#4663 of 11K

C7901

HCPCS Procedure Code

HCPCS code C7901 is the #4,663 most-billed Medicaid procedure code, with $461K in payments across 20K claims from 2018–2024. The national median cost per claim is $14.27. Costs vary widely — the 90th percentile is $100.92 per claim, 7.1× the median.

Total Paid

$461K

0.00% of all spending

Total Claims

20K

Providers

Avg Cost/Claim

$24

National Cost Distribution

How much do providers bill per claim for C7901? Based on 25 providers billing this code nationally.

Median

$14.27

Average

$35.16

Std Dev

$44.11

Max

$141.28

Percentile Distribution (Cost per Claim)

p10

$1.70

p25

$4.42

Median

$14.27

p75

$54.64

p90

$100.92

p95

$132.92

p99

$140.78

50% of providers bill between $4.42 and $54.64 per claim for this code.

90% bill between $1.70 and $100.92.

Top 1% bill above $140.78.

About This Procedure

HCPCS code C7901 was billed by 27 providers across 20K claims, totaling $461K in Medicaid payments from 2018–2024. This code was used for 9,390 unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$14.27

Providers Billing

National Spending

$461K

Avg/Median Ratio

2.46×

Highly skewed — outlier-driven

Top Providers Billing This Code

Ranked by total Medicaid payments for C7901

#	Provider	Total Paid	Cost/Claim	vs Median	Tier
1	Nyu Langone Hospitals Brooklyn, NY · General Acute Care Hospital	$190K	$55.88	3.9× median	Above 75th
2	University Of Rochester Rochester, NY · General Acute Care Hospital	$86K	$107.71	7.5× median	Top 10%
3	1811084718	$48K	$90.74	6.4× median	Above 75th
4	1285672204	$34K	$141.28	9.9× median	Top 1%
5	1184712085	$27K	$54.64	3.8× median	Above Median
6	1487741427	$20K	$89.45	6.3× median	Above 75th
7	1487325874	$10K	$139.22	9.8× median	Top 10%
8	1003991845	$8K	$28.30	2.0× median	Above Median
9	Curators Of The University Of Missouri Columbia, MO · General Acute Care Hospital	$7K	$43.97	3.1× median	Above Median
10	1770502635	$6K	$16.23	1.1× median	Above Median
11	The General Hospital Corporation Boston, MA · General Acute Care Hospital	$5K	$1.41	0.1× median	Below Median
12	Brigham & Womens Hospital Inc. Boston, MA · General Acute Care Hospital	$4K	$1.26	0.1× median	Below Median
13	1508815333	$3K	$19.30	1.4× median	Above Median
14	1609983790	$3K	$9.61	0.7× median	Below Median
15	North Shore Medical Center, Inc. Salem, MA · General Acute Care Hospital	$3K	$4.42	0.3× median	Below Median
16	1619072493	$2K	$16.12	1.1× median	Above Median
17	1689670259	$1K	$1.05	0.1× median	Below Median
18	Ahs Hospital Corp. Morristown, NJ · General Acute Care Hospital	$1K	$7.24	0.5× median	Below Median
19	1790789212	$963	$12.03	0.8× median	Below Median
20	1376593442	$603	$2.68	0.2× median	Below Median

Showing top 20 of 27 providers billing this code

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