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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. J1561
  4. Cost Analysis

How Much Does Injection, immune globulin, (gamunex-c/gammaked), non-lyophilized (e.g., liquid), 500 mg Cost on Medicare?

Cost analysis for CPT J1561 — Injection, immune globulin, (gamunex-c/gammaked), non-lyophilized (e.g., liquid), 500 mg

Share:

Average Medicare Payment

$36.25

2023 data

Total Payments (2023)

$53.6M

Services (2023)

1.4M

Price Change (2014–2023)

+16.9%

📈 Year-over-Year Cost Trend

YearAvg PaymentTotal PaymentsServicesYoY Change
2014$31.00$24.3M782.9K—
2015$31.08$28.6M921.4K+0.3%
2016$31.69$27.0M853.8K+2.0%
2017$27.90$18.4M656.8K-12.0%
2018$30.64$46.7M1.5M+9.8%
2019$29.80$47.3M1.6M-2.7%
2020$31.79$47.6M1.5M+6.7%
2021$36.61$53.4M1.4M+15.2%
2022$34.26$47.9M1.4M-6.4%
2023$36.25$53.6M1.4M+5.8%

🗺️ State-by-State Cost Variation

The most expensive state pays 1.1x more than the cheapest for this procedure. SD averages $38.62 vs SC at $35.62.

StateAvg PaymentTotal PaymentsServicesProviders
SD$38.62$54.8K1.4K1
WI$38.41$1.1M29.2K5
AZ$38.41$2.1M54.0K2
FL$38.34$1.1M27.4K2
CO$38.26$1.6M40.6K3
TX$38.23$21.2M555.7K16
CA$38.21$3.5M91.5K25
MD$38.17$427.9K11.2K1
NC$38.14$1.7M45.6K14
AR$38.12$3.0M79.5K14
IL$38.06$318.5K8.4K2
MO$38.01$2.7M71.0K31
MN$37.99$394.6K10.4K1
IA$37.93$683.4K18.0K4
NY$37.59$8.5M225.0K36
WA$37.55$458.9K12.2K2
NJ$37.50$300.8K8.0K3
MI$37.35$745.4K20.0K1
AL$37.15$274.6K7.4K1
GA$37.01$296.9K8.0K1
OH$36.90$2.1M57.4K7
SC$35.62$1.0M28.8K7

💰 Who Bills the Most for This Procedure?

ProviderSpecialtyStatePaymentsServicesAvg/Service
Guy BurrowsNeurologyTX$10.8M282.5K$38.36
Bela AjtaiNeurologyNY$1.6M42.6K$38.19
Philip BlumNeurologyTX$1.6M42.2K$38.30
Robert ZajacInfectious DiseaseTX$1.5M38.5K$38.53
James BarryNeurologyTX$1.4M37.3K$37.94
Michael ManningAllergy/ ImmunologyAZ$1.4M35.8K$38.59
David AmranAllergy/ ImmunologyTX$942.9K24.9K$37.83
Jodie GallegosNurse PractitionerCO$897.9K23.5K$38.17
Alan MartinNeurologyTX$855.4K22.3K$38.29
Jennifer DesmondNurse PractitionerTX$784.9K20.4K$38.40
Martin BelkinNeurologyMI$745.4K20.0K$37.35
Robert GelfandHematology-OncologyNY$742.3K19.4K$38.36
Yessar HussainNeurologyTX$708.9K18.4K$38.51
Erik OrtegaNeurologyAZ$689.8K18.1K$38.07
Alan KoterbaAllergy/ ImmunologyFL$652.1K17.0K$38.34
Alyssa RehmNeurologyNY$639.3K16.8K$38.12
Jeffrey WeberGastroenterologyWI$633.1K16.4K$38.56
Ralph RoundNeurologyCO$595.9K15.5K$38.40
Armistead WilliamsNephrologyNY$577.5K15.0K$38.40
Aliya KhanRheumatologyOH$565.5K14.8K$38.25

🤔 Is Injection, immune globulin, (gamunex-c/gammaked), non-lyophilized (e.g., liquid), 500 mg Overpriced?

Based on the data, CPT J1561 shows a 1.1x variation in pricing across states — relatively consistent by Medicare standards.

Costs have increased 16.9% 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.