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#2495 of 11K

78306

HCPCS Procedure Code

HCPCS code 78306 is the #2,495 most-billed Medicaid procedure code, with $5.4M in payments across 50K claims from 2018–2024. The national median cost per claim is $55.24. Costs vary widely — the 90th percentile is $218.30 per claim, 4.0× the median.

Total Paid

$5.4M

0.00% of all spending

Total Claims

50K

Providers

291

Avg Cost/Claim

$107

National Cost Distribution

How much do providers bill per claim for 78306? Based on 291 providers billing this code nationally.

Median

$55.24

Average

$93.67

Std Dev

$93.45

Max

$565.72

Percentile Distribution (Cost per Claim)

p10
$16.53
p25
$23.74
Median
$55.24
p75
$141.58
p90
$218.30
p95
$268.91
p99
$408.84

50% of providers bill between $23.74 and $141.58 per claim for this code.

90% bill between $16.53 and $218.30.

Top 1% bill above $408.84.

About This Procedure

HCPCS code 78306 was billed by 291 providers across 50K claims, totaling $5.4M in Medicaid payments from 2018–2024. This code was used for 45K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$55.24

Providers Billing

291

National Spending

$5.4M

Avg/Median Ratio

1.70×

Moderately skewed

Top Providers Billing This Code

Ranked by total Medicaid payments for 78306

#ProviderTotal Paid
1Yale New Haven Hospital

New Haven, CT · General Acute Care Hospital

$361K
2Medstar Washington Hospital Center

Washington, DC · General Acute Care Hospital

$353K
3Arthur G James Cancer Hospital And Research Institute

Columbus, OH · Special Hospital

$337K
4City Of Hope National Medical Center

Duarte, CA · General Acute Care Hospital

$283K
5Norton Hospitals Inc

Louisville, KY · General Acute Care Hospital

$224K
6University Of Kentucky

Lexington, KY · General Acute Care Hospital

$217K
7Regents Of The University Of California

San Diego, CA · General Acute Care Hospital

$214K
81558356493$140K
9Beverly Radiology Medical Group Iii

Los Angeles, CA · Radiology, Diagnostic Radiology

$123K
101316900277$122K
11Norton Hospitals, Inc

Louisville, KY · General Acute Care Hospital

$113K
12The Cooper Health System

Camden, NJ · General Acute Care Hospital

$112K
13Dana-farber Cancer Institute, Inc.

Boston, MA · General Acute Care Hospital

$100K
14State Of Mississippi - University Of Mississippi Medical Center

Jackson, MS · General Acute Care Hospital

$99K
15Regents Of The University Of Michigan

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

$95K
16Yuma Regional Medical Center

Yuma, AZ · General Acute Care Hospital

$91K
17Montefiore Medical Center

Bronx, NY · Anesthesiology

$86K
181780653618$79K
191124058615$73K
20Adventist Health System-sunbelt, Inc

Orlando, FL · Ambulance, Land Transport

$70K

Showing top 20 of 291 providers billing this code

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