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#3434 of 11K

80175

HCPCS Procedure Code

HCPCS code 80175 is the #3,434 most-billed Medicaid procedure code, with $1.7M in payments across 240K claims from 2018–2024. The national median cost per claim is $7.08.

Total Paid

$1.7M

0.00% of all spending

Total Claims

240K

Providers

224

Avg Cost/Claim

$7

National Cost Distribution

How much do providers bill per claim for 80175? Based on 220 providers billing this code nationally.

Median

$7.08

Average

$8.24

Std Dev

$7.07

Max

$70.99

Percentile Distribution (Cost per Claim)

p10
$2.16
p25
$4.47
Median
$7.08
p75
$10.62
p90
$13.12
p95
$15.54
p99
$30.04

50% of providers bill between $4.47 and $10.62 per claim for this code.

90% bill between $2.16 and $13.12.

Top 1% bill above $30.04.

About This Procedure

HCPCS code 80175 was billed by 224 providers across 240K claims, totaling $1.7M in Medicaid payments from 2018–2024. This code was used for 222K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$7.08

Providers Billing

220

National Spending

$1.7M

Avg/Median Ratio

1.16×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for 80175

#ProviderTotal Paid
1Laboratory Corporation Of America Holdings

Burlington, NC · Clinical Medical Laboratory

$354K
21871960195$138K
31447296272$76K
4Mayo Collaborative Services, Inc

Rochester, MN · Clinical Medical Laboratory

$60K
5Unilab Corporation

West Hills, CA · Clinical Medical Laboratory

$52K
6Quest Diagnostics Incorporated

Clifton, NJ · Clinical Medical Laboratory

$49K
71811997711$46K
8Laboratory Corporation Of America Holdings

Raritan, NJ · Clinical Medical Laboratory

$37K
9Laboratory Corporation Of America Holdings

Dublin, OH · Clinical Medical Laboratory

$37K
10Froedtert Memorial Lutheran Hospital, Inc.

Milwaukee, WI · Clinic/Center, Radiology

$35K
11Quest Diagnostics Clinical Laboratories Inc

Tucker, GA · Clinical Medical Laboratory

$28K
121316983158$27K
131376548271$26K
14Laboratory Corporation Of America

Seattle, WA · Clinical Medical Laboratory

$24K
15A2cl Services, Llc

West Allis, WI · Clinical Medical Laboratory

$24K
16Quest Diagnostics Clinical Laboratories Inc

Irving, TX · Clinical Medical Laboratory

$22K
17Sonora Quest Laboratories Llc

Phoenix, AZ · Clinical Medical Laboratory

$22K
181790101681$21K
19Quest Diagnostics Llc Il

Wood Dale, IL · Clinical Medical Laboratory

$20K
20Quest Diagnostics Clinical Laboratories Inc

Miramar, FL · Clinical Medical Laboratory

$18K

Showing top 20 of 224 providers billing this code