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#1298 of 11K

C1889

HCPCS Procedure Code

HCPCS code C1889 is the #1,298 most-billed Medicaid procedure code, with $28.5M in payments across 176K claims from 2018–2024. The national median cost per claim is $42.39. Costs vary widely — the 90th percentile is $547.49 per claim, 12.9× the median.

Total Paid

$28.5M

0.00% of all spending

Total Claims

176K

Providers

308

Avg Cost/Claim

$162

National Cost Distribution

How much do providers bill per claim for C1889? Based on 161 providers billing this code nationally.

Median

$42.39

Average

$199.16

Std Dev

$411.48

Max

$2,407.04

Percentile Distribution (Cost per Claim)

p10
$0.63
p25
$3.14
Median
$42.39
p75
$171.71
p90
$547.49
p95
$827.36
p99
$2,169.46

50% of providers bill between $3.14 and $171.71 per claim for this code.

90% bill between $0.63 and $547.49.

Top 1% bill above $2,169.46.

About This Procedure

HCPCS code C1889 was billed by 308 providers across 176K claims, totaling $28.5M in Medicaid payments from 2018–2024. This code was used for 141K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$42.39

Providers Billing

161

National Spending

$28.5M

Avg/Median Ratio

4.70×

Highly skewed — outlier-driven

Top Providers Billing This Code

Ranked by total Medicaid payments for C1889

#ProviderTotal Paid
1Nyu Langone Hospitals

New York, NY · Clinic/Center, Oncology

$5.7M
2Long Island Jewish Medical Center

New Hyde Park, NY · General Acute Care Hospital

$2.7M
31366459570$2.1M
41477616571$2.0M
5University Of Kentucky

Lexington, KY · General Acute Care Hospital

$2.0M
61669578324$1.8M
71427616002$1.7M
8Banner - University Medical Center Phoenix

Phoenix, AZ · Clinic/Center, Sleep Disorder Diagnostic

$1.6M
91407877137$1.4M
10Nyu Langone Hospitals

Brooklyn, NY · General Acute Care Hospital

$1.4M
11Norton Hospitals, Inc

Louisville, KY · General Acute Care Hospital

$574K
121053354100$433K
13Montefiore Medical Center

Bronx, NY · General Acute Care Hospital

$316K
14The Cooper Health System

Camden, NJ · General Acute Care Hospital

$292K
15Uofl Health-louisville Inc

Louisville, KY · Psychiatric Hospital

$283K
16Hmh Hospitals Corporation

Hackensack, NJ · Ambulance

$265K
17St Lukes Roosevelt Hospital Center

New York, NY · Case Management

$236K
181912992215$205K
191457369381$201K
201730264128$194K

Showing top 20 of 308 providers billing this code