#540 of 11K

C9803

HCPCS Procedure Code

HCPCS code C9803 is the #540 most-billed Medicaid procedure code, with $157.1M in payments across 8.0M claims from 2018–2024. The national median cost per claim is $13.20. Costs vary widely — the 90th percentile is $44.23 per claim, 3.4× the median.

Total Paid

$157.1M

0.01% of all spending

Total Claims

8.0M

Providers

Avg Cost/Claim

$20

National Cost Distribution

How much do providers bill per claim for C9803? Based on 2K providers billing this code nationally.

Median

$13.20

Average

$21.17

Std Dev

$37.06

Max

$782.15

Percentile Distribution (Cost per Claim)

p10

$1.01

p25

$5.01

Median

$13.20

p75

$23.50

p90

$44.23

p95

$68.73

p99

$153.77

50% of providers bill between $5.01 and $23.50 per claim for this code.

90% bill between $1.01 and $44.23.

Top 1% bill above $153.77.

About This Procedure

HCPCS code C9803 was billed by 2K providers across 8.0M claims, totaling $157.1M in Medicaid payments from 2018–2024. This code was used for 7.0M unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$13.20

Providers Billing

National Spending

$157.1M

Avg/Median Ratio

1.60×

Moderately skewed

Top Providers Billing This Code

Ranked by total Medicaid payments for C9803

#	Provider	Total Paid	Cost/Claim	vs Median	Tier
1	1316995210	$8.8M	$527.21	39.9× median	Top 1%
2	University Of Utah Salt Lake City, UT · Clinic/Center, Dental	$6.6M	$93.06	7.1× median	Top 10%
3	The Cleveland Clinic Foundation Cleveland, OH · General Acute Care Hospital	$2.4M	$44.09	3.3× median	Above 75th
4	1831270842	$2.4M	$782.15	59.3× median	Top 1%
5	1053361642	$2.2M	$64.48	4.9× median	Top 10%
6	Southern Ohio Medical Center Portsmouth, OH · Clinical Medical Laboratory	$2.2M	$33.48	2.5× median	Above 75th
7	District Hospital Partners L P Washington, DC · Nurse Practitioner, Family	$2.2M	$82.98	6.3× median	Top 10%
8	1043218944	$2.0M	$27.30	2.1× median	Above 75th
9	Children's Hospital Medical Center Cincinnati, OH · Clinic/Center, Primary Care	$1.9M	$39.27	3.0× median	Above 75th
10	1407887003	$1.8M	$137.24	10.4× median	Top 10%
11	1649726738	$1.8M	$107.56	8.1× median	Top 10%
12	1467504555	$1.5M	$64.84	4.9× median	Top 10%
13	Yale New Haven Hospital New Haven, CT · General Acute Care Hospital	$1.5M	$22.13	1.7× median	Above Median
14	1174500458	$1.4M	$156.57	11.9× median	Top 1%
15	1417227398	$1.4M	$181.65	13.8× median	Top 1%
16	1154373843	$1.4M	$154.14	11.7× median	Top 1%
17	1487868097	$1.4M	$147.19	11.2× median	Top 10%
18	Mcallen Hospitals L P Edinburg, TX · General Acute Care Hospital	$1.3M	$21.84	1.7× median	Above Median
19	The Cooper Health System Camden, NJ · General Acute Care Hospital	$1.2M	$21.12	1.6× median	Above Median
20	1356435341	$1.1M	$69.96	5.3× median	Top 10%

Showing top 20 of 2K providers billing this code

← All procedures Top providers →