$837K
Avg/Median Ratio
9.46×
Highly skewed — outlier-driven
Top Providers Billing This Code
Ranked by total Medicaid payments for C1766
| # | Provider | Total Paid |
|---|---|---|
| 1 | Nyu Langone Hospitals New York, NY · Clinic/Center, Oncology | $427K |
| 2 | St. Mary's Medical Center Inc Huntington, WV · General Acute Care Hospital | $267K |
| 3 | Providence Health & Services Washington Anchorage, AK · General Acute Care Hospital | $123K |
| 4 | 1710943881 | $15K |
| 5 | Montefiore Medical Center Bronx, NY · General Acute Care Hospital | $2K |
| 6 | Spartanburg Medical Center Spartanburg, SC · Ambulance | $1K |
| 7 | 1922079094 | $606 |
| 8 | 1306914213 | $485 |
| 9 | Phoenix Children's Hospital Phoenix, AZ · General Acute Care Hospital Children | $206 |
| 10 | 1619038247 | $187 |
| 11 | Froedtert Memorial Lutheran Hospital, Inc. Milwaukee, WI · Clinic/Center, Radiology | $158 |
| 12 | 1801897038 | $67 |
| 13 | 1144471715 | $3 |
| 14 | Henry Ford Health System Detroit, MI · General Acute Care Hospital | $0 |
| 15 | Yale New Haven Hospital New Haven, CT · General Acute Care Hospital | $0 |
| 16 | Holzer Hospital Foundation Gallipolis, OH · General Acute Care Hospital Rural | $0 |
| 17 | Saint Mary's Hospital, Inc. Waterbury, CT · General Acute Care Hospital | $0 |
| 18 | 1902894512 | $0 |
| 19 | Vhs Childrens Hospital Of Michigan Inc Detroit, MI · Clinic/Center, Ambulatory Surgical | $0 |
| 20 | 1265423917 | $0 |
Showing top 20 of 27 providers billing this code