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#6293 of 11K

C7900

HCPCS Procedure Code

HCPCS code C7900 is the #6,293 most-billed Medicaid procedure code, with $77K in payments across 6,837 claims from 2018–2024. The national median cost per claim is $5.57. Costs vary widely — the 90th percentile is $56.38 per claim, 10.1× the median.

Total Paid

$77K

0.00% of all spending

Total Claims

6,837

Providers

10

Avg Cost/Claim

$11

National Cost Distribution

How much do providers bill per claim for C7900? Based on 10 providers billing this code nationally.

Median

$5.57

Average

$29.78

Std Dev

$66.30

Max

$215.65

Percentile Distribution (Cost per Claim)

p10
$1.37
p25
$2.64
Median
$5.57
p75
$14.77
p90
$56.38
p95
$136.01
p99
$199.72

50% of providers bill between $2.64 and $14.77 per claim for this code.

90% bill between $1.37 and $56.38.

Top 1% bill above $199.72.

About This Procedure

HCPCS code C7900 was billed by 10 providers across 6,837 claims, totaling $77K in Medicaid payments from 2018–2024. This code was used for 5,108 unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$5.57

Providers Billing

10

National Spending

$77K

Avg/Median Ratio

5.35×

Highly skewed — outlier-driven

Top Providers Billing This Code

Ranked by total Medicaid payments for C7900

#ProviderTotal Paid
1University Of Rochester

Rochester, NY · General Acute Care Hospital

$30K
21184712085$17K
3Ahs Hospital Corp.

Morristown, NJ · General Acute Care Hospital

$11K
4The General Hospital Corporation

Boston, MA · General Acute Care Hospital

$10K
5Brigham & Womens Hospital Inc.

Boston, MA · General Acute Care Hospital

$5K
6Curators Of The University Of Missouri

Columbia, MO · General Acute Care Hospital

$4K
71609983790$514
81790789212$319
9Jersey City Medical Center

Jersey City, NJ · General Acute Care Hospital

$300
10Ahs Hospital Corp.

Summit, NJ · General Acute Care Hospital

$82

Showing top 10 of 10 providers billing this code

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