Cost analysis for CPT J2785 — Injection, regadenoson, 0.1 mg
Average Medicare Payment
$42.15
2023 data
Total Payments (2023)
$92.7M
Services (2023)
2.2M
Price Change (2014–2023)
+3.1%
| Year | Avg Payment | Total Payments | Services | YoY Change |
|---|---|---|---|---|
| 2014 | $40.87 | $91.4M | 2.2M | — |
| 2015 | $40.88 | $91.4M | 2.2M | +0.0% |
| 2016 | $41.66 | $95.7M | 2.3M | +1.9% |
| 2017 | $42.75 | $99.3M | 2.3M | +2.6% |
| 2018 | $43.69 | $102.4M | 2.3M | +2.2% |
| 2019 | $45.15 | $105.3M | 2.3M | +3.3% |
| 2020 | $46.39 | $94.6M | 2.0M | +2.7% |
| 2021 | $47.01 | $103.9M | 2.2M | +1.3% |
| 2022 | $47.71 | $102.3M | 2.1M | +1.5% |
| 2023 | $42.15 | $92.7M | 2.2M | -11.7% |
The most expensive state pays 1.4x more than the cheapest for this procedure. SD averages $48.07 vs PA at $33.44.
| State | Avg Payment | Total Payments | Services | Providers |
|---|---|---|---|---|
| SD | $48.07 | $14.6K | 304 | 1 |
| ME | $46.92 | $5.8K | 124 | 1 |
| ID | $44.33 | $68.7K | 1.6K | 6 |
| ND | $43.66 | $10.1K | 231 | 2 |
| HI | $43.57 | $52.9K | 1.2K | 4 |
| DC | $43.36 | $210.0K | 4.8K | 31 |
| MA | $43.31 | $865.6K | 20.0K | 110 |
| CO | $43.18 | $171.4K | 4.0K | 37 |
| KY | $43.14 | $423.1K | 9.8K | 29 |
| UT | $43.14 | $248.7K | 5.8K | 19 |
| CA | $43.03 | $13.3M | 308.7K | 705 |
| SC | $43.01 | $2.0M | 47.7K | 159 |
| IL | $42.98 | $4.7M | 108.6K | 169 |
| AR | $42.96 | $473.0K | 11.0K | 24 |
| CT | $42.95 | $607.3K | 14.1K | 91 |
| VT | $42.94 | $16.9K | 393 | 2 |
| MS | $42.93 | $1.5M | 35.9K | 70 |
| NJ | $42.92 | $3.7M | 87.1K | 302 |
| DE | $42.90 | $860.7K | 20.1K | 32 |
| KS | $42.87 | $1.2M | 27.2K | 51 |
| MI | $42.85 | $1.9M | 43.9K | 167 |
| OK | $42.80 | $366.6K | 8.6K | 17 |
| WA | $42.80 | $658.1K | 15.4K | 67 |
| NC | $42.79 | $2.5M | 57.6K | 250 |
| MO | $42.70 | $408.7K | 9.6K | 58 |
| LA | $42.67 | $2.5M | 57.8K | 154 |
| RI | $42.64 | $123.8K | 2.9K | 14 |
| OH | $42.62 | $782.5K | 18.4K | 75 |
| TX | $42.62 | $11.9M | 278.1K | 757 |
| GA | $42.60 | $2.8M | 66.5K | 227 |
| AK | $42.59 | $237.4K | 5.6K | 14 |
| IN | $42.58 | $402.8K | 9.5K | 40 |
| MD | $42.58 | $3.6M | 85.0K | 206 |
| AL | $42.52 | $2.4M | 55.6K | 158 |
| NM | $42.47 | $170.7K | 4.0K | 6 |
| WV | $42.39 | $225.3K | 5.3K | 12 |
| NY | $42.32 | $6.9M | 164.0K | 493 |
| AZ | $42.30 | $4.7M | 110.7K | 259 |
| FL | $42.30 | $11.2M | 265.2K | 833 |
| WI | $42.16 | $468.2K | 11.1K | 54 |
| GU | $42.09 | $44.6K | 1.1K | 1 |
| AE | $41.92 | $40.7K | 972 | 1 |
| TN | $41.87 | $1.0M | 24.7K | 91 |
| VA | $41.79 | $2.6M | 61.3K | 178 |
| IA | $41.72 | $435.5K | 10.4K | 38 |
| NV | $41.62 | $1.5M | 36.1K | 90 |
| OR | $41.17 | $258.8K | 6.3K | 22 |
| WY | $40.87 | $106.5K | 2.6K | 10 |
| PR | $40.25 | $12.4K | 308 | 2 |
| MT | $39.97 | $14.2K | 356 | 2 |
| MN | $38.30 | $87.4K | 2.3K | 16 |
| Provider | Specialty | State | Payments | Services | Avg/Service |
|---|---|---|---|---|---|
| Cardiac Imaging Inc | Independent Diagnostic Testing Facility (IDTF) | IL | $1.8M | 40.9K | $43.54 |
| Modern Nuclear, Inc. | Independent Diagnostic Testing Facility (IDTF) | CA | $766.6K | 17.7K | $43.29 |
| Mohamed Khan | Interventional Cardiology | CA | $285.6K | 6.6K | $43.32 |
| Victor Gabrielian | Cardiology | CA | $278.5K | 6.4K | $43.68 |
| Hanumandla Reddy | Cardiology | CA | $215.4K | 5.0K | $43.30 |
| Athar Ansari | Cardiology | CA | $199.0K | 4.5K | $44.57 |
| David Cusick | Cardiology | IL | $190.5K | 4.4K | $43.19 |
| Russell Fileccia | Cardiology | LA | $178.3K | 4.1K | $43.43 |
| Daniel Riegel | Cardiology | NY | $171.6K | 4.0K | $43.30 |
| David Kassop | Cardiology | NC | $168.7K | 4.0K | $42.44 |
| Wassim Shaheen | Interventional Cardiology | KS | $160.3K | 3.7K | $42.86 |
| Stephen Savran | Cardiology | NV | $159.3K | 3.8K | $41.82 |
| Michael Krueger | Cardiology | CA | $144.2K | 3.4K | $42.96 |
| Vikram Lakireddy | Cardiology | CA | $138.0K | 3.3K | $42.32 |
| Julio Schwarz | Cardiology | AR | $135.4K | 3.1K | $43.06 |
| Kevin Lisman | Cardiology | TX | $132.1K | 3.0K | $43.73 |
| Arup Achari | Cardiology | TX | $130.5K | 3.1K | $42.33 |
| Armita Atashband | Interventional Cardiology | TX | $130.3K | 3.1K | $42.50 |
| Rafael Valencia | Interventional Cardiology | NV | $130.1K | 3.1K | $41.91 |
| Gaetano Pastore | Cardiology | DE | $128.0K | 2.9K | $43.90 |
Based on the data, CPT J2785 shows a 1.4x variation in pricing across states — relatively consistent by Medicare standards.
Costs have increased 3.1% 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.