#2940 of 11K

36821

HCPCS Procedure Code

HCPCS code 36821 is the #2,940 most-billed Medicaid procedure code, with $3.0M in payments across 4,367 claims from 2018–2024. The national median cost per claim is $340.50. Costs vary widely — the 90th percentile is $1,021.26 per claim, 3.0× the median.

Total Paid

$3.0M

0.00% of all spending

Total Claims

4,367

Providers

Avg Cost/Claim

$683

National Cost Distribution

How much do providers bill per claim for 36821? Based on 27 providers billing this code nationally.

Median

$340.50

Average

$538.53

Std Dev

$592.82

Max

$2,782.12

Percentile Distribution (Cost per Claim)

p10

$99.14

p25

$164.82

Median

$340.50

p75

$697.87

p90

$1,021.26

p95

$1,564.85

p99

$2,498.28

50% of providers bill between $164.82 and $697.87 per claim for this code.

90% bill between $99.14 and $1,021.26.

Top 1% bill above $2,498.28.

About This Procedure

HCPCS code 36821 was billed by 28 providers across 4,367 claims, totaling $3.0M in Medicaid payments from 2018–2024. This code was used for 4,055 unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$340.50

Providers Billing

National Spending

$3.0M

Avg/Median Ratio

1.58×

Moderately skewed

Top Providers Billing This Code

Ranked by total Medicaid payments for 36821

#	Provider	Total Paid	Cost/Claim	vs Median	Tier
1	1346469731	$1.7M	$745.43	2.2× median	Above 75th
2	Medstar Washington Hospital Center Washington, DC · General Acute Care Hospital	$604K	$2,782.12	8.2× median	Top 1%
3	1699714717	$236K	$714.81	2.1× median	Above 75th
4	1316902208	$62K	$467.74	1.4× median	Above Median
5	Hartford Hospital Hartford, CT · General Acute Care Hospital	$49K	$1,690.41	5.0× median	Top 10%
6	1508145855	$43K	$155.43	0.5× median	Below Median
7	Banner Desert Medical Center Mesa, AZ · General Acute Care Hospital	$39K	$1,271.87	3.7× median	Top 10%
8	Froedtert Memorial Lutheran Hospital, Inc. Milwaukee, WI · Clinic/Center, Radiology	$33K	$581.71	1.7× median	Above Median
9	1073795498	$27K	$340.50	1.0× median	Below Median
10	1578527172	$21K	$446.23	1.3× median	Above Median
11	The Queens Medical Center Honolulu, HI · Psychiatric Unit	$13K	$791.76	2.3× median	Above 75th
12	1316054737	$13K	$308.88	0.9× median	Below Median
13	1487327201	$12K	$445.06	1.3× median	Above Median
14	1831140565	$11K	$174.21	0.5× median	Below Median
15	Yuma Regional Medical Center Yuma, AZ · General Acute Care Hospital	$11K	$854.19	2.5× median	Above 75th
16	1477610640	$10K	$680.94	2.0× median	Above Median
17	1104906569	$8K	$36.46	0.1× median	Below Median
18	Aurora Health Care Metro, Inc. Milwaukee, WI · Internal Medicine, Hematology & Oncology	$8K	$581.80	1.7× median	Above Median
19	1881901163	$7K	$120.93	0.4× median	Below Median
20	1316997505	$7K	$185.78	0.5× median	Below Median

Showing top 20 of 28 providers billing this code

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