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#2892 of 11K

46607

HCPCS Procedure Code

HCPCS code 46607 is the #2,892 most-billed Medicaid procedure code, with $3.1M in payments across 8,752 claims from 2018–2024. The national median cost per claim is $189.36. Costs vary widely — the 90th percentile is $697.78 per claim, 3.7× the median.

Total Paid

$3.1M

0.00% of all spending

Total Claims

8,752

Providers

25

Avg Cost/Claim

$355

National Cost Distribution

How much do providers bill per claim for 46607? Based on 23 providers billing this code nationally.

Median

$189.36

Average

$317.73

Std Dev

$266.17

Max

$812.64

Percentile Distribution (Cost per Claim)

p10
$46.41
p25
$92.52
Median
$189.36
p75
$544.37
p90
$697.78
p95
$774.74
p99
$805.87

50% of providers bill between $92.52 and $544.37 per claim for this code.

90% bill between $46.41 and $697.78.

Top 1% bill above $805.87.

About This Procedure

HCPCS code 46607 was billed by 25 providers across 8,752 claims, totaling $3.1M in Medicaid payments from 2018–2024. This code was used for 7,859 unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$189.36

Providers Billing

23

National Spending

$3.1M

Avg/Median Ratio

1.68×

Moderately skewed

Top Providers Billing This Code

Ranked by total Medicaid payments for 46607

#ProviderTotal Paid
1Montefiore Medical Center

Bronx, NY · General Acute Care Hospital

$722K
2Mount Sinai Hospital

New York, NY · Ambulance

$716K
31689624686$611K
4Montefiore Medical Center

Bronx, NY · Anesthesiology

$343K
5Boston Medical Center Corporation

Boston, MA · General Acute Care Hospital

$160K
6St Lukes Roosevelt Hospital Center

New York, NY · Case Management

$113K
71164512851$88K
81477569838$83K
9University Of Colorado Hospital Authority

Aurora, CO · General Acute Care Hospital

$82K
10The General Hospital Corporation

Boston, MA · General Acute Care Hospital

$49K
111306898432$31K
12Beth Israel Medical Center

Brooklyn, NY · Psychiatric Unit

$29K
131659639524$28K
14University Physicians Incorporated

Aurora, CO · Anesthesiology

$15K
15Yale New Haven Hospital

New Haven, CT · General Acute Care Hospital

$11K
161063459568$10K
17University Of Rochester

Rochester, NY · General Acute Care Hospital

$8K
181477582526$4K
191982793410$3K
201568439081$2K

Showing top 20 of 25 providers billing this code