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#1989 of 11K

58301

HCPCS Procedure Code

HCPCS code 58301 is the #1,989 most-billed Medicaid procedure code, with $10.5M in payments across 165K claims from 2018–2024. The national median cost per claim is $49.65. Costs vary widely — the 90th percentile is $148.52 per claim, 3.0× the median.

Total Paid

$10.5M

0.00% of all spending

Total Claims

165K

Providers

398

Avg Cost/Claim

$63

National Cost Distribution

How much do providers bill per claim for 58301? Based on 368 providers billing this code nationally.

Median

$49.65

Average

$72.84

Std Dev

$93.65

Max

$1,209.69

Percentile Distribution (Cost per Claim)

p10
$19.07
p25
$29.19
Median
$49.65
p75
$90.29
p90
$148.52
p95
$193.84
p99
$287.49

50% of providers bill between $29.19 and $90.29 per claim for this code.

90% bill between $19.07 and $148.52.

Top 1% bill above $287.49.

About This Procedure

HCPCS code 58301 was billed by 398 providers across 165K claims, totaling $10.5M in Medicaid payments from 2018–2024. This code was used for 119K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$49.65

Providers Billing

368

National Spending

$10.5M

Avg/Median Ratio

1.47×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for 58301

#ProviderTotal Paid
11417959701$948K
2Planned Parenthood/orange And San Bernardino Counties, Inc.

Orange, CA · Clinic/Center, Ambulatory Family Planning Facility

$882K
3Boston Medical Center Corporation

Boston, MA · General Acute Care Hospital

$374K
41285701672$270K
5Brigham & Womens Hospital Inc.

Boston, MA · General Acute Care Hospital

$258K
6Regents Of The University Of Michigan

Ann Arbor, MI · Clinic/Center, End-Stage Renal Disease (ESRD) Treatment

$249K
7Henry Ford Health System

Detroit, MI · General Acute Care Hospital

$245K
8The New York And Presbyterian Hospital

New York, NY · General Acute Care Hospital

$240K
9Baystate Medical Center Inc

Springfield, MA · General Acute Care Hospital

$209K
101821095779$199K
11Virginia Commonwealth University Health System Authority

Richmond, VA · General Acute Care Hospital

$196K
12Cambridge Public Health Commission

Cambridge, MA · General Acute Care Hospital

$187K
13Umass Memorial Medical Center, Inc.

Worcester, MA · General Acute Care Hospital

$184K
14Yuma Regional Medical Center

Yuma, AZ · General Acute Care Hospital

$177K
15Medical Associates Of Ebnhc

East Boston, MA · Clinic/Center, Community Health

$175K
161366525370$173K
17The Cleveland Clinic Foundation

Cleveland, OH · General Acute Care Hospital

$163K
181629057146$163K
19Beth Israel Deaconess Medical Center, Inc.

Boston, MA · General Acute Care Hospital

$141K
201487749495$130K

Showing top 20 of 398 providers billing this code

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