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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. J1568
  4. Cost Analysis

How Much Does Injection, immune globulin, (octagam), intravenous, non-lyophilized (e.g., liquid), 500 mg Cost on Medicare?

Cost analysis for CPT J1568 — Injection, immune globulin, (octagam), intravenous, non-lyophilized (e.g., liquid), 500 mg

Share:

Average Medicare Payment

$33.09

2023 data

Total Payments (2023)

$58.2M

Services (2023)

1.8M

Price Change (2014–2023)

+30.2%

📈 Year-over-Year Cost Trend

YearAvg PaymentTotal PaymentsServicesYoY Change
2014$25.41$14.0M553.7K—
2015$30.92$41.7M1.4M+21.7%
2016$31.81$64.9M2.0M+2.9%
2017$27.61$44.4M1.6M-13.2%
2018$28.51$46.1M1.6M+3.3%
2019$27.48$39.1M1.4M-3.6%
2020$31.40$64.1M2.0M+14.3%
2021$33.02$77.7M2.4M+5.2%
2022$32.62$74.2M2.3M-1.2%
2023$33.09$58.2M1.8M+1.4%

🗺️ State-by-State Cost Variation

The most expensive state pays 1.2x more than the cheapest for this procedure. CT averages $34.81 vs NV at $29.50.

StateAvg PaymentTotal PaymentsServicesProviders
CT$34.81$53.6K1.5K1
SD$34.31$31.9K9301
KS$33.79$1.5M45.8K12
WA$33.66$761.8K22.6K5
CO$33.63$3.2M96.5K32
LA$33.63$218.7K6.5K1
ND$33.63$260.9K7.8K1
OR$33.63$113.3K3.4K1
MO$33.60$518.8K15.4K5
NC$33.60$276.5K8.2K2
MI$33.58$465.1K13.8K2
VA$33.52$2.8M83.0K34
AZ$33.50$738.4K22.0K9
PA$33.50$730.1K21.8K10
MA$33.49$80.4K2.4K1
CA$33.43$1.7M50.1K21
NY$33.42$3.4M101.8K30
SC$33.41$775.5K23.2K5
MD$33.35$1.7M50.8K14
FL$33.30$2.3M69.6K15
TX$33.27$10.7M321.0K77
TN$33.18$3.9M117.9K10
IN$33.13$390.0K11.8K4
IL$32.89$678.1K20.6K7
AL$32.88$10.8M327.0K34
MS$32.83$2.0M60.0K5
ME$32.81$43.6K1.3K1
NJ$32.58$3.1M95.6K7
DE$32.52$586.7K18.0K4
GA$32.48$339.8K10.5K3
MN$32.14$850.2K26.5K6
OH$29.79$1.0M34.5K8
NV$29.50$2.1M72.4K13

💰 Who Bills the Most for This Procedure?

ProviderSpecialtyStatePaymentsServicesAvg/Service
Luigi BertoliHematology-OncologyAL$2.6M79.6K$32.93
Manish ViradiaNeurologyNJ$2.1M64.6K$32.02
Guangzhi QuHematology-OncologyMS$1.2M37.7K$32.87
James BartonHematology-OncologyAL$1.1M33.8K$32.58
Robert BerrymanMedical OncologyTX$1.1M31.8K$33.48
Nathaniel WhaleyNeurologyTN$835.3K24.9K$33.49
James WangNeurologyTN$729.8K21.8K$33.54
Philip BlumNeurologyTX$659.9K19.8K$33.33
Christopher LagankeNeurologyAL$618.6K18.7K$33.06
Rada Petrinjac-NenadicNeurologyTN$551.1K16.8K$32.90
Pawan RawalNeurologyTN$541.3K16.3K$33.29
Joanne RossmanHematology-OncologyAL$525.1K16.3K$32.25
Sreedevi DaggubatiHematologyTX$515.5K15.8K$32.71
Tulio BertoriniNeurologyTN$515.4K15.3K$33.71
Ahmad Al-HamdaPediatric MedicineAL$467.1K14.1K$33.24
John WaplesHematology-OncologyAL$461.1K14.0K$32.96
Ruben NiesvizkyMedical OncologyNY$455.5K13.3K$34.14
Elquis CastilloMedical OncologyAL$437.0K13.5K$32.49
William IrrNeurologyTX$407.0K12.1K$33.53
Khaleel AshrafHematology-OncologyAL$404.9K12.1K$33.44

🤔 Is Injection, immune globulin, (octagam), intravenous, non-lyophilized (e.g., liquid), 500 mg Overpriced?

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.

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.