#1383 of 11K

84550

HCPCS Procedure Code

HCPCS code 84550 is the #1,383 most-billed Medicaid procedure code, with $24.9M in payments across 11.8M claims from 2018–2024. The national median cost per claim is $2.51. Costs vary widely — the 90th percentile is $5.46 per claim, 2.2× the median.

Total Paid

$24.9M

0.00% of all spending

Total Claims

11.8M

Providers

Avg Cost/Claim

National Cost Distribution

How much do providers bill per claim for 84550? Based on 3K providers billing this code nationally.

Median

$2.51

Average

$3.23

Std Dev

$6.99

Max

$226.28

Percentile Distribution (Cost per Claim)

p10

$0.27

p25

$0.91

Median

$2.51

p75

$3.95

p90

$5.46

p95

$6.88

p99

$20.16

50% of providers bill between $0.91 and $3.95 per claim for this code.

90% bill between $0.27 and $5.46.

Top 1% bill above $20.16.

About This Procedure

HCPCS code 84550 was billed by 3K providers across 11.8M claims, totaling $24.9M in Medicaid payments from 2018–2024. This code was used for 10.6M unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$2.51

Providers Billing

National Spending

$24.9M

Avg/Median Ratio

1.29×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for 84550

#	Provider	Total Paid	Cost/Claim	vs Median	Tier
1	Bioreference Health Llc Elmwood Park, NJ · Clinical Medical Laboratory	$1.7M	$2.55	1.0× median	Above Median
2	Unilab Corporation West Hills, CA · Clinical Medical Laboratory	$1.1M	$1.71	0.7× median	Below Median
3	Quest Diagnostics Incorporated Clifton, NJ · Clinical Medical Laboratory	$954K	$2.24	0.9× median	Below Median
4	Laboratory Corporation Of America Holdings Raritan, NJ · Clinical Medical Laboratory	$787K	$1.33	0.5× median	Below Median
5	Laboratory Corporation Of America Holdings Burlington, NC · Clinical Medical Laboratory	$743K	$1.95	0.8× median	Below Median
6	Laboratory Corporation Of America Holdings Dublin, OH · Clinical Medical Laboratory	$669K	$2.93	1.2× median	Above Median
7	Quest Diagnostics Llc Il Wood Dale, IL · Clinical Medical Laboratory	$433K	$3.05	1.2× median	Above Median
8	Laboratory Corporation Of America Holdings Birmingham, AL · Clinical Medical Laboratory	$327K	$2.40	1.0× median	Below Median
9	1396794574	$318K	$3.84	1.5× median	Above Median
10	Empire City Laboratories, Inc Brooklyn, NY · Clinical Medical Laboratory	$317K	$2.56	1.0× median	Above Median
11	Lenco Diagnostic Laboratories,inc. Brooklyn, NY · Clinical Medical Laboratory	$289K	$2.82	1.1× median	Above Median
12	Laboratory Corporation Of America San Diego, CA · Clinical Medical Laboratory	$227K	$0.55	0.2× median	Below Median
13	Sonora Quest Laboratories Llc Phoenix, AZ · Clinical Medical Laboratory	$222K	$1.85	0.7× median	Below Median
14	1912978834	$222K	$3.72	1.5× median	Above Median
15	1871606269	$210K	$4.61	1.8× median	Above 75th
16	1215930987	$205K	$3.41	1.4× median	Above Median
17	1467586792	$203K	$4.47	1.8× median	Above 75th
18	Laboratory Corporation Of America Seattle, WA · Clinical Medical Laboratory	$200K	$2.96	1.2× median	Above Median
19	Northwell Health Laboratories New Hyde Park, NY · Clinical Medical Laboratory	$199K	$4.09	1.6× median	Above 75th
20	Permanente Medical Group, Inc. Richmond, CA · Clinical Medical Laboratory	$195K	$3.72	1.5× median	Above Median

Showing top 20 of 3K providers billing this code

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