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#5222 of 11K

57288

Surgical repair of urinary stress incontinence, sling procedure

Surgical repair of urinary stress incontinence, sling procedure is the #5,222 most-billed Medicaid procedure code, with $259K in payments across 938 claims from 2018–2024. The national median cost per claim is $460.17. Costs vary widely — the 90th percentile is $976.94 per claim, 2.1× the median.

Total Paid

$259K

0.00% of all spending

Total Claims

938

Providers

16

Avg Cost/Claim

$276

National Cost Distribution

How much do providers bill per claim for 57288? Based on 16 providers billing this code nationally.

Median

$460.17

Average

$486.57

Std Dev

$389.59

Max

$1,423.84

Percentile Distribution (Cost per Claim)

p10
$87.85
p25
$242.36
Median
$460.17
p75
$566.90
p90
$976.94
p95
$1,299.65
p99
$1,399.00

50% of providers bill between $242.36 and $566.90 per claim for this code.

90% bill between $87.85 and $976.94.

Top 1% bill above $1,399.00.

About This Procedure

HCPCS code 57288 (Surgical repair of urinary stress incontinence, sling procedure) was billed by 16 providers across 938 claims, totaling $259K in Medicaid payments from 2018–2024. This code was used for 844 unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$460.17

Providers Billing

16

National Spending

$259K

Avg/Median Ratio

1.06×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for 57288

#ProviderTotal Paid
11891364576$50K
21215991856$43K
3Faculty Physicians And Surgeons Of Llusm

Redlands, CA · Pediatrics

$27K
41386608859$25K
51487140869$19K
6Women & Infants Hospital Of Rhode Island

Providence, RI · Clinic/Center, Ambulatory Family Planning Facility

$19K
71124098421$15K
81104981661$15K
91275583205$13K
101346419439$6K
111932608106$6K
121093158347$5K
131710940804$5K
14Riverside University Health Systems - Medical Center

Moreno Valley, CA · General Acute Care Hospital

$4K
151720017528$4K
16Seventh-day Adventists Loma Linda University Medical Center

Loma Linda, CA · General Acute Care Hospital

$2K

Showing top 16 of 16 providers billing this code

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