#5066 of 11K

87476

HCPCS Procedure Code

HCPCS code 87476 is the #5,066 most-billed Medicaid procedure code, with $303K in payments across 17K claims from 2018–2024. The national median cost per claim is $19.40.

Total Paid

$303K

0.00% of all spending

Total Claims

17K

Providers

Avg Cost/Claim

$18

National Cost Distribution

How much do providers bill per claim for 87476? Based on 39 providers billing this code nationally.

Median

$19.40

Average

$21.75

Std Dev

$8.57

Max

$46.10

Percentile Distribution (Cost per Claim)

p10

$12.87

p25

$15.60

Median

$19.40

p75

$27.97

p90

$34.46

p95

$36.86

p99

$42.77

50% of providers bill between $15.60 and $27.97 per claim for this code.

90% bill between $12.87 and $34.46.

Top 1% bill above $42.77.

About This Procedure

HCPCS code 87476 was billed by 41 providers across 17K claims, totaling $303K in Medicaid payments from 2018–2024. This code was used for 16K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$19.40

Providers Billing

National Spending

$303K

Avg/Median Ratio

1.12×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for 87476

#	Provider	Total Paid	Cost/Claim	vs Median	Tier
1	Laboratory Corporation Of America Holdings Burlington, NC · Clinical Medical Laboratory	$83K	$18.10	0.9× median	Below Median
2	Laboratory Corporation Of America Holdings Raritan, NJ · Clinical Medical Laboratory	$48K	$12.04	0.6× median	Below Median
3	1114984671	$20K	$21.52	1.1× median	Above Median
4	1124026182	$18K	$37.35	1.9× median	Top 10%
5	1750373908	$18K	$14.53	0.7× median	Below Median
6	1336590413	$17K	$17.53	0.9× median	Below Median
7	1568488450	$14K	$20.51	1.1× median	Above Median
8	Mary Imogene Bassett Hospital Cooperstown, NY · General Acute Care Hospital, Rural	$9K	$19.40	1.0× median	Below Median
9	1265449870	$9K	$36.81	1.9× median	Top 10%
10	1861404121	$7K	$46.10	2.4× median	Top 1%
11	1336106806	$7K	$21.04	1.1× median	Above Median
12	Laboratory Corporation Of America Holdings Burlington, NC · Clinical Medical Laboratory	$6K	$13.92	0.7× median	Below Median
13	Northwell Health Laboratories New Hyde Park, NY · Clinical Medical Laboratory	$5K	$29.95	1.5× median	Above 75th
14	Laboratory Corporation Of America Holdings Dublin, OH · Clinical Medical Laboratory	$5K	$18.44	1.0× median	Below Median
15	1215988530	$4K	$17.93	0.9× median	Below Median
16	Baystate Medical Center Inc Springfield, MA · General Acute Care Hospital	$4K	$29.21	1.5× median	Above 75th
17	1477527497	$4K	$13.06	0.7× median	Below Median
18	1093793200	$4K	$27.86	1.4× median	Above Median
19	Sherman Abrams Laboratory Inc Brooklyn, NY · Clinical Medical Laboratory	$3K	$12.12	0.6× median	Below Median
20	1578529954	$3K	$17.71	0.9× median	Below Median

Showing top 20 of 41 providers billing this code

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