#4646 of 11K

26600

HCPCS Procedure Code

HCPCS code 26600 is the #4,646 most-billed Medicaid procedure code, with $472K in payments across 2,630 claims from 2018–2024. The national median cost per claim is $161.96. Costs vary widely — the 90th percentile is $359.05 per claim, 2.2× the median.

Total Paid

$472K

0.00% of all spending

Total Claims

2,630

Providers

Avg Cost/Claim

$180

National Cost Distribution

How much do providers bill per claim for 26600? Based on 23 providers billing this code nationally.

Median

$161.96

Average

$210.99

Std Dev

$118.29

Max

$463.53

Percentile Distribution (Cost per Claim)

p10

$91.38

p25

$139.67

Median

$161.96

p75

$290.50

p90

$359.05

p95

$449.00

p99

$462.48

50% of providers bill between $139.67 and $290.50 per claim for this code.

90% bill between $91.38 and $359.05.

Top 1% bill above $462.48.

About This Procedure

HCPCS code 26600 was billed by 24 providers across 2,630 claims, totaling $472K in Medicaid payments from 2018–2024. This code was used for 2,216 unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$161.96

Providers Billing

National Spending

$472K

Avg/Median Ratio

1.30×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for 26600

#	Provider	Total Paid	Cost/Claim	vs Median	Tier
1	The Cleveland Clinic Foundation Cleveland, OH · General Acute Care Hospital	$94K	$361.16	2.2× median	Top 10%
2	The Metrohealth System Cleveland, OH · General Acute Care Hospital	$72K	$308.71	1.9× median	Above 75th
3	1073827101	$57K	$157.06	1.0× median	Below Median
4	1942300918	$52K	$64.66	0.4× median	Below Median
5	Dayton Children's Hospital Dayton, OH · General Acute Care Hospital, Children	$42K	$463.53	2.9× median	Top 1%
6	1184828451	$31K	$161.96	1.0× median	Below Median
7	1407898299	$26K	$231.04	1.4× median	Above Median
8	Phoenix Children's Hospital Phoenix, AZ · General Acute Care Hospital Children	$15K	$350.60	2.2× median	Above 75th
9	1720036809	$14K	$262.67	1.6× median	Above Median
10	Ahava Medical And Rehabilitation Center, Llc Brooklyn, NY · Rehabilitation Practitioner	$11K	$458.76	2.8× median	Top 10%
11	1073943163	$11K	$286.54	1.8× median	Above Median
12	1922578822	$9K	$144.44	0.9× median	Below Median
13	1215930490	$7K	$162.22	1.0× median	Above Median
14	Unm Hospital Albuquerque, NM · General Acute Care Hospital	$6K	$154.54	1.0× median	Below Median
15	West Virginia University Medical Corporation Morgantown, WV · Anesthesiology	$5K	$161.32	1.0× median	Below Median
16	1235338641	$5K	$185.85	1.1× median	Above Median
17	1962766899	$4K	$294.47	1.8× median	Above 75th
18	1013021310	$3K	$134.91	0.8× median	Below Median
19	1689632374	$2K	$23.40	0.1× median	Below Median
20	1831218627	$2K	$131.98	0.8× median	Below Median

Showing top 20 of 24 providers billing this code

Related Procedures

26605$6K

← All procedures Top providers →