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#2454 of 11K

C1781

HCPCS Procedure Code

HCPCS code C1781 is the #2,454 most-billed Medicaid procedure code, with $5.7M in payments across 33K claims from 2018–2024. The national median cost per claim is $134.33. Costs vary widely — the 90th percentile is $592.27 per claim, 4.4× the median.

Total Paid

$5.7M

0.00% of all spending

Total Claims

33K

Providers

211

Avg Cost/Claim

$174

National Cost Distribution

How much do providers bill per claim for C1781? Based on 104 providers billing this code nationally.

Median

$134.33

Average

$242.60

Std Dev

$287.30

Max

$1,616.68

Percentile Distribution (Cost per Claim)

p10
$5.05
p25
$43.91
Median
$134.33
p75
$357.31
p90
$592.27
p95
$865.65
p99
$1,071.04

50% of providers bill between $43.91 and $357.31 per claim for this code.

90% bill between $5.05 and $592.27.

Top 1% bill above $1,071.04.

About This Procedure

HCPCS code C1781 was billed by 211 providers across 33K claims, totaling $5.7M in Medicaid payments from 2018–2024. This code was used for 29K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$134.33

Providers Billing

104

National Spending

$5.7M

Avg/Median Ratio

1.81×

Moderately skewed

Top Providers Billing This Code

Ranked by total Medicaid payments for C1781

#ProviderTotal Paid
11609177146$1.2M
2Norton Hospitals Inc

Louisville, KY · General Acute Care Hospital

$480K
3Uofl Health-louisville Inc

Louisville, KY · Psychiatric Hospital

$405K
41538535158$399K
5Norton Hospitals, Inc

Louisville, KY · General Acute Care Hospital

$398K
61932240702$347K
7Montefiore Medical Center

Bronx, NY · General Acute Care Hospital

$207K
81952818775$198K
9Nyu Langone Hospitals

New York, NY · Clinic/Center, Oncology

$160K
10Tucson Medical Center

Tucson, AZ · Clinic/Center, Hearing and Speech

$158K
11University Of Kentucky

Lexington, KY · General Acute Care Hospital

$136K
12Jersey City Medical Center

Jersey City, NJ · General Acute Care Hospital

$113K
13Charleston Area Medical Center Inc

Charleston, WV · General Acute Care Hospital

$96K
141689282147$95K
151265818488$88K
16Long Island Jewish Medical Center

New Hyde Park, NY · General Acute Care Hospital

$87K
17St Josephs University Medical Center Inc.

Paterson, NJ · General Acute Care Hospital

$74K
181326022765$73K
19The Cooper Health System

Camden, NJ · General Acute Care Hospital

$61K
201407877137$61K

Showing top 20 of 211 providers billing this code