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#3689 of 11K

C9113

HCPCS Procedure Code

HCPCS code C9113 is the #3,689 most-billed Medicaid procedure code, with $1.3M in payments across 685K claims from 2018–2024. The national median cost per claim is $0.70. Costs vary widely — the 90th percentile is $7.77 per claim, 11.1× the median.

Total Paid

$1.3M

0.00% of all spending

Total Claims

685K

Providers

933

Avg Cost/Claim

$2

National Cost Distribution

How much do providers bill per claim for C9113? Based on 596 providers billing this code nationally.

Median

$0.70

Average

$3.51

Std Dev

$12.72

Max

$164.97

Percentile Distribution (Cost per Claim)

p10
$0.01
p25
$0.09
Median
$0.70
p75
$2.57
p90
$7.77
p95
$11.38
p99
$49.48

50% of providers bill between $0.09 and $2.57 per claim for this code.

90% bill between $0.01 and $7.77.

Top 1% bill above $49.48.

About This Procedure

HCPCS code C9113 was billed by 933 providers across 685K claims, totaling $1.3M in Medicaid payments from 2018–2024. This code was used for 424K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$0.70

Providers Billing

596

National Spending

$1.3M

Avg/Median Ratio

5.01×

Highly skewed — outlier-driven

Top Providers Billing This Code

Ranked by total Medicaid payments for C9113

#ProviderTotal Paid
11144228446$199K
2Uofl Health-louisville Inc

Louisville, KY · Psychiatric Hospital

$97K
31750332565$90K
4Pikeville Medical Center Inc

Pikeville, KY · General Acute Care Hospital

$44K
51043293608$42K
61699756221$41K
7Charleston Area Medical Center Inc

Charleston, WV · General Acute Care Hospital

$30K
8Medical University Hospital Authority

Charleston, SC · General Acute Care Hospital

$26K
9Owensboro Health Inc

Owensboro, KY · General Acute Care Hospital

$26K
101558313213$21K
11St Elizabeth Medical Center, Inc

Edgewood, KY · Portable X-Ray and/or Other Portable Diagnostic Imaging Supplier

$21K
12Providence Health & Services Washington

Anchorage, AK · General Acute Care Hospital

$18K
13Norton Hospitals, Inc

Louisville, KY · General Acute Care Hospital

$18K
141134102080$16K
151780667923$15K
161235139312$15K
17Norton Hospitals Inc

Louisville, KY · General Acute Care Hospital

$14K
181184197683$14K
191013468172$13K
201811213994$12K

Showing top 20 of 933 providers billing this code