#3313 of 11K

80377

HCPCS Procedure Code

HCPCS code 80377 is the #3,313 most-billed Medicaid procedure code, with $2.0M in payments across 560K claims from 2018–2024. The national median cost per claim is $4.57. Costs vary widely — the 90th percentile is $17.33 per claim, 3.8× the median.

Total Paid

$2.0M

0.00% of all spending

Total Claims

560K

Providers

106

Avg Cost/Claim

National Cost Distribution

How much do providers bill per claim for 80377? Based on 81 providers billing this code nationally.

Median

$4.57

Average

$11.71

Std Dev

$28.69

Max

$198.64

Percentile Distribution (Cost per Claim)

p10

$0.30

p25

$1.15

Median

$4.57

p75

$10.37

p90

$17.33

p95

$24.92

p99

$152.81

50% of providers bill between $1.15 and $10.37 per claim for this code.

90% bill between $0.30 and $17.33.

Top 1% bill above $152.81.

About This Procedure

HCPCS code 80377 was billed by 106 providers across 560K claims, totaling $2.0M in Medicaid payments from 2018–2024. This code was used for 492K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$4.57

Providers Billing

National Spending

$2.0M

Avg/Median Ratio

2.56×

Highly skewed — outlier-driven

Top Providers Billing This Code

Ranked by total Medicaid payments for 80377

#	Provider	Total Paid	Cost/Claim	vs Median	Tier
1	Laboratory Corporation Of America Holdings Burlington, NC · Clinical Medical Laboratory	$790K	$5.78	1.3× median	Above Median
2	Aegis Sciences Corporation Nashville, TN · Clinical Medical Laboratory	$449K	$10.86	2.4× median	Above 75th
3	1215914288	$129K	$3.40	0.7× median	Below Median
4	Arthur G James Cancer Hospital And Research Institute Columbus, OH · Special Hospital	$71K	$198.64	43.5× median	Top 1%
5	1639120298	$64K	$98.00	21.4× median	Top 10%
6	1710943881	$63K	$15.27	3.3× median	Above 75th
7	1487639381	$55K	$5.71	1.2× median	Above Median
8	1447783923	$50K	$7.96	1.7× median	Above Median
9	Quest Diagnostics Clinical Laboratories Inc Miramar, FL · Clinical Medical Laboratory	$46K	$8.07	1.8× median	Above Median
10	Quest Diagnostics Clinical Laboratories Inc Irving, TX · Clinical Medical Laboratory	$18K	$3.71	0.8× median	Below Median
11	1386003598	$18K	$16.48	3.6× median	Above 75th
12	Ohio State University Hospitals Columbus, OH · General Acute Care Hospital	$18K	$16.17	3.5× median	Above 75th
13	1366433195	$16K	$9.73	2.1× median	Above Median
14	Laboratory Corporation Of America Holdings Burlington, NC · Clinical Medical Laboratory	$16K	$6.01	1.3× median	Above Median
15	1427120336	$12K	$3.20	0.7× median	Below Median
16	Quest Diagnostics Clinical Laboratories Inc Tucker, GA · Clinical Medical Laboratory	$12K	$7.73	1.7× median	Above Median
17	Nationwide Children's Hospital Columbus, OH · General Acute Care Hospital	$10K	$15.18	3.3× median	Above 75th
18	1689682999	$9K	$44.26	9.7× median	Top 10%
19	1497175905	$8K	$13.37	2.9× median	Above 75th
20	1104829159	$8K	$1.32	0.3× median	Below Median

Showing top 20 of 106 providers billing this code

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80373$21.4M 80372$15.1M 80368$11.7M 80369$9.4M 80371$8.8M

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