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)
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
| # | Provider | Total Paid |
|---|---|---|
| 1 | Phoenix Children's Hospital Phoenix, AZ · General Acute Care Hospital Children | $104K |
| 2 | Nationwide Children's Hospital Columbus, OH · General Acute Care Hospital | $59K |
| 3 | Arkansas Childrens Hospital Little Rock, AR · Clinic/Center, Critical Access Hospital | $33K |
| 4 | Regents Of The University Of Michigan Ann Arbor, MI · Clinic/Center, End-Stage Renal Disease (ESRD) Treatment | $26K |
| 5 | 1437184884 | $9K |
| 6 | New York City Health And Hospitals Corporation Bronx, NY · Internal Medicine | $4K |
| 7 | Vanderbilt University Medical Center Nashville, TN · Transplant Surgery | $1K |
| 8 | University Of Wisconsin Hospitals And Clinics Authority Madison, WI · General Acute Care Hospital | $1K |
| 9 | 1225119175 | $967 |
| 10 | 1134161201 | $920 |
Showing top 10 of 10 providers billing this code