#4184 of 11K

78582

HCPCS Procedure Code

HCPCS code 78582 is the #4,184 most-billed Medicaid procedure code, with $774K in payments across 16K claims from 2018–2024. The national median cost per claim is $26.06. Costs vary widely — the 90th percentile is $141.99 per claim, 5.4× the median.

Total Paid

$774K

0.00% of all spending

Total Claims

16K

Providers

Avg Cost/Claim

$49

National Cost Distribution

How much do providers bill per claim for 78582? Based on 92 providers billing this code nationally.

Median

$26.06

Average

$50.37

Std Dev

$89.55

Max

$653.95

Percentile Distribution (Cost per Claim)

p10

$10.30

p25

$17.15

Median

$26.06

p75

$35.82

p90

$141.99

p95

$172.33

p99

$424.11

50% of providers bill between $17.15 and $35.82 per claim for this code.

90% bill between $10.30 and $141.99.

Top 1% bill above $424.11.

About This Procedure

HCPCS code 78582 was billed by 92 providers across 16K claims, totaling $774K in Medicaid payments from 2018–2024. This code was used for 15K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$26.06

Providers Billing

National Spending

$774K

Avg/Median Ratio

1.93×

Moderately skewed

Top Providers Billing This Code

Ranked by total Medicaid payments for 78582

#	Provider	Total Paid	Cost/Claim	vs Median	Tier
1	Aurora Health Care Metro, Inc. Milwaukee, WI · Internal Medicine, Hematology & Oncology	$175K	$151.35	5.8× median	Top 10%
2	Montefiore Medical Center Bronx, NY · General Acute Care Hospital	$148K	$401.38	15.4× median	Top 10%
3	Montefiore Medical Center Bronx, NY · Anesthesiology	$64K	$60.11	2.3× median	Above 75th
4	1326450156	$45K	$24.56	0.9× median	Below Median
5	1487608931	$28K	$24.23	0.9× median	Below Median
6	1043260763	$21K	$17.08	0.7× median	Below Median
7	The Cleveland Clinic Foundation Cleveland, OH · General Acute Care Hospital	$21K	$653.95	25.1× median	Top 1%
8	Miami Valley Hospital Dayton, OH · General Acute Care Hospital	$20K	$346.85	13.3× median	Top 10%
9	1851390850	$20K	$25.54	1.0× median	Below Median
10	1679529978	$16K	$29.44	1.1× median	Above Median
11	Yale New Haven Hospital New Haven, CT · General Acute Care Hospital	$15K	$154.83	5.9× median	Top 10%
12	1740283324	$11K	$26.23	1.0× median	Above Median
13	1376719666	$11K	$24.51	0.9× median	Below Median
14	Norton Hospitals Inc Louisville, KY · General Acute Care Hospital	$11K	$150.76	5.8× median	Top 10%
15	Medstar Washington Hospital Center Washington, DC · General Acute Care Hospital	$9K	$184.69	7.1× median	Top 10%
16	1669499414	$9K	$27.78	1.1× median	Above Median
17	1861783961	$8K	$33.62	1.3× median	Above Median
18	Adventist Health System-sunbelt, Inc Orlando, FL · Ambulance, Land Transport	$8K	$48.69	1.9× median	Above 75th
19	1134194038	$8K	$42.78	1.6× median	Above 75th
20	1477591873	$8K	$48.17	1.8× median	Above 75th

Showing top 20 of 92 providers billing this code

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