Cost analysis for CPT J2323 — Injection, natalizumab, 1 mg
Average Medicare Payment
$18.09
2023 data
Total Payments (2023)
$20.6M
Services (2023)
1.1M
Price Change (2014–2023)
+69.7%
| Year | Avg Payment | Total Payments | Services | YoY Change |
|---|---|---|---|---|
| 2014 | $10.66 | $42.6M | 4.0M | — |
| 2015 | $11.92 | $46.7M | 3.9M | +11.8% |
| 2016 | $12.97 | $44.7M | 3.5M | +8.8% |
| 2017 | $14.06 | $37.6M | 2.7M | +8.4% |
| 2018 | $14.59 | $29.9M | 2.1M | +3.8% |
| 2019 | $14.63 | $30.2M | 2.1M | +0.3% |
| 2020 | $15.66 | $29.4M | 1.9M | +7.0% |
| 2021 | $17.14 | $28.4M | 1.6M | +9.5% |
| 2022 | $17.65 | $25.8M | 1.4M | +3.0% |
| 2023 | $18.09 | $20.6M | 1.1M | +2.5% |
The most expensive state pays 1.2x more than the cheapest for this procedure. CA averages $19.02 vs AZ at $16.03.
| State | Avg Payment | Total Payments | Services | Providers |
|---|---|---|---|---|
| CA | $19.02 | $570.7K | 30.0K | 2 |
| NC | $18.91 | $1.9M | 99.6K | 11 |
| VA | $18.90 | $1.0M | 53.7K | 1 |
| NY | $18.17 | $5.1M | 278.6K | 8 |
| AL | $18.09 | $2.4M | 130.2K | 1 |
| MN | $18.06 | $265.5K | 14.7K | 1 |
| MA | $17.88 | $344.4K | 19.3K | 1 |
| UT | $17.80 | $3.7M | 208.3K | 5 |
| OH | $17.74 | $1.2M | 65.1K | 2 |
| MI | $17.50 | $1.3M | 72.3K | 1 |
| SC | $17.37 | $635.6K | 36.6K | 3 |
| TX | $17.16 | $2.0M | 118.2K | 3 |
| AZ | $16.03 | $355.8K | 22.2K | 1 |
| Provider | Specialty | State | Payments | Services | Avg/Service |
|---|---|---|---|---|---|
| Christopher Laganke | Neurology | AL | $2.4M | 130.2K | $18.09 |
| Martin Belkin | Neurology | MI | $1.3M | 72.3K | $17.50 |
| Vincent Macaluso | Neurology | NY | $1.3M | 67.2K | $18.79 |
| Diana Banks | Neurology | UT | $1.2M | 66.0K | $17.82 |
| Heidi Crayton | Neurology | VA | $1.0M | 53.7K | $18.90 |
| Mark Gudesblatt | Neurology | NY | $966.0K | 52.0K | $18.57 |
| April Erwin | Neurology | UT | $940.2K | 50.7K | $18.54 |
| Armistead Williams | Nephrology | NY | $921.1K | 52.2K | $17.65 |
| Timothy Carrabine | Internal Medicine | OH | $836.5K | 48.3K | $17.32 |
| Sean Milligan | Neurology | TX | $829.2K | 46.2K | $17.95 |
| Fara Stricker | Nurse Practitioner | NY | $793.8K | 46.2K | $17.18 |
| Danny Bartel | Neurology | TX | $748.4K | 39.6K | $18.90 |
| John Foley | Neurology | UT | $568.1K | 32.1K | $17.68 |
| Timothy West | Neurology | UT | $522.2K | 30.3K | $17.23 |
| Regina Berkovich | Neurology | CA | $513.5K | 27.0K | $19.02 |
| Viktoria Kaplan | Neurology | UT | $501.3K | 29.1K | $17.22 |
| James Barry | Neurology | TX | $450.6K | 32.4K | $13.91 |
| Krzysztof Romanowski | Neurology | SC | $370.1K | 21.0K | $17.62 |
| Venise Cameron | Nurse Practitioner | NY | $361.0K | 19.8K | $18.23 |
| Jeffrey Gitt | Neurology | AZ | $355.8K | 22.2K | $16.03 |
Based on the data, CPT J2323 shows a 1.2x variation in pricing across states — relatively consistent by Medicare standards.
Costs have increased 69.7% 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.