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#5490 of 11K

C1893

HCPCS Procedure Code

HCPCS code C1893 is the #5,490 most-billed Medicaid procedure code, with $188K in payments across 11K claims from 2018–2024. The national median cost per claim is $10.57. Costs vary widely — the 90th percentile is $128.29 per claim, 12.1× the median.

Total Paid

$188K

0.00% of all spending

Total Claims

11K

Providers

44

Avg Cost/Claim

$17

National Cost Distribution

How much do providers bill per claim for C1893? Based on 23 providers billing this code nationally.

Median

$10.57

Average

$48.64

Std Dev

$103.07

Max

$478.16

Percentile Distribution (Cost per Claim)

p10
$1.17
p25
$2.41
Median
$10.57
p75
$41.66
p90
$128.29
p95
$159.73
p99
$408.40

50% of providers bill between $2.41 and $41.66 per claim for this code.

90% bill between $1.17 and $128.29.

Top 1% bill above $408.40.

About This Procedure

HCPCS code C1893 was billed by 44 providers across 11K claims, totaling $188K in Medicaid payments from 2018–2024. This code was used for 9K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$10.57

Providers Billing

23

National Spending

$188K

Avg/Median Ratio

4.60×

Highly skewed — outlier-driven

Top Providers Billing This Code

Ranked by total Medicaid payments for C1893

#ProviderTotal Paid
1West Virginia University Hospitals, Inc

Morgantown, WV · Clinical Medical Laboratory

$65K
2Bluefield Hospital Company Llc

Bluefield, WV · General Acute Care Hospital

$30K
31699874248$23K
4Children's Hospital Corporation

Boston, MA · Clinic/Center

$21K
51215927470$14K
61720078041$13K
7State Of Mississippi - University Of Mississippi Medical Center

Jackson, MS · General Acute Care Hospital

$5K
8University Of Colorado Hospital Authority

Aurora, CO · General Acute Care Hospital

$4K
9Mount Sinai Hospital

New York, NY · Ambulance

$3K
101598868655$2K
111023092053$2K
121902865355$2K
131558575746$1K
141922043686$936
151912964768$610
16Carilion Medical Center

Roanoke, VA · General Acute Care Hospital

$496
171760020044$409
181891938122$402
191922079094$287
201467433763$239

Showing top 20 of 44 providers billing this code