#3154 of 11K

G0380

HCPCS Procedure Code

HCPCS code G0380 is the #3,154 most-billed Medicaid procedure code, with $2.4M in payments across 38K claims from 2018–2024. The national median cost per claim is $59.26. Costs vary widely — the 90th percentile is $158.12 per claim, 2.7× the median.

Total Paid

$2.4M

0.00% of all spending

Total Claims

38K

Providers

Avg Cost/Claim

$62

National Cost Distribution

How much do providers bill per claim for G0380? Based on 39 providers billing this code nationally.

Median

$59.26

Average

$76.07

Std Dev

$60.76

Max

$245.00

Percentile Distribution (Cost per Claim)

p10

$8.09

p25

$38.24

Median

$59.26

p75

$107.47

p90

$158.12

p95

$180.77

p99

$238.72

50% of providers bill between $38.24 and $107.47 per claim for this code.

90% bill between $8.09 and $158.12.

Top 1% bill above $238.72.

About This Procedure

HCPCS code G0380 was billed by 44 providers across 38K claims, totaling $2.4M in Medicaid payments from 2018–2024. This code was used for 35K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$59.26

Providers Billing

National Spending

$2.4M

Avg/Median Ratio

1.28×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for G0380

#	Provider	Total Paid	Cost/Claim	vs Median	Tier
1	Bridgeport Hospital Bridgeport, CT · General Acute Care Hospital	$357K	$61.39	1.0× median	Above Median
2	1710348214	$333K	$109.58	1.8× median	Above 75th
3	Lee Memorial Health System Ft Myers, FL · General Acute Care Hospital	$321K	$59.12	1.0× median	Below Median
4	1124083894	$188K	$59.26	1.0× median	Below Median
5	1023114634	$184K	$54.91	0.9× median	Below Median
6	1487760906	$171K	$51.34	0.9× median	Below Median
7	1831132133	$145K	$41.16	0.7× median	Below Median
8	1316394638	$128K	$75.48	1.3× median	Above Median
9	1982658407	$118K	$49.73	0.8× median	Below Median
10	1306845557	$102K	$155.89	2.6× median	Above 75th
11	1487015988	$77K	$105.36	1.8× median	Above Median
12	1205283538	$62K	$66.67	1.1× median	Above Median
13	United Health Services Hospitals, Inc. Binghamton, NY · General Acute Care Hospital	$49K	$175.47	3.0× median	Top 10%
14	1639111057	$42K	$42.19	0.7× median	Below Median
15	1447221742	$15K	$44.08	0.7× median	Below Median
16	1730540238	$13K	$120.26	2.0× median	Above 75th
17	1962808733	$11K	$84.50	1.4× median	Above Median
18	1154368116	$10K	$245.00	4.1× median	Top 1%
19	1700963048	$5K	$155.87	2.6× median	Above 75th
20	1942367842	$3K	$228.46	3.9× median	Top 10%

Showing top 20 of 44 providers billing this code

Related Procedures

G0378Hospital observation service, per hour$2.16B G0390$66.9M G0382$36.3M G0379Direct admission to hospital observation$30.8M G0383$22.5M

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