#2880 of 11K

80178

HCPCS Procedure Code

HCPCS code 80178 is the #2,880 most-billed Medicaid procedure code, with $3.2M in payments across 861K claims from 2018–2024. The national median cost per claim is $3.92. Costs vary widely — the 90th percentile is $8.80 per claim, 2.2× the median.

Total Paid

$3.2M

0.00% of all spending

Total Claims

861K

Providers

629

Avg Cost/Claim

National Cost Distribution

How much do providers bill per claim for 80178? Based on 605 providers billing this code nationally.

Median

$3.92

Average

$5.46

Std Dev

$10.98

Max

$236.91

Percentile Distribution (Cost per Claim)

p10

$1.30

p25

$2.63

Median

$3.92

p75

$6.12

p90

$8.80

p95

$12.95

p99

$24.67

50% of providers bill between $2.63 and $6.12 per claim for this code.

90% bill between $1.30 and $8.80.

Top 1% bill above $24.67.

About This Procedure

HCPCS code 80178 was billed by 629 providers across 861K claims, totaling $3.2M in Medicaid payments from 2018–2024. This code was used for 761K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$3.92

Providers Billing

605

National Spending

$3.2M

Avg/Median Ratio

1.39×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for 80178

#	Provider	Total Paid	Cost/Claim	vs Median	Tier
1	Laboratory Corporation Of America Holdings Burlington, NC · Clinical Medical Laboratory	$228K	$3.89	1.0× median	Below Median
2	Laboratory Corporation Of America Holdings Dublin, OH · Clinical Medical Laboratory	$157K	$4.17	1.1× median	Above Median
3	Labone Llc Lenexa, KS · Clinical Medical Laboratory	$130K	$4.78	1.2× median	Above Median
4	Laboratory Corporation Of America Holdings Raritan, NJ · Clinical Medical Laboratory	$106K	$2.49	0.6× median	Below Median
5	Laboratory Corporation Of America Seattle, WA · Clinical Medical Laboratory	$96K	$4.22	1.1× median	Above Median
6	Unilab Corporation West Hills, CA · Clinical Medical Laboratory	$92K	$2.89	0.7× median	Below Median
7	Quest Diagnostics Incorporated Clifton, NJ · Clinical Medical Laboratory	$79K	$3.92	1.0× median	Below Median
8	Quest Diagnostics Massachusetts Llc Marlborough, MA · Clinical Medical Laboratory	$71K	$3.03	0.8× median	Below Median
9	Quest Diagnostics Llc Marlborough, MA · Clinical Medical Laboratory	$69K	$3.18	0.8× median	Below Median
10	Quest Diagnostics Llc Il Wood Dale, IL · Clinical Medical Laboratory	$69K	$4.40	1.1× median	Above Median
11	Sonora Quest Laboratories Llc Phoenix, AZ · Clinical Medical Laboratory	$68K	$2.83	0.7× median	Below Median
12	Laboratory Corporation Of America Holdings Birmingham, AL · Clinical Medical Laboratory	$65K	$3.20	0.8× median	Below Median
13	1316983158	$63K	$3.96	1.0× median	Above Median
14	1598747651	$44K	$5.53	1.4× median	Above Median
15	1790101681	$44K	$2.80	0.7× median	Below Median
16	Clinical Pathology Laboratories, Inc. Austin, TX · Clinical Medical Laboratory	$39K	$2.83	0.7× median	Below Median
17	Quest Diagnostics Clinical Laboratories Inc Tucker, GA · Clinical Medical Laboratory	$38K	$3.27	0.8× median	Below Median
18	Bioreference Health Llc Elmwood Park, NJ · Clinical Medical Laboratory	$35K	$4.23	1.1× median	Above Median
19	1659373900	$32K	$4.92	1.3× median	Above Median
20	Laboratory Corporation Of America Holdings Burlington, NC · Clinical Medical Laboratory	$32K	$4.46	1.1× median	Above Median

Showing top 20 of 629 providers billing this code

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