G0297
HCPCS Procedure Code
HCPCS code G0297 is the #2,601 most-billed Medicaid procedure code, with $4.6M in payments across 66K claims from 2018–2024. The national median cost per claim is $49.65. Costs vary widely — the 90th percentile is $165.89 per claim, 3.3× the median.
Total Paid
$4.6M
0.00% of all spending
Total Claims
66K
Providers
364
Avg Cost/Claim
$70
National Cost Distribution
How much do providers bill per claim for G0297? Based on 354 providers billing this code nationally.
Median
$49.65
Average
$75.11
Std Dev
$72.21
Max
$485.44
Percentile Distribution (Cost per Claim)
50% of providers bill between $28.04 and $94.19 per claim for this code.
90% bill between $17.54 and $165.89.
Top 1% bill above $337.80.
About This Procedure
HCPCS code G0297 was billed by 364 providers across 66K claims, totaling $4.6M in Medicaid payments from 2018–2024. This code was used for 64K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$49.65
Providers Billing
354
National Spending
$4.6M
Avg/Median Ratio
1.51×
Moderately skewed
Top Providers Billing This Code
Ranked by total Medicaid payments for G0297
| # | Provider | Total Paid |
|---|---|---|
| 1 | Boston Medical Center Corporation Boston, MA · General Acute Care Hospital | $241K |
| 2 | Norton Hospitals Inc Louisville, KY · General Acute Care Hospital | $205K |
| 3 | Baystate Medical Center Inc Springfield, MA · General Acute Care Hospital | $173K |
| 4 | 1295181477 | $157K |
| 5 | 1043204316 | $140K |
| 6 | 1790736551 | $134K |
| 7 | Beverly Radiology Medical Group Iii Los Angeles, CA · Radiology, Diagnostic Radiology | $120K |
| 8 | North Shore Medical Center, Inc. Salem, MA · General Acute Care Hospital | $111K |
| 9 | Berkshire Medical Center, Inc Pittsfield, MA · General Acute Care Hospital | $103K |
| 10 | Umass Memorial Medical Center, Inc. Worcester, MA · General Acute Care Hospital | $99K |
| 11 | 1578677811 | $79K |
| 12 | 1790780047 | $77K |
| 13 | 1992701429 | $76K |
| 14 | Brockton Hospital, Inc. Brockton, MA · General Acute Care Hospital | $67K |
| 15 | 1235161480 | $67K |
| 16 | Aurora Health Care Metro, Inc. Milwaukee, WI · Internal Medicine, Hematology & Oncology | $63K |
| 17 | The Health And Hospital Corporation Of Marion County Indianapolis, IN · Psychiatric Unit | $63K |
| 18 | 1598053472 | $63K |
| 19 | 1740283324 | $61K |
| 20 | The General Hospital Corporation Boston, MA · General Acute Care Hospital | $57K |
Showing top 20 of 364 providers billing this code