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#3565 of 11K

88275

HCPCS Procedure Code

HCPCS code 88275 is the #3,565 most-billed Medicaid procedure code, with $1.5M in payments across 31K claims from 2018–2024. The national median cost per claim is $39.68. Costs vary widely — the 90th percentile is $137.54 per claim, 3.5× the median.

Total Paid

$1.5M

0.00% of all spending

Total Claims

31K

Providers

60

Avg Cost/Claim

$49

National Cost Distribution

How much do providers bill per claim for 88275? Based on 58 providers billing this code nationally.

Median

$39.68

Average

$65.64

Std Dev

$91.29

Max

$517.67

Percentile Distribution (Cost per Claim)

p10
$12.67
p25
$25.72
Median
$39.68
p75
$58.76
p90
$137.54
p95
$170.51
p99
$483.34

50% of providers bill between $25.72 and $58.76 per claim for this code.

90% bill between $12.67 and $137.54.

Top 1% bill above $483.34.

About This Procedure

HCPCS code 88275 was billed by 60 providers across 31K claims, totaling $1.5M in Medicaid payments from 2018–2024. This code was used for 25K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$39.68

Providers Billing

58

National Spending

$1.5M

Avg/Median Ratio

1.65×

Moderately skewed

Top Providers Billing This Code

Ranked by total Medicaid payments for 88275

#ProviderTotal Paid
11699115857$175K
21871615708$164K
31124269717$160K
41306875877$96K
5Mount Sinai Hospital

New York, NY · Ambulance

$91K
61124536107$83K
7Laboratory Corporation Of America Holdings

Research Triangle Park, NC · Clinical Medical Laboratory

$81K
8City Of Hope National Medical Center

Duarte, CA · General Acute Care Hospital

$63K
9Arthur G James Cancer Hospital And Research Institute

Columbus, OH · Special Hospital

$50K
10Northwell Health Laboratories

New Hyde Park, NY · Clinical Medical Laboratory

$48K
11Virginia Commonwealth University Health System Authority

Richmond, VA · General Acute Care Hospital

$47K
12Montefiore Medical Center

Bronx, NY · General Acute Care Hospital

$45K
131164493847$44K
14Quest Diagnostics Incorporated

Clifton, NJ · Clinical Medical Laboratory

$34K
15Froedtert Memorial Lutheran Hospital, Inc.

Milwaukee, WI · Clinic/Center, Radiology

$28K
16Unilab Corporation

West Hills, CA · Clinical Medical Laboratory

$23K
17Robert Wood Johnson University Hospital, Inc

New Brunswick, NJ · General Acute Care Hospital

$22K
18University Of Kentucky

Lexington, KY · General Acute Care Hospital

$21K
19Mayo Collaborative Services, Inc

Rochester, MN · Clinical Medical Laboratory

$20K
20Children's Hospital Medical Center

Cincinnati, OH · Clinic/Center, Primary Care

$19K

Showing top 20 of 60 providers billing this code