C1874
HCPCS Procedure Code
HCPCS code C1874 is the #1,988 most-billed Medicaid procedure code, with $10.5M in payments across 15K claims from 2018–2024. The national median cost per claim is $623.58. Costs vary widely — the 90th percentile is $2,211.83 per claim, 3.5× the median.
Total Paid
$10.5M
0.00% of all spending
Total Claims
15K
Providers
95
Avg Cost/Claim
$686
National Cost Distribution
How much do providers bill per claim for C1874? Based on 58 providers billing this code nationally.
Median
$623.58
Average
$876.29
Std Dev
$1,018.90
Max
$5,811.30
Percentile Distribution (Cost per Claim)
50% of providers bill between $184.80 and $1,128.49 per claim for this code.
90% bill between $46.08 and $2,211.83.
Top 1% bill above $4,582.78.
About This Procedure
HCPCS code C1874 was billed by 95 providers across 15K claims, totaling $10.5M in Medicaid payments from 2018–2024. This code was used for 14K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$623.58
Providers Billing
58
National Spending
$10.5M
Avg/Median Ratio
1.41×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for C1874
| # | Provider | Total Paid |
|---|---|---|
| 1 | Nyu Langone Hospitals New York, NY · Clinic/Center, Oncology | $2.8M |
| 2 | 1386899870 | $2.1M |
| 3 | Charleston Area Medical Center Inc Charleston, WV · General Acute Care Hospital | $813K |
| 4 | Mount Sinai Hospital New York, NY · Ambulance | $586K |
| 5 | 1932240702 | $578K |
| 6 | Norton Hospitals, Inc Louisville, KY · General Acute Care Hospital | $535K |
| 7 | University Of Kentucky Lexington, KY · General Acute Care Hospital | $473K |
| 8 | 1538720685 | $405K |
| 9 | Norton Hospitals Inc Louisville, KY · General Acute Care Hospital | $333K |
| 10 | Robert Wood Johnson University Hospital, Inc New Brunswick, NJ · General Acute Care Hospital | $203K |
| 11 | Banner - University Medical Center Phoenix Phoenix, AZ · Clinic/Center, Sleep Disorder Diagnostic | $173K |
| 12 | 1477616571 | $157K |
| 13 | Uofl Health-louisville Inc Louisville, KY · Psychiatric Hospital | $150K |
| 14 | St Josephs University Medical Center Inc. Paterson, NJ · General Acute Care Hospital | $110K |
| 15 | Nyu Langone Hospitals Brooklyn, NY · General Acute Care Hospital | $88K |
| 16 | St Lukes Roosevelt Hospital Center New York, NY · Case Management | $77K |
| 17 | 1235212721 | $76K |
| 18 | 1124078696 | $70K |
| 19 | Englewood Hospital And Medical Center Englewood, NJ · General Acute Care Hospital | $68K |
| 20 | Yuma Regional Medical Center Yuma, AZ · General Acute Care Hospital | $54K |
Showing top 20 of 95 providers billing this code