#2394 of 11K

51784

HCPCS Procedure Code

HCPCS code 51784 is the #2,394 most-billed Medicaid procedure code, with $6.1M in payments across 114K claims from 2018–2024. The national median cost per claim is $30.27. Costs vary widely — the 90th percentile is $93.92 per claim, 3.1× the median.

Total Paid

$6.1M

0.00% of all spending

Total Claims

114K

Providers

318

Avg Cost/Claim

$54

National Cost Distribution

How much do providers bill per claim for 51784? Based on 313 providers billing this code nationally.

Median

$30.27

Average

$44.97

Std Dev

$47.13

Max

$378.54

Percentile Distribution (Cost per Claim)

p10

$9.21

p25

$18.50

Median

$30.27

p75

$52.20

p90

$93.92

p95

$136.77

p99

$252.02

50% of providers bill between $18.50 and $52.20 per claim for this code.

90% bill between $9.21 and $93.92.

Top 1% bill above $252.02.

About This Procedure

HCPCS code 51784 was billed by 318 providers across 114K claims, totaling $6.1M in Medicaid payments from 2018–2024. This code was used for 102K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$30.27

Providers Billing

313

National Spending

$6.1M

Avg/Median Ratio

1.49×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for 51784

#	Provider	Total Paid	Cost/Claim	vs Median	Tier
1	1518989193	$532K	$225.36	7.4× median	Top 10%
2	The Cleveland Clinic Foundation Cleveland, OH · General Acute Care Hospital	$450K	$131.63	4.3× median	Top 10%
3	Yale New Haven Hospital New Haven, CT · General Acute Care Hospital	$292K	$94.57	3.1× median	Top 10%
4	1154430148	$285K	$37.94	1.3× median	Above Median
5	1396794574	$213K	$55.40	1.8× median	Above 75th
6	1164586988	$200K	$62.25	2.1× median	Above 75th
7	Virginia Commonwealth University Health System Authority Richmond, VA · General Acute Care Hospital	$194K	$257.71	8.5× median	Top 1%
8	1164736401	$185K	$127.21	4.2× median	Top 10%
9	1427022649	$184K	$49.10	1.6× median	Above Median
10	Rector & Visitors Of The University Of Virginia Charlottesville, VA · General Acute Care Hospital	$182K	$192.51	6.4× median	Top 10%
11	Norton Hospitals, Inc Louisville, KY · General Acute Care Hospital	$166K	$184.49	6.1× median	Top 10%
12	1568599447	$135K	$46.49	1.5× median	Above Median
13	Norton Hospitals Inc Louisville, KY · General Acute Care Hospital	$133K	$90.72	3.0× median	Above 75th
14	1003141573	$132K	$48.87	1.6× median	Above Median
15	Children's Hospital Medical Center Cincinnati, OH · Clinic/Center, Primary Care	$101K	$172.27	5.7× median	Top 10%
16	1811298953	$101K	$61.55	2.0× median	Above 75th
17	1114958584	$97K	$255.66	8.4× median	Top 1%
18	1710973763	$82K	$33.29	1.1× median	Above Median
19	Children's Hospital Medical Center Of Akron Akron, OH · General Acute Care Hospital Children	$81K	$378.54	12.5× median	Top 1%
20	1215940796	$79K	$34.21	1.1× median	Above Median

Showing top 20 of 318 providers billing this code

Related Procedures

51792$3.0M 51785$3.0M

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