#5058 of 11K

81373

HCPCS Procedure Code

HCPCS code 81373 is the #5,058 most-billed Medicaid procedure code, with $305K in payments across 4K claims from 2018–2024. The national median cost per claim is $77.25.

Total Paid

$305K

0.00% of all spending

Total Claims

Providers

Avg Cost/Claim

$74

National Cost Distribution

How much do providers bill per claim for 81373? Based on 14 providers billing this code nationally.

Median

$77.25

Average

$84.68

Std Dev

$51.59

Max

$208.72

Percentile Distribution (Cost per Claim)

p10

$34.35

p25

$48.88

Median

$77.25

p75

$90.16

p90

$148.66

p95

$171.45

p99

$201.27

50% of providers bill between $48.88 and $90.16 per claim for this code.

90% bill between $34.35 and $148.66.

Top 1% bill above $201.27.

About This Procedure

HCPCS code 81373 was billed by 17 providers across 4K claims, totaling $305K in Medicaid payments from 2018–2024. This code was used for 4K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$77.25

Providers Billing

National Spending

$305K

Avg/Median Ratio

1.10×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for 81373

#	Provider	Total Paid	Cost/Claim	vs Median	Tier
1	Henry Ford Health System Detroit, MI · General Acute Care Hospital	$55K	$68.65	0.9× median	Below Median
2	Unm Hospital Albuquerque, NM · General Acute Care Hospital	$40K	$208.72	2.7× median	Top 1%
3	Ohio State University Hospitals Columbus, OH · General Acute Care Hospital	$38K	$142.33	1.8× median	Above 75th
4	1952546616	$37K	$85.30	1.1× median	Above Median
5	Regents Of The University Of Michigan Ann Arbor, MI · Clinic/Center, End-Stage Renal Disease (ESRD) Treatment	$29K	$54.48	0.7× median	Below Median
6	State Of Mississippi - University Of Mississippi Medical Center Jackson, MS · General Acute Care Hospital	$28K	$47.01	0.6× median	Below Median
7	Stanford Health Care Stanford, CA · General Acute Care Hospital	$20K	$151.37	2.0× median	Top 10%
8	University Of Cincinnati Medical Center, Llc Cincinnati, OH · General Acute Care Hospital	$20K	$69.40	0.9× median	Below Median
9	1437135886	$15K	$44.28	0.6× median	Below Median
10	Keck Medical Center Of Usc Los Angeles, CA · General Acute Care Hospital	$13K	$85.13	1.1× median	Above Median
11	1801361811	$4K	$85.09	1.1× median	Above Median
12	1073587937	$2K	$91.78	1.2× median	Above 75th
13	1699874248	$2K	$21.82	0.3× median	Below Median
14	1568414589	$843	$30.10	0.4× median	Below Median
15	1891721536	$0	$0.00	0.0× median	Below Median
16	1518325562	$0	$0.00	0.0× median	Below Median
17	Laboratory Corporation Of America Holdings Raritan, NJ · Clinical Medical Laboratory	$0	$0.00	0.0× median	Below Median

Showing top 17 of 17 providers billing this code

Related Procedures

81381$15.2M 81374$3.3M 81382$1.6M 81364$1.3M 81380$1.2M

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