#5712 of 11K

61782

HCPCS Procedure Code

HCPCS code 61782 is the #5,712 most-billed Medicaid procedure code, with $150K in payments across 1,940 claims from 2018–2024. The national median cost per claim is $111.35. Costs vary widely — the 90th percentile is $258.19 per claim, 2.3× the median.

Total Paid

$150K

0.00% of all spending

Total Claims

1,940

Providers

Avg Cost/Claim

$77

National Cost Distribution

How much do providers bill per claim for 61782? Based on 19 providers billing this code nationally.

Median

$111.35

Average

$151.38

Std Dev

$167.39

Max

$674.03

Percentile Distribution (Cost per Claim)

p10

$30.82

p25

$89.38

Median

$111.35

p75

$134.82

p90

$258.19

p95

$547.10

p99

$648.65

50% of providers bill between $89.38 and $134.82 per claim for this code.

90% bill between $30.82 and $258.19.

Top 1% bill above $648.65.

About This Procedure

HCPCS code 61782 was billed by 22 providers across 1,940 claims, totaling $150K in Medicaid payments from 2018–2024. This code was used for 1,669 unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$111.35

Providers Billing

National Spending

$150K

Avg/Median Ratio

1.36×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for 61782

#	Provider	Total Paid	Cost/Claim	vs Median	Tier
1	1386648798	$40K	$117.70	1.1× median	Above Median
2	1013030618	$23K	$94.76	0.9× median	Below Median
3	1679943989	$21K	$674.03	6.1× median	Top 1%
4	1285716886	$12K	$113.08	1.0× median	Above Median
5	1336362722	$12K	$97.67	0.9× median	Below Median
6	1306843222	$8K	$16.42	0.1× median	Below Median
7	1013143007	$6K	$533.00	4.8× median	Top 10%
8	1942489042	$5K	$111.35	1.0× median	Above Median
9	Seventh-day Adventists Loma Linda University Medical Center Loma Linda, CA · General Acute Care Hospital	$4K	$92.75	0.8× median	Below Median
10	1285630202	$4K	$131.89	1.2× median	Above Median
11	1215916002	$2K	$189.49	1.7× median	Above 75th
12	1477957504	$2K	$50.21	0.5× median	Below Median
13	1952623100	$2K	$135.34	1.2× median	Above 75th
14	1811992761	$2K	$153.09	1.4× median	Above 75th
15	1194060350	$2K	$134.29	1.2× median	Above Median
16	1700966090	$1K	$103.51	0.9× median	Below Median
17	1851825566	$1K	$86.01	0.8× median	Below Median
18	1134304595	$413	$34.43	0.3× median	Below Median
19	Montefiore Medical Center Bronx, NY · General Acute Care Hospital	$211	$7.29	0.1× median	Below Median
20	Yale New Haven Hospital New Haven, CT · General Acute Care Hospital	$0	$0.00	0.0× median	Below Median

Showing top 20 of 22 providers billing this code

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