#2730 of 11K

36556

HCPCS Procedure Code

HCPCS code 36556 is the #2,730 most-billed Medicaid procedure code, with $3.9M in payments across 37K claims from 2018–2024. The national median cost per claim is $43.51. Costs vary widely — the 90th percentile is $99.41 per claim, 2.3× the median.

Total Paid

$3.9M

0.00% of all spending

Total Claims

37K

Providers

206

Avg Cost/Claim

$107

National Cost Distribution

How much do providers bill per claim for 36556? Based on 201 providers billing this code nationally.

Median

$43.51

Average

$61.35

Std Dev

$100.92

Max

$1,000.56

Percentile Distribution (Cost per Claim)

p10

$12.20

p25

$30.72

Median

$43.51

p75

$54.89

p90

$99.41

p95

$149.41

p99

$468.81

50% of providers bill between $30.72 and $54.89 per claim for this code.

90% bill between $12.20 and $99.41.

Top 1% bill above $468.81.

About This Procedure

HCPCS code 36556 was billed by 206 providers across 37K claims, totaling $3.9M in Medicaid payments from 2018–2024. This code was used for 32K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$43.51

Providers Billing

201

National Spending

$3.9M

Avg/Median Ratio

1.41×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for 36556

#	Provider	Total Paid	Cost/Claim	vs Median	Tier
1	1427360700	$2.0M	$1,000.56	23.0× median	Top 1%
2	University Hospitals Cleveland Medical Center Cleveland, OH · General Acute Care Hospital	$162K	$385.38	8.9× median	Top 10%
3	Spectrum Health Primary Care Partners Grand Rapids, MI · Psychologist, Clinical Child & Adolescent	$133K	$41.85	1.0× median	Below Median
4	1316900277	$121K	$468.81	10.8× median	Top 1%
5	1093756025	$110K	$63.38	1.5× median	Above 75th
6	State Of Mississippi - University Of Mississippi Medical Center Jackson, MS · General Acute Care Hospital	$99K	$400.94	9.2× median	Top 10%
7	1659384584	$75K	$69.16	1.6× median	Above 75th
8	1376719666	$68K	$44.10	1.0× median	Above Median
9	1902855711	$67K	$45.83	1.1× median	Above Median
10	West Virginia University Medical Corporation Morgantown, WV · Anesthesiology	$64K	$54.89	1.3× median	Above Median
11	Hennepin Healthcare System Inc Minneapolis, MN · General Acute Care Hospital	$59K	$60.03	1.4× median	Above 75th
12	1699700716	$53K	$39.21	0.9× median	Below Median
13	1639172372	$51K	$54.42	1.3× median	Above Median
14	William Beaumont Hospital Royal Oak, MI · Internal Medicine, Cardiovascular Disease	$43K	$47.19	1.1× median	Above Median
15	1952740656	$42K	$43.55	1.0× median	Above Median
16	1902846306	$41K	$39.85	0.9× median	Below Median
17	1093767766	$38K	$48.44	1.1× median	Above Median
18	1124248752	$36K	$52.76	1.2× median	Above Median
19	1073827101	$34K	$50.37	1.2× median	Above Median
20	1447297577	$33K	$41.85	1.0× median	Below Median

Showing top 20 of 206 providers billing this code

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36561Central venous catheter insertion, age five or older$12.9M 36558$1.0M 36557$145K 36555$8K

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