Cost analysis for CPT J2350 — Injection, ocrelizumab, 1 mg
Average Medicare Payment
$42.92
2023 data
Total Payments (2023)
$76.8M
Services (2023)
1.8M
Price Change (2018–2023)
+6.2%
| Year | Avg Payment | Total Payments | Services | YoY Change |
|---|---|---|---|---|
| 2018 | $40.42 | $45.2M | 1.1M | — |
| 2019 | $39.21 | $65.1M | 1.6M | -3.0% |
| 2020 | $39.45 | $66.6M | 1.6M | +0.6% |
| 2021 | $41.01 | $76.1M | 1.8M | +4.0% |
| 2022 | $41.08 | $78.2M | 1.8M | +0.2% |
| 2023 | $42.92 | $76.8M | 1.8M | +4.5% |
The most expensive state pays 1.3x more than the cheapest for this procedure. NJ averages $47.13 vs TX at $36.91.
| State | Avg Payment | Total Payments | Services | Providers |
|---|---|---|---|---|
| NJ | $47.13 | $3.0M | 63.4K | 3 |
| NV | $47.13 | $919.0K | 19.5K | 1 |
| MO | $47.09 | $424.2K | 9.0K | 1 |
| WY | $47.06 | $917.7K | 19.5K | 1 |
| IN | $47.02 | $1.3M | 28.5K | 3 |
| CA | $46.91 | $957.0K | 20.4K | 2 |
| NY | $45.97 | $7.2M | 156.3K | 5 |
| WI | $45.72 | $1.7M | 37.8K | 3 |
| MN | $45.65 | $5.2M | 114.3K | 5 |
| CO | $45.56 | $1.4M | 30.0K | 2 |
| FL | $45.47 | $4.8M | 105.3K | 5 |
| PA | $45.27 | $692.7K | 15.3K | 2 |
| MD | $44.52 | $4.4M | 99.0K | 3 |
| VA | $44.10 | $5.5M | 123.9K | 3 |
| AL | $43.62 | $1.2M | 27.0K | 1 |
| ID | $43.60 | $575.6K | 13.2K | 1 |
| OK | $43.56 | $3.0M | 68.4K | 4 |
| IL | $43.37 | $2.7M | 62.1K | 4 |
| MA | $43.15 | $3.7M | 85.2K | 3 |
| AR | $43.10 | $620.6K | 14.4K | 1 |
| TN | $43.05 | $1.8M | 42.3K | 3 |
| OR | $42.94 | $1.2M | 28.2K | 2 |
| OH | $42.62 | $5.1M | 119.1K | 10 |
| SC | $42.53 | $3.8M | 90.0K | 7 |
| AZ | $42.23 | $1.7M | 40.8K | 2 |
| MI | $41.71 | $2.3M | 54.0K | 1 |
| GA | $40.22 | $1.3M | 32.4K | 2 |
| UT | $39.91 | $886.3K | 22.2K | 4 |
| NC | $38.68 | $4.5M | 115.2K | 10 |
| TX | $36.91 | $4.1M | 110.4K | 11 |
| Provider | Specialty | State | Payments | Services | Avg/Service |
|---|---|---|---|---|---|
| Armistead Williams | Nephrology | NY | $4.6M | 100.8K | $45.74 |
| Daniel Becker | Neurology | MD | $3.7M | 84.0K | $44.36 |
| James Simsarian | Neurology | VA | $3.6M | 80.7K | $44.69 |
| Martin Belkin | Neurology | MI | $2.3M | 54.0K | $41.71 |
| Jessica Stulc | Neurology | MN | $1.8M | 39.6K | $45.20 |
| Joshua Katz | Neurology | MA | $1.8M | 37.8K | $46.58 |
| Mark Cascione | Neurology | FL | $1.7M | 36.6K | $46.20 |
| Steven Bromley | Neurology | NJ | $1.6M | 34.5K | $46.98 |
| Salvatore Napoli | Neurology | MA | $1.3M | 33.6K | $39.93 |
| Jeffrey Gitt | Neurology | AZ | $1.2M | 28.8K | $41.07 |
| Christopher Laganke | Neurology | AL | $1.2M | 27.0K | $43.62 |
| Matthew Baker | Neurology | FL | $1.1M | 24.0K | $46.96 |
| Robert Brennan | Infectious Disease | VA | $1.1M | 25.2K | $43.21 |
| Ceiara Burchett | Nurse Practitioner | OK | $1.1M | 25.8K | $41.68 |
| Bela Ajtai | Neurology | NY | $1.0M | 22.8K | $45.65 |
| Gabriel Pardo | Neurology | OK | $1.0M | 24.0K | $42.85 |
| David Gelber | Neurology | IL | $1.0M | 22.8K | $44.56 |
| Krzysztof Romanowski | Neurology | SC | $973.6K | 23.1K | $42.15 |
| Kristi Hunter | Family Practice | GA | $967.1K | 25.2K | $38.38 |
| Timothy Carrabine | Internal Medicine | OH | $941.8K | 22.2K | $42.42 |
Based on the data, CPT J2350 shows a 1.3x variation in pricing across states — relatively consistent by Medicare standards.
Costs have increased 6.2% since 2018. 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.