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#5385 of 11K

80157

HCPCS Procedure Code

HCPCS code 80157 is the #5,385 most-billed Medicaid procedure code, with $212K in payments across 19K claims from 2018–2024. The national median cost per claim is $7.05.

Total Paid

$212K

0.00% of all spending

Total Claims

19K

Providers

13

Avg Cost/Claim

$11

National Cost Distribution

How much do providers bill per claim for 80157? Based on 13 providers billing this code nationally.

Median

$7.05

Average

$7.38

Std Dev

$2.99

Max

$12.56

Percentile Distribution (Cost per Claim)

p10
$4.73
p25
$5.72
Median
$7.05
p75
$8.55
p90
$11.57
p95
$12.28
p99
$12.51

50% of providers bill between $5.72 and $8.55 per claim for this code.

90% bill between $4.73 and $11.57.

Top 1% bill above $12.51.

About This Procedure

HCPCS code 80157 was billed by 13 providers across 19K claims, totaling $212K in Medicaid payments from 2018–2024. This code was used for 17K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$7.05

Providers Billing

13

National Spending

$212K

Avg/Median Ratio

1.05×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for 80157

#ProviderTotal Paid
11871960195$111K
21609273317$73K
3Laboratory Corporation Of America Holdings

Burlington, NC · Clinical Medical Laboratory

$16K
41962903575$5K
5Empire City Laboratories, Inc

Brooklyn, NY · Clinical Medical Laboratory

$3K
61447296272$2K
7Laboratory Corporation Of America Holdings

Dublin, OH · Clinical Medical Laboratory

$452
81073587937$255
9Laboratory Corporation Of America Holdings

Raritan, NJ · Clinical Medical Laboratory

$181
10Quest Diagnostics Llc Il

Wood Dale, IL · Clinical Medical Laboratory

$92
11Laboratory Corporation Of America

Tampa, FL · Clinical Medical Laboratory

$87
12Bioreference Health Llc

Elmwood Park, NJ · Clinical Medical Laboratory

$61
13Quest Diagnostics Clinical Laboratories Inc

Irving, TX · Clinical Medical Laboratory

$42

Showing top 13 of 13 providers billing this code