#4112 of 11K

87501

HCPCS Procedure Code

HCPCS code 87501 is the #4,112 most-billed Medicaid procedure code, with $837K in payments across 51K claims from 2018–2024. The national median cost per claim is $16.41. Costs vary widely — the 90th percentile is $40.93 per claim, 2.5× the median.

Total Paid

$837K

0.00% of all spending

Total Claims

51K

Providers

Avg Cost/Claim

$16

National Cost Distribution

How much do providers bill per claim for 87501? Based on 56 providers billing this code nationally.

Median

$16.41

Average

$19.29

Std Dev

$16.74

Max

$75.22

Percentile Distribution (Cost per Claim)

p10

$0.79

p25

$3.85

Median

$16.41

p75

$30.96

p90

$40.93

p95

$45.47

p99

$59.70

50% of providers bill between $3.85 and $30.96 per claim for this code.

90% bill between $0.79 and $40.93.

Top 1% bill above $59.70.

About This Procedure

HCPCS code 87501 was billed by 69 providers across 51K claims, totaling $837K in Medicaid payments from 2018–2024. This code was used for 44K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$16.41

Providers Billing

National Spending

$837K

Avg/Median Ratio

1.18×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for 87501

#	Provider	Total Paid	Cost/Claim	vs Median	Tier
1	Bioreference Health Llc Elmwood Park, NJ · Clinical Medical Laboratory	$357K	$40.64	2.5× median	Above 75th
2	1750819025	$67K	$41.23	2.5× median	Top 10%
3	Eurofins Diatherix Laboratories Llc Huntsville, AL · Clinical Medical Laboratory	$63K	$9.02	0.5× median	Below Median
4	1962837377	$54K	$39.85	2.4× median	Above 75th
5	1972549855	$39K	$8.47	0.5× median	Below Median
6	Suny Health Science Center At Syracuse Syracuse, NY · General Acute Care Hospital	$35K	$38.66	2.4× median	Above 75th
7	1326142498	$27K	$23.39	1.4× median	Above Median
8	1235290651	$22K	$18.00	1.1× median	Above Median
9	1720185267	$19K	$36.96	2.3× median	Above 75th
10	Stamford Hospital Stamford, CT · Hospitalist	$18K	$3.10	0.2× median	Below Median
11	1184628919	$18K	$28.70	1.7× median	Above Median
12	Children's Hospital Corporation Boston, MA · Clinic/Center	$17K	$45.40	2.8× median	Top 10%
13	1265620223	$13K	$22.21	1.4× median	Above Median
14	Dx Solutions, Llc Nicholasville, KY · Clinical Medical Laboratory	$10K	$9.91	0.6× median	Below Median
15	1891288676	$8K	$45.68	2.8× median	Top 10%
16	1528645645	$5K	$4.18	0.3× median	Below Median
17	1578677811	$5K	$33.13	2.0× median	Above 75th
18	1821654674	$5K	$13.53	0.8× median	Below Median
19	Childrens Hospital Of Philadelphia Philadelphia, PA · General Acute Care Hospital Children	$4K	$75.22	4.6× median	Top 1%
20	1609856947	$4K	$10.54	0.6× median	Below Median

Showing top 20 of 69 providers billing this code

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