Statistical flags indicate unusual patterns — not proof of fraud or wrongdoing. Read our methodology

#1013 of 11K

J7050

Normal saline solution infusion, 250 cc

Normal saline solution infusion, 250 cc is the #1,013 most-billed Medicaid procedure code, with $48.3M in payments across 6.5M claims from 2018–2024. The national median cost per claim is $0.82. Costs vary widely — the 90th percentile is $12.98 per claim, 15.8× the median.

Total Paid

$48.3M

0.00% of all spending

Total Claims

6.5M

Providers

2K

Avg Cost/Claim

$7

National Cost Distribution

How much do providers bill per claim for J7050? Based on 2K providers billing this code nationally.

Median

$0.82

Average

$9.07

Std Dev

$45.27

Max

$1,083.22

Percentile Distribution (Cost per Claim)

p10
$0.03
p25
$0.15
Median
$0.82
p75
$4.25
p90
$12.98
p95
$25.98
p99
$174.47

50% of providers bill between $0.15 and $4.25 per claim for this code.

90% bill between $0.03 and $12.98.

Top 1% bill above $174.47.

About This Procedure

HCPCS code J7050 (Normal saline solution infusion, 250 cc) was billed by 2K providers across 6.5M claims, totaling $48.3M in Medicaid payments from 2018–2024. This code was used for 3.8M unique beneficiaries.

Fraud Risk Context

Injectable drug codes carry high per-claim costs and have been involved in drug diversion and upcoding schemes.

Source: HHS OIG Reports

Risk Assessment

Billing Statistics

Median Cost/Claim

$0.82

Providers Billing

2K

National Spending

$48.3M

Avg/Median Ratio

11.06×

Highly skewed — outlier-driven

Top Providers Billing This Code

Ranked by total Medicaid payments for J7050

#ProviderTotal Paid
1Spartanburg Medical Center

Spartanburg, SC · Ambulance

$6.1M
21851361778$4.4M
3Rhode Island Hospital

Providence, RI · General Acute Care Hospital

$2.9M
41780653618$2.8M
5Seventh-day Adventists Loma Linda University Medical Center

Loma Linda, CA · General Acute Care Hospital

$1.6M
61366436073$1.4M
71699756221$1.1M
81356366314$845K
9Lexington Health Inc

West Columbia, SC · General Acute Care Hospital

$826K
10Women & Infants Hospital Of Rhode Island

Providence, RI · Clinic/Center, Ambulatory Family Planning Facility

$697K
111235196510$651K
12University Of Kentucky

Lexington, KY · General Acute Care Hospital

$638K
131679660617$628K
14Regents Of The University Of California

Sacramento, CA · General Acute Care Hospital

$566K
15Vhs Childrens Hospital Of Michigan Inc

Detroit, MI · Clinic/Center, Ambulatory Surgical

$518K
16Owensboro Health Inc

Owensboro, KY · General Acute Care Hospital

$503K
171043293608$474K
181871556217$434K
191699752915$401K
20Keck Medical Center Of Usc

Los Angeles, CA · General Acute Care Hospital

$382K

Showing top 20 of 2K providers billing this code