#2588 of 11K

59050

HCPCS Procedure Code

HCPCS code 59050 is the #2,588 most-billed Medicaid procedure code, with $4.8M in payments across 40K claims from 2018–2024. The national median cost per claim is $68.34. Costs vary widely — the 90th percentile is $241.46 per claim, 3.5× the median.

Total Paid

$4.8M

0.00% of all spending

Total Claims

40K

Providers

Avg Cost/Claim

$119

National Cost Distribution

How much do providers bill per claim for 59050? Based on 54 providers billing this code nationally.

Median

$68.34

Average

$112.80

Std Dev

$92.77

Max

$294.18

Percentile Distribution (Cost per Claim)

p10

$8.84

p25

$34.35

Median

$68.34

p75

$205.76

p90

$241.46

p95

$254.17

p99

$287.82

50% of providers bill between $34.35 and $205.76 per claim for this code.

90% bill between $8.84 and $241.46.

Top 1% bill above $287.82.

About This Procedure

HCPCS code 59050 was billed by 57 providers across 40K claims, totaling $4.8M in Medicaid payments from 2018–2024. This code was used for 30K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$68.34

Providers Billing

National Spending

$4.8M

Avg/Median Ratio

1.65×

Moderately skewed

Top Providers Billing This Code

Ranked by total Medicaid payments for 59050

#	Provider	Total Paid	Cost/Claim	vs Median	Tier
1	Saint Peter's University Hospital New Brunswick, NJ · General Acute Care Hospital	$1.9M	$253.14	3.7× median	Top 10%
2	Charleston Area Medical Center Inc Charleston, WV · General Acute Care Hospital	$243K	$65.75	1.0× median	Below Median
3	1336155738	$234K	$218.96	3.2× median	Above 75th
4	1912085184	$208K	$232.40	3.4× median	Above 75th
5	Truman Medical Center, Incorporated Kansas City, MO · General Acute Care Hospital	$206K	$240.24	3.5× median	Above 75th
6	1508941097	$184K	$206.43	3.0× median	Above 75th
7	1942298153	$177K	$128.49	1.9× median	Above Median
8	1437119310	$176K	$163.70	2.4× median	Above Median
9	University Hospital Newark, NJ · General Acute Care Hospital	$173K	$68.33	1.0× median	Below Median
10	1528028396	$153K	$224.73	3.3× median	Above 75th
11	1801884655	$150K	$136.90	2.0× median	Above Median
12	1104808062	$111K	$231.81	3.4× median	Above 75th
13	Trinitas Regional Medical Center Elizabeth, NJ · General Acute Care Hospital	$101K	$116.80	1.7× median	Above Median
14	1811957681	$98K	$147.15	2.2× median	Above Median
15	1780694372	$91K	$203.75	3.0× median	Above Median
16	1376540138	$90K	$168.01	2.5× median	Above Median
17	1598700940	$41K	$35.24	0.5× median	Below Median
18	1639189863	$41K	$42.26	0.6× median	Below Median
19	1205877172	$35K	$64.22	0.9× median	Below Median
20	1619938149	$27K	$211.84	3.1× median	Above 75th

Showing top 20 of 57 providers billing this code

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