#5783 of 11K

41800

HCPCS Procedure Code

HCPCS code 41800 is the #5,783 most-billed Medicaid procedure code, with $139K in payments across 1,818 claims from 2018–2024. The national median cost per claim is $76.77. Costs vary widely — the 90th percentile is $203.04 per claim, 2.6× the median.

Total Paid

$139K

0.00% of all spending

Total Claims

1,818

Providers

Avg Cost/Claim

$76

National Cost Distribution

How much do providers bill per claim for 41800? Based on 15 providers billing this code nationally.

Median

$76.77

Average

$101.58

Std Dev

$56.85

Max

$220.62

Percentile Distribution (Cost per Claim)

p10

$59.22

p25

$67.08

Median

$76.77

p75

$101.98

p90

$203.04

p95

$218.71

p99

$220.24

50% of providers bill between $67.08 and $101.98 per claim for this code.

90% bill between $59.22 and $203.04.

Top 1% bill above $220.24.

About This Procedure

HCPCS code 41800 was billed by 17 providers across 1,818 claims, totaling $139K in Medicaid payments from 2018–2024. This code was used for 1,778 unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$76.77

Providers Billing

National Spending

$139K

Avg/Median Ratio

1.32×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for 41800

#	Provider	Total Paid	Cost/Claim	vs Median	Tier
1	1972523348	$37K	$57.49	0.7× median	Below Median
2	1134716640	$31K	$217.89	2.8× median	Top 10%
3	1083759641	$23K	$48.86	0.6× median	Below Median
4	1992281000	$11K	$76.77	1.0× median	Above Median
5	1417155276	$10K	$220.62	2.9× median	Top 1%
6	Aurora Health Care Metro, Inc. Milwaukee, WI · Internal Medicine, Hematology & Oncology	$6K	$73.84	1.0× median	Below Median
7	1902855711	$4K	$85.76	1.1× median	Above Median
8	Banner - University Medical Center Phoenix Phoenix, AZ · Clinic/Center, Sleep Disorder Diagnostic	$3K	$99.69	1.3× median	Above Median
9	University Medical Center, Inc Louisville, KY · Student in an Organized Health Care Education/Training Program	$3K	$63.06	0.8× median	Below Median
10	New York City Health And Hospitals Corporation Brooklyn, NY · Internal Medicine	$3K	$104.28	1.4× median	Above 75th
11	1487740957	$3K	$180.77	2.4× median	Above 75th
12	1780791343	$1K	$85.98	1.1× median	Above Median
13	Multicare Health System Tacoma, WA · Community/Behavioral Health	$1K	$75.69	1.0× median	Below Median
14	1093766958	$924	$71.10	0.9× median	Below Median
15	St Josephs University Medical Center Inc. Paterson, NJ · General Acute Care Hospital	$804	$61.83	0.8× median	Below Median
16	Spectrum Health Hospitals Grand Rapids, MI · General Acute Care Hospital	$0	$0.00	0.0× median	Below Median
17	1619289998	$0	$0.00	0.0× median	Below Median

Showing top 17 of 17 providers billing this code

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