#5639 of 11K

73503

HCPCS Procedure Code

HCPCS code 73503 is the #5,639 most-billed Medicaid procedure code, with $164K in payments across 8,115 claims from 2018–2024. The national median cost per claim is $17.27. Costs vary widely — the 90th percentile is $63.77 per claim, 3.7× the median.

Total Paid

$164K

0.00% of all spending

Total Claims

8,115

Providers

Avg Cost/Claim

$20

National Cost Distribution

How much do providers bill per claim for 73503? Based on 55 providers billing this code nationally.

Median

$17.27

Average

$26.51

Std Dev

$26.18

Max

$108.95

Percentile Distribution (Cost per Claim)

p10

$6.46

p25

$8.34

Median

$17.27

p75

$30.98

p90

$63.77

p95

$88.28

p99

$108.62

50% of providers bill between $8.34 and $30.98 per claim for this code.

90% bill between $6.46 and $63.77.

Top 1% bill above $108.62.

About This Procedure

HCPCS code 73503 was billed by 59 providers across 8,115 claims, totaling $164K in Medicaid payments from 2018–2024. This code was used for 7,387 unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$17.27

Providers Billing

National Spending

$164K

Avg/Median Ratio

1.54×

Moderately skewed

Top Providers Billing This Code

Ranked by total Medicaid payments for 73503

#	Provider	Total Paid	Cost/Claim	vs Median	Tier
1	Ohio State University Hospitals Columbus, OH · General Acute Care Hospital	$49K	$82.69	4.8× median	Top 10%
2	1376685446	$15K	$7.14	0.4× median	Below Median
3	1073519443	$10K	$40.60	2.4× median	Above 75th
4	1639135221	$9K	$70.59	4.1× median	Top 10%
5	1659533396	$8K	$9.50	0.5× median	Below Median
6	Aultman Hospital Canton, OH · General Acute Care Hospital	$7K	$14.92	0.9× median	Below Median
7	University Of Kentucky Lexington, KY · General Acute Care Hospital	$6K	$108.34	6.3× median	Top 10%
8	The General Hospital Corporation Boston, MA · General Acute Care Hospital	$5K	$30.23	1.8× median	Above Median
9	1699986331	$4K	$12.56	0.7× median	Below Median
10	1932208576	$4K	$101.33	5.9× median	Top 10%
11	1972251999	$3K	$10.26	0.6× median	Below Median
12	1821387051	$3K	$53.55	3.1× median	Above 75th
13	1720561186	$3K	$24.98	1.4× median	Above Median
14	Yale New Haven Hospital New Haven, CT · General Acute Care Hospital	$3K	$31.32	1.8× median	Above 75th
15	1922008077	$3K	$36.82	2.1× median	Above 75th
16	1003985755	$2K	$37.83	2.2× median	Above 75th
17	1770579385	$2K	$30.63	1.8× median	Above Median
18	1700865094	$2K	$5.50	0.3× median	Below Median
19	1477567394	$2K	$28.62	1.7× median	Above Median
20	Virginia Commonwealth University Health System Authority Richmond, VA · General Acute Care Hospital	$2K	$7.54	0.4× median	Below Median

Showing top 20 of 59 providers billing this code

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