51797
HCPCS Procedure Code
HCPCS code 51797 is the #3,384 most-billed Medicaid procedure code, with $1.8M in payments across 36K claims from 2018–2024. The national median cost per claim is $49.66. Costs vary widely — the 90th percentile is $137.05 per claim, 2.8× the median.
Total Paid
$1.8M
0.00% of all spending
Total Claims
36K
Providers
194
Avg Cost/Claim
$51
National Cost Distribution
How much do providers bill per claim for 51797? Based on 185 providers billing this code nationally.
Median
$49.66
Average
$65.15
Std Dev
$54.30
Max
$263.35
Percentile Distribution (Cost per Claim)
50% of providers bill between $23.83 and $94.08 per claim for this code.
90% bill between $10.03 and $137.05.
Top 1% bill above $238.50.
About This Procedure
HCPCS code 51797 was billed by 194 providers across 36K claims, totaling $1.8M in Medicaid payments from 2018–2024. This code was used for 34K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$49.66
Providers Billing
185
National Spending
$1.8M
Avg/Median Ratio
1.31×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for 51797
| # | Provider | Total Paid |
|---|---|---|
| 1 | Norton Hospitals, Inc Louisville, KY · General Acute Care Hospital | $101K |
| 2 | 1649284100 | $86K |
| 3 | 1982017760 | $77K |
| 4 | 1336361831 | $76K |
| 5 | Norton Hospitals Inc Louisville, KY · General Acute Care Hospital | $73K |
| 6 | 1861821787 | $66K |
| 7 | 1366459570 | $62K |
| 8 | Women & Infants Hospital Of Rhode Island Providence, RI · Clinic/Center, Ambulatory Family Planning Facility | $59K |
| 9 | 1477631315 | $57K |
| 10 | 1619283322 | $54K |
| 11 | 1376867333 | $40K |
| 12 | 1326695255 | $39K |
| 13 | 1063663433 | $37K |
| 14 | 1215991856 | $36K |
| 15 | 1710973763 | $35K |
| 16 | 1003141573 | $33K |
| 17 | 1942475793 | $33K |
| 18 | 1932608106 | $31K |
| 19 | 1235133208 | $30K |
| 20 | 1417976705 | $29K |
Showing top 20 of 194 providers billing this code