OP278
HCPCS Procedure Code
HCPCS code OP278 is the #1,656 most-billed Medicaid procedure code, with $16.8M in payments across 25K claims from 2018–2024. The national median cost per claim is $379.52. Costs vary widely — the 90th percentile is $904.86 per claim, 2.4× the median.
Total Paid
$16.8M
0.00% of all spending
Total Claims
25K
Providers
38
Avg Cost/Claim
$662
National Cost Distribution
How much do providers bill per claim for OP278? Based on 38 providers billing this code nationally.
Median
$379.52
Average
$464.08
Std Dev
$426.60
Max
$1,979.83
Percentile Distribution (Cost per Claim)
50% of providers bill between $157.19 and $706.29 per claim for this code.
90% bill between $45.29 and $904.86.
Top 1% bill above $1,785.30.
About This Procedure
HCPCS code OP278 was billed by 38 providers across 25K claims, totaling $16.8M in Medicaid payments from 2018–2024. This code was used for 23K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$379.52
Providers Billing
38
National Spending
$16.8M
Avg/Median Ratio
1.22×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for OP278
| # | Provider | Total Paid |
|---|---|---|
| 1 | Englewood Hospital And Medical Center Englewood, NJ · General Acute Care Hospital | $3.3M |
| 2 | 1134125016 | $2.0M |
| 3 | University Hospital Newark, NJ · General Acute Care Hospital | $1.8M |
| 4 | Virtua - West Jersey Health System Inc. Voorhees, NJ · General Acute Care Hospital | $1.6M |
| 5 | The Cooper Health System Camden, NJ · General Acute Care Hospital | $1.3M |
| 6 | Hmh Hospitals Corporation Hackensack, NJ · Ambulance | $1.1M |
| 7 | Ahs Hospital Corp. Morristown, NJ · General Acute Care Hospital | $956K |
| 8 | 1235134024 | $854K |
| 9 | Hmh Hospitals Corporation Neptune, NJ · General Acute Care Hospital | $822K |
| 10 | Robert Wood Johnson University Hospital, Inc New Brunswick, NJ · General Acute Care Hospital | $795K |
| 11 | Jersey City Medical Center Jersey City, NJ · General Acute Care Hospital | $539K |
| 12 | Newark Beth Israel Medical Center Inc Newark, NJ · General Acute Care Hospital | $433K |
| 13 | Ahs Hospital Corp. Summit, NJ · General Acute Care Hospital | $359K |
| 14 | 1710491253 | $207K |
| 15 | Clara Maass Medical Center Belleville, NJ · General Acute Care Hospital | $177K |
| 16 | 1346247368 | $85K |
| 17 | Cooperman Barnabas Medical Center Inc Livingston, NJ · General Acute Care Hospital | $62K |
| 18 | Inspira Medical Centers Inc. Vineland, NJ · General Acute Care Hospital | $54K |
| 19 | 1659387975 | $46K |
| 20 | 1225133473 | $45K |
Showing top 20 of 38 providers billing this code