J7040
Normal saline solution infusion, 500 cc
Normal saline solution infusion, 500 cc is the #1,284 most-billed Medicaid procedure code, with $29.2M in payments across 3.2M claims from 2018–2024. The national median cost per claim is $1.11. Costs vary widely — the 90th percentile is $12.11 per claim, 10.9× the median.
Total Paid
$29.2M
0.00% of all spending
Total Claims
3.2M
Providers
2K
Avg Cost/Claim
$9
National Cost Distribution
How much do providers bill per claim for J7040? Based on 2K providers billing this code nationally.
Median
$1.11
Average
$7.88
Std Dev
$34.10
Max
$746.98
Percentile Distribution (Cost per Claim)
50% of providers bill between $0.19 and $4.53 per claim for this code.
90% bill between $0.03 and $12.11.
Top 1% bill above $139.59.
About This Procedure
HCPCS code J7040 (Normal saline solution infusion, 500 cc) was billed by 2K providers across 3.2M claims, totaling $29.2M in Medicaid payments from 2018–2024. This code was used for 2.2M 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
$1.11
Providers Billing
2K
National Spending
$29.2M
Avg/Median Ratio
7.10×
Highly skewed — outlier-driven
Top Providers Billing This Code
Ranked by total Medicaid payments for J7040
| # | Provider | Total Paid |
|---|---|---|
| 1 | Spartanburg Medical Center Spartanburg, SC · Ambulance | $9.0M |
| 2 | Rhode Island Hospital Providence, RI · General Acute Care Hospital | $4.5M |
| 3 | 1679660617 | $1.3M |
| 4 | 1457309247 | $1.1M |
| 5 | 1851361778 | $706K |
| 6 | 1780653618 | $696K |
| 7 | 1356366314 | $634K |
| 8 | 1104856095 | $586K |
| 9 | Palomar Health Escondido, CA · General Acute Care Hospital | $511K |
| 10 | Lexington Health Inc West Columbia, SC · General Acute Care Hospital | $387K |
| 11 | Vhs Childrens Hospital Of Michigan Inc Detroit, MI · Clinic/Center, Ambulatory Surgical | $314K |
| 12 | Antelope Valley Health Care District Lancaster, CA · General Acute Care Hospital | $282K |
| 13 | 1356375307 | $249K |
| 14 | 1417919531 | $231K |
| 15 | Regents Of The University Of California Sacramento, CA · General Acute Care Hospital | $222K |
| 16 | The Miriam Hospital Providence, RI · General Acute Care Hospital | $203K |
| 17 | San Juan Regional Medical Center, Inc. Farmington, NM · Audiologist | $191K |
| 18 | 1477559433 | $150K |
| 19 | 1699756221 | $146K |
| 20 | 1912964768 | $145K |
Showing top 20 of 2K providers billing this code