#2169 of 11K

80357

HCPCS Procedure Code

HCPCS code 80357 is the #2,169 most-billed Medicaid procedure code, with $8.3M in payments across 1.8M claims from 2018–2024. The national median cost per claim is $5.30. Costs vary widely — the 90th percentile is $14.63 per claim, 2.8× the median.

Total Paid

$8.3M

0.00% of all spending

Total Claims

1.8M

Providers

210

Avg Cost/Claim

National Cost Distribution

How much do providers bill per claim for 80357? Based on 186 providers billing this code nationally.

Median

$5.30

Average

$6.65

Std Dev

$6.56

Max

$46.04

Percentile Distribution (Cost per Claim)

p10

$0.51

p25

$1.90

Median

$5.30

p75

$9.91

p90

$14.63

p95

$15.77

p99

$32.81

50% of providers bill between $1.90 and $9.91 per claim for this code.

90% bill between $0.51 and $14.63.

Top 1% bill above $32.81.

About This Procedure

HCPCS code 80357 was billed by 210 providers across 1.8M claims, totaling $8.3M in Medicaid payments from 2018–2024. This code was used for 1.2M unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$5.30

Providers Billing

186

National Spending

$8.3M

Avg/Median Ratio

1.25×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for 80357

#	Provider	Total Paid	Cost/Claim	vs Median	Tier
1	Millennium Health Llc San Diego, CA · Clinical Medical Laboratory	$1.2M	$3.71	0.7× median	Below Median
2	1598135451	$871K	$15.37	2.9× median	Top 10%
3	Laboratory Corporation Of America Holdings Burlington, NC · Clinical Medical Laboratory	$796K	$5.65	1.1× median	Above Median
4	1215272406	$347K	$13.14	2.5× median	Above 75th
5	Precision Toxicology, Llc San Diego, CA · Clinical Medical Laboratory	$329K	$9.28	1.8× median	Above Median
6	Acutis Diagnostics Inc Hicksville, NY · Clinical Medical Laboratory	$296K	$4.54	0.9× median	Below Median
7	1841619731	$273K	$5.70	1.1× median	Above Median
8	Aegis Sciences Corporation Nashville, TN · Clinical Medical Laboratory	$270K	$6.85	1.3× median	Above Median
9	1073961108	$256K	$2.78	0.5× median	Below Median
10	1982091617	$210K	$9.99	1.9× median	Above 75th
11	1194744185	$173K	$2.11	0.4× median	Below Median
12	1316370950	$163K	$10.95	2.1× median	Above 75th
13	1639778921	$160K	$13.93	2.6× median	Above 75th
14	1518950732	$151K	$9.54	1.8× median	Above Median
15	1972888139	$150K	$6.97	1.3× median	Above Median
16	1568724243	$147K	$8.35	1.6× median	Above Median
17	1588805451	$113K	$10.07	1.9× median	Above 75th
18	1043271539	$111K	$12.99	2.5× median	Above 75th
19	1285256818	$91K	$15.82	3.0× median	Top 10%
20	1215914288	$81K	$2.14	0.4× median	Below Median

Showing top 20 of 210 providers billing this code

Related Procedures

80348$30.7M 80361$27.2M 80354$23.2M 80365$21.2M 80349$20.1M

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