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#1938 of 11K

52356

HCPCS Procedure Code

HCPCS code 52356 is the #1,938 most-billed Medicaid procedure code, with $11.3M in payments across 9,146 claims from 2018–2024. The national median cost per claim is $1,212.29. Costs vary widely — the 90th percentile is $2,991.25 per claim, 2.5× the median.

Total Paid

$11.3M

0.00% of all spending

Total Claims

9,146

Providers

111

Avg Cost/Claim

$1K

National Cost Distribution

How much do providers bill per claim for 52356? Based on 109 providers billing this code nationally.

Median

$1,212.29

Average

$1,449.64

Std Dev

$1,206.06

Max

$6,802.71

Percentile Distribution (Cost per Claim)

p10
$217.60
p25
$302.15
Median
$1,212.29
p75
$2,266.97
p90
$2,991.25
p95
$3,258.79
p99
$5,370.62

50% of providers bill between $302.15 and $2,266.97 per claim for this code.

90% bill between $217.60 and $2,991.25.

Top 1% bill above $5,370.62.

About This Procedure

HCPCS code 52356 was billed by 111 providers across 9,146 claims, totaling $11.3M in Medicaid payments from 2018–2024. This code was used for 8,386 unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$1,212.29

Providers Billing

109

National Spending

$11.3M

Avg/Median Ratio

1.20×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for 52356

#ProviderTotal Paid
1Umass Memorial Medical Center, Inc.

Worcester, MA · General Acute Care Hospital

$702K
2Yale New Haven Hospital

New Haven, CT · General Acute Care Hospital

$658K
3The William W Backus Hospital

Norwich, CT · Clinic/Center, Emergency Care

$574K
4Saint Mary's Hospital, Inc.

Waterbury, CT · General Acute Care Hospital

$548K
5Spectrum Health Hospitals

Grand Rapids, MI · General Acute Care Hospital

$521K
61295738375$498K
7Presbyterian Healthcare Services

Albuquerque, NM · Emergency Medicine

$498K
8University Of Kentucky

Lexington, KY · General Acute Care Hospital

$485K
9Hartford Hospital

Hartford, CT · General Acute Care Hospital

$454K
10The New York And Presbyterian Hospital

New York, NY · General Acute Care Hospital

$373K
111295023547$349K
12Montefiore Medical Center

Bronx, NY · General Acute Care Hospital

$327K
131972535052$300K
141427007848$282K
151033135314$268K
16Summa Health System

Akron, OH · General Acute Care Hospital

$242K
17Banner Desert Medical Center

Mesa, AZ · General Acute Care Hospital

$216K
18Rector & Visitors Of The University Of Virginia

Charlottesville, VA · General Acute Care Hospital

$204K
19Aurora Health Care Metro, Inc.

Milwaukee, WI · Internal Medicine, Hematology & Oncology

$202K
201427027416$163K

Showing top 20 of 111 providers billing this code