Cost analysis for CPT J1568 — Injection, immune globulin, (octagam), intravenous, non-lyophilized (e.g., liquid), 500 mg
Average Medicare Payment
$33.09
2023 data
Total Payments (2023)
$58.2M
Services (2023)
1.8M
Price Change (2014–2023)
+30.2%
| Year | Avg Payment | Total Payments | Services | YoY Change |
|---|---|---|---|---|
| 2014 | $25.41 | $14.0M | 553.7K | — |
| 2015 | $30.92 | $41.7M | 1.4M | +21.7% |
| 2016 | $31.81 | $64.9M | 2.0M | +2.9% |
| 2017 | $27.61 | $44.4M | 1.6M | -13.2% |
| 2018 | $28.51 | $46.1M | 1.6M | +3.3% |
| 2019 | $27.48 | $39.1M | 1.4M | -3.6% |
| 2020 | $31.40 | $64.1M | 2.0M | +14.3% |
| 2021 | $33.02 | $77.7M | 2.4M | +5.2% |
| 2022 | $32.62 | $74.2M | 2.3M | -1.2% |
| 2023 | $33.09 | $58.2M | 1.8M | +1.4% |
The most expensive state pays 1.2x more than the cheapest for this procedure. CT averages $34.81 vs NV at $29.50.
| State | Avg Payment | Total Payments | Services | Providers |
|---|---|---|---|---|
| CT | $34.81 | $53.6K | 1.5K | 1 |
| SD | $34.31 | $31.9K | 930 | 1 |
| KS | $33.79 | $1.5M | 45.8K | 12 |
| WA | $33.66 | $761.8K | 22.6K | 5 |
| CO | $33.63 | $3.2M | 96.5K | 32 |
| LA | $33.63 | $218.7K | 6.5K | 1 |
| ND | $33.63 | $260.9K | 7.8K | 1 |
| OR | $33.63 | $113.3K | 3.4K | 1 |
| MO | $33.60 | $518.8K | 15.4K | 5 |
| NC | $33.60 | $276.5K | 8.2K | 2 |
| MI | $33.58 | $465.1K | 13.8K | 2 |
| VA | $33.52 | $2.8M | 83.0K | 34 |
| AZ | $33.50 | $738.4K | 22.0K | 9 |
| PA | $33.50 | $730.1K | 21.8K | 10 |
| MA | $33.49 | $80.4K | 2.4K | 1 |
| CA | $33.43 | $1.7M | 50.1K | 21 |
| NY | $33.42 | $3.4M | 101.8K | 30 |
| SC | $33.41 | $775.5K | 23.2K | 5 |
| MD | $33.35 | $1.7M | 50.8K | 14 |
| FL | $33.30 | $2.3M | 69.6K | 15 |
| TX | $33.27 | $10.7M | 321.0K | 77 |
| TN | $33.18 | $3.9M | 117.9K | 10 |
| IN | $33.13 | $390.0K | 11.8K | 4 |
| IL | $32.89 | $678.1K | 20.6K | 7 |
| AL | $32.88 | $10.8M | 327.0K | 34 |
| MS | $32.83 | $2.0M | 60.0K | 5 |
| ME | $32.81 | $43.6K | 1.3K | 1 |
| NJ | $32.58 | $3.1M | 95.6K | 7 |
| DE | $32.52 | $586.7K | 18.0K | 4 |
| GA | $32.48 | $339.8K | 10.5K | 3 |
| MN | $32.14 | $850.2K | 26.5K | 6 |
| OH | $29.79 | $1.0M | 34.5K | 8 |
| NV | $29.50 | $2.1M | 72.4K | 13 |
| Provider | Specialty | State | Payments | Services | Avg/Service |
|---|---|---|---|---|---|
| Luigi Bertoli | Hematology-Oncology | AL | $2.6M | 79.6K | $32.93 |
| Manish Viradia | Neurology | NJ | $2.1M | 64.6K | $32.02 |
| Guangzhi Qu | Hematology-Oncology | MS | $1.2M | 37.7K | $32.87 |
| James Barton | Hematology-Oncology | AL | $1.1M | 33.8K | $32.58 |
| Robert Berryman | Medical Oncology | TX | $1.1M | 31.8K | $33.48 |
| Nathaniel Whaley | Neurology | TN | $835.3K | 24.9K | $33.49 |
| James Wang | Neurology | TN | $729.8K | 21.8K | $33.54 |
| Philip Blum | Neurology | TX | $659.9K | 19.8K | $33.33 |
| Christopher Laganke | Neurology | AL | $618.6K | 18.7K | $33.06 |
| Rada Petrinjac-Nenadic | Neurology | TN | $551.1K | 16.8K | $32.90 |
| Pawan Rawal | Neurology | TN | $541.3K | 16.3K | $33.29 |
| Joanne Rossman | Hematology-Oncology | AL | $525.1K | 16.3K | $32.25 |
| Sreedevi Daggubati | Hematology | TX | $515.5K | 15.8K | $32.71 |
| Tulio Bertorini | Neurology | TN | $515.4K | 15.3K | $33.71 |
| Ahmad Al-Hamda | Pediatric Medicine | AL | $467.1K | 14.1K | $33.24 |
| John Waples | Hematology-Oncology | AL | $461.1K | 14.0K | $32.96 |
| Ruben Niesvizky | Medical Oncology | NY | $455.5K | 13.3K | $34.14 |
| Elquis Castillo | Medical Oncology | AL | $437.0K | 13.5K | $32.49 |
| William Irr | Neurology | TX | $407.0K | 12.1K | $33.53 |
| Khaleel Ashraf | Hematology-Oncology | AL | $404.9K | 12.1K | $33.44 |
Based on the data, CPT J1568 shows a 1.2x variation in pricing across states — relatively consistent by Medicare standards.
Costs have increased 30.2% 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.
Note: All data is from publicly available Medicare records. OpenMedicare is an independent journalism project not affiliated with CMS.