Statistical flags indicate unusual patterns — not proof of fraud or wrongdoing. Read our methodology

#353 of 11K

76805

Ultrasound, pregnant uterus, complete, single fetus

Ultrasound, pregnant uterus, complete, single fetus is the #353 most-billed Medicaid procedure code, with $358.2M in payments across 4.7M claims from 2018–2024. The national median cost per claim is $74.78.

Total Paid

$358.2M

0.03% of all spending

Total Claims

4.7M

Providers

6K

Avg Cost/Claim

$77

National Cost Distribution

How much do providers bill per claim for 76805? Based on 6K providers billing this code nationally.

Median

$74.78

Average

$78.81

Std Dev

$52.57

Max

$808.33

Percentile Distribution (Cost per Claim)

p10
$29.84
p25
$43.22
Median
$74.78
p75
$100.33
p90
$126.07
p95
$152.23
p99
$257.27

50% of providers bill between $43.22 and $100.33 per claim for this code.

90% bill between $29.84 and $126.07.

Top 1% bill above $257.27.

About This Procedure

HCPCS code 76805 (Ultrasound, pregnant uterus, complete, single fetus) was billed by 6K providers across 4.7M claims, totaling $358.2M in Medicaid payments from 2018–2024. This code was used for 4.3M unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$74.78

Providers Billing

6K

National Spending

$358.2M

Avg/Median Ratio

1.05×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for 76805

#ProviderTotal Paid
1Dallas County Hospital District

Dallas, TX · Clinic/Center, Ambulatory Surgical

$4.8M
21093829210$3.9M
31205859691$3.3M
41174866743$3.0M
51639369531$2.7M
61124040076$2.3M
7The Cleveland Clinic Foundation

Cleveland, OH · General Acute Care Hospital

$2.2M
8Mid-south Perinatal Associates Pc

Jackson, TN · Obstetrics & Gynecology, Maternal & Fetal Medicine

$2.0M
91376565952$1.9M
101710959135$1.8M
111982799375$1.8M
121669617197$1.7M
13Aurora Medical Group, Inc.

Milwaukee, WI · Internal Medicine

$1.5M
14Women & Infants Hospital Of Rhode Island

Providence, RI · Clinic/Center, Ambulatory Family Planning Facility

$1.5M
15University Of Texas Medical Branch At Galveston

Galveston, TX · Clinic/Center, Ambulatory Surgical

$1.4M
161730259805$1.4M
171154371623$1.4M
181104973064$1.3M
19Lsu Health Sciences Center Shreveport Faculty Group Practice

Shreveport, LA · Oral & Maxillofacial Surgery

$1.3M
201285253252$1.2M

Showing top 20 of 6K providers billing this code