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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. J0885
  4. Cost Analysis

How Much Does Injection, epoetin alfa, (for non-esrd use), 1000 units Cost on Medicare?

Cost analysis for CPT J0885 — Injection, epoetin alfa, (for non-esrd use), 1000 units

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Average Medicare Payment

$5.75

2023 data

Total Payments (2023)

$26.7M

Services (2023)

4.6M

Price Change (2014–2023)

-34.8%

📈 Year-over-Year Cost Trend

YearAvg PaymentTotal PaymentsServicesYoY Change
2014$8.82$155.2M17.5M—
2015$9.34$143.5M15.3M+5.9%
2016$9.58$140.8M14.6M+2.6%
2017$10.09$137.3M13.5M+5.3%
2018$9.69$121.5M12.4M-4.0%
2019$8.88$84.8M9.5M-8.4%
2020$7.65$45.6M5.9M-13.9%
2021$6.63$27.4M4.1M-13.3%
2022$6.32$27.1M4.3M-4.7%
2023$5.75$26.7M4.6M-9.0%

🗺️ State-by-State Cost Variation

The most expensive state pays 1.2x more than the cheapest for this procedure. NV averages $6.22 vs RI at $5.10.

StateAvg PaymentTotal PaymentsServicesProviders
NV$6.22$13.7K2.2K1
UT$6.08$19.7K3.2K1
KS$6.07$264.8K43.6K11
WI$6.03$24.5K4.1K2
HI$5.98$60.1K10.0K3
MS$5.94$67.7K11.4K3
IN$5.89$240.7K40.9K8
IA$5.86$27.4K4.7K1
NC$5.86$486.1K82.9K48
FL$5.86$10.8M1.8M237
NM$5.85$107.4K18.3K3
WA$5.85$173.1K29.6K6
LA$5.85$78.0K13.3K2
AZ$5.84$626.9K107.3K72
CO$5.83$14.6K2.5K1
AL$5.82$97.0K16.7K3
NE$5.81$249.6K42.9K13
CT$5.81$154.1K26.6K6
NJ$5.80$1.9M327.3K66
OH$5.80$229.8K39.6K15
AR$5.78$1.6M275.8K42
OK$5.78$25.9K4.5K1
IL$5.77$288.8K50.1K21
TN$5.76$78.1K13.6K11
VA$5.76$710.4K123.3K41
MD$5.76$993.6K172.5K23
SC$5.76$511.9K88.9K24
MA$5.75$278.7K48.5K7
OR$5.75$149.3K26.0K2
KY$5.75$83.3K14.5K4
CA$5.74$2.7M463.7K103
MI$5.73$104.3K18.2K15
PA$5.72$750.8K131.3K30
VT$5.71$56.3K9.9K2
GA$5.69$690.4K121.3K26
TX$5.61$705.7K125.8K42
NY$5.59$1.3M238.2K51
WV$5.59$3.4K6001
MO$5.56$47.2K8.5K3
RI$5.10$7.8K1.5K2

💰 Who Bills the Most for This Procedure?

ProviderSpecialtyStatePaymentsServicesAvg/Service
Victor PriegoHematology-OncologyMD$180.4K31.0K$5.82
Luke DreisbachHematology-OncologyCA$177.6K30.2K$5.87
Ralph BocciaHematology-OncologyMD$159.9K27.9K$5.74
Padmaja SaiHematology-OncologyFL$153.5K26.0K$5.91
Raymond EsperHematology-OncologyFL$151.2K25.6K$5.91
Huayang TangHematology-OncologyFL$148.9K25.3K$5.88
Mohsen ThomasNephrologyCA$148.4K25.4K$5.84
Jay WangMedical OncologyFL$148.2K25.0K$5.93
Manzurul SikderHematology-OncologyNY$144.5K24.7K$5.85
David WenkMedical OncologyFL$139.6K23.6K$5.91
Steven NewmanInternal MedicineFL$139.5K23.7K$5.89
Sultana RaziaHematology-OncologyNY$137.6K23.5K$5.86
Kewen JaussHematology-OncologyAR$135.9K23.2K$5.85
Richard BuckMedical OncologyFL$135.4K22.9K$5.93
David WrightHematology-OncologyFL$132.3K22.6K$5.86
Neil KumarNephrologyOR$131.9K22.9K$5.75
Kamal PatelHematology-OncologyAR$129.8K22.1K$5.86
Sunil GandhiHematology-OncologyFL$127.7K21.8K$5.87
Andres SorianoHematology-OncologyFL$127.5K21.7K$5.89
Faithlore GardnerHematology-OncologyFL$123.4K21.2K$5.82

🤔 Is Injection, epoetin alfa, (for non-esrd use), 1000 units Overpriced?

Based on the data, CPT J0885 shows a 1.2x variation in pricing across states — relatively consistent by Medicare standards.

Costs have decreased 34.8% 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.