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#4803 of 11K

80180

HCPCS Procedure Code

HCPCS code 80180 is the #4,803 most-billed Medicaid procedure code, with $394K in payments across 41K claims from 2018–2024. The national median cost per claim is $9.03. Costs vary widely — the 90th percentile is $18.91 per claim, 2.1× the median.

Total Paid

$394K

0.00% of all spending

Total Claims

41K

Providers

48

Avg Cost/Claim

$10

National Cost Distribution

How much do providers bill per claim for 80180? Based on 47 providers billing this code nationally.

Median

$9.03

Average

$10.97

Std Dev

$7.04

Max

$30.72

Percentile Distribution (Cost per Claim)

p10
$3.99
p25
$6.75
Median
$9.03
p75
$12.63
p90
$18.91
p95
$28.15
p99
$30.40

50% of providers bill between $6.75 and $12.63 per claim for this code.

90% bill between $3.99 and $18.91.

Top 1% bill above $30.40.

About This Procedure

HCPCS code 80180 was billed by 48 providers across 41K claims, totaling $394K in Medicaid payments from 2018–2024. This code was used for 28K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$9.03

Providers Billing

47

National Spending

$394K

Avg/Median Ratio

1.21×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for 80180

#ProviderTotal Paid
1Stanford Health Care

Stanford, CA · General Acute Care Hospital

$98K
21811997711$54K
31053334755$30K
4Laboratory Corporation Of America Holdings

Burlington, NC · Clinical Medical Laboratory

$24K
51497859649$20K
6Childrens Hospital Of Los Angeles

Los Angeles, CA · Case Manager/Care Coordinator

$20K
7Unm Hospital

Albuquerque, NM · General Acute Care Hospital

$17K
8Montefiore Medical Center

Bronx, NY · General Acute Care Hospital

$13K
9University Of Washington

Seattle, WA · Clinic/Center, Dental

$12K
101568488450$12K
11Quest Diagnostics Llc Il

Wood Dale, IL · Clinical Medical Laboratory

$10K
12Egleston Children's Hospital At Emory University Inc.

Atlanta, GA · Pediatrics Pediatric Emergency Medicine

$8K
13Children's Hospital Corporation

Boston, MA · Clinic/Center

$7K
14University Of California Irvine

Orange, CA · General Acute Care Hospital

$7K
15Keck Medical Center Of Usc

Los Angeles, CA · General Acute Care Hospital

$6K
16Sonora Quest Laboratories Llc

Phoenix, AZ · Clinical Medical Laboratory

$5K
171083249577$5K
181700949336$5K
191710065933$5K
20Quest Diagnostics Incorporated

Las Vegas, NV · Clinical Medical Laboratory

$4K

Showing top 20 of 48 providers billing this code