#3179 of 11K

41874

HCPCS Procedure Code

HCPCS code 41874 is the #3,179 most-billed Medicaid procedure code, with $2.3M in payments across 3,872 claims from 2018–2024. The national median cost per claim is $276.56. Costs vary widely — the 90th percentile is $1,278.65 per claim, 4.6× the median.

Total Paid

$2.3M

0.00% of all spending

Total Claims

3,872

Providers

Avg Cost/Claim

$590

National Cost Distribution

How much do providers bill per claim for 41874? Based on 17 providers billing this code nationally.

Median

$276.56

Average

$548.62

Std Dev

$575.61

Max

$2,054.70

Percentile Distribution (Cost per Claim)

p10

$65.72

p25

$159.03

Median

$276.56

p75

$767.84

p90

$1,278.65

p95

$1,598.59

p99

$1,963.48

50% of providers bill between $159.03 and $767.84 per claim for this code.

90% bill between $65.72 and $1,278.65.

Top 1% bill above $1,963.48.

About This Procedure

HCPCS code 41874 was billed by 17 providers across 3,872 claims, totaling $2.3M in Medicaid payments from 2018–2024. This code was used for 1,752 unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$276.56

Providers Billing

National Spending

$2.3M

Avg/Median Ratio

1.98×

Moderately skewed

Top Providers Billing This Code

Ranked by total Medicaid payments for 41874

#	Provider	Total Paid	Cost/Claim	vs Median	Tier
1	1700827896	$937K	$2,054.70	7.4× median	Top 1%
2	1508913609	$616K	$1,141.38	4.1× median	Above 75th
3	1649453275	$275K	$162.87	0.6× median	Below Median
4	1013973825	$212K	$1,484.56	5.4× median	Top 10%
5	University Of Cincinnati Medical Center, Llc Cincinnati, OH · General Acute Care Hospital	$92K	$782.45	2.8× median	Above 75th
6	1720143779	$45K	$767.84	2.8× median	Above Median
7	1528024114	$21K	$404.18	1.5× median	Above Median
8	The Moses H. Cone Memorial Hospital Operating Corporation Greensboro, NC · General Acute Care Hospital	$20K	$756.98	2.7× median	Above Median
9	1386681161	$14K	$28.59	0.1× median	Below Median
10	1194983965	$14K	$203.85	0.7× median	Below Median
11	1356307581	$10K	$733.93	2.7× median	Above Median
12	University Of Kentucky Lexington, KY · General Acute Care Hospital	$9K	$276.56	1.0× median	Above Median
13	1942382379	$6K	$159.03	0.6× median	Below Median
14	1780074864	$6K	$159.81	0.6× median	Below Median
15	1720078041	$2K	$88.21	0.3× median	Below Median
16	1922568666	$2K	$36.17	0.1× median	Below Median
17	Truman Medical Center, Incorporated Kansas City, MO · General Acute Care Hospital	$1K	$85.42	0.3× median	Below Median

Showing top 17 of 17 providers billing this code

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