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#5851 of 11K

87478

HCPCS Procedure Code

HCPCS code 87478 is the #5,851 most-billed Medicaid procedure code, with $129K in payments across 8,774 claims from 2018–2024. The national median cost per claim is $16.88.

Total Paid

$129K

0.00% of all spending

Total Claims

8,774

Providers

44

Avg Cost/Claim

$15

National Cost Distribution

How much do providers bill per claim for 87478? Based on 40 providers billing this code nationally.

Median

$16.88

Average

$13.85

Std Dev

$8.35

Max

$31.67

Percentile Distribution (Cost per Claim)

p10
$1.40
p25
$6.57
Median
$16.88
p75
$19.27
p90
$22.47
p95
$23.27
p99
$30.06

50% of providers bill between $6.57 and $19.27 per claim for this code.

90% bill between $1.40 and $22.47.

Top 1% bill above $30.06.

About This Procedure

HCPCS code 87478 was billed by 44 providers across 8,774 claims, totaling $129K in Medicaid payments from 2018–2024. This code was used for 8,471 unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$16.88

Providers Billing

40

National Spending

$129K

Avg/Median Ratio

0.82×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for 87478

#ProviderTotal Paid
1Southcoast Hospitals Group, Inc

New Bedford, MA · General Acute Care Hospital

$25K
21306871223$15K
31962422733$15K
41922024835$10K
5Stamford Hospital

Stamford, CT · Hospitalist

$9K
61861404121$7K
7Quest Diagnostics Of Pennsylvania, Inc.

Pittsburgh, PA · Clinical Medical Laboratory

$7K
8Mary Imogene Bassett Hospital

Cooperstown, NY · General Acute Care Hospital, Rural

$6K
9Sunrise Medical Laboratories, Inc.

Hicksville, NY · Clinical Medical Laboratory

$6K
101568548782$5K
11Quest Diagnostics Massachusetts Llc

Marlborough, MA · Clinical Medical Laboratory

$4K
12Mayo Collaborative Services, Inc

Rochester, MN · Clinical Medical Laboratory

$3K
13Quest Diagnostics Llc

Marlborough, MA · Clinical Medical Laboratory

$2K
141629027578$2K
151083605661$2K
161740287531$2K
171578529954$1K
18Mainegeneral Medical Center

Augusta, ME · General Acute Care Hospital

$1000
191558321919$884
20Quest Diagnostics Incorporated

Clifton, NJ · Clinical Medical Laboratory

$787

Showing top 20 of 44 providers billing this code