X4011
Healthcare procedure, code X4011
Healthcare procedure, code X4011 is the #357 most-billed Medicaid procedure code, with $349.8M in payments across 1.0M claims from 2018–2024. The national median cost per claim is $268.66.
Total Paid
$349.8M
0.03% of all spending
Total Claims
1.0M
Providers
115
Avg Cost/Claim
$341
National Cost Distribution
How much do providers bill per claim for X4011? Based on 115 providers billing this code nationally.
Median
$268.66
Average
$293.23
Std Dev
$143.76
Max
$946.15
Percentile Distribution (Cost per Claim)
50% of providers bill between $202.47 and $341.86 per claim for this code.
90% bill between $160.35 and $423.86.
Top 1% bill above $896.09.
About This Procedure
HCPCS code X4011 (Healthcare procedure, code X4011) was billed by 115 providers across 1.0M claims, totaling $349.8M in Medicaid payments from 2018–2024. This code was used for 946K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$268.66
Providers Billing
115
National Spending
$349.8M
Avg/Median Ratio
1.09×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for X4011
| # | Provider | Total Paid |
|---|---|---|
| 1 | Truman Medical Center, Incorporated Kansas City, MO · General Acute Care Hospital | $39.4M |
| 2 | The Children's Mercy Hospital Kansas City, MO · General Acute Care Hospital Children | $29.7M |
| 3 | 1093740128 | $20.8M |
| 4 | 1639186760 | $14.5M |
| 5 | 1649299827 | $13.4M |
| 6 | 1134187842 | $12.6M |
| 7 | Curators Of The University Of Missouri Columbia, MO · General Acute Care Hospital | $9.9M |
| 8 | 1376686600 | $9.2M |
| 9 | 1437259694 | $8.6M |
| 10 | 1508935891 | $7.9M |
| 11 | 1962572396 | $7.6M |
| 12 | 1942685920 | $7.2M |
| 13 | 1700831724 | $7.2M |
| 14 | 1598835308 | $7.0M |
| 15 | 1467412726 | $6.9M |
| 16 | 1942247044 | $5.5M |
| 17 | 1760443980 | $5.2M |
| 18 | 1578504056 | $5.1M |
| 19 | 1518065523 | $5.1M |
| 20 | 1265546048 | $4.9M |
Showing top 20 of 115 providers billing this code