#2970 of 11K

76826

HCPCS Procedure Code

HCPCS code 76826 is the #2,970 most-billed Medicaid procedure code, with $2.9M in payments across 32K claims from 2018–2024. The national median cost per claim is $77.33. Costs vary widely — the 90th percentile is $172.30 per claim, 2.2× the median.

Total Paid

$2.9M

0.00% of all spending

Total Claims

32K

Providers

Avg Cost/Claim

$90

National Cost Distribution

How much do providers bill per claim for 76826? Based on 43 providers billing this code nationally.

Median

$77.33

Average

$92.25

Std Dev

$62.30

Max

$291.18

Percentile Distribution (Cost per Claim)

p10

$29.34

p25

$48.13

Median

$77.33

p75

$114.94

p90

$172.30

p95

$234.13

p99

$270.21

50% of providers bill between $48.13 and $114.94 per claim for this code.

90% bill between $29.34 and $172.30.

Top 1% bill above $270.21.

About This Procedure

HCPCS code 76826 was billed by 43 providers across 32K claims, totaling $2.9M in Medicaid payments from 2018–2024. This code was used for 29K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$77.33

Providers Billing

National Spending

$2.9M

Avg/Median Ratio

1.19×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for 76826

#	Provider	Total Paid	Cost/Claim	vs Median	Tier
1	1376565952	$701K	$100.29	1.3× median	Above Median
2	1174557979	$475K	$176.66	2.3× median	Top 10%
3	1679762702	$300K	$55.45	0.7× median	Below Median
4	Charleston Area Medical Center Inc Charleston, WV · General Acute Care Hospital	$291K	$109.91	1.4× median	Above Median
5	1770851776	$233K	$49.56	0.6× median	Below Median
6	1831495712	$195K	$110.28	1.4× median	Above Median
7	1437501988	$137K	$122.00	1.6× median	Above 75th
8	1093829210	$132K	$120.77	1.6× median	Above 75th
9	1982799375	$117K	$291.18	3.8× median	Top 1%
10	1184662579	$73K	$74.59	1.0× median	Below Median
11	1144252990	$32K	$39.94	0.5× median	Below Median
12	1851305312	$29K	$26.62	0.3× median	Below Median
13	Ut Physicians Houston, TX · Emergency Medicine	$20K	$91.94	1.2× median	Above Median
14	1144389230	$20K	$45.29	0.6× median	Below Median
15	Children's Hospital & Research Center At Oakland Oakland, CA · General Acute Care Hospital	$18K	$191.04	2.5× median	Top 10%
16	1518326990	$17K	$48.75	0.6× median	Below Median
17	1003811381	$9K	$109.71	1.4× median	Above Median
18	1972679322	$9K	$113.16	1.5× median	Above Median
19	Yale New Haven Hospital New Haven, CT · General Acute Care Hospital	$8K	$241.26	3.1× median	Top 10%
20	1619145505	$8K	$40.89	0.5× median	Below Median

Showing top 20 of 43 providers billing this code

Related Procedures

76816Ultrasound, pregnant uterus, follow-up$780.1M 76830Ultrasound, transvaginal$524.3M 76819Fetal biophysical profile with non-stress test$399.0M 76817Ultrasound, pregnant uterus, transvaginal$301.1M 76818$135.2M

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