#1652 of 11K

87541

HCPCS Procedure Code

HCPCS code 87541 is the #1,652 most-billed Medicaid procedure code, with $16.8M in payments across 1.1M claims from 2018–2024. The national median cost per claim is $7.29. Costs vary widely — the 90th percentile is $24.94 per claim, 3.4× the median.

Total Paid

$16.8M

0.00% of all spending

Total Claims

1.1M

Providers

311

Avg Cost/Claim

$16

National Cost Distribution

How much do providers bill per claim for 87541? Based on 284 providers billing this code nationally.

Median

$7.29

Average

$10.55

Std Dev

$10.13

Max

$41.01

Percentile Distribution (Cost per Claim)

p10

$0.62

p25

$1.80

Median

$7.29

p75

$16.76

p90

$24.94

p95

$31.27

p99

$36.75

50% of providers bill between $1.80 and $16.76 per claim for this code.

90% bill between $0.62 and $24.94.

Top 1% bill above $36.75.

About This Procedure

HCPCS code 87541 was billed by 311 providers across 1.1M claims, totaling $16.8M in Medicaid payments from 2018–2024. This code was used for 891K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$7.29

Providers Billing

284

National Spending

$16.8M

Avg/Median Ratio

1.45×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for 87541

#	Provider	Total Paid	Cost/Claim	vs Median	Tier
1	Physicians Group Laboratories, Llc Houma, LA · Clinical Medical Laboratory	$7.0M	$23.87	3.3× median	Above 75th
2	Healthtrackrx Indiana, Inc Denton, TX · Clinical Medical Laboratory	$1.7M	$14.16	1.9× median	Above Median
3	1861900698	$1.0M	$24.37	3.3× median	Above 75th
4	Eurofins Diatherix Laboratories Llc Huntsville, AL · Clinical Medical Laboratory	$984K	$11.69	1.6× median	Above Median
5	1033239413	$795K	$17.32	2.4× median	Above 75th
6	1407487465	$409K	$22.60	3.1× median	Above 75th
7	Accu Reference Medical Lab, Llc Linden, NJ · Clinical Medical Laboratory	$383K	$14.28	2.0× median	Above Median
8	1942641774	$339K	$20.35	2.8× median	Above 75th
9	1467066860	$339K	$12.07	1.7× median	Above Median
10	1174009245	$279K	$6.72	0.9× median	Below Median
11	1457003329	$228K	$12.68	1.7× median	Above Median
12	1780059717	$224K	$35.81	4.9× median	Top 10%
13	1972971265	$172K	$8.03	1.1× median	Above Median
14	1760531479	$158K	$21.23	2.9× median	Above 75th
15	Gravity Diagnostics, Llc Covington, KY · Clinical Medical Laboratory	$149K	$9.63	1.3× median	Above Median
16	1053721373	$144K	$24.17	3.3× median	Above 75th
17	1457977209	$115K	$12.30	1.7× median	Above Median
18	1659755908	$111K	$11.52	1.6× median	Above Median
19	1477173847	$105K	$35.55	4.9× median	Top 10%
20	Mako Medical Laboratories, Llc Raleigh, NC · Clinical Medical Laboratory	$102K	$22.98	3.2× median	Above 75th

Showing top 20 of 311 providers billing this code

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