#3580 of 11K

88346

HCPCS Procedure Code

HCPCS code 88346 is the #3,580 most-billed Medicaid procedure code, with $1.5M in payments across 55K claims from 2018–2024. The national median cost per claim is $23.73. Costs vary widely — the 90th percentile is $67.62 per claim, 2.8× the median.

Total Paid

$1.5M

0.00% of all spending

Total Claims

55K

Providers

119

Avg Cost/Claim

$27

National Cost Distribution

How much do providers bill per claim for 88346? Based on 115 providers billing this code nationally.

Median

$23.73

Average

$36.22

Std Dev

$47.98

Max

$450.60

Percentile Distribution (Cost per Claim)

p10

$7.24

p25

$16.40

Median

$23.73

p75

$41.39

p90

$67.62

p95

$95.16

p99

$171.61

50% of providers bill between $16.40 and $41.39 per claim for this code.

90% bill between $7.24 and $67.62.

Top 1% bill above $171.61.

About This Procedure

HCPCS code 88346 was billed by 119 providers across 55K claims, totaling $1.5M in Medicaid payments from 2018–2024. This code was used for 46K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$23.73

Providers Billing

115

National Spending

$1.5M

Avg/Median Ratio

1.53×

Moderately skewed

Top Providers Billing This Code

Ranked by total Medicaid payments for 88346

#	Provider	Total Paid	Cost/Claim	vs Median	Tier
1	1821156035	$235K	$25.39	1.1× median	Above Median
2	1073642641	$198K	$21.37	0.9× median	Below Median
3	1316984388	$150K	$26.87	1.1× median	Above Median
4	The General Hospital Corporation Boston, MA · General Acute Care Hospital	$149K	$87.06	3.7× median	Top 10%
5	Children's Hospital Medical Center Cincinnati, OH · Clinic/Center, Primary Care	$65K	$94.32	4.0× median	Top 10%
6	The Cleveland Clinic Foundation Cleveland, OH · General Acute Care Hospital	$65K	$45.89	1.9× median	Above 75th
7	1801874573	$58K	$16.41	0.7× median	Below Median
8	1952381477	$48K	$18.55	0.8× median	Below Median
9	Mayo Collaborative Services, Inc Rochester, MN · Clinical Medical Laboratory	$36K	$41.13	1.7× median	Above Median
10	1164512851	$35K	$39.81	1.7× median	Above Median
11	The New York And Presbyterian Hospital New York, NY · General Acute Care Hospital	$34K	$42.34	1.8× median	Above 75th
12	1174503999	$34K	$24.67	1.0× median	Above Median
13	1184775132	$31K	$18.17	0.8× median	Below Median
14	1043275787	$28K	$28.36	1.2× median	Above Median
15	1518473263	$16K	$20.28	0.9× median	Below Median
16	Montefiore Medical Center Bronx, NY · General Acute Care Hospital	$14K	$51.73	2.2× median	Above 75th
17	1922096114	$12K	$77.96	3.3× median	Top 10%
18	Southern California Permanente Medical Group Los Angeles, CA · Health Maintenance Organization	$11K	$180.72	7.6× median	Top 1%
19	1669499414	$11K	$18.30	0.8× median	Below Median
20	1235191305	$10K	$88.15	3.7× median	Top 10%

Showing top 20 of 119 providers billing this code

Related Procedures

88342$149.0M 88341$68.2M 88356$4.0M 88350$3.0M 88344$3.0M

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