Cost analysis for CPT J1439 — Injection, ferric carboxymaltose, 1 mg
Average Medicare Payment
$0.87
2023 data
Total Payments (2023)
$40.7M
Services (2023)
46.7M
Price Change (2015–2023)
+6.1%
| Year | Avg Payment | Total Payments | Services | YoY Change |
|---|---|---|---|---|
| 2015 | $0.82 | $20.2M | 24.5M | — |
| 2016 | $0.82 | $33.5M | 41.0M | 0.0% |
| 2017 | $0.82 | $41.4M | 50.5M | 0.0% |
| 2018 | $0.82 | $50.8M | 62.1M | 0.0% |
| 2019 | $0.84 | $51.5M | 61.2M | +2.4% |
| 2020 | $0.87 | $46.6M | 53.6M | +3.6% |
| 2021 | $0.89 | $49.6M | 55.7M | +2.3% |
| 2022 | $0.88 | $41.6M | 47.1M | -1.1% |
| 2023 | $0.87 | $40.7M | 46.7M | -1.1% |
The most expensive state pays 1.0x more than the cheapest for this procedure. ID averages $0.89 vs MS at $0.86.
| State | Avg Payment | Total Payments | Services | Providers |
|---|---|---|---|---|
| ID | $0.89 | $12.6K | 14.3K | 1 |
| DC | $0.88 | $21.0K | 23.8K | 1 |
| MA | $0.88 | $103.6K | 117.8K | 4 |
| NV | $0.88 | $249.2K | 283.5K | 9 |
| AK | $0.88 | $63.2K | 72.0K | 4 |
| RI | $0.88 | $60.4K | 69.0K | 4 |
| SD | $0.88 | $91.9K | 105.0K | 4 |
| KS | $0.88 | $926.0K | 1.1M | 14 |
| WA | $0.87 | $91.2K | 104.3K | 6 |
| MN | $0.87 | $80.0K | 91.5K | 2 |
| IL | $0.87 | $2.3M | 2.7M | 78 |
| IN | $0.87 | $258.4K | 295.5K | 10 |
| NM | $0.87 | $276.6K | 316.5K | 12 |
| KY | $0.87 | $76.6K | 87.6K | 7 |
| NE | $0.87 | $790.8K | 905.3K | 30 |
| CT | $0.87 | $129.1K | 147.8K | 5 |
| LA | $0.87 | $201.1K | 230.3K | 10 |
| CA | $0.87 | $4.5M | 5.2M | 106 |
| NH | $0.87 | $134.9K | 154.5K | 2 |
| CO | $0.87 | $9.8K | 11.3K | 1 |
| WV | $0.87 | $34.0K | 39.0K | 1 |
| NY | $0.87 | $3.7M | 4.3M | 89 |
| MO | $0.87 | $400.3K | 459.0K | 18 |
| NC | $0.87 | $623.0K | 714.6K | 27 |
| NJ | $0.87 | $2.6M | 3.0M | 72 |
| FL | $0.87 | $3.0M | 3.5M | 103 |
| AZ | $0.87 | $1.6M | 1.8M | 52 |
| VA | $0.87 | $1.5M | 1.7M | 50 |
| WI | $0.87 | $333.2K | 382.5K | 2 |
| OH | $0.87 | $630.3K | 723.8K | 23 |
| ND | $0.87 | $309.1K | 355.0K | 5 |
| TN | $0.87 | $3.6M | 4.2M | 94 |
| MD | $0.87 | $1.6M | 1.8M | 43 |
| DE | $0.87 | $48.9K | 56.3K | 3 |
| TX | $0.87 | $2.3M | 2.6M | 69 |
| IA | $0.87 | $476.9K | 549.0K | 12 |
| WY | $0.87 | $71.7K | 82.5K | 3 |
| OR | $0.87 | $282.0K | 324.8K | 14 |
| AL | $0.87 | $429.1K | 494.3K | 11 |
| UT | $0.87 | $280.1K | 323.3K | 16 |
| ME | $0.87 | $321.7K | 371.3K | 10 |
| PA | $0.87 | $2.0M | 2.4M | 57 |
| SC | $0.87 | $1.4M | 1.6M | 32 |
| MI | $0.87 | $527.2K | 609.3K | 26 |
| GA | $0.86 | $1.0M | 1.2M | 32 |
| OK | $0.86 | $378.2K | 438.9K | 18 |
| MS | $0.86 | $707.8K | 826.5K | 17 |
| Provider | Specialty | State | Payments | Services | Avg/Service |
|---|---|---|---|---|---|
| Sarah Finch | Nurse Practitioner | KS | $453.5K | 519.0K | $0.87 |
| Jeffrey Weber | Gastroenterology | WI | $323.4K | 371.3K | $0.87 |
| Bruce Saidman | Medical Oncology | PA | $228.2K | 263.3K | $0.87 |
| Luke Dreisbach | Hematology-Oncology | CA | $217.3K | 249.8K | $0.87 |
| David Greenwald | Medical Oncology | PA | $197.8K | 227.3K | $0.87 |
| Anil Potti | Hematology-Oncology | ND | $190.7K | 218.3K | $0.87 |
| Joseph Pascuzzo | Medical Oncology | CA | $178.0K | 206.3K | $0.86 |
| Dexter Estrada | Hematology-Oncology | CA | $177.3K | 203.3K | $0.87 |
| Philip Dy | Medical Oncology | IL | $164.7K | 187.5K | $0.88 |
| Alexander Zuhoski | Medical Oncology | NY | $157.6K | 180.0K | $0.88 |
| David Smith | Hematology-Oncology | MD | $148.6K | 172.5K | $0.86 |
| Ravi Rao | Hematology-Oncology | CA | $147.2K | 168.8K | $0.87 |
| Kalust Ucar | Hematology-Oncology | CA | $146.3K | 169.5K | $0.86 |
| Paul Lin | Hematology-Oncology | FL | $145.4K | 165.0K | $0.88 |
| James Peyton | Medical Oncology | TN | $143.1K | 163.5K | $0.88 |
| Abdul Haseeb | Hematology-Oncology | CA | $140.4K | 159.8K | $0.88 |
| Aaron Flanders | Medical Oncology | SC | $136.5K | 155.3K | $0.88 |
| Ahmad El Far | Hematology-Oncology | FL | $136.4K | 156.0K | $0.87 |
| Roy Chen | Hematology-Oncology | NY | $134.9K | 156.0K | $0.86 |
| Richard Gordon | Hematology-Oncology | NJ | $131.0K | 150.0K | $0.87 |
Based on the data, CPT J1439 shows a 1.0x variation in pricing across states — relatively consistent by Medicare standards.
Costs have increased 6.1% since 2015. 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.