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)
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
| # | Provider | Total Paid |
|---|---|---|
| 1 | Egleston Children's Hospital At Emory University Inc. Atlanta, GA · Pediatrics Pediatric Emergency Medicine | $80K |
| 2 | Children's Hospital Medical Center Cincinnati, OH · Clinic/Center, Primary Care | $59K |
| 3 | Phoenix Children's Hospital Phoenix, AZ · General Acute Care Hospital Children | $16K |
| 4 | Arkansas Childrens Hospital Little Rock, AR · Clinic/Center, Critical Access Hospital | $10K |
| 5 | Children's Hospital Corporation Boston, MA · Clinic/Center | $10K |
| 6 | The New York And Presbyterian Hospital New York, NY · General Acute Care Hospital | $5K |
| 7 | Phoenix Children's Hospital Phoenix, AZ · Pediatrics | $4K |
| 8 | Regents Of The University Of Michigan Ann Arbor, MI · Clinic/Center, End-Stage Renal Disease (ESRD) Treatment | $3K |
| 9 | 1508895608 | $910 |
Showing top 9 of 9 providers billing this code