C1894
HCPCS Procedure Code
HCPCS code C1894 is the #2,252 most-billed Medicaid procedure code, with $7.4M in payments across 758K claims from 2018–2024. The national median cost per claim is $5.06. Costs vary widely — the 90th percentile is $45.55 per claim, 9.0× the median.
Total Paid
$7.4M
0.00% of all spending
Total Claims
758K
Providers
825
Avg Cost/Claim
$10
National Cost Distribution
How much do providers bill per claim for C1894? Based on 548 providers billing this code nationally.
Median
$5.06
Average
$18.23
Std Dev
$47.70
Max
$833.92
Percentile Distribution (Cost per Claim)
50% of providers bill between $0.52 and $18.69 per claim for this code.
90% bill between $0.04 and $45.55.
Top 1% bill above $155.81.
About This Procedure
HCPCS code C1894 was billed by 825 providers across 758K claims, totaling $7.4M in Medicaid payments from 2018–2024. This code was used for 644K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$5.06
Providers Billing
548
National Spending
$7.4M
Avg/Median Ratio
3.60×
Highly skewed — outlier-driven
Top Providers Billing This Code
Ranked by total Medicaid payments for C1894
| # | Provider | Total Paid |
|---|---|---|
| 1 | Nyu Langone Hospitals New York, NY · Clinic/Center, Oncology | $513K |
| 2 | University Of Kentucky Lexington, KY · General Acute Care Hospital | $383K |
| 3 | Charleston Area Medical Center Inc Charleston, WV · General Acute Care Hospital | $296K |
| 4 | Norton Hospitals Inc Louisville, KY · General Acute Care Hospital | $286K |
| 5 | 1629015698 | $257K |
| 6 | Norton Hospitals, Inc Louisville, KY · General Acute Care Hospital | $245K |
| 7 | Montefiore Medical Center Bronx, NY · General Acute Care Hospital | $216K |
| 8 | Providence Health & Services Washington Anchorage, AK · General Acute Care Hospital | $183K |
| 9 | 1538244918 | $180K |
| 10 | 1043293608 | $163K |
| 11 | 1366459570 | $153K |
| 12 | 1043220650 | $144K |
| 13 | Unm Hospital Albuquerque, NM · General Acute Care Hospital | $138K |
| 14 | Rhode Island Hospital Providence, RI · General Acute Care Hospital | $128K |
| 15 | 1477616571 | $126K |
| 16 | Owensboro Health Inc Owensboro, KY · General Acute Care Hospital | $91K |
| 17 | 1689282147 | $90K |
| 18 | 1447231956 | $79K |
| 19 | St. Mary's Medical Center Inc Huntington, WV · General Acute Care Hospital | $77K |
| 20 | 1265539498 | $77K |
Showing top 20 of 825 providers billing this code