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#3249 of 11K

93270

HCPCS Procedure Code

HCPCS code 93270 is the #3,249 most-billed Medicaid procedure code, with $2.1M in payments across 126K claims from 2018–2024. The national median cost per claim is $16.59. Costs vary widely — the 90th percentile is $84.73 per claim, 5.1× the median.

Total Paid

$2.1M

0.00% of all spending

Total Claims

126K

Providers

212

Avg Cost/Claim

$17

National Cost Distribution

How much do providers bill per claim for 93270? Based on 209 providers billing this code nationally.

Median

$16.59

Average

$33.87

Std Dev

$49.56

Max

$423.95

Percentile Distribution (Cost per Claim)

p10
$4.91
p25
$7.82
Median
$16.59
p75
$38.13
p90
$84.73
p95
$127.29
p99
$234.00

50% of providers bill between $7.82 and $38.13 per claim for this code.

90% bill between $4.91 and $84.73.

Top 1% bill above $234.00.

About This Procedure

HCPCS code 93270 was billed by 212 providers across 126K claims, totaling $2.1M in Medicaid payments from 2018–2024. This code was used for 111K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$16.59

Providers Billing

209

National Spending

$2.1M

Avg/Median Ratio

2.04×

Highly skewed — outlier-driven

Top Providers Billing This Code

Ranked by total Medicaid payments for 93270

#ProviderTotal Paid
11790869402$177K
21063414258$150K
3The Metrohealth System

Cleveland, OH · General Acute Care Hospital

$121K
4Brockton Hospital, Inc.

Brockton, MA · General Acute Care Hospital

$105K
51598868655$95K
6Summa Health System

Akron, OH · General Acute Care Hospital

$89K
71407887003$80K
81104859131$76K
9West Virginia University Hospitals, Inc

Morgantown, WV · Clinical Medical Laboratory

$70K
101932411493$69K
11Arrowhead Regional Medical Center

Colton, CA · General Acute Care Hospital

$65K
12The New York And Presbyterian Hospital

New York, NY · General Acute Care Hospital

$57K
13Umass Memorial Medical Center, Inc.

Worcester, MA · General Acute Care Hospital

$50K
14Owensboro Health Inc

Owensboro, KY · General Acute Care Hospital

$49K
15North Shore Medical Center, Inc.

Salem, MA · General Acute Care Hospital

$44K
16Capital Health System, Inc.

Pennington, NJ · General Acute Care Hospital

$43K
17University Of Cincinnati Medical Center, Llc

Cincinnati, OH · General Acute Care Hospital

$32K
181255367843$30K
191053373480$29K
20The Hospital Of Central Connecticut At New Britain General And Bradley

New Britain, CT · General Acute Care Hospital

$24K

Showing top 20 of 212 providers billing this code