86316
HCPCS Procedure Code
HCPCS code 86316 is the #4,761 most-billed Medicaid procedure code, with $416K in payments across 45K claims from 2018–2024. The national median cost per claim is $8.46.
Total Paid
$416K
0.00% of all spending
Total Claims
45K
Providers
66
Avg Cost/Claim
$9
National Cost Distribution
How much do providers bill per claim for 86316? Based on 63 providers billing this code nationally.
Median
$8.46
Average
$9.38
Std Dev
$5.52
Max
$24.99
Percentile Distribution (Cost per Claim)
50% of providers bill between $5.86 and $13.82 per claim for this code.
90% bill between $3.17 and $16.54.
Top 1% bill above $23.05.
About This Procedure
HCPCS code 86316 was billed by 66 providers across 45K claims, totaling $416K in Medicaid payments from 2018–2024. This code was used for 40K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$8.46
Providers Billing
63
National Spending
$416K
Avg/Median Ratio
1.11×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for 86316
| # | Provider | Total Paid |
|---|---|---|
| 1 | City Of Hope National Medical Center Duarte, CA · General Acute Care Hospital | $123K |
| 2 | Laboratory Corporation Of America Holdings Burlington, NC · Clinical Medical Laboratory | $47K |
| 3 | 1780620526 | $27K |
| 4 | 1891873303 | $23K |
| 5 | Unilab Corporation West Hills, CA · Clinical Medical Laboratory | $23K |
| 6 | Bronxcare Health System Bronx, NY · General Acute Care Hospital | $22K |
| 7 | Boston Medical Center Corporation Boston, MA · General Acute Care Hospital | $20K |
| 8 | 1376548271 | $20K |
| 9 | Froedtert Memorial Lutheran Hospital, Inc. Milwaukee, WI · Clinic/Center, Radiology | $13K |
| 10 | Sonora Quest Laboratories Llc Phoenix, AZ · Clinical Medical Laboratory | $12K |
| 11 | Quest Diagnostics Incorporated Clifton, NJ · Clinical Medical Laboratory | $10K |
| 12 | Bioreference Health Llc Elmwood Park, NJ · Clinical Medical Laboratory | $10K |
| 13 | Accu Reference Medical Lab, Llc Linden, NJ · Clinical Medical Laboratory | $7K |
| 14 | Berkshire Medical Center, Inc Pittsfield, MA · General Acute Care Hospital | $7K |
| 15 | Yale New Haven Hospital New Haven, CT · General Acute Care Hospital | $5K |
| 16 | 1295856904 | $5K |
| 17 | Laboratory Corporation Of America Holdings Raritan, NJ · Clinical Medical Laboratory | $5K |
| 18 | Arthur G James Cancer Hospital And Research Institute Columbus, OH · Special Hospital | $4K |
| 19 | Mayo Collaborative Services, Inc Rochester, MN · Clinical Medical Laboratory | $3K |
| 20 | 1073587937 | $3K |
Showing top 20 of 66 providers billing this code