G0257
HCPCS Procedure Code
HCPCS code G0257 is the #1,866 most-billed Medicaid procedure code, with $12.5M in payments across 91K claims from 2018–2024. The national median cost per claim is $70.95. Costs vary widely — the 90th percentile is $285.46 per claim, 4.0× the median.
Total Paid
$12.5M
0.00% of all spending
Total Claims
91K
Providers
126
Avg Cost/Claim
$138
National Cost Distribution
How much do providers bill per claim for G0257? Based on 111 providers billing this code nationally.
Median
$70.95
Average
$109.29
Std Dev
$123.95
Max
$594.56
Percentile Distribution (Cost per Claim)
50% of providers bill between $15.84 and $153.93 per claim for this code.
90% bill between $3.28 and $285.46.
Top 1% bill above $463.17.
About This Procedure
HCPCS code G0257 was billed by 126 providers across 91K claims, totaling $12.5M in Medicaid payments from 2018–2024. This code was used for 33K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$70.95
Providers Billing
111
National Spending
$12.5M
Avg/Median Ratio
1.54×
Moderately skewed
Top Providers Billing This Code
Ranked by total Medicaid payments for G0257
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1992968150 | $2.6M |
| 2 | 1881632818 | $1.7M |
| 3 | 1982658407 | $1.6M |
| 4 | 1144228446 | $1.1M |
| 5 | 1386681468 | $834K |
| 6 | Virginia Commonwealth University Health System Authority Richmond, VA · General Acute Care Hospital | $535K |
| 7 | 1285662239 | $509K |
| 8 | 1477599975 | $443K |
| 9 | 1447206438 | $382K |
| 10 | Medstar Washington Hospital Center Washington, DC · General Acute Care Hospital | $372K |
| 11 | Aurora Health Care Metro, Inc. Milwaukee, WI · Internal Medicine, Hematology & Oncology | $301K |
| 12 | 1326085424 | $138K |
| 13 | Miami Valley Hospital Dayton, OH · General Acute Care Hospital | $136K |
| 14 | 1376571323 | $117K |
| 15 | 1205900370 | $100K |
| 16 | Banner - University Medical Center Phoenix Phoenix, AZ · Clinic/Center, Sleep Disorder Diagnostic | $100K |
| 17 | Hartford Hospital Hartford, CT · General Acute Care Hospital | $94K |
| 18 | 1891367629 | $91K |
| 19 | 1295106870 | $82K |
| 20 | Lee Memorial Health System Ft Myers, FL · General Acute Care Hospital | $76K |
Showing top 20 of 126 providers billing this code