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#2843 of 11K

C1760

HCPCS Procedure Code

HCPCS code C1760 is the #2,843 most-billed Medicaid procedure code, with $3.4M in payments across 77K claims from 2018–2024. The national median cost per claim is $31.61. Costs vary widely — the 90th percentile is $189.38 per claim, 6.0× the median.

Total Paid

$3.4M

0.00% of all spending

Total Claims

77K

Providers

265

Avg Cost/Claim

$44

National Cost Distribution

How much do providers bill per claim for C1760? Based on 136 providers billing this code nationally.

Median

$31.61

Average

$84.75

Std Dev

$221.19

Max

$2,396.86

Percentile Distribution (Cost per Claim)

p10
$0.44
p25
$2.99
Median
$31.61
p75
$92.33
p90
$189.38
p95
$320.91
p99
$436.93

50% of providers bill between $2.99 and $92.33 per claim for this code.

90% bill between $0.44 and $189.38.

Top 1% bill above $436.93.

About This Procedure

HCPCS code C1760 was billed by 265 providers across 77K claims, totaling $3.4M in Medicaid payments from 2018–2024. This code was used for 66K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$31.61

Providers Billing

136

National Spending

$3.4M

Avg/Median Ratio

2.68×

Highly skewed — outlier-driven

Top Providers Billing This Code

Ranked by total Medicaid payments for C1760

#ProviderTotal Paid
1Nyu Langone Hospitals

New York, NY · Clinic/Center, Oncology

$791K
2The Cooper Health System

Camden, NJ · General Acute Care Hospital

$285K
3Mount Sinai Hospital

New York, NY · Ambulance

$239K
4Norton Hospitals Inc

Louisville, KY · General Acute Care Hospital

$168K
5Montefiore Medical Center

Bronx, NY · General Acute Care Hospital

$157K
6Englewood Hospital And Medical Center

Englewood, NJ · General Acute Care Hospital

$118K
7St Lukes Roosevelt Hospital Center

New York, NY · Case Management

$107K
81619038247$97K
9University Of California Irvine

Orange, CA · General Acute Care Hospital

$91K
10Norton Hospitals, Inc

Louisville, KY · General Acute Care Hospital

$87K
11University Of Kentucky

Lexington, KY · General Acute Care Hospital

$83K
12Uofl Health-louisville Inc

Louisville, KY · Psychiatric Hospital

$56K
131568825545$55K
14West Virginia University Hospitals, Inc

Morgantown, WV · Clinical Medical Laboratory

$53K
151710943881$51K
161427616002$50K
171538244918$48K
181659387975$48K
19Charleston Area Medical Center Inc

Charleston, WV · General Acute Care Hospital

$47K
20St Josephs University Medical Center Inc.

Paterson, NJ · General Acute Care Hospital

$46K

Showing top 20 of 265 providers billing this code