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#6965 of 11K

57500

HCPCS Procedure Code

HCPCS code 57500 is the #6,965 most-billed Medicaid procedure code, with $34K in payments across 662 claims from 2018–2024. The national median cost per claim is $28.52. Costs vary widely — the 90th percentile is $386.66 per claim, 13.6× the median.

Total Paid

$34K

0.00% of all spending

Total Claims

662

Providers

8

Avg Cost/Claim

$52

National Cost Distribution

How much do providers bill per claim for 57500? Based on 7 providers billing this code nationally.

Median

$28.52

Average

$134.00

Std Dev

$208.80

Max

$556.35

Percentile Distribution (Cost per Claim)

p10
$10.44
p25
$18.46
Median
$28.52
p75
$155.24
p90
$386.66
p95
$471.51
p99
$539.38

50% of providers bill between $18.46 and $155.24 per claim for this code.

90% bill between $10.44 and $386.66.

Top 1% bill above $539.38.

About This Procedure

HCPCS code 57500 was billed by 8 providers across 662 claims, totaling $34K in Medicaid payments from 2018–2024. This code was used for 552 unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$28.52

Providers Billing

7

National Spending

$34K

Avg/Median Ratio

4.70×

Highly skewed — outlier-driven

Top Providers Billing This Code

Ranked by total Medicaid payments for 57500

#ProviderTotal Paid
11770901761$14K
21740237197$7K
31124588793$5K
41417380577$5K
5Pikeville Medical Center Inc

Pikeville, KY · General Acute Care Hospital

$4K
61750766762$353
71295857365$114
81770006728$0

Showing top 8 of 8 providers billing this code

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