#4660 of 11K

64645

HCPCS Procedure Code

HCPCS code 64645 is the #4,660 most-billed Medicaid procedure code, with $463K in payments across 6,203 claims from 2018–2024. The national median cost per claim is $48.30. Costs vary widely — the 90th percentile is $119.57 per claim, 2.5× the median.

Total Paid

$463K

0.00% of all spending

Total Claims

6,203

Providers

Avg Cost/Claim

$75

National Cost Distribution

How much do providers bill per claim for 64645? Based on 21 providers billing this code nationally.

Median

$48.30

Average

$92.18

Std Dev

$155.27

Max

$741.29

Percentile Distribution (Cost per Claim)

p10

$20.74

p25

$27.07

Median

$48.30

p75

$91.77

p90

$119.57

p95

$198.29

p99

$632.69

50% of providers bill between $27.07 and $91.77 per claim for this code.

90% bill between $20.74 and $119.57.

Top 1% bill above $632.69.

About This Procedure

HCPCS code 64645 was billed by 22 providers across 6,203 claims, totaling $463K in Medicaid payments from 2018–2024. This code was used for 5,655 unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$48.30

Providers Billing

National Spending

$463K

Avg/Median Ratio

1.91×

Moderately skewed

Top Providers Billing This Code

Ranked by total Medicaid payments for 64645

#	Provider	Total Paid	Cost/Claim	vs Median	Tier
1	Froedtert Memorial Lutheran Hospital, Inc. Milwaukee, WI · Clinic/Center, Radiology	$96K	$97.04	2.0× median	Above 75th
2	1508804105	$70K	$48.30	1.0× median	Above Median
3	North Carolina Baptist Hospital Winston Salem, NC · General Acute Care Hospital	$60K	$94.63	2.0× median	Above 75th
4	1740613371	$52K	$198.29	4.1× median	Top 10%
5	Norton Hospitals, Inc Louisville, KY · General Acute Care Hospital	$44K	$741.29	15.3× median	Top 1%
6	Wake Forest University Health Sciences Winston Salem, NC · Clinic/Center, Multi-Specialty	$44K	$57.48	1.2× median	Above Median
7	Rhode Island Hospital Providence, RI · General Acute Care Hospital	$33K	$91.77	1.9× median	Above Median
8	1780600825	$20K	$50.16	1.0× median	Above Median
9	1871542761	$18K	$27.07	0.6× median	Below Median
10	1518911767	$6K	$89.43	1.9× median	Above Median
11	1548344393	$4K	$78.61	1.6× median	Above Median
12	1629356431	$4K	$34.65	0.7× median	Below Median
13	1508266347	$3K	$119.57	2.5× median	Above 75th
14	1073553939	$2K	$35.12	0.7× median	Below Median
15	Geisinger Clinic Danville, PA · Surgery	$1K	$48.17	1.0× median	Below Median
16	Children's Hospital Corporation Boston, MA · Clinic/Center	$1K	$10.68	0.2× median	Below Median
17	1801874573	$518	$20.74	0.4× median	Below Median
18	1699720086	$498	$13.46	0.3× median	Below Median
19	1932174984	$385	$32.12	0.7× median	Below Median
20	1275577215	$339	$26.11	0.5× median	Below Median

Showing top 20 of 22 providers billing this code

Related Procedures

64635$88.5M 64636$34.4M 64642$22.7M 64643$16.0M 64644$4.3M

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