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Data Sources: Centers for Medicare & Medicaid Services (CMS), Medicare Provider Utilization and Payment Data
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Methodology•Download Data
  1. Home
  2. Procedures
  3. J1569
  4. Cost Analysis

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

Cost analysis for CPT J1569 — Injection, immune globulin, (gammagard liquid), non-lyophilized, (e.g., liquid), 500 mg

Share:

Average Medicare Payment

$35.43

2023 data

Total Payments (2023)

$98.1M

Services (2023)

2.8M

Price Change (2014–2023)

+16.2%

📈 Year-over-Year Cost Trend

YearAvg PaymentTotal PaymentsServicesYoY Change
2014$30.48$16.9M554.2K—
2015$30.05$14.9M496.2K-1.4%
2016$30.10$15.1M506.1K+0.2%
2017$31.04$33.9M1.1M+3.1%
2018$32.68$46.7M1.4M+5.3%
2019$31.42$62.4M2.0M-3.9%
2020$32.16$64.9M2.0M+2.4%
2021$35.87$68.6M1.9M+11.5%
2022$35.47$72.7M2.0M-1.1%
2023$35.43$98.1M2.8M-0.1%

🗺️ State-by-State Cost Variation

The most expensive state pays 1.0x more than the cheapest for this procedure. NM averages $35.90 vs MN at $34.88.

StateAvg PaymentTotal PaymentsServicesProviders
NM$35.90$102.7K2.9K2
LA$35.83$190.4K5.3K1
CO$35.80$131.1K3.7K1
VT$35.79$147.8K4.1K1
CA$35.78$11.5M322.3K38
NC$35.77$1.8M51.2K14
NJ$35.76$1.3M37.3K12
ME$35.75$869.5K24.3K6
MD$35.74$1.8M51.1K9
KS$35.73$979.6K27.4K5
FL$35.71$23.3M651.2K132
CT$35.70$568.0K15.9K3
IN$35.68$79.9K2.2K1
NE$35.67$2.0M56.6K9
GA$35.67$950.5K26.6K4
AZ$35.65$3.2M91.1K40
ID$35.63$213.4K6.0K1
IA$35.60$1.5M41.3K11
OH$35.58$3.5M97.4K17
TX$35.56$9.6M269.2K22
VA$35.55$3.4M95.4K25
WI$35.55$605.5K17.0K3
IL$35.52$6.4M181.2K45
SC$35.52$3.2M90.9K20
MI$35.52$2.2M61.1K11
AL$35.49$1.8M50.5K10
AR$35.46$1.6M44.1K13
PA$35.44$2.2M60.7K9
TN$35.42$4.7M133.5K27
MO$35.33$2.2M63.0K13
NY$34.98$2.2M64.0K8
OK$34.97$1.9M53.9K15
MN$34.88$1.9M55.0K14

💰 Who Bills the Most for This Procedure?

ProviderSpecialtyStatePaymentsServicesAvg/Service
Igor CherchesNeurologyTX$5.8M160.9K$35.75
Dale ProkupekGastroenterologyCA$1.7M48.0K$35.89
Dignity HealthPharmacyCA$1.5M42.2K$35.76
Natan ShaoulianNeurologyCA$1.3M34.8K$36.27
Pantelis PavlakisNeurologyNY$1.0M29.3K$34.74
Raam SambandamNeurologyFL$986.5K27.6K$35.70
Stephanie MeltonNurse PractitionerOH$776.7K21.7K$35.76
Andrew GordonNeurologyIL$756.8K21.6K$35.02
Jennifer DouglasPhysician AssistantSC$725.1K20.2K$35.83
Thu TranNurse PractitionerCA$709.4K19.9K$35.70
Ralph BocciaHematology-OncologyMD$672.5K18.8K$35.76
Stefano TarantoloMedical OncologyNE$609.2K17.1K$35.60
Andrea GillonNurse PractitionerMI$594.2K16.7K$35.64
Angela HightowerNurse PractitionerTN$561.6K15.7K$35.77
Hyatt DegreenMedical OncologyPA$536.0K15.0K$35.74
Cheryl McdonaldInfectious DiseaseTX$533.5K14.9K$35.71
Abbas MehdiNeurologyCA$531.8K15.0K$35.52
Dexter EstradaHematology-OncologyCA$518.3K14.5K$35.80
Gadi AvshalomovAllergy/ ImmunologyNY$493.6K13.7K$36.03
Richard FurieRheumatologyNY$489.4K13.7K$35.72

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

Based on the data, CPT J1569 shows a 1.0x variation in pricing across states — relatively consistent by Medicare standards.

Costs have increased 16.2% 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.