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Data Sources: Centers for Medicare & Medicaid Services (CMS), Medicare Provider Utilization and Payment Data
Disclaimer: This site is an independent journalism project. Data analysis and editorial content are not affiliated with or endorsed by CMS or any government agency. All spending figures are based on publicly available Medicare payment records.
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Methodology•Download Data
  1. Home
  2. Procedures
  3. 96372
  4. Cost Analysis

How Much Does Injection of drug or substance under skin or into muscle Cost on Medicare?

Cost analysis for CPT 96372 — Injection of drug or substance under skin or into muscle

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Average Medicare Payment

$9.43

2023 data

Total Payments (2023)

$59.2M

Services (2023)

6.0M

Price Change (2014–2023)

-44.3%

📈 Year-over-Year Cost Trend

YearAvg PaymentTotal PaymentsServicesYoY Change
2014$16.93$138.5M8.0M—
2015$17.14$141.2M8.1M+1.2%
2016$16.87$143.4M8.3M-1.6%
2017$16.92$146.6M8.5M+0.3%
2018$13.67$116.5M8.3M-19.2%
2019$11.27$96.8M8.3M-17.6%
2020$9.42$64.8M6.6M-16.4%
2021$9.83$68.2M6.7M+4.4%
2022$9.67$64.3M6.4M-1.6%
2023$9.43$59.2M6.0M-2.5%

🗺️ State-by-State Cost Variation

The most expensive state pays 1.5x more than the cheapest for this procedure. NY averages $12.08 vs MS at $8.14.

StateAvg PaymentTotal PaymentsServicesProviders
NY$12.08$3.2M263.0K2.3K
AK$11.87$95.9K8.1K124
NJ$11.68$1.8M152.9K1.3K
CA$11.54$7.7M663.0K5.0K
DC$11.49$41.3K3.6K52
MD$11.10$1.2M112.5K863
CT$11.07$285.8K25.8K274
MA$10.89$517.1K47.5K487
GU$10.87$9.1K83313
HI$10.82$122.3K11.3K157
VT$10.75$12.7K1.2K10
ME$10.54$43.8K4.2K45
RI$10.51$38.8K3.7K58
DE$10.50$199.5K19.0K183
PR$10.38$9.9K9529
XX$10.38$4.1K3971
MN$10.37$243.0K23.4K369
PA$10.34$1.5M143.1K1.5K
WA$10.34$456.6K44.1K568
IL$10.32$1.8M172.5K1.5K
CO$10.20$403.1K39.5K499
FL$10.19$6.2M604.0K4.5K
VA$10.19$1.5M150.4K1.4K
NV$10.18$494.4K48.5K419
OR$10.04$234.7K23.4K292
WI$9.91$214.2K21.6K261
VI$9.89$10.4K1.1K12
MT$9.85$38.4K3.9K81
SD$9.83$84.8K8.6K104
NH$9.81$89.6K9.1K109
AZ$9.77$1.6M166.5K1.6K
MI$9.73$1.4M144.8K1.7K
ND$9.66$102.2K10.6K142
WY$9.59$102.7K10.7K157
OH$9.41$885.2K94.1K1.3K
UT$9.35$345.4K36.9K442
MO$9.35$725.0K77.5K845
TX$9.34$4.9M519.4K6.0K
IA$9.30$365.1K39.3K524
NC$9.23$2.0M218.9K2.7K
NE$9.22$505.9K54.9K587
KS$9.21$611.9K66.4K643
NM$9.14$214.1K23.4K296
SC$9.13$1.4M155.6K1.6K
GA$9.10$2.5M273.5K2.9K
IN$9.07$936.6K103.2K1.3K
ID$8.88$125.9K14.2K215
OK$8.86$1.5M170.6K1.3K
TN$8.70$2.7M315.0K3.2K
LA$8.69$1.3M151.1K1.6K
AP$8.64$1.8K2055

💰 Who Bills the Most for This Procedure?

ProviderSpecialtyStatePaymentsServicesAvg/Service
Taylor LancasterDiagnostic RadiologyOK$185.6K18.1K$10.28
Kristen NelsonNurse PractitionerCA$145.8K13.9K$10.46
Victor FariwaInternal MedicineNY$89.1K6.9K$12.83
William HarperUrologyGA$84.2K8.8K$9.56
Jessica KearneyNurse PractitionerOK$76.4K8.9K$8.60
Mairelis De La Cruz HernandezNurse PractitionerFL$67.6K7.0K$9.66
Jennifer Curran BlairNurse PractitionerOK$60.0K6.9K$8.69
Robert BrennanInfectious DiseaseVA$59.3K5.4K$11.01
Donald MiddletonFamily PracticeAZ$56.9K5.5K$10.39
Shane FranklNurse PractitionerTX$55.0K6.1K$8.99
Kristin TidwellNurse PractitionerOK$53.2K6.0K$8.81
Pankaj ShuklaInternal MedicineCA$51.6K4.5K$11.60
Amy WhiteNurse PractitionerMS$51.2K5.9K$8.63
Hannah Krizzia RiveraNurse PractitionerCA$48.3K4.1K$11.68
Mohitkumar ArdeshanaInternal MedicineCA$45.7K3.7K$12.30
Janet HallNurse PractitionerCA$43.7K3.7K$11.70
Spencer WopartNurse PractitionerOK$43.2K4.9K$8.81
Min WuFamily PracticeCA$42.8K3.7K$11.51
Frederick SabidoGeneral SurgeryNY$42.6K3.3K$12.80
Anselmo MendiveFamily PracticeFL$41.2K3.5K$11.74

🤔 Is Injection of drug or substance under skin or into muscle Overpriced?

Based on the data, CPT 96372 shows a 1.5x variation in pricing across states — moderate variation by Medicare standards.

Costs have decreased 44.3% since 2014. Medicare's fee schedule attempts to standardize pricing, though some variation is expected due to geographic cost-of-living adjustments and practice expense differences.

This analysis is based on publicly available CMS data and does not account for patient complexity, comorbidities, or facility-specific factors that may justify pricing differences.

Data Sources

  • • Centers for Medicare & Medicaid Services (CMS)
  • • Medicare Provider Utilization and Payment Data (2014-2023)
  • • Medicare Physician Fee Schedule

Note: All data is from publicly available Medicare records. OpenMedicare is an independent journalism project not affiliated with CMS.