#3147 of 11K

77470

HCPCS Procedure Code

HCPCS code 77470 is the #3,147 most-billed Medicaid procedure code, with $2.4M in payments across 11K claims from 2018–2024. The national median cost per claim is $166.61. Costs vary widely — the 90th percentile is $520.75 per claim, 3.1× the median.

Total Paid

$2.4M

0.00% of all spending

Total Claims

11K

Providers

Avg Cost/Claim

$216

National Cost Distribution

How much do providers bill per claim for 77470? Based on 79 providers billing this code nationally.

Median

$166.61

Average

$229.61

Std Dev

$239.57

Max

$1,446.47

Percentile Distribution (Cost per Claim)

p10

$46.93

p25

$67.50

Median

$166.61

p75

$277.99

p90

$520.75

p95

$675.00

p99

$993.14

50% of providers bill between $67.50 and $277.99 per claim for this code.

90% bill between $46.93 and $520.75.

Top 1% bill above $993.14.

About This Procedure

HCPCS code 77470 was billed by 81 providers across 11K claims, totaling $2.4M in Medicaid payments from 2018–2024. This code was used for 10K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$166.61

Providers Billing

National Spending

$2.4M

Avg/Median Ratio

1.38×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for 77470

#	Provider	Total Paid	Cost/Claim	vs Median	Tier
1	University Of Washington Seattle, WA · Clinic/Center, Dental	$227K	$567.98	3.4× median	Top 10%
2	Stanford Health Care Stanford, CA · General Acute Care Hospital	$218K	$275.86	1.7× median	Above Median
3	Rector & Visitors Of The University Of Virginia Charlottesville, VA · General Acute Care Hospital	$170K	$765.53	4.6× median	Top 10%
4	Brigham & Womens Hospital Inc. Boston, MA · General Acute Care Hospital	$164K	$228.86	1.4× median	Above Median
5	The Cleveland Clinic Foundation Cleveland, OH · General Acute Care Hospital	$159K	$343.40	2.1× median	Above 75th
6	City Of Hope National Medical Center Duarte, CA · General Acute Care Hospital	$130K	$264.17	1.6× median	Above Median
7	Medstar Washington Hospital Center Washington, DC · General Acute Care Hospital	$118K	$431.67	2.6× median	Above 75th
8	Banner - University Medical Center Tucson Campus Llc Tucson, AZ · Clinic/Center, Multi-Specialty	$88K	$178.94	1.1× median	Above Median
9	Yale New Haven Hospital New Haven, CT · General Acute Care Hospital	$79K	$195.00	1.2× median	Above Median
10	State Of Mississippi - University Of Mississippi Medical Center Jackson, MS · General Acute Care Hospital	$72K	$253.27	1.5× median	Above Median
11	Virginia Commonwealth University Health System Authority Richmond, VA · General Acute Care Hospital	$67K	$865.28	5.2× median	Top 10%
12	1669458907	$66K	$91.95	0.6× median	Below Median
13	Swedish Health Services Seattle, WA · General Acute Care Hospital	$65K	$634.90	3.8× median	Top 10%
14	1689722340	$62K	$73.96	0.4× median	Below Median
15	1225041809	$54K	$148.42	0.9× median	Below Median
16	The General Hospital Corporation Boston, MA · General Acute Care Hospital	$53K	$262.64	1.6× median	Above Median
17	1871886366	$47K	$66.95	0.4× median	Below Median
18	Carilion Medical Center Roanoke, VA · General Acute Care Hospital	$39K	$665.16	4.0× median	Top 10%
19	Mainehealth Portland, ME · Emergency Medicine	$36K	$194.00	1.2× median	Above Median
20	Regents Of The University Of California San Diego, CA · General Acute Care Hospital	$36K	$102.65	0.6× median	Below Median

Showing top 20 of 81 providers billing this code

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