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#1106 of 11K

96417

HCPCS Procedure Code

HCPCS code 96417 is the #1,106 most-billed Medicaid procedure code, with $40.5M in payments across 875K claims from 2018–2024. The national median cost per claim is $37.60. Costs vary widely — the 90th percentile is $96.16 per claim, 2.6× the median.

Total Paid

$40.5M

0.00% of all spending

Total Claims

875K

Providers

727

Avg Cost/Claim

$46

National Cost Distribution

How much do providers bill per claim for 96417? Based on 665 providers billing this code nationally.

Median

$37.60

Average

$48.97

Std Dev

$55.07

Max

$604.62

Percentile Distribution (Cost per Claim)

p10
$4.10
p25
$20.82
Median
$37.60
p75
$58.35
p90
$96.16
p95
$136.32
p99
$279.70

50% of providers bill between $20.82 and $58.35 per claim for this code.

90% bill between $4.10 and $96.16.

Top 1% bill above $279.70.

About This Procedure

HCPCS code 96417 was billed by 727 providers across 875K claims, totaling $40.5M in Medicaid payments from 2018–2024. This code was used for 525K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$37.60

Providers Billing

665

National Spending

$40.5M

Avg/Median Ratio

1.30×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for 96417

#ProviderTotal Paid
1University Medical Center, Inc

Louisville, KY · Student in an Organized Health Care Education/Training Program

$2.2M
2The Cooper Health System

Camden, NJ · General Acute Care Hospital

$1.9M
3Rhode Island Hospital

Providence, RI · General Acute Care Hospital

$1.4M
4Arthur G James Cancer Hospital And Research Institute

Columbus, OH · Special Hospital

$1.2M
5Robert Wood Johnson University Hospital, Inc

New Brunswick, NJ · General Acute Care Hospital

$882K
6City Of Hope National Medical Center

Duarte, CA · General Acute Care Hospital

$861K
7Dana-farber Cancer Institute, Inc.

Boston, MA · General Acute Care Hospital

$851K
8University Of Kentucky

Lexington, KY · General Acute Care Hospital

$824K
9Yale New Haven Hospital

New Haven, CT · General Acute Care Hospital

$817K
10Englewood Hospital And Medical Center

Englewood, NJ · General Acute Care Hospital

$757K
11Women & Infants Hospital Of Rhode Island

Providence, RI · Clinic/Center, Ambulatory Family Planning Facility

$739K
121104859131$643K
13Norton Hospitals Inc

Louisville, KY · General Acute Care Hospital

$505K
14Ahs Hospital Corp.

Morristown, NJ · General Acute Care Hospital

$480K
15West Virginia University Hospitals, Inc

Morgantown, WV · Clinical Medical Laboratory

$432K
16Stanford Health Care

Stanford, CA · General Acute Care Hospital

$430K
17Seventh-day Adventists Loma Linda University Medical Center

Loma Linda, CA · General Acute Care Hospital

$417K
18Cooperman Barnabas Medical Center Inc

Livingston, NJ · General Acute Care Hospital

$417K
19University Of California Irvine

Orange, CA · General Acute Care Hospital

$415K
20Regents Of The University Of California

San Diego, CA · General Acute Care Hospital

$411K

Showing top 20 of 727 providers billing this code