88185
HCPCS Procedure Code
HCPCS code 88185 is the #887 most-billed Medicaid procedure code, with $63.2M in payments across 495K claims from 2018–2024. The national median cost per claim is $119.02. Costs vary widely — the 90th percentile is $347.01 per claim, 2.9× the median.
Total Paid
$63.2M
0.01% of all spending
Total Claims
495K
Providers
343
Avg Cost/Claim
$128
National Cost Distribution
How much do providers bill per claim for 88185? Based on 322 providers billing this code nationally.
Median
$119.02
Average
$167.06
Std Dev
$178.16
Max
$1,568.77
Percentile Distribution (Cost per Claim)
50% of providers bill between $43.76 and $240.99 per claim for this code.
90% bill between $15.07 and $347.01.
Top 1% bill above $734.02.
About This Procedure
HCPCS code 88185 was billed by 343 providers across 495K claims, totaling $63.2M in Medicaid payments from 2018–2024. This code was used for 383K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$119.02
Providers Billing
322
National Spending
$63.2M
Avg/Median Ratio
1.40×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for 88185
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1447437355 | $5.8M |
| 2 | Bioreference Health Llc Elmwood Park, NJ · Clinical Medical Laboratory | $3.8M |
| 3 | 1740460583 | $2.9M |
| 4 | 1871615708 | $2.9M |
| 5 | 1396794574 | $2.8M |
| 6 | 1699115857 | $1.9M |
| 7 | 1699884858 | $1.8M |
| 8 | Laboratory Corporation Of America Holdings Research Triangle Park, NC · Clinical Medical Laboratory | $1.7M |
| 9 | City Of Hope National Medical Center Duarte, CA · General Acute Care Hospital | $1.7M |
| 10 | Quest Diagnostics Incorporated Clifton, NJ · Clinical Medical Laboratory | $1.4M |
| 11 | 1073549663 | $1.4M |
| 12 | Northwell Health Laboratories New Hyde Park, NY · Clinical Medical Laboratory | $1.4M |
| 13 | Banner - University Medical Center Tucson Campus Llc Tucson, AZ · Clinic/Center, Multi-Specialty | $1.2M |
| 14 | Permanente Medical Group Inc. Berkeley, CA · Clinical Medical Laboratory | $1.2M |
| 15 | University Of Kentucky Lexington, KY · General Acute Care Hospital | $1.2M |
| 16 | 1124536107 | $1.1M |
| 17 | 1467433292 | $945K |
| 18 | Laboratory Corporation Of America Holdings Burlington, NC · Clinical Medical Laboratory | $876K |
| 19 | Sonora Quest Laboratories Llc Phoenix, AZ · Clinical Medical Laboratory | $863K |
| 20 | Unilab Corporation West Hills, CA · Clinical Medical Laboratory | $857K |
Showing top 20 of 343 providers billing this code