#4182 of 11K

73218

HCPCS Procedure Code

HCPCS code 73218 is the #4,182 most-billed Medicaid procedure code, with $778K in payments across 4K claims from 2018–2024. The national median cost per claim is $146.44.

Total Paid

$778K

0.00% of all spending

Total Claims

Providers

Avg Cost/Claim

$203

National Cost Distribution

How much do providers bill per claim for 73218? Based on 24 providers billing this code nationally.

Median

$146.44

Average

$220.75

Std Dev

$384.67

Max

$1,968.75

Percentile Distribution (Cost per Claim)

p10

$32.72

p25

$67.51

Median

$146.44

p75

$247.98

p90

$264.86

p95

$339.79

p99

$1,597.10

50% of providers bill between $67.51 and $247.98 per claim for this code.

90% bill between $32.72 and $264.86.

Top 1% bill above $1,597.10.

About This Procedure

HCPCS code 73218 was billed by 24 providers across 4K claims, totaling $778K in Medicaid payments from 2018–2024. This code was used for 3K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$146.44

Providers Billing

National Spending

$778K

Avg/Median Ratio

1.51×

Moderately skewed

Top Providers Billing This Code

Ranked by total Medicaid payments for 73218

#	Provider	Total Paid	Cost/Claim	vs Median	Tier
1	Beverly Radiology Medical Group Iii Los Angeles, CA · Radiology, Diagnostic Radiology	$567K	$246.88	1.7× median	Above Median
2	New York Network Ipa Inc Brooklyn, NY · Exclusive Provider Organization	$44K	$262.93	1.8× median	Above 75th
3	United Medical Imaging Healthcare, Inc. Los Angeles, CA · Clinic/Center, Radiology	$32K	$1,968.75	13.4× median	Top 1%
4	1972004489	$26K	$183.05	1.3× median	Above Median
5	1568462034	$18K	$79.58	0.5× median	Below Median
6	1649599085	$16K	$251.30	1.7× median	Above 75th
7	Lenox Hill Radiology & Medical Imaging Associates, Pc New York, NY · Radiology, Body Imaging	$15K	$265.68	1.8× median	Top 10%
8	1740283324	$9K	$37.05	0.3× median	Below Median
9	1427299502	$6K	$148.22	1.0× median	Above Median
10	Seattle Children's Hospital Seattle, WA · Prosthetic/Orthotic Supplier	$6K	$222.43	1.5× median	Above Median
11	1962857896	$6K	$54.36	0.4× median	Below Median
12	1487608931	$5K	$71.89	0.5× median	Below Median
13	1205026432	$4K	$172.30	1.2× median	Above Median
14	1477523413	$4K	$352.86	2.4× median	Top 10%
15	1255449229	$4K	$75.30	0.5× median	Below Median
16	1497148456	$4K	$258.24	1.8× median	Above 75th
17	1700821477	$3K	$144.66	1.0× median	Below Median
18	1104145549	$3K	$200.00	1.4× median	Above Median
19	1790785095	$2K	$87.37	0.6× median	Below Median
20	Brigham & Womens Hospital Inc. Boston, MA · General Acute Care Hospital	$2K	$118.87	0.8× median	Below Median

Showing top 20 of 24 providers billing this code

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