#2145 of 11K

17250

HCPCS Procedure Code

HCPCS code 17250 is the #2,145 most-billed Medicaid procedure code, with $8.5M in payments across 560K claims from 2018–2024. The national median cost per claim is $19.69. Costs vary widely — the 90th percentile is $94.82 per claim, 4.8× the median.

Total Paid

$8.5M

0.00% of all spending

Total Claims

560K

Providers

403

Avg Cost/Claim

$15

National Cost Distribution

How much do providers bill per claim for 17250? Based on 390 providers billing this code nationally.

Median

$19.69

Average

$46.17

Std Dev

$73.35

Max

$553.13

Percentile Distribution (Cost per Claim)

p10

$3.56

p25

$8.89

Median

$19.69

p75

$54.04

p90

$94.82

p95

$203.28

p99

$380.87

50% of providers bill between $8.89 and $54.04 per claim for this code.

90% bill between $3.56 and $94.82.

Top 1% bill above $380.87.

About This Procedure

HCPCS code 17250 was billed by 403 providers across 560K claims, totaling $8.5M in Medicaid payments from 2018–2024. This code was used for 259K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$19.69

Providers Billing

390

National Spending

$8.5M

Avg/Median Ratio

2.34×

Highly skewed — outlier-driven

Top Providers Billing This Code

Ranked by total Medicaid payments for 17250

#	Provider	Total Paid	Cost/Claim	vs Median	Tier
1	1821285974	$985K	$26.38	1.3× median	Above Median
2	1083883938	$673K	$10.48	0.5× median	Below Median
3	Virginia Commonwealth University Health System Authority Richmond, VA · General Acute Care Hospital	$510K	$406.54	20.6× median	Top 1%
4	1235333972	$331K	$14.84	0.8× median	Below Median
5	1821424789	$320K	$12.52	0.6× median	Below Median
6	1104018423	$266K	$9.69	0.5× median	Below Median
7	1205130911	$257K	$13.57	0.7× median	Below Median
8	1346539640	$222K	$16.21	0.8× median	Below Median
9	1205176096	$221K	$13.13	0.7× median	Below Median
10	1104955491	$199K	$55.01	2.8× median	Above 75th
11	1013960814	$168K	$21.49	1.1× median	Above Median
12	1063848968	$154K	$3.54	0.2× median	Below Median
13	Nationwide Children's Hospital Columbus, OH · General Acute Care Hospital	$139K	$220.59	11.2× median	Top 10%
14	1447527320	$139K	$8.85	0.4× median	Below Median
15	Froedtert Memorial Lutheran Hospital, Inc. Milwaukee, WI · Clinic/Center, Radiology	$137K	$80.05	4.1× median	Above 75th
16	1568928588	$126K	$11.70	0.6× median	Below Median
17	1407114465	$126K	$61.37	3.1× median	Above 75th
18	1255620555	$124K	$18.14	0.9× median	Below Median
19	1811398811	$120K	$6.94	0.4× median	Below Median
20	1275714990	$109K	$6.72	0.3× median	Below Median

Showing top 20 of 403 providers billing this code

← All procedures Top providers →