Cost analysis for CPT J2778 — Injection, ranibizumab, 0.1 mg
Average Medicare Payment
$180.17
2023 data
Total Payments (2023)
$281.8M
Services (2023)
1.6M
Price Change (2014–2023)
-41.6%
| Year | Avg Payment | Total Payments | Services | YoY Change |
|---|---|---|---|---|
| 2014 | $308.60 | $1.0B | 3.2M | — |
| 2015 | $306.25 | $859.2M | 2.8M | -0.8% |
| 2016 | $299.22 | $777.6M | 2.6M | -2.3% |
| 2017 | $294.70 | $777.7M | 2.6M | -1.5% |
| 2018 | $292.97 | $920.6M | 3.1M | -0.6% |
| 2019 | $279.35 | $961.1M | 3.4M | -4.6% |
| 2020 | $265.57 | $846.0M | 3.2M | -4.9% |
| 2021 | $251.48 | $797.3M | 3.2M | -5.3% |
| 2022 | $221.46 | $597.5M | 2.7M | -11.9% |
| 2023 | $180.17 | $281.8M | 1.6M | -18.6% |
The most expensive state pays 1.2x more than the cheapest for this procedure. PA averages $185.86 vs VI at $154.74.
| State | Avg Payment | Total Payments | Services | Providers |
|---|---|---|---|---|
| PA | $185.86 | $29.2M | 157.1K | 70 |
| DC | $183.82 | $82.0K | 446 | 2 |
| NJ | $183.62 | $10.1M | 55.1K | 42 |
| MN | $183.37 | $2.3M | 12.5K | 19 |
| HI | $182.13 | $312.7K | 1.7K | 3 |
| VA | $182.05 | $6.0M | 33.0K | 35 |
| AZ | $181.96 | $5.5M | 30.5K | 28 |
| OK | $181.94 | $1.2M | 6.7K | 7 |
| MD | $181.84 | $11.0M | 60.6K | 53 |
| KY | $181.79 | $2.4M | 13.1K | 16 |
| OH | $181.70 | $1.2M | 6.4K | 16 |
| NH | $181.68 | $408.2K | 2.2K | 2 |
| SD | $181.51 | $491.9K | 2.7K | 4 |
| FL | $181.38 | $25.7M | 142.0K | 110 |
| NY | $181.29 | $9.3M | 51.5K | 71 |
| MO | $181.17 | $4.7M | 25.9K | 23 |
| UT | $181.15 | $2.5M | 13.6K | 11 |
| MA | $181.15 | $5.8M | 32.1K | 29 |
| WA | $181.02 | $3.2M | 17.5K | 27 |
| CA | $180.87 | $25.1M | 138.7K | 128 |
| CT | $180.85 | $1.8M | 9.8K | 15 |
| WI | $180.67 | $918.3K | 5.1K | 7 |
| SC | $180.55 | $9.4M | 52.3K | 28 |
| MI | $180.51 | $11.3M | 62.6K | 47 |
| NC | $180.50 | $9.3M | 51.5K | 46 |
| WY | $180.12 | $674.7K | 3.7K | 1 |
| KS | $180.10 | $5.7M | 31.4K | 19 |
| IA | $180.10 | $4.9M | 27.4K | 19 |
| OR | $180.08 | $1.8M | 9.7K | 20 |
| NM | $179.97 | $2.7M | 15.1K | 11 |
| NE | $179.86 | $1.7M | 9.2K | 12 |
| CO | $179.77 | $4.2M | 23.3K | 21 |
| VT | $179.68 | $80.9K | 450 | 1 |
| IN | $179.63 | $2.0M | 10.9K | 13 |
| TX | $179.61 | $29.0M | 161.5K | 84 |
| TN | $179.45 | $15.5M | 86.7K | 42 |
| ND | $179.05 | $242.8K | 1.4K | 2 |
| IL | $178.88 | $4.9M | 27.6K | 23 |
| AR | $178.74 | $1.4M | 8.1K | 17 |
| WV | $178.65 | $297.1K | 1.7K | 4 |
| ME | $178.61 | $1.1M | 6.1K | 7 |
| GA | $178.57 | $7.7M | 43.3K | 27 |
| MS | $178.45 | $11.4M | 63.9K | 9 |
| ID | $178.33 | $2.1M | 11.9K | 6 |
| DE | $177.97 | $809.4K | 4.5K | 2 |
| AL | $177.83 | $629.0K | 3.5K | 9 |
| NV | $176.24 | $998.6K | 5.7K | 4 |
| RI | $175.37 | $315.0K | 1.8K | 4 |
| LA | $175.19 | $2.1M | 11.9K | 10 |
| MT | $173.67 | $241.4K | 1.4K | 1 |
| VI | $154.74 | $16.4K | 106 | 1 |
| Provider | Specialty | State | Payments | Services | Avg/Service |
|---|---|---|---|---|---|
| Wright Lauten | Ophthalmology | MS | $9.4M | 52.6K | $178.38 |
| Gregory Kozielec | Ophthalmology | TX | $3.2M | 17.8K | $178.59 |
| Harshivinderjit Bains | Ophthalmology | TX | $2.4M | 13.6K | $176.75 |
| John Myers | Ophthalmology | FL | $2.3M | 12.8K | $180.83 |
| Amar Patel | Ophthalmology | TX | $2.2M | 12.5K | $178.49 |
| Maurice Syrquin | Ophthalmology | TX | $2.2M | 12.3K | $178.74 |
| Omesh Gupta | Ophthalmology | PA | $2.1M | 11.3K | $187.96 |
| Arghavan Almony | Ophthalmology | NC | $2.1M | 11.5K | $179.82 |
| Marcus Allen | Ophthalmology | TX | $2.0M | 11.1K | $178.39 |
| Richard Kaiser | Ophthalmology | PA | $1.9M | 10.0K | $189.09 |
| Alexander Eaton | Ophthalmology | FL | $1.7M | 9.1K | $184.74 |
| Sunil Gupta | Ophthalmology | FL | $1.6M | 8.8K | $180.01 |
| Stephen Wiles | Ophthalmology | MO | $1.6M | 8.7K | $180.53 |
| Scott Witherspoon | Ophthalmology | TX | $1.5M | 8.2K | $178.37 |
| Mitchell Fineman | Ophthalmology | PA | $1.4M | 7.6K | $189.53 |
| Marc Spirn | Ophthalmology | PA | $1.3M | 7.0K | $189.40 |
| Sunir Garg | Ophthalmology | PA | $1.3M | 6.9K | $189.33 |
| James Vander | Ophthalmology | PA | $1.3M | 6.8K | $189.12 |
| Tanuj Banker | Ophthalmology | FL | $1.3M | 6.9K | $186.22 |
| Ailee Laham | Ophthalmology | TN | $1.3M | 7.2K | $178.79 |
Based on the data, CPT J2778 shows a 1.2x variation in pricing across states — relatively consistent by Medicare standards.
Costs have decreased 41.6% 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.