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#6969 of 11K

C1830

HCPCS Procedure Code

HCPCS code C1830 is the #6,969 most-billed Medicaid procedure code, with $34K in payments across 2,096 claims from 2018–2024. The national median cost per claim is $59.78. Costs vary widely — the 90th percentile is $346.19 per claim, 5.8× the median.

Total Paid

$34K

0.00% of all spending

Total Claims

2,096

Providers

7

Avg Cost/Claim

$16

National Cost Distribution

How much do providers bill per claim for C1830? Based on 4 providers billing this code nationally.

Median

$59.78

Average

$141.61

Std Dev

$209.42

Max

$445.97

Percentile Distribution (Cost per Claim)

p10
$2.49
p25
$4.87
Median
$59.78
p75
$196.52
p90
$346.19
p95
$396.08
p99
$435.99

50% of providers bill between $4.87 and $196.52 per claim for this code.

90% bill between $2.49 and $346.19.

Top 1% bill above $435.99.

About This Procedure

HCPCS code C1830 was billed by 7 providers across 2,096 claims, totaling $34K in Medicaid payments from 2018–2024. This code was used for 1,519 unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$59.78

Providers Billing

4

National Spending

$34K

Avg/Median Ratio

2.37×

Highly skewed — outlier-driven

Top Providers Billing This Code

Ranked by total Medicaid payments for C1830

#ProviderTotal Paid
1Arthur G James Cancer Hospital And Research Institute

Columbus, OH · Special Hospital

$27K
2Medical University Hospital Authority

Charleston, SC · General Acute Care Hospital

$6K
3University Of Cincinnati Medical Center, Llc

Cincinnati, OH · General Acute Care Hospital

$588
4The Cleveland Clinic Foundation

Cleveland, OH · General Acute Care Hospital

$468
5Froedtert Memorial Lutheran Hospital, Inc.

Milwaukee, WI · Clinic/Center, Radiology

$0
6Yale New Haven Hospital

New Haven, CT · General Acute Care Hospital

$0
71548393127$0

Showing top 7 of 7 providers billing this code

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