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#3629 of 11K

96377

HCPCS Procedure Code

HCPCS code 96377 is the #3,629 most-billed Medicaid procedure code, with $1.4M in payments across 56K claims from 2018–2024. The national median cost per claim is $14.35. Costs vary widely — the 90th percentile is $85.48 per claim, 6.0× the median.

Total Paid

$1.4M

0.00% of all spending

Total Claims

56K

Providers

110

Avg Cost/Claim

$25

National Cost Distribution

How much do providers bill per claim for 96377? Based on 88 providers billing this code nationally.

Median

$14.35

Average

$39.94

Std Dev

$95.35

Max

$714.67

Percentile Distribution (Cost per Claim)

p10
$1.52
p25
$4.82
Median
$14.35
p75
$29.19
p90
$85.48
p95
$122.65
p99
$490.97

50% of providers bill between $4.82 and $29.19 per claim for this code.

90% bill between $1.52 and $85.48.

Top 1% bill above $490.97.

About This Procedure

HCPCS code 96377 was billed by 110 providers across 56K claims, totaling $1.4M in Medicaid payments from 2018–2024. This code was used for 40K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$14.35

Providers Billing

88

National Spending

$1.4M

Avg/Median Ratio

2.78×

Highly skewed — outlier-driven

Top Providers Billing This Code

Ranked by total Medicaid payments for 96377

#ProviderTotal Paid
1City Of Hope National Medical Center

Duarte, CA · General Acute Care Hospital

$259K
2Dana-farber Cancer Institute, Inc.

Boston, MA · General Acute Care Hospital

$134K
3The New York And Presbyterian Hospital

New York, NY · General Acute Care Hospital

$87K
4Memorial Hospital For Cancer And Allied Diseases

New York, NY · Pharmacy

$71K
51477549756$65K
6Arthur G James Cancer Hospital And Research Institute

Columbus, OH · Special Hospital

$64K
7West Virginia University Hospitals, Inc

Morgantown, WV · Clinical Medical Laboratory

$57K
8Regents Of The University Of California

San Diego, CA · General Acute Care Hospital

$51K
91134102080$49K
10Robert Wood Johnson University Hospital, Inc

New Brunswick, NJ · General Acute Care Hospital

$43K
11Adventist Health System-sunbelt, Inc

Orlando, FL · Ambulance, Land Transport

$41K
12Seventh-day Adventists Loma Linda University Medical Center

Loma Linda, CA · General Acute Care Hospital

$40K
131457309247$39K
141679660617$34K
15Stanford Health Care

Stanford, CA · General Acute Care Hospital

$33K
161821186313$28K
17Spartanburg Medical Center

Spartanburg, SC · Ambulance

$23K
18Mount Sinai Hospital

New York, NY · Ambulance

$22K
19The Cooper Health System

Camden, NJ · General Acute Care Hospital

$21K
20Englewood Hospital And Medical Center

Englewood, NJ · General Acute Care Hospital

$20K

Showing top 20 of 110 providers billing this code