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#4276 of 11K

C1788

HCPCS Procedure Code

HCPCS code C1788 is the #4,276 most-billed Medicaid procedure code, with $698K in payments across 12K claims from 2018–2024. The national median cost per claim is $55.15. Costs vary widely — the 90th percentile is $226.56 per claim, 4.1× the median.

Total Paid

$698K

0.00% of all spending

Total Claims

12K

Providers

91

Avg Cost/Claim

$58

National Cost Distribution

How much do providers bill per claim for C1788? Based on 37 providers billing this code nationally.

Median

$55.15

Average

$83.89

Std Dev

$100.28

Max

$371.06

Percentile Distribution (Cost per Claim)

p10
$1.40
p25
$3.14
Median
$55.15
p75
$112.65
p90
$226.56
p95
$273.04
p99
$365.75

50% of providers bill between $3.14 and $112.65 per claim for this code.

90% bill between $1.40 and $226.56.

Top 1% bill above $365.75.

About This Procedure

HCPCS code C1788 was billed by 91 providers across 12K claims, totaling $698K in Medicaid payments from 2018–2024. This code was used for 11K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$55.15

Providers Billing

37

National Spending

$698K

Avg/Median Ratio

1.52×

Moderately skewed

Top Providers Billing This Code

Ranked by total Medicaid payments for C1788

#ProviderTotal Paid
1Norton Hospitals Inc

Louisville, KY · General Acute Care Hospital

$242K
2University Of Kentucky

Lexington, KY · General Acute Care Hospital

$121K
3Norton Hospitals, Inc

Louisville, KY · General Acute Care Hospital

$73K
4Adventist Health System-sunbelt, Inc

Orlando, FL · Ambulance, Land Transport

$55K
5Phoenix Children's Hospital

Phoenix, AZ · General Acute Care Hospital Children

$40K
6Memorial Hospital For Cancer And Allied Diseases

New York, NY · Pharmacy

$37K
7University Of California Irvine

Orange, CA · General Acute Care Hospital

$33K
8Arthur G James Cancer Hospital And Research Institute

Columbus, OH · Special Hospital

$22K
9The Cooper Health System

Camden, NJ · General Acute Care Hospital

$22K
101992701429$21K
111679660617$5K
121548315401$4K
131275588345$3K
14Providence Health & Services Washington

Anchorage, AK · General Acute Care Hospital

$3K
15University Medical Center, Inc

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

$3K
161649556200$2K
17Tucson Medical Center

Tucson, AZ · Clinic/Center, Hearing and Speech

$2K
18Uofl Health-louisville Inc

Louisville, KY · Psychiatric Hospital

$2K
19Robert Wood Johnson University Hospital, Inc

New Brunswick, NJ · General Acute Care Hospital

$2K
20Virginia Commonwealth University Health System Authority

Richmond, VA · General Acute Care Hospital

$1K

Showing top 20 of 91 providers billing this code