Cost analysis for CPT J1602 — Injection, golimumab, 1 mg, for intravenous use
Average Medicare Payment
N/A
Total Payments (Latest)
N/A
Services (Latest)
N/A
Price Change (–)
N/A
The most expensive state pays 1.3x more than the cheapest for this procedure. NH averages $10.57 vs HI at $8.21.
| State | Avg Payment | Total Payments | Services | Providers |
|---|---|---|---|---|
| NH | $10.57 | $81.4K | 7.7K | 1 |
| AK | $10.56 | $106.1K | 10.0K | 1 |
| WV | $10.55 | $405.7K | 38.5K | 3 |
| ME | $10.51 | $817.3K | 77.8K | 5 |
| MS | $10.50 | $2.7M | 253.0K | 10 |
| MT | $10.50 | $1.4M | 136.9K | 5 |
| MN | $10.49 | $1.9M | 181.3K | 17 |
| WA | $10.49 | $3.1M | 296.3K | 23 |
| IA | $10.47 | $2.0M | 190.7K | 13 |
| SD | $10.47 | $567.4K | 54.2K | 3 |
| NV | $10.47 | $365.9K | 35.0K | 3 |
| PA | $10.46 | $10.5M | 1.0M | 58 |
| VA | $10.45 | $3.9M | 371.9K | 22 |
| NC | $10.45 | $11.8M | 1.1M | 67 |
| RI | $10.45 | $280.3K | 26.8K | 2 |
| MO | $10.45 | $6.4M | 612.9K | 24 |
| OR | $10.44 | $3.8M | 359.4K | 24 |
| IL | $10.44 | $5.9M | 562.7K | 40 |
| NE | $10.44 | $612.2K | 58.7K | 3 |
| KS | $10.43 | $3.0M | 289.3K | 18 |
| AZ | $10.42 | $8.2M | 788.5K | 26 |
| CT | $10.42 | $1.4M | 136.3K | 7 |
| NJ | $10.42 | $6.3M | 604.3K | 38 |
| NM | $10.42 | $662.1K | 63.6K | 5 |
| LA | $10.41 | $7.4M | 708.2K | 14 |
| AR | $10.41 | $2.6M | 249.3K | 14 |
| FL | $10.41 | $16.1M | 1.5M | 87 |
| MA | $10.40 | $2.2M | 215.3K | 14 |
| ID | $10.40 | $2.1M | 205.2K | 8 |
| NY | $10.39 | $4.1M | 397.8K | 31 |
| AL | $10.39 | $3.8M | 364.8K | 20 |
| UT | $10.38 | $637.4K | 61.4K | 5 |
| OK | $10.38 | $7.0M | 675.4K | 17 |
| TN | $10.38 | $6.6M | 636.8K | 30 |
| GA | $10.37 | $6.5M | 624.9K | 27 |
| SC | $10.37 | $10.1M | 969.1K | 38 |
| IN | $10.37 | $2.8M | 274.0K | 17 |
| WI | $10.37 | $2.7M | 258.7K | 13 |
| TX | $10.37 | $15.6M | 1.5M | 85 |
| OH | $10.35 | $5.4M | 518.0K | 32 |
| CA | $10.35 | $11.2M | 1.1M | 67 |
| MD | $10.35 | $2.9M | 278.2K | 28 |
| MI | $10.34 | $3.7M | 356.2K | 24 |
| DE | $10.28 | $1.4M | 139.4K | 6 |
| KY | $10.26 | $2.8M | 276.1K | 20 |
| CO | $10.22 | $2.5M | 245.1K | 23 |
| DC | $10.16 | $78.5K | 7.7K | 1 |
| HI | $8.21 | $124.4K | 15.2K | 2 |
| Provider | Specialty | State | Payments | Services | Avg/Service |
|---|---|---|---|---|---|
| Aaron Broadwell | Rheumatology | LA | $2.2M | 209.8K | $10.43 |
| Craig Carson | Rheumatology | OK | $2.0M | 192.6K | $10.39 |
| Larry Broadwell | Rheumatology | LA | $1.8M | 177.4K | $10.37 |
| Steven Baak | Rheumatology | MO | $1.5M | 144.1K | $10.51 |
| Joy Schechtman | Rheumatology | AZ | $1.0M | 99.9K | $10.36 |
| Ananda Walaliyadda | Rheumatology | ID | $964.5K | 92.1K | $10.47 |
| Chacko Alappatt | Rheumatology | OH | $896.6K | 87.3K | $10.27 |
| Erin Shiner | Rheumatology | TX | $887.8K | 87.4K | $10.16 |
| Thaila Ramanujam | Rheumatology | CA | $853.0K | 82.3K | $10.37 |
| Sona Kamat | Internal Medicine | MO | $844.3K | 82.2K | $10.27 |
| Gnanesh Patel | Rheumatology | PA | $807.2K | 77.4K | $10.43 |
| Amanda Fowler | Rheumatology | MS | $782.1K | 74.0K | $10.57 |
| Daniel Watrous | Rheumatology | CA | $769.7K | 73.9K | $10.42 |
| Aymen Kenawy | Rheumatology | FL | $731.4K | 72.0K | $10.17 |
| Charles Degenhardt | Rheumatology | GA | $710.2K | 68.2K | $10.42 |
| Debbie Foley | Rheumatology | OK | $704.4K | 67.3K | $10.47 |
| Areena Swarup | Rheumatology | AZ | $683.7K | 64.9K | $10.53 |
| Latisha Heinlen | Rheumatology | OK | $678.6K | 66.0K | $10.28 |
| Dean Stephens | Rheumatology | GA | $675.6K | 66.3K | $10.19 |
| Ana Kumar | Rheumatology | OK | $670.3K | 65.7K | $10.20 |
Based on the data, CPT J1602 shows a 1.3x variation in pricing across states — relatively consistent by Medicare standards.
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.