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#5287 of 11K

51726

HCPCS Procedure Code

HCPCS code 51726 is the #5,287 most-billed Medicaid procedure code, with $240K in payments across 928 claims from 2018–2024. The national median cost per claim is $116.18. Costs vary widely — the 90th percentile is $389.32 per claim, 3.4× the median.

Total Paid

$240K

0.00% of all spending

Total Claims

928

Providers

10

Avg Cost/Claim

$258

National Cost Distribution

How much do providers bill per claim for 51726? Based on 10 providers billing this code nationally.

Median

$116.18

Average

$194.08

Std Dev

$203.53

Max

$681.52

Percentile Distribution (Cost per Claim)

p10
$41.09
p25
$49.19
Median
$116.18
p75
$247.61
p90
$389.32
p95
$535.42
p99
$652.30

50% of providers bill between $49.19 and $247.61 per claim for this code.

90% bill between $41.09 and $389.32.

Top 1% bill above $652.30.

About This Procedure

HCPCS code 51726 was billed by 10 providers across 928 claims, totaling $240K in Medicaid payments from 2018–2024. This code was used for 840 unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$116.18

Providers Billing

10

National Spending

$240K

Avg/Median Ratio

1.67×

Moderately skewed

Top Providers Billing This Code

Ranked by total Medicaid payments for 51726

#ProviderTotal Paid
1Phoenix Children's Hospital

Phoenix, AZ · General Acute Care Hospital Children

$104K
2Nationwide Children's Hospital

Columbus, OH · General Acute Care Hospital

$59K
3Arkansas Childrens Hospital

Little Rock, AR · Clinic/Center, Critical Access Hospital

$33K
4Regents Of The University Of Michigan

Ann Arbor, MI · Clinic/Center, End-Stage Renal Disease (ESRD) Treatment

$26K
51437184884$9K
6New York City Health And Hospitals Corporation

Bronx, NY · Internal Medicine

$4K
7Vanderbilt University Medical Center

Nashville, TN · Transplant Surgery

$1K
8University Of Wisconsin Hospitals And Clinics Authority

Madison, WI · General Acute Care Hospital

$1K
91225119175$967
101134161201$920

Showing top 10 of 10 providers billing this code