#4586 of 11K

30901

HCPCS Procedure Code

HCPCS code 30901 is the #4,586 most-billed Medicaid procedure code, with $502K in payments across 4,739 claims from 2018–2024. The national median cost per claim is $74.72. Costs vary widely — the 90th percentile is $177.93 per claim, 2.4× the median.

Total Paid

$502K

0.00% of all spending

Total Claims

4,739

Providers

Avg Cost/Claim

$106

National Cost Distribution

How much do providers bill per claim for 30901? Based on 51 providers billing this code nationally.

Median

$74.72

Average

$92.53

Std Dev

$95.28

Max

$653.19

Percentile Distribution (Cost per Claim)

p10

$27.75

p25

$46.15

Median

$74.72

p75

$102.80

p90

$177.93

p95

$185.98

p99

$439.31

50% of providers bill between $46.15 and $102.80 per claim for this code.

90% bill between $27.75 and $177.93.

Top 1% bill above $439.31.

About This Procedure

HCPCS code 30901 was billed by 53 providers across 4,739 claims, totaling $502K in Medicaid payments from 2018–2024. This code was used for 4,538 unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$74.72

Providers Billing

National Spending

$502K

Avg/Median Ratio

1.24×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for 30901

#	Provider	Total Paid	Cost/Claim	vs Median	Tier
1	1942318084	$149K	$147.02	2.0× median	Above 75th
2	Doctors Hospital At Renaissance, Ltd Edinburg, TX · Clinic/Center, Ambulatory Surgical	$77K	$653.19	8.7× median	Top 1%
3	Yuma Regional Medical Center Yuma, AZ · General Acute Care Hospital	$65K	$122.22	1.6× median	Above 75th
4	Children's Hospital & Research Center At Oakland Oakland, CA · General Acute Care Hospital	$26K	$225.43	3.0× median	Top 10%
5	1770590945	$22K	$80.88	1.1× median	Above Median
6	1942489042	$16K	$184.05	2.5× median	Top 10%
7	1134304595	$14K	$47.77	0.6× median	Below Median
8	1912039710	$14K	$99.95	1.3× median	Above Median
9	1740345669	$13K	$84.49	1.1× median	Above Median
10	1376598326	$13K	$182.60	2.4× median	Top 10%
11	1073827101	$10K	$37.25	0.5× median	Below Median
12	1467633867	$7K	$44.53	0.6× median	Below Median
13	Saltzman Tanis Pittell Levin And Jacobson Hollywood, FL · Pediatrics	$6K	$90.04	1.2× median	Above Median
14	Nationwide Children's Hospital Columbus, OH · General Acute Care Hospital	$6K	$59.73	0.8× median	Below Median
15	The Cleveland Clinic Foundation Cleveland, OH · General Acute Care Hospital	$4K	$39.20	0.5× median	Below Median
16	1033194345	$4K	$13.32	0.2× median	Below Median
17	1083759641	$4K	$74.72	1.0× median	Above Median
18	1386648798	$4K	$62.94	0.8× median	Below Median
19	1902350853	$3K	$38.41	0.5× median	Below Median
20	1093024101	$3K	$105.65	1.4× median	Above 75th

Showing top 20 of 53 providers billing this code

Related Procedures

30903$362K 30905$43K

← All procedures Top providers →