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#2811 of 11K

74246

HCPCS Procedure Code

HCPCS code 74246 is the #2,811 most-billed Medicaid procedure code, with $3.5M in payments across 43K claims from 2018–2024. The national median cost per claim is $58.10. Costs vary widely — the 90th percentile is $154.53 per claim, 2.7× the median.

Total Paid

$3.5M

0.00% of all spending

Total Claims

43K

Providers

183

Avg Cost/Claim

$83

National Cost Distribution

How much do providers bill per claim for 74246? Based on 183 providers billing this code nationally.

Median

$58.10

Average

$75.69

Std Dev

$56.79

Max

$284.90

Percentile Distribution (Cost per Claim)

p10
$21.15
p25
$26.74
Median
$58.10
p75
$114.75
p90
$154.53
p95
$177.55
p99
$219.44

50% of providers bill between $26.74 and $114.75 per claim for this code.

90% bill between $21.15 and $154.53.

Top 1% bill above $219.44.

About This Procedure

HCPCS code 74246 was billed by 183 providers across 43K claims, totaling $3.5M in Medicaid payments from 2018–2024. This code was used for 41K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$58.10

Providers Billing

183

National Spending

$3.5M

Avg/Median Ratio

1.30×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for 74246

#ProviderTotal Paid
1Beverly Radiology Medical Group Iii

Los Angeles, CA · Radiology, Diagnostic Radiology

$542K
2The Lowell General Hospital

Lowell, MA · Pharmacy, Institutional Pharmacy

$174K
3Brigham & Womens Hospital Inc.

Boston, MA · General Acute Care Hospital

$134K
41801875679$128K
51538157508$128K
6Banner - University Medical Center Tucson Campus Llc

Tucson, AZ · Clinic/Center, Multi-Specialty

$125K
7Regents Of The University Of California

San Diego, CA · General Acute Care Hospital

$117K
8Doctors Hospital At Renaissance, Ltd

Edinburg, TX · Clinic/Center, Ambulatory Surgical

$109K
9Yuma Regional Medical Center

Yuma, AZ · General Acute Care Hospital

$108K
101700821808$92K
11The Cooper Health System

Camden, NJ · General Acute Care Hospital

$87K
12The William W Backus Hospital

Norwich, CT · Clinic/Center, Emergency Care

$86K
13Holyoke Medical Center, Inc.

Holyoke, MA · Clinic/Center, Adult Mental Health

$80K
14Englewood Hospital And Medical Center

Englewood, NJ · General Acute Care Hospital

$75K
15North Shore Medical Center, Inc.

Salem, MA · General Acute Care Hospital

$74K
161790751253$64K
171043293608$61K
18Ashland Hospital Corporation

Ashland, KY · Clinic/Center, Rural Health

$57K
191043204316$55K
20Clara Maass Medical Center

Belleville, NJ · General Acute Care Hospital

$55K

Showing top 20 of 183 providers billing this code