76886
HCPCS Procedure Code
HCPCS code 76886 is the #3,005 most-billed Medicaid procedure code, with $2.8M in payments across 19K claims from 2018–2024. The national median cost per claim is $51.90. Costs vary widely — the 90th percentile is $209.03 per claim, 4.0× the median.
Total Paid
$2.8M
0.00% of all spending
Total Claims
19K
Providers
46
Avg Cost/Claim
$147
National Cost Distribution
How much do providers bill per claim for 76886? Based on 46 providers billing this code nationally.
Median
$51.90
Average
$91.46
Std Dev
$91.99
Max
$424.22
Percentile Distribution (Cost per Claim)
50% of providers bill between $25.22 and $120.68 per claim for this code.
90% bill between $19.29 and $209.03.
Top 1% bill above $375.49.
About This Procedure
HCPCS code 76886 was billed by 46 providers across 19K claims, totaling $2.8M in Medicaid payments from 2018–2024. This code was used for 18K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$51.90
Providers Billing
46
National Spending
$2.8M
Avg/Median Ratio
1.76×
Moderately skewed
Top Providers Billing This Code
Ranked by total Medicaid payments for 76886
| # | Provider | Total Paid |
|---|---|---|
| 1 | Scottish Rite Children's Medical Center Atlanta, GA · Pediatrics Pediatric Hematology-Oncology | $1.3M |
| 2 | Children's Hospital Corporation Boston, MA · Clinic/Center | $394K |
| 3 | 1689744450 | $135K |
| 4 | Unm Hospital Albuquerque, NM · General Acute Care Hospital | $116K |
| 5 | Egleston Children's Hospital At Emory University Inc. Atlanta, GA · Pediatrics Pediatric Emergency Medicine | $112K |
| 6 | Umass Memorial Medical Center, Inc. Worcester, MA · General Acute Care Hospital | $106K |
| 7 | Childrens Hospital Of Philadelphia Philadelphia, PA · General Acute Care Hospital Children | $97K |
| 8 | Children's Hospital Medical Center Cincinnati, OH · Clinic/Center, Primary Care | $94K |
| 9 | Spectrum Health Hospitals Grand Rapids, MI · General Acute Care Hospital | $66K |
| 10 | Montefiore Medical Center Bronx, NY · General Acute Care Hospital | $64K |
| 11 | 1740283324 | $41K |
| 12 | 1831116441 | $39K |
| 13 | The Toledo Hospital Toledo, OH · Pediatrics | $31K |
| 14 | Brockton Hospital, Inc. Brockton, MA · General Acute Care Hospital | $31K |
| 15 | 1831218627 | $24K |
| 16 | 1154373843 | $18K |
| 17 | 1033196464 | $9K |
| 18 | University Of Kentucky Lexington, KY · General Acute Care Hospital | $7K |
| 19 | 1487681912 | $5K |
| 20 | 1063468031 | $5K |
Showing top 20 of 46 providers billing this code