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#3480 of 11K

80185

HCPCS Procedure Code

HCPCS code 80185 is the #3,480 most-billed Medicaid procedure code, with $1.6M in payments across 310K claims from 2018–2024. The national median cost per claim is $6.29.

Total Paid

$1.6M

0.00% of all spending

Total Claims

310K

Providers

293

Avg Cost/Claim

$5

National Cost Distribution

How much do providers bill per claim for 80185? Based on 281 providers billing this code nationally.

Median

$6.29

Average

$6.47

Std Dev

$4.92

Max

$39.67

Percentile Distribution (Cost per Claim)

p10
$1.01
p25
$2.86
Median
$6.29
p75
$9.00
p90
$12.13
p95
$14.12
p99
$21.65

50% of providers bill between $2.86 and $9.00 per claim for this code.

90% bill between $1.01 and $12.13.

Top 1% bill above $21.65.

About This Procedure

HCPCS code 80185 was billed by 293 providers across 310K claims, totaling $1.6M in Medicaid payments from 2018–2024. This code was used for 237K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$6.29

Providers Billing

281

National Spending

$1.6M

Avg/Median Ratio

1.03×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for 80185

#ProviderTotal Paid
1Laboratory Corporation Of America Holdings

Burlington, NC · Clinical Medical Laboratory

$116K
21790101681$100K
31710917836$92K
4Laboratory Corporation Of America Holdings

Dublin, OH · Clinical Medical Laboratory

$91K
51659373900$68K
6Lifescan Labs Of Illinois Llc

Skokie, IL · Clinical Medical Laboratory

$66K
7Laboratory Corporation Of America Holdings

Birmingham, AL · Clinical Medical Laboratory

$62K
8Unilab Corporation

West Hills, CA · Clinical Medical Laboratory

$46K
9Quest Diagnostics Clinical Laboratories Inc

Tucker, GA · Clinical Medical Laboratory

$41K
101750364345$39K
111740361690$34K
12Labone Llc

Lenexa, KS · Clinical Medical Laboratory

$32K
131295823540$31K
141659322360$29K
15Clinical Pathology Laboratories, Inc.

Austin, TX · Clinical Medical Laboratory

$28K
161548370745$27K
17Laboratory Corporation Of America Holdings

Raritan, NJ · Clinical Medical Laboratory

$24K
18Quest Diagnostics Llc Il

Wood Dale, IL · Clinical Medical Laboratory

$22K
191093749087$22K
201003904673$22K

Showing top 20 of 293 providers billing this code