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#1089 of 11K

67311

HCPCS Procedure Code

HCPCS code 67311 is the #1,089 most-billed Medicaid procedure code, with $41.9M in payments across 30K claims from 2018–2024. The national median cost per claim is $610.94. Costs vary widely — the 90th percentile is $2,481.27 per claim, 4.1× the median.

Total Paid

$41.9M

0.00% of all spending

Total Claims

30K

Providers

143

Avg Cost/Claim

$1K

National Cost Distribution

How much do providers bill per claim for 67311? Based on 142 providers billing this code nationally.

Median

$610.94

Average

$993.60

Std Dev

$856.98

Max

$4,021.68

Percentile Distribution (Cost per Claim)

p10
$274.85
p25
$449.73
Median
$610.94
p75
$1,272.10
p90
$2,481.27
p95
$2,791.14
p99
$3,442.99

50% of providers bill between $449.73 and $1,272.10 per claim for this code.

90% bill between $274.85 and $2,481.27.

Top 1% bill above $3,442.99.

About This Procedure

HCPCS code 67311 was billed by 143 providers across 30K claims, totaling $41.9M in Medicaid payments from 2018–2024. This code was used for 25K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$610.94

Providers Billing

142

National Spending

$41.9M

Avg/Median Ratio

1.63×

Moderately skewed

Top Providers Billing This Code

Ranked by total Medicaid payments for 67311

#ProviderTotal Paid
1Phoenix Children's Hospital

Phoenix, AZ · General Acute Care Hospital Children

$8.3M
21245251222$3.9M
3Childrens Hospital Of The Kings Daughters Inc

Norfolk, VA · Social Worker, Clinical

$3.8M
4Children's Hospital Medical Center Of Akron

Akron, OH · General Acute Care Hospital Children

$2.6M
5Nationwide Children's Hospital

Columbus, OH · General Acute Care Hospital

$2.3M
6Children's Health System Of Texas

Dallas, TX · General Acute Care Hospital Children

$2.1M
7University Of Kentucky

Lexington, KY · General Acute Care Hospital

$1.6M
8Nyu Langone Hospitals

New York, NY · Clinic/Center, Oncology

$1.5M
91992727663$1.4M
10Children's Health System Of Texas

Plano, TX · General Acute Care Hospital Children

$1.1M
11Miami Valley Hospital

Dayton, OH · General Acute Care Hospital

$965K
12Vhs Childrens Hospital Of Michigan Inc

Detroit, MI · Clinic/Center, Ambulatory Surgical

$765K
131144471715$669K
14Regents Of The University Of Michigan

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

$658K
151790794303$514K
161164448486$502K
17Driscoll Childrens Hospital

Corpus Christi, TX · Speech-Language Pathologist,

$497K
18Children's Hospital Medical Center

Cincinnati, OH · Clinic/Center, Primary Care

$468K
191013957562$435K
20Childrens Hospital Of Philadelphia

Philadelphia, PA · General Acute Care Hospital Children

$432K

Showing top 20 of 143 providers billing this code

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