#2614 of 11K

30520

HCPCS Procedure Code

HCPCS code 30520 is the #2,614 most-billed Medicaid procedure code, with $4.6M in payments across 9,980 claims from 2018–2024. The national median cost per claim is $369.78. Costs vary widely — the 90th percentile is $1,133.46 per claim, 3.1× the median.

Total Paid

$4.6M

0.00% of all spending

Total Claims

9,980

Providers

Avg Cost/Claim

$458

National Cost Distribution

How much do providers bill per claim for 30520? Based on 93 providers billing this code nationally.

Median

$369.78

Average

$532.70

Std Dev

$399.54

Max

$2,458.09

Percentile Distribution (Cost per Claim)

p10

$218.92

p25

$310.57

Median

$369.78

p75

$677.20

p90

$1,133.46

p95

$1,285.74

p99

$1,557.00

50% of providers bill between $310.57 and $677.20 per claim for this code.

90% bill between $218.92 and $1,133.46.

Top 1% bill above $1,557.00.

About This Procedure

HCPCS code 30520 was billed by 96 providers across 9,980 claims, totaling $4.6M in Medicaid payments from 2018–2024. This code was used for 8,930 unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$369.78

Providers Billing

National Spending

$4.6M

Avg/Median Ratio

1.44×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for 30520

#	Provider	Total Paid	Cost/Claim	vs Median	Tier
1	1306843222	$691K	$314.57	0.9× median	Below Median
2	1992706899	$319K	$363.26	1.0× median	Below Median
3	Yale New Haven Hospital New Haven, CT · General Acute Care Hospital	$267K	$1,282.37	3.5× median	Top 10%
4	1639189236	$252K	$473.52	1.3× median	Above Median
5	1679943989	$252K	$448.20	1.2× median	Above Median
6	1245251222	$188K	$319.56	0.9× median	Below Median
7	1639101751	$186K	$839.93	2.3× median	Above 75th
8	Ashland Hospital Corporation Ashland, KY · Clinic/Center, Rural Health	$157K	$687.70	1.9× median	Above 75th
9	Yuma Regional Medical Center Yuma, AZ · General Acute Care Hospital	$152K	$2,458.09	6.6× median	Top 1%
10	Miami Valley Hospital Dayton, OH · General Acute Care Hospital	$147K	$916.66	2.5× median	Above 75th
11	1811992761	$114K	$536.23	1.5× median	Above Median
12	1336362722	$111K	$320.94	0.9× median	Below Median
13	1134178999	$101K	$1,478.64	4.0× median	Top 10%
14	Oakwood Healthcare, Inc. Dearborn, MI · General Acute Care Hospital	$96K	$806.74	2.2× median	Above 75th
15	1942489042	$96K	$413.56	1.1× median	Above Median
16	1477616571	$93K	$510.80	1.4× median	Above Median
17	1720390289	$86K	$1,290.80	3.5× median	Top 10%
18	Presbyterian Healthcare Services Albuquerque, NM · Emergency Medicine	$79K	$1,008.92	2.7× median	Above 75th
19	1568420388	$64K	$501.89	1.4× median	Above Median
20	1487716650	$60K	$358.96	1.0× median	Below Median

Showing top 20 of 96 providers billing this code

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