86357
HCPCS Procedure Code
HCPCS code 86357 is the #2,595 most-billed Medicaid procedure code, with $4.7M in payments across 290K claims from 2018–2024. The national median cost per claim is $18.27.
Total Paid
$4.7M
0.00% of all spending
Total Claims
290K
Providers
180
Avg Cost/Claim
$16
National Cost Distribution
How much do providers bill per claim for 86357? Based on 175 providers billing this code nationally.
Median
$18.27
Average
$19.62
Std Dev
$14.73
Max
$89.45
Percentile Distribution (Cost per Claim)
50% of providers bill between $9.04 and $27.06 per claim for this code.
90% bill between $2.87 and $33.36.
Top 1% bill above $76.97.
About This Procedure
HCPCS code 86357 was billed by 180 providers across 290K claims, totaling $4.7M in Medicaid payments from 2018–2024. This code was used for 269K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$18.27
Providers Billing
175
National Spending
$4.7M
Avg/Median Ratio
1.07×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for 86357
| # | Provider | Total Paid |
|---|---|---|
| 1 | Bioreference Health Llc Elmwood Park, NJ · Clinical Medical Laboratory | $1.5M |
| 2 | University Of Kentucky Lexington, KY · General Acute Care Hospital | $254K |
| 3 | Laboratory Corporation Of America Holdings Burlington, NC · Clinical Medical Laboratory | $200K |
| 4 | Northwell Health Laboratories New Hyde Park, NY · Clinical Medical Laboratory | $156K |
| 5 | 1568488450 | $114K |
| 6 | The New York And Presbyterian Hospital New York, NY · General Acute Care Hospital | $114K |
| 7 | Permanente Medical Group, Inc. Richmond, CA · Clinical Medical Laboratory | $95K |
| 8 | Laboratory Corporation Of America Holdings Raritan, NJ · Clinical Medical Laboratory | $89K |
| 9 | Accu Reference Medical Lab, Llc Linden, NJ · Clinical Medical Laboratory | $85K |
| 10 | Quest Diagnostics Incorporated Clifton, NJ · Clinical Medical Laboratory | $80K |
| 11 | Baystate Medical Center Inc Springfield, MA · General Acute Care Hospital | $73K |
| 12 | Children's Hospital Corporation Boston, MA · Clinic/Center | $70K |
| 13 | Newark Beth Israel Medical Center Inc Newark, NJ · General Acute Care Hospital | $67K |
| 14 | Egleston Children's Hospital At Emory University Inc. Atlanta, GA · Pediatrics Pediatric Emergency Medicine | $65K |
| 15 | 1922008150 | $62K |
| 16 | Childrens Hospital Of Philadelphia Philadelphia, PA · General Acute Care Hospital Children | $62K |
| 17 | 1598875460 | $59K |
| 18 | Quest Diagnostics Clinical Laboratories Inc Miramar, FL · Clinical Medical Laboratory | $56K |
| 19 | Quest Diagnostics Incorporated Las Vegas, NV · Clinical Medical Laboratory | $52K |
| 20 | Unilab Corporation West Hills, CA · Clinical Medical Laboratory | $51K |
Showing top 20 of 180 providers billing this code