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#544 of 11K

76642

HCPCS Procedure Code

HCPCS code 76642 is the #544 most-billed Medicaid procedure code, with $153.6M in payments across 3.3M claims from 2018–2024. The national median cost per claim is $32.06. Costs vary widely — the 90th percentile is $96.57 per claim, 3.0× the median.

Total Paid

$153.6M

0.01% of all spending

Total Claims

3.3M

Providers

3K

Avg Cost/Claim

$46

National Cost Distribution

How much do providers bill per claim for 76642? Based on 3K providers billing this code nationally.

Median

$32.06

Average

$45.13

Std Dev

$35.28

Max

$473.65

Percentile Distribution (Cost per Claim)

p10
$16.93
p25
$21.13
Median
$32.06
p75
$58.69
p90
$96.57
p95
$116.10
p99
$156.90

50% of providers bill between $21.13 and $58.69 per claim for this code.

90% bill between $16.93 and $96.57.

Top 1% bill above $156.90.

About This Procedure

HCPCS code 76642 was billed by 3K providers across 3.3M claims, totaling $153.6M in Medicaid payments from 2018–2024. This code was used for 2.9M unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$32.06

Providers Billing

3K

National Spending

$153.6M

Avg/Median Ratio

1.41×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for 76642

#ProviderTotal Paid
1Beverly Radiology Medical Group Iii

Los Angeles, CA · Radiology, Diagnostic Radiology

$4.7M
21497148456$2.3M
31972004489$1.9M
4Lenox Hill Radiology & Medical Imaging Associates, Pc

New York, NY · Radiology, Body Imaging

$1.8M
5Advanced Radiology P A

Owings Mills, MD · Radiology Diagnostic Radiology

$1.6M
6Boston Medical Center Corporation

Boston, MA · General Acute Care Hospital

$1.4M
7Baystate Medical Center Inc

Springfield, MA · General Acute Care Hospital

$1.1M
8University Of Kentucky

Lexington, KY · General Acute Care Hospital

$1.1M
9District Hospital Partners L P

Washington, DC · Nurse Practitioner, Family

$1.1M
10Arthur G James Cancer Hospital And Research Institute

Columbus, OH · Special Hospital

$1.0M
11Umass Memorial Medical Center, Inc.

Worcester, MA · General Acute Care Hospital

$1.0M
121558416974$989K
13New York Network Ipa Inc

Brooklyn, NY · Exclusive Provider Organization

$910K
141841261989$899K
15The Lowell General Hospital

Lowell, MA · Pharmacy, Institutional Pharmacy

$802K
161396707782$776K
17Medstar Washington Hospital Center

Washington, DC · General Acute Care Hospital

$776K
18Norton Hospitals Inc

Louisville, KY · General Acute Care Hospital

$770K
19Beth Israel Deaconess Medical Center, Inc.

Boston, MA · General Acute Care Hospital

$697K
201568416147$674K

Showing top 20 of 3K providers billing this code