Cost analysis for CPT J2506 — Injection, pegfilgrastim, excludes biosimilar, 0.5 mg
Average Medicare Payment
$80.71
2023 data
Total Payments (2023)
$22.3M
Services (2023)
276.2K
Price Change (2022–2023)
-35.3%
| Year | Avg Payment | Total Payments | Services | YoY Change |
|---|---|---|---|---|
| 2022 | $124.83 | $53.9M | 430.8K | — |
| 2023 | $80.71 | $22.3M | 276.2K | -35.3% |
The most expensive state pays 1.5x more than the cheapest for this procedure. ME averages $96.44 vs AL at $66.22.
| State | Avg Payment | Total Payments | Services | Providers |
|---|---|---|---|---|
| ME | $96.44 | $31.2K | 324 | 1 |
| NE | $88.75 | $728.4K | 8.2K | 18 |
| DE | $86.83 | $51.1K | 588 | 1 |
| CO | $85.90 | $193.8K | 2.3K | 6 |
| NV | $85.79 | $111.2K | 1.3K | 4 |
| WV | $85.69 | $26.7K | 312 | 1 |
| FL | $85.17 | $497.1K | 5.8K | 12 |
| AZ | $83.32 | $526.9K | 6.3K | 18 |
| TN | $82.82 | $2.0M | 24.2K | 43 |
| WA | $82.57 | $169.4K | 2.1K | 6 |
| AK | $82.09 | $110.3K | 1.3K | 3 |
| LA | $82.04 | $191.0K | 2.3K | 5 |
| TX | $81.90 | $2.0M | 24.8K | 69 |
| MA | $81.86 | $73.7K | 900 | 1 |
| IN | $81.72 | $264.8K | 3.2K | 8 |
| SC | $81.62 | $726.8K | 8.9K | 13 |
| MD | $81.57 | $1.5M | 18.3K | 27 |
| NC | $81.51 | $182.9K | 2.2K | 3 |
| DC | $81.41 | $22.5K | 276 | 1 |
| MN | $81.33 | $548.5K | 6.7K | 16 |
| IA | $81.01 | $623.1K | 7.7K | 16 |
| VA | $80.91 | $1.1M | 13.5K | 35 |
| IL | $80.85 | $2.2M | 26.9K | 66 |
| MI | $80.24 | $362.0K | 4.5K | 13 |
| MO | $80.17 | $906.2K | 11.3K | 35 |
| NJ | $80.13 | $709.6K | 8.9K | 16 |
| MS | $80.05 | $915.5K | 11.4K | 10 |
| AR | $79.05 | $282.7K | 3.6K | 7 |
| PA | $78.83 | $549.8K | 7.0K | 14 |
| CA | $78.83 | $3.2M | 40.0K | 73 |
| NY | $78.63 | $468.7K | 6.0K | 13 |
| UT | $78.28 | $69.5K | 888 | 1 |
| OR | $77.32 | $50.1K | 648 | 2 |
| GA | $76.71 | $374.7K | 4.9K | 11 |
| OH | $75.64 | $448.5K | 5.9K | 9 |
| KS | $73.96 | $41.7K | 564 | 2 |
| WI | $70.65 | $10.2K | 144 | 1 |
| NM | $69.34 | $10.0K | 144 | 1 |
| AL | $66.22 | $125.6K | 1.9K | 5 |
| Provider | Specialty | State | Payments | Services | Avg/Service |
|---|---|---|---|---|---|
| Minal Shah | Hematology-Oncology | MD | $250.4K | 3.1K | $79.65 |
| Guangzhi Qu | Hematology-Oncology | MS | $233.5K | 3.1K | $76.30 |
| Tammy Young | Hematology-Oncology | MS | $170.3K | 2.2K | $78.39 |
| Rakesh Bagai | Hematology-Oncology | AZ | $165.6K | 1.9K | $86.78 |
| Yi Feng | Medical Oncology | TN | $134.1K | 1.7K | $79.23 |
| Mitchell Martin | Medical Oncology | TN | $131.3K | 1.5K | $86.15 |
| Nicole Cleveland | Hematology-Oncology | MS | $130.9K | 1.5K | $84.58 |
| Daniel Ibach | Hematology-Oncology | TN | $130.6K | 1.5K | $87.09 |
| Ross Kerns | Hematology-Oncology | TN | $111.1K | 1.3K | $84.93 |
| Elan Diamond | Hematology-Oncology | NJ | $109.4K | 1.3K | $82.86 |
| David Powell | Hematology-Oncology | OH | $107.7K | 1.2K | $87.93 |
| Gurdeep Chhabra | Hematology-Oncology | MD | $107.7K | 1.3K | $80.12 |
| Erin Chamberlain | Hematology-Oncology | CA | $105.8K | 1.3K | $79.33 |
| Vladimir Hugec | Hematology-Oncology | MN | $102.6K | 1.2K | $87.20 |
| John Visconti | Hematology-Oncology | IL | $100.7K | 1.2K | $81.48 |
| Elizabeth Fleming | Nurse Practitioner | NJ | $100.7K | 1.2K | $80.66 |
| Daniel Kim | Hematology-Oncology | CA | $98.7K | 1.2K | $83.08 |
| Michael Sherman | Hematology-Oncology | CA | $95.1K | 1.2K | $79.26 |
| Deepnarayan Tiwarri | Hematology-Oncology | MD | $94.1K | 1.1K | $82.58 |
| Perrie Ryan | Hematology-Oncology | SC | $93.3K | 1.1K | $84.54 |
Based on the data, CPT J2506 shows a 1.5x variation in pricing across states — moderate variation by Medicare standards.
Costs have decreased 35.3% since 2022. 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.