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#923 of 11K

74178

HCPCS Procedure Code

HCPCS code 74178 is the #923 most-billed Medicaid procedure code, with $58.1M in payments across 304K claims from 2018–2024. The national median cost per claim is $122.85. Costs vary widely — the 90th percentile is $325.57 per claim, 2.7× the median.

Total Paid

$58.1M

0.01% of all spending

Total Claims

304K

Providers

820

Avg Cost/Claim

$191

National Cost Distribution

How much do providers bill per claim for 74178? Based on 805 providers billing this code nationally.

Median

$122.85

Average

$168.67

Std Dev

$183.30

Max

$1,792.70

Percentile Distribution (Cost per Claim)

p10
$36.83
p25
$56.40
Median
$122.85
p75
$226.66
p90
$325.57
p95
$427.91
p99
$932.02

50% of providers bill between $56.40 and $226.66 per claim for this code.

90% bill between $36.83 and $325.57.

Top 1% bill above $932.02.

About This Procedure

HCPCS code 74178 was billed by 820 providers across 304K claims, totaling $58.1M in Medicaid payments from 2018–2024. This code was used for 287K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$122.85

Providers Billing

805

National Spending

$58.1M

Avg/Median Ratio

1.37×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for 74178

#ProviderTotal Paid
1United Medical Imaging Healthcare, Inc.

Los Angeles, CA · Clinic/Center, Radiology

$3.8M
2Beverly Radiology Medical Group Iii

Los Angeles, CA · Radiology, Diagnostic Radiology

$3.6M
3City Of Hope National Medical Center

Duarte, CA · General Acute Care Hospital

$3.3M
41013981554$2.1M
5Pikeville Medical Center Inc

Pikeville, KY · General Acute Care Hospital

$1.7M
6Lenox Hill Radiology & Medical Imaging Associates, Pc

New York, NY · Radiology, Body Imaging

$1.2M
71972004489$1.1M
8Keck Medical Center Of Usc

Los Angeles, CA · General Acute Care Hospital

$1.1M
9University Of Kentucky

Lexington, KY · General Acute Care Hospital

$956K
101124079868$833K
11Baptist Healthcare System Inc

Corbin, KY · General Acute Care Hospital

$796K
121689282147$717K
13New York Network Ipa Inc

Brooklyn, NY · Exclusive Provider Organization

$717K
141568416147$707K
15Norton Hospitals Inc

Louisville, KY · General Acute Care Hospital

$704K
161285785519$642K
17Norton Hospitals, Inc

Louisville, KY · General Acute Care Hospital

$624K
18Yuma Regional Medical Center

Yuma, AZ · General Acute Care Hospital

$593K
191679663447$590K
201366459570$576K

Showing top 20 of 820 providers billing this code