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#6178 of 11K

C1730

HCPCS Procedure Code

HCPCS code C1730 is the #6,178 most-billed Medicaid procedure code, with $87K in payments across 3K claims from 2018–2024. The national median cost per claim is $135.10. Costs vary widely — the 90th percentile is $340.62 per claim, 2.5× the median.

Total Paid

$87K

0.00% of all spending

Total Claims

3K

Providers

32

Avg Cost/Claim

$28

National Cost Distribution

How much do providers bill per claim for C1730? Based on 17 providers billing this code nationally.

Median

$135.10

Average

$156.50

Std Dev

$171.29

Max

$587.34

Percentile Distribution (Cost per Claim)

p10
$1.81
p25
$3.86
Median
$135.10
p75
$281.50
p90
$340.62
p95
$398.25
p99
$549.52

50% of providers bill between $3.86 and $281.50 per claim for this code.

90% bill between $1.81 and $340.62.

Top 1% bill above $549.52.

About This Procedure

HCPCS code C1730 was billed by 32 providers across 3K claims, totaling $87K in Medicaid payments from 2018–2024. This code was used for 3K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$135.10

Providers Billing

17

National Spending

$87K

Avg/Median Ratio

1.16×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for C1730

#ProviderTotal Paid
1The Cooper Health System

Camden, NJ · General Acute Care Hospital

$32K
2Nyu Langone Hospitals

New York, NY · Clinic/Center, Oncology

$14K
31538244918$11K
4University Of Kentucky

Lexington, KY · General Acute Care Hospital

$7K
5Providence Health & Services Washington

Anchorage, AK · General Acute Care Hospital

$4K
6Montefiore Medical Center

Bronx, NY · General Acute Care Hospital

$3K
7Norton Hospitals Inc

Louisville, KY · General Acute Care Hospital

$3K
8Englewood Hospital And Medical Center

Englewood, NJ · General Acute Care Hospital

$3K
9St Lukes Roosevelt Hospital Center

New York, NY · Case Management

$3K
10Sharp Chula Vista Medical Center

Chula Vista, CA · General Acute Care Hospital

$2K
11University Of Washington

Seattle, WA · Clinic/Center, Dental

$2K
12The New York And Presbyterian Hospital

New York, NY · General Acute Care Hospital

$2K
131609869916$1K
14Mainehealth

Portland, ME · Emergency Medicine

$217
15The New York And Presbyterian Hospital

New York, NY · General Acute Care Hospital

$104
161710909585$81
171952309098$3
18Virginia Commonwealth University Health System Authority

Richmond, VA · General Acute Care Hospital

$0
19Regents Of The University Of Michigan

Ann Arbor, MI · Clinic/Center, End-Stage Renal Disease (ESRD) Treatment

$0
20Inova Health Care Services

Falls Church, VA · Clinic/Center, Rehabilitation, Substance Use Disorder

$0

Showing top 20 of 32 providers billing this code