Cost analysis for CPT J1745 — Injection, infliximab, excludes biosimilar, 10 mg
Average Medicare Payment
N/A
Total Payments (Latest)
N/A
Services (Latest)
N/A
Price Change (–)
N/A
The most expensive state pays 1.0x more than the cheapest for this procedure. SD averages $26.29 vs NH at $25.08.
| State | Avg Payment | Total Payments | Services | Providers |
|---|---|---|---|---|
| SD | $26.29 | $485.9K | 18.5K | 5 |
| MS | $26.25 | $1.7M | 66.7K | 20 |
| ME | $26.19 | $364.1K | 13.9K | 3 |
| MI | $26.16 | $1.5M | 59.1K | 20 |
| FL | $26.16 | $9.8M | 374.3K | 121 |
| NY | $26.13 | $6.2M | 237.5K | 50 |
| AR | $26.10 | $921.1K | 35.3K | 9 |
| MD | $26.09 | $4.8M | 183.7K | 44 |
| IA | $26.08 | $1.9M | 74.3K | 21 |
| ID | $26.08 | $787.6K | 30.2K | 4 |
| AK | $26.03 | $705.0K | 27.1K | 3 |
| RI | $26.02 | $260.0K | 10.0K | 4 |
| NE | $26.02 | $2.7M | 102.1K | 37 |
| VA | $26.01 | $5.8M | 223.1K | 29 |
| IL | $26.01 | $5.4M | 209.4K | 64 |
| OH | $26.00 | $5.3M | 204.0K | 38 |
| NC | $26.00 | $8.9M | 343.0K | 76 |
| MT | $26.00 | $367.4K | 14.1K | 3 |
| IN | $25.97 | $2.3M | 87.3K | 19 |
| KS | $25.95 | $2.0M | 78.4K | 21 |
| AL | $25.93 | $2.8M | 107.5K | 26 |
| WA | $25.93 | $5.0M | 193.5K | 45 |
| UT | $25.91 | $959.9K | 37.1K | 7 |
| CO | $25.90 | $4.0M | 153.7K | 36 |
| NV | $25.89 | $463.8K | 17.9K | 2 |
| LA | $25.89 | $640.2K | 24.7K | 8 |
| DC | $25.87 | $52.3K | 2.0K | 2 |
| PA | $25.86 | $8.9M | 343.8K | 77 |
| WI | $25.85 | $2.5M | 98.0K | 15 |
| MN | $25.84 | $4.3M | 166.2K | 56 |
| AZ | $25.79 | $3.9M | 153.0K | 38 |
| OR | $25.79 | $2.3M | 89.4K | 20 |
| CT | $25.78 | $700.4K | 27.2K | 11 |
| SC | $25.77 | $5.0M | 195.2K | 47 |
| TX | $25.76 | $9.6M | 372.8K | 106 |
| TN | $25.73 | $4.8M | 185.5K | 41 |
| NJ | $25.70 | $3.8M | 148.8K | 29 |
| MO | $25.69 | $4.5M | 174.7K | 38 |
| DE | $25.67 | $1.2M | 47.1K | 9 |
| NM | $25.61 | $178.0K | 7.0K | 4 |
| OK | $25.61 | $4.4M | 170.7K | 14 |
| GA | $25.60 | $2.4M | 94.3K | 25 |
| KY | $25.58 | $1.0M | 40.2K | 11 |
| HI | $25.54 | $129.2K | 5.1K | 1 |
| CA | $25.36 | $6.7M | 262.7K | 69 |
| ND | $25.24 | $38.1K | 1.5K | 1 |
| MA | $25.19 | $1.8M | 71.1K | 15 |
| NH | $25.08 | $392.8K | 15.7K | 8 |
| Provider | Specialty | State | Payments | Services | Avg/Service |
|---|---|---|---|---|---|
| Craig Carson | Rheumatology | OK | $1.5M | 60.8K | $25.39 |
| Stephen Soloway | Rheumatology | NJ | $978.5K | 37.8K | $25.88 |
| Robert Lagrone | Rheumatology | TN | $798.2K | 30.5K | $26.14 |
| Ana Kumar | Rheumatology | OK | $771.8K | 30.2K | $25.60 |
| Nehal Gandhi | Rheumatology | PA | $740.2K | 29.1K | $25.45 |
| Ramzi Khairallah | Rheumatology | NY | $696.8K | 26.7K | $26.14 |
| Keshav Panday | Rheumatology | OK | $670.3K | 26.2K | $25.59 |
| Robert Brennan | Infectious Disease | VA | $654.3K | 26.0K | $25.13 |
| Joy Schechtman | Rheumatology | AZ | $635.7K | 24.9K | $25.52 |
| Howard Hauptman | Rheumatology | MD | $623.7K | 24.1K | $25.90 |
| Elena Flagg | Rheumatology | VA | $613.9K | 23.4K | $26.26 |
| Laila Rahbar | Rheumatology | VA | $609.6K | 23.2K | $26.26 |
| Daniel Watrous | Rheumatology | CA | $604.3K | 23.0K | $26.31 |
| Akgun Ince | Rheumatology | MO | $566.5K | 21.8K | $25.99 |
| Michael Joseph | Rheumatology | MO | $566.0K | 21.5K | $26.36 |
| Michael Strachan | Rheumatology | VA | $546.2K | 20.8K | $26.32 |
| May Azem | Rheumatology | OH | $529.7K | 20.3K | $26.15 |
| Michael Thakor | Rheumatology | CO | $492.2K | 18.9K | $26.07 |
| John Botson | Rheumatology | AK | $468.1K | 18.1K | $25.91 |
| John Albert | Rheumatology | WI | $446.8K | 17.1K | $26.17 |
Based on the data, CPT J1745 shows a 1.0x 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.