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#2778 of 11K

77385

HCPCS Procedure Code

HCPCS code 77385 is the #2,778 most-billed Medicaid procedure code, with $3.7M in payments across 13K claims from 2018–2024. The national median cost per claim is $251.82.

Total Paid

$3.7M

0.00% of all spending

Total Claims

13K

Providers

16

Avg Cost/Claim

$294

National Cost Distribution

How much do providers bill per claim for 77385? Based on 16 providers billing this code nationally.

Median

$251.82

Average

$363.73

Std Dev

$360.63

Max

$1,648.19

Percentile Distribution (Cost per Claim)

p10
$175.78
p25
$207.92
Median
$251.82
p75
$350.99
p90
$496.56
p95
$844.42
p99
$1,487.44

50% of providers bill between $207.92 and $350.99 per claim for this code.

90% bill between $175.78 and $496.56.

Top 1% bill above $1,487.44.

About This Procedure

HCPCS code 77385 was billed by 16 providers across 13K claims, totaling $3.7M in Medicaid payments from 2018–2024. This code was used for 1K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$251.82

Providers Billing

16

National Spending

$3.7M

Avg/Median Ratio

1.44×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for 77385

#ProviderTotal Paid
11164596771$537K
21427536325$490K
3Memorial Hospital For Cancer And Allied Diseases

New York, NY · Pharmacy

$477K
4Arthur G James Cancer Hospital And Research Institute

Columbus, OH · Special Hospital

$424K
51962777052$380K
6Presbyterian Healthcare Services

Albuquerque, NM · Emergency Medicine

$300K
7Montefiore Medical Center

Bronx, NY · General Acute Care Hospital

$260K
81679660617$219K
9Yuma Regional Medical Center

Yuma, AZ · General Acute Care Hospital

$192K
101760972756$104K
111841243722$77K
121316900277$55K
131225041809$54K
14The General Hospital Corporation

Boston, MA · General Acute Care Hospital

$50K
15The Metrohealth System

Cleveland, OH · General Acute Care Hospital

$43K
161295833580$36K

Showing top 16 of 16 providers billing this code