#1557 of 11K

Q5108

HCPCS Procedure Code

HCPCS code Q5108 is the #1,557 most-billed Medicaid procedure code, with $19.3M in payments across 9K claims from 2018–2024. The national median cost per claim is $1,251.70. Costs vary widely — the 90th percentile is $2,828.53 per claim, 2.3× the median.

Total Paid

$19.3M

0.00% of all spending

Total Claims

Providers

Avg Cost/Claim

$2K

National Cost Distribution

How much do providers bill per claim for Q5108? Based on 38 providers billing this code nationally.

Median

$1,251.70

Average

$1,645.13

Std Dev

$1,673.05

Max

$10,425.15

Percentile Distribution (Cost per Claim)

p10

$526.60

p25

$922.23

Median

$1,251.70

p75

$1,971.83

p90

$2,828.53

p95

$3,204.70

p99

$7,763.50

50% of providers bill between $922.23 and $1,971.83 per claim for this code.

90% bill between $526.60 and $2,828.53.

Top 1% bill above $7,763.50.

About This Procedure

HCPCS code Q5108 was billed by 39 providers across 9K claims, totaling $19.3M in Medicaid payments from 2018–2024. This code was used for 6K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$1,251.70

Providers Billing

National Spending

$19.3M

Avg/Median Ratio

1.31×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for Q5108

#	Provider	Total Paid	Cost/Claim	vs Median	Tier
1	1104856095	$9.9M	$10,425.15	8.3× median	Top 1%
2	Yale New Haven Hospital New Haven, CT · General Acute Care Hospital	$2.0M	$1,230.14	1.0× median	Below Median
3	University Of California Irvine Orange, CA · General Acute Care Hospital	$1.3M	$719.74	0.6× median	Below Median
4	The General Hospital Corporation Boston, MA · General Acute Care Hospital	$1.1M	$2,242.58	1.8× median	Above 75th
5	Long Island Jewish Medical Center New Hyde Park, NY · General Acute Care Hospital	$666K	$3,199.96	2.6× median	Top 10%
6	1477671535	$552K	$3,121.27	2.5× median	Top 10%
7	1366197956	$339K	$1,273.93	1.0× median	Above Median
8	1528018389	$312K	$1,278.92	1.0× median	Above Median
9	Upmc Magee-womens Hospital Pittsburgh, PA · General Acute Care Hospital	$305K	$350.19	0.3× median	Below Median
10	1326124819	$265K	$3,231.51	2.6× median	Top 10%
11	1295023547	$254K	$1,014.78	0.8× median	Below Median
12	Umass Memorial Medical Center, Inc. Worcester, MA · General Acute Care Hospital	$251K	$2,185.69	1.7× median	Above 75th
13	Boston Medical Center Corporation Boston, MA · General Acute Care Hospital	$226K	$1,636.65	1.3× median	Above Median
14	1194744805	$224K	$2,703.07	2.2× median	Above 75th
15	Saint Francis Hospital And Medical Center Hartford, CT · General Acute Care Hospital	$195K	$1,871.91	1.5× median	Above Median
16	1508883257	$166K	$928.46	0.7× median	Below Median
17	County Of Santa Clara San Jose, CA · Case Manager/Care Coordinator	$123K	$206.69	0.2× median	Below Median
18	1518018191	$110K	$2,238.58	1.8× median	Above 75th
19	1215916002	$100K	$1,236.68	1.0× median	Below Median
20	1518912609	$93K	$1,125.58	0.9× median	Below Median

Showing top 20 of 39 providers billing this code

Related Procedures

Q5103$103.2M Q5104$59.6M Q5107$34.2M Q5111$25.6M Q5117$22.8M

← All procedures Top providers →