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#3486 of 11K

C8930

HCPCS Procedure Code

HCPCS code C8930 is the #3,486 most-billed Medicaid procedure code, with $1.6M in payments across 8K claims from 2018–2024. The national median cost per claim is $176.01. Costs vary widely — the 90th percentile is $397.43 per claim, 2.3× the median.

Total Paid

$1.6M

0.00% of all spending

Total Claims

8K

Providers

26

Avg Cost/Claim

$196

National Cost Distribution

How much do providers bill per claim for C8930? Based on 26 providers billing this code nationally.

Median

$176.01

Average

$193.86

Std Dev

$148.63

Max

$476.43

Percentile Distribution (Cost per Claim)

p10
$14.45
p25
$54.03
Median
$176.01
p75
$289.45
p90
$397.43
p95
$448.35
p99
$473.15

50% of providers bill between $54.03 and $289.45 per claim for this code.

90% bill between $14.45 and $397.43.

Top 1% bill above $473.15.

About This Procedure

HCPCS code C8930 was billed by 26 providers across 8K claims, totaling $1.6M in Medicaid payments from 2018–2024. This code was used for 8K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$176.01

Providers Billing

26

National Spending

$1.6M

Avg/Median Ratio

1.10×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for C8930

#ProviderTotal Paid
1Unm Hospital

Albuquerque, NM · General Acute Care Hospital

$488K
2Yale New Haven Hospital

New Haven, CT · General Acute Care Hospital

$166K
31356307581$160K
4Rochester General Hospital

Rochester, NY · Dentist, General Practice

$148K
51659392819$122K
6Froedtert Memorial Lutheran Hospital, Inc.

Milwaukee, WI · Clinic/Center, Radiology

$107K
7Summa Health System

Akron, OH · General Acute Care Hospital

$77K
81689653487$63K
91881987675$60K
10Mainehealth

Portland, ME · Emergency Medicine

$47K
11Eastern Maine Medical Center

Bangor, ME · General Acute Care Hospital

$45K
121922043686$27K
13Henry Ford Health St. John Hospital

Chicago, IL · Clinic/Center, Ambulatory Surgical

$26K
141124099858$20K
151760421713$15K
16Sage River Counseling

Seattle, WA · Counselor Mental Health

$14K
17Boston Medical Center Corporation

Boston, MA · General Acute Care Hospital

$8K
18Montefiore Medical Center

Bronx, NY · General Acute Care Hospital

$7K
19University Of Cincinnati Medical Center, Llc

Cincinnati, OH · General Acute Care Hospital

$5K
20Newark Beth Israel Medical Center Inc

Newark, NJ · General Acute Care Hospital

$5K

Showing top 20 of 26 providers billing this code