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#452 of 11K

77386

Intensity modulated radiation treatment delivery, complex

Intensity modulated radiation treatment delivery, complex is the #452 most-billed Medicaid procedure code, with $216.6M in payments across 617K claims from 2018–2024. The national median cost per claim is $260.56. Costs vary widely — the 90th percentile is $559.27 per claim, 2.1× the median.

Total Paid

$216.6M

0.02% of all spending

Total Claims

617K

Providers

192

Avg Cost/Claim

$351

National Cost Distribution

How much do providers bill per claim for 77386? Based on 192 providers billing this code nationally.

Median

$260.56

Average

$327.37

Std Dev

$272.78

Max

$2,214.85

Percentile Distribution (Cost per Claim)

p10
$115.13
p25
$180.34
Median
$260.56
p75
$379.44
p90
$559.27
p95
$809.64
p99
$1,346.00

50% of providers bill between $180.34 and $379.44 per claim for this code.

90% bill between $115.13 and $559.27.

Top 1% bill above $1,346.00.

About This Procedure

HCPCS code 77386 (Intensity modulated radiation treatment delivery, complex) was billed by 192 providers across 617K claims, totaling $216.6M in Medicaid payments from 2018–2024. This code was used for 66K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$260.56

Providers Billing

192

National Spending

$216.6M

Avg/Median Ratio

1.26×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for 77386

#ProviderTotal Paid
1Regents Of The University Of California

San Diego, CA · General Acute Care Hospital

$19.9M
2Arthur G James Cancer Hospital And Research Institute

Columbus, OH · Special Hospital

$15.5M
3University Of Kentucky

Lexington, KY · General Acute Care Hospital

$14.0M
4City Of Hope National Medical Center

Duarte, CA · General Acute Care Hospital

$8.5M
5Virginia Commonwealth University Health System Authority

Richmond, VA · General Acute Care Hospital

$6.7M
6Stanford Health Care

Stanford, CA · General Acute Care Hospital

$6.2M
7Yale New Haven Hospital

New Haven, CT · General Acute Care Hospital

$5.9M
8The General Hospital Corporation

Boston, MA · General Acute Care Hospital

$5.2M
9Rhode Island Hospital

Providence, RI · General Acute Care Hospital

$5.0M
101033183603$4.3M
11University Of Washington

Seattle, WA · Clinic/Center, Dental

$3.8M
12Regents Of The University Of California

Sacramento, CA · General Acute Care Hospital

$3.6M
13Umass Memorial Medical Center, Inc.

Worcester, MA · General Acute Care Hospital

$3.5M
14Regents Of The University Of Michigan

Ann Arbor, MI · Clinic/Center, End-Stage Renal Disease (ESRD) Treatment

$3.4M
15Norton Hospitals Inc

Louisville, KY · General Acute Care Hospital

$3.3M
16Southern California Permanente Medical Group

Los Angeles, CA · Health Maintenance Organization

$3.1M
17The Cooper Health System

Camden, NJ · General Acute Care Hospital

$2.9M
18The Cleveland Clinic Foundation

Cleveland, OH · General Acute Care Hospital

$2.9M
19State Of Mississippi - University Of Mississippi Medical Center

Jackson, MS · General Acute Care Hospital

$2.8M
20University Of California Irvine

Orange, CA · General Acute Care Hospital

$2.8M

Showing top 20 of 192 providers billing this code

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