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#5669 of 11K

C1773

HCPCS Procedure Code

HCPCS code C1773 is the #5,669 most-billed Medicaid procedure code, with $158K in payments across 9K claims from 2018–2024. The national median cost per claim is $9.92. Costs vary widely — the 90th percentile is $36.38 per claim, 3.7× the median.

Total Paid

$158K

0.00% of all spending

Total Claims

9K

Providers

34

Avg Cost/Claim

$17

National Cost Distribution

How much do providers bill per claim for C1773? Based on 18 providers billing this code nationally.

Median

$9.92

Average

$30.65

Std Dev

$78.05

Max

$340.39

Percentile Distribution (Cost per Claim)

p10
$1.50
p25
$4.98
Median
$9.92
p75
$19.72
p90
$36.38
p95
$82.72
p99
$288.86

50% of providers bill between $4.98 and $19.72 per claim for this code.

90% bill between $1.50 and $36.38.

Top 1% bill above $288.86.

About This Procedure

HCPCS code C1773 was billed by 34 providers across 9K claims, totaling $158K in Medicaid payments from 2018–2024. This code was used for 9K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$9.92

Providers Billing

18

National Spending

$158K

Avg/Median Ratio

3.09×

Highly skewed — outlier-driven

Top Providers Billing This Code

Ranked by total Medicaid payments for C1773

#ProviderTotal Paid
1Unm Hospital

Albuquerque, NM · General Acute Care Hospital

$102K
2Spartanburg Medical Center

Spartanburg, SC · Ambulance

$23K
3St Lukes Roosevelt Hospital Center

New York, NY · Case Management

$6K
4Nyu Langone Hospitals

New York, NY · Clinic/Center, Oncology

$4K
5Kennedy University Hospital Inc.

Stratford, NJ · General Acute Care Hospital

$4K
6Rector & Visitors Of The University Of Virginia

Charlottesville, VA · General Acute Care Hospital

$3K
71770581894$3K
8Beth Israel Deaconess Medical Center, Inc.

Boston, MA · General Acute Care Hospital

$3K
9Henry Ford Health System

Detroit, MI · General Acute Care Hospital

$2K
10Mount Sinai Hospital

New York, NY · Ambulance

$1K
11Maimonides Medical Center

Brooklyn, NY · General Acute Care Hospital

$1K
121346244126$1K
13University Of California Irvine

Orange, CA · General Acute Care Hospital

$894
14Cambridge Public Health Commission

Cambridge, MA · General Acute Care Hospital

$727
15Hennepin Healthcare System Inc

Minneapolis, MN · General Acute Care Hospital

$606
161699874248$308
17Sage River Counseling

Seattle, WA · Counselor Mental Health

$85
181972535052$62
19Doctors Hospital At Renaissance, Ltd

Edinburg, TX · Clinic/Center, Ambulatory Surgical

$0
20Holzer Hospital Foundation

Gallipolis, OH · General Acute Care Hospital Rural

$0

Showing top 20 of 34 providers billing this code