Cost analysis for CPT J1437 — Injection, ferric derisomaltose, 10 mg
Average Medicare Payment
$16.44
2023 data
Total Payments (2023)
$35.3M
Services (2023)
2.1M
Price Change (2020–2023)
-21.3%
| Year | Avg Payment | Total Payments | Services | YoY Change |
|---|---|---|---|---|
| 2020 | $20.90 | $35.5K | 1.7K | — |
| 2021 | $20.77 | $4.4M | 213.1K | -0.6% |
| 2022 | $18.43 | $13.1M | 710.7K | -11.3% |
| 2023 | $16.44 | $35.3M | 2.1M | -10.8% |
The most expensive state pays 1.1x more than the cheapest for this procedure. NH averages $17.14 vs KY at $15.87.
| State | Avg Payment | Total Payments | Services | Providers |
|---|---|---|---|---|
| NH | $17.14 | $24.5K | 1.4K | 1 |
| NY | $17.09 | $114.5K | 6.7K | 4 |
| MA | $16.91 | $64.2K | 3.8K | 2 |
| WI | $16.78 | $31.9K | 1.9K | 1 |
| CT | $16.66 | $90.0K | 5.4K | 3 |
| NJ | $16.62 | $2.3M | 137.2K | 29 |
| AR | $16.62 | $2.6M | 155.8K | 24 |
| AL | $16.61 | $2.5M | 149.4K | 42 |
| IL | $16.56 | $462.0K | 27.9K | 12 |
| TX | $16.56 | $312.9K | 18.9K | 4 |
| UT | $16.55 | $140.7K | 8.5K | 4 |
| FL | $16.55 | $6.5M | 394.7K | 109 |
| SC | $16.55 | $1.5M | 91.1K | 14 |
| NC | $16.53 | $2.1M | 125.6K | 29 |
| OH | $16.51 | $592.9K | 35.9K | 17 |
| KS | $16.51 | $289.0K | 17.5K | 6 |
| IN | $16.50 | $1.1M | 65.8K | 18 |
| OK | $16.50 | $481.9K | 29.2K | 3 |
| WA | $16.49 | $52.8K | 3.2K | 2 |
| TN | $16.45 | $1.8M | 110.2K | 21 |
| PA | $16.44 | $3.1M | 190.9K | 60 |
| MD | $16.44 | $3.6M | 219.4K | 48 |
| AZ | $16.44 | $397.3K | 24.2K | 15 |
| VA | $16.43 | $563.4K | 34.3K | 17 |
| AK | $16.42 | $34.5K | 2.1K | 1 |
| ND | $16.42 | $75.5K | 4.6K | 1 |
| DE | $16.39 | $329.5K | 20.1K | 7 |
| MO | $16.38 | $391.5K | 23.9K | 9 |
| CA | $16.32 | $1.0M | 62.0K | 21 |
| VT | $16.29 | $118.9K | 7.3K | 1 |
| SD | $16.23 | $43.8K | 2.7K | 1 |
| CO | $16.19 | $113.4K | 7.0K | 5 |
| MI | $16.11 | $198.1K | 12.3K | 5 |
| LA | $16.10 | $334.9K | 20.8K | 8 |
| MS | $15.98 | $92.7K | 5.8K | 4 |
| GA | $15.90 | $1.8M | 113.4K | 32 |
| KY | $15.87 | $42.9K | 2.7K | 1 |
| Provider | Specialty | State | Payments | Services | Avg/Service |
|---|---|---|---|---|---|
| Michael Auerbach | Hematology-Oncology | MD | $431.3K | 25.9K | $16.65 |
| Andrew Weber | Hematology-Oncology | FL | $286.9K | 17.2K | $16.68 |
| Pablo Reyes | Hematology-Oncology | FL | $283.7K | 17.1K | $16.59 |
| Mitchell Martin | Medical Oncology | TN | $281.4K | 16.9K | $16.65 |
| Huzefa Bahrain | Medical Oncology | MD | $273.8K | 16.6K | $16.49 |
| Balagopalan Nair | Hematology-Oncology | AR | $265.1K | 15.9K | $16.67 |
| Sanjaykumar Hapani | Medical Oncology | OK | $264.7K | 16.0K | $16.54 |
| John Waples | Hematology-Oncology | AL | $249.3K | 15.0K | $16.62 |
| Daniel Ibach | Hematology-Oncology | TN | $244.9K | 14.8K | $16.55 |
| Bhavesh Balar | Hematology-Oncology | NJ | $229.9K | 13.8K | $16.66 |
| Vijay Paudel | Hematology-Oncology | SC | $220.6K | 13.3K | $16.59 |
| Navneet Mittal | Hematology-Oncology | TX | $215.6K | 13.0K | $16.58 |
| Ross Kerns | Hematology-Oncology | TN | $214.2K | 12.8K | $16.74 |
| Dejuania Brown-Rawls | Hematology-Oncology | SC | $204.4K | 12.5K | $16.35 |
| Nagesh Jayaram | Hematology-Oncology | NC | $199.0K | 12.0K | $16.58 |
| Keith Lerro | Hematology-Oncology | NC | $198.2K | 11.9K | $16.65 |
| Anju Vasudevan | Hematology-Oncology | FL | $195.9K | 11.8K | $16.60 |
| Omer Khalil | Hematology-Oncology | AR | $195.3K | 11.7K | $16.69 |
| Jay Nayak | Hematology-Oncology | SC | $188.1K | 11.3K | $16.65 |
| Mohit Narang | Hematology-Oncology | MD | $187.8K | 11.2K | $16.77 |
Based on the data, CPT J1437 shows a 1.1x variation in pricing across states — relatively consistent by Medicare standards.
Costs have decreased 21.3% since 2020. 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.
Note: All data is from publicly available Medicare records. OpenMedicare is an independent journalism project not affiliated with CMS.