Statistical flags indicate unusual patterns — not proof of fraud or wrongdoing. Read our methodology

#678 of 11K

J7030

Normal saline solution infusion, 1000 cc

Normal saline solution infusion, 1000 cc is the #678 most-billed Medicaid procedure code, with $107.4M in payments across 18.5M claims from 2018–2024. The national median cost per claim is $1.53. Costs vary widely — the 90th percentile is $18.12 per claim, 11.8× the median.

Total Paid

$107.4M

0.01% of all spending

Total Claims

18.5M

Providers

3K

Avg Cost/Claim

$6

National Cost Distribution

How much do providers bill per claim for J7030? Based on 3K providers billing this code nationally.

Median

$1.53

Average

$8.44

Std Dev

$25.86

Max

$439.80

Percentile Distribution (Cost per Claim)

p10
$0.03
p25
$0.21
Median
$1.53
p75
$6.39
p90
$18.12
p95
$35.47
p99
$136.61

50% of providers bill between $0.21 and $6.39 per claim for this code.

90% bill between $0.03 and $18.12.

Top 1% bill above $136.61.

About This Procedure

HCPCS code J7030 (Normal saline solution infusion, 1000 cc) was billed by 3K providers across 18.5M claims, totaling $107.4M in Medicaid payments from 2018–2024. This code was used for 14.1M unique beneficiaries.

Fraud Risk Context

Injectable drug codes carry high per-claim costs and have been involved in drug diversion and upcoding schemes.

Source: HHS OIG Reports

Risk Assessment

Billing Statistics

Median Cost/Claim

$1.53

Providers Billing

3K

National Spending

$107.4M

Avg/Median Ratio

5.52×

Highly skewed — outlier-driven

Top Providers Billing This Code

Ranked by total Medicaid payments for J7030

#ProviderTotal Paid
1Spartanburg Medical Center

Spartanburg, SC · Ambulance

$8.3M
2Antelope Valley Health Care District

Lancaster, CA · General Acute Care Hospital

$2.8M
31417919531$2.8M
4Palomar Health

Escondido, CA · General Acute Care Hospital

$2.6M
5Lexington Health Inc

West Columbia, SC · General Acute Care Hospital

$2.5M
61356366314$2.3M
7Lee Memorial Health System

Ft Myers, FL · General Acute Care Hospital

$2.1M
81144228446$2.0M
9Rhode Island Hospital

Providence, RI · General Acute Care Hospital

$1.8M
101982800397$1.6M
111831188275$1.5M
12The Miriam Hospital

Providence, RI · General Acute Care Hospital

$1.5M
13Yukon-kuskokwim Health Corporation

Bethel, AK · General Acute Care Hospital Rural

$1.3M
141205307378$1.3M
151174500458$1.3M
161477584993$1.2M
171396129201$1.2M
18Pikeville Medical Center Inc

Pikeville, KY · General Acute Care Hospital

$1.1M
191386643294$961K
201669472882$886K

Showing top 20 of 3K providers billing this code