#5997 of 11K

C1780

HCPCS Procedure Code

HCPCS code C1780 is the #5,997 most-billed Medicaid procedure code, with $108K in payments across 11K claims from 2018–2024. The national median cost per claim is $12.88. Costs vary widely — the 90th percentile is $102.98 per claim, 8.0× the median.

Total Paid

$108K

0.00% of all spending

Total Claims

11K

Providers

Avg Cost/Claim

$10

National Cost Distribution

How much do providers bill per claim for C1780? Based on 24 providers billing this code nationally.

Median

$12.88

Average

$32.40

Std Dev

$48.06

Max

$178.61

Percentile Distribution (Cost per Claim)

p10

$0.60

p25

$1.06

Median

$12.88

p75

$34.91

p90

$102.98

p95

$137.98

p99

$170.01

50% of providers bill between $1.06 and $34.91 per claim for this code.

90% bill between $0.60 and $102.98.

Top 1% bill above $170.01.

About This Procedure

HCPCS code C1780 was billed by 50 providers across 11K claims, totaling $108K in Medicaid payments from 2018–2024. This code was used for 9K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$12.88

Providers Billing

National Spending

$108K

Avg/Median Ratio

2.52×

Highly skewed — outlier-driven

Top Providers Billing This Code

Ranked by total Medicaid payments for C1780

#	Provider	Total Paid	Cost/Claim	vs Median	Tier
1	1831173467	$38K	$178.61	13.9× median	Top 1%
2	St. Barnabas Hospital Bronx, NY · General Acute Care Hospital	$19K	$39.32	3.1× median	Above 75th
3	1457309247	$15K	$21.69	1.7× median	Above Median
4	1205307378	$12K	$119.63	9.3× median	Top 10%
5	1245248939	$5K	$29.43	2.3× median	Above Median
6	Bluefield Hospital Company Llc Bluefield, WV · General Acute Care Hospital	$4K	$43.37	3.4× median	Above 75th
7	1285607416	$3K	$6.58	0.5× median	Below Median
8	1245214477	$3K	$141.21	11.0× median	Top 10%
9	Unm Hospital Albuquerque, NM · General Acute Care Hospital	$2K	$1.08	0.1× median	Below Median
10	1801831102	$1K	$29.27	2.3× median	Above Median
11	St Josephs University Medical Center Inc. Paterson, NJ · General Acute Care Hospital	$1K	$13.76	1.1× median	Above Median
12	1467446195	$1K	$64.11	5.0× median	Above 75th
13	1538101688	$568	$33.44	2.6× median	Above Median
14	1699874248	$494	$0.99	0.1× median	Below Median
15	1356307581	$426	$0.87	0.1× median	Below Median
16	1487740957	$425	$0.18	0.0× median	Below Median
17	Carolinas Medical Center Charlotte, NC · General Acute Care Hospital	$419	$29.90	2.3× median	Above Median
18	State Of Mississippi - University Of Mississippi Medical Center Jackson, MS · General Acute Care Hospital	$348	$12.00	0.9× median	Below Median
19	1376593442	$286	$0.98	0.1× median	Below Median
20	1740208081	$190	$6.34	0.5× median	Below Median

Showing top 20 of 50 providers billing this code

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