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#5487 of 11K

75557

HCPCS Procedure Code

HCPCS code 75557 is the #5,487 most-billed Medicaid procedure code, with $189K in payments across 661 claims from 2018–2024. The national median cost per claim is $160.58. Costs vary widely — the 90th percentile is $527.17 per claim, 3.3× the median.

Total Paid

$189K

0.00% of all spending

Total Claims

661

Providers

9

Avg Cost/Claim

$285

National Cost Distribution

How much do providers bill per claim for 75557? Based on 9 providers billing this code nationally.

Median

$160.58

Average

$277.67

Std Dev

$259.43

Max

$864.17

Percentile Distribution (Cost per Claim)

p10
$78.97
p25
$90.42
Median
$160.58
p75
$349.25
p90
$527.17
p95
$695.67
p99
$830.47

50% of providers bill between $90.42 and $349.25 per claim for this code.

90% bill between $78.97 and $527.17.

Top 1% bill above $830.47.

About This Procedure

HCPCS code 75557 was billed by 9 providers across 661 claims, totaling $189K in Medicaid payments from 2018–2024. This code was used for 608 unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$160.58

Providers Billing

9

National Spending

$189K

Avg/Median Ratio

1.73×

Moderately skewed

Top Providers Billing This Code

Ranked by total Medicaid payments for 75557

#ProviderTotal Paid
1Egleston Children's Hospital At Emory University Inc.

Atlanta, GA · Pediatrics Pediatric Emergency Medicine

$80K
2Children's Hospital Medical Center

Cincinnati, OH · Clinic/Center, Primary Care

$59K
3Phoenix Children's Hospital

Phoenix, AZ · General Acute Care Hospital Children

$16K
4Arkansas Childrens Hospital

Little Rock, AR · Clinic/Center, Critical Access Hospital

$10K
5Children's Hospital Corporation

Boston, MA · Clinic/Center

$10K
6The New York And Presbyterian Hospital

New York, NY · General Acute Care Hospital

$5K
7Phoenix Children's Hospital

Phoenix, AZ · Pediatrics

$4K
8Regents Of The University Of Michigan

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

$3K
91508895608$910

Showing top 9 of 9 providers billing this code