#891 of 11K

X4006

HCPCS Procedure Code

HCPCS code X4006 is the #891 most-billed Medicaid procedure code, with $62.7M in payments across 69K claims from 2018–2024. The national median cost per claim is $668.05. Costs vary widely — the 90th percentile is $2,573.84 per claim, 3.9× the median.

Total Paid

$62.7M

0.01% of all spending

Total Claims

69K

Providers

Avg Cost/Claim

$911

National Cost Distribution

How much do providers bill per claim for X4006? Based on 58 providers billing this code nationally.

Median

$668.05

Average

$1,390.53

Std Dev

$3,004.86

Max

$22,663.83

Percentile Distribution (Cost per Claim)

p10

$306.53

p25

$439.97

Median

$668.05

p75

$1,073.36

p90

$2,573.84

p95

$3,323.58

p99

$12,790.23

50% of providers bill between $439.97 and $1,073.36 per claim for this code.

90% bill between $306.53 and $2,573.84.

Top 1% bill above $12,790.23.

About This Procedure

HCPCS code X4006 was billed by 58 providers across 69K claims, totaling $62.7M in Medicaid payments from 2018–2024. This code was used for 54K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$668.05

Providers Billing

National Spending

$62.7M

Avg/Median Ratio

2.08×

Highly skewed — outlier-driven

Top Providers Billing This Code

Ranked by total Medicaid payments for X4006

#	Provider	Total Paid	Cost/Claim	vs Median	Tier
1	Truman Medical Center, Incorporated Kansas City, MO · General Acute Care Hospital	$15.3M	$1,009.61	1.5× median	Above Median
2	1871698472	$6.8M	$2,504.64	3.7× median	Above 75th
3	1952629370	$5.1M	$5,341.71	8.0× median	Top 10%
4	1700831724	$3.9M	$848.91	1.3× median	Above Median
5	1578504056	$3.3M	$463.25	0.7× median	Below Median
6	Curators Of The University Of Missouri Columbia, MO · General Acute Care Hospital	$3.0M	$432.88	0.6× median	Below Median
7	1376686600	$2.7M	$977.45	1.5× median	Above Median
8	1467412726	$2.5M	$874.46	1.3× median	Above Median
9	1093740128	$2.1M	$1,655.66	2.5× median	Above 75th
10	1700112745	$1.9M	$678.68	1.0× median	Above Median
11	1891766051	$1.8M	$1,007.59	1.5× median	Above Median
12	1811006661	$1.6M	$1,834.63	2.7× median	Above 75th
13	1649299827	$1.2M	$854.95	1.3× median	Above Median
14	The Children's Mercy Hospital Kansas City, MO · General Acute Care Hospital Children	$943K	$3,186.36	4.8× median	Top 10%
15	Pinnacle Regional Hospital Llc Boonville, MO · General Acute Care Hospital	$929K	$22,663.83	33.9× median	Top 1%
16	1962572396	$822K	$414.36	0.6× median	Below Median
17	1003201955	$791K	$721.28	1.1× median	Above Median
18	1285664177	$756K	$461.25	0.7× median	Below Median
19	1518065523	$583K	$2,735.30	4.1× median	Top 10%
20	1265546048	$552K	$933.79	1.4× median	Above Median

Showing top 20 of 58 providers billing this code

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