Cost analysis for CPT J3111 — Injection, romosozumab-aqqg, 1 mg
Average Medicare Payment
N/A
Total Payments (Latest)
N/A
Services (Latest)
N/A
Price Change (–)
N/A
The most expensive state pays 1.1x more than the cheapest for this procedure. NE averages $7.97 vs ME at $7.17.
| State | Avg Payment | Total Payments | Services | Providers |
|---|---|---|---|---|
| NE | $7.97 | $1.5M | 182.7K | 5 |
| KS | $7.95 | $1.4M | 174.7K | 7 |
| KY | $7.94 | $166.8K | 21.0K | 4 |
| OR | $7.94 | $642.0K | 80.9K | 6 |
| UT | $7.94 | $898.7K | 113.2K | 6 |
| IA | $7.93 | $2.1M | 268.4K | 19 |
| WA | $7.93 | $298.1K | 37.6K | 3 |
| MT | $7.93 | $104.9K | 13.2K | 1 |
| WI | $7.92 | $2.5M | 312.4K | 12 |
| CO | $7.92 | $4.5M | 574.4K | 42 |
| NY | $7.92 | $5.5M | 689.9K | 21 |
| DC | $7.92 | $816.3K | 103.1K | 4 |
| CT | $7.91 | $264.2K | 33.4K | 2 |
| VA | $7.91 | $4.2M | 529.0K | 22 |
| ID | $7.91 | $1.2M | 149.5K | 4 |
| NC | $7.91 | $4.6M | 584.0K | 34 |
| MD | $7.91 | $6.2M | 778.3K | 32 |
| AK | $7.90 | $771.8K | 97.7K | 4 |
| AL | $7.90 | $2.3M | 291.7K | 13 |
| TN | $7.90 | $4.9M | 617.7K | 19 |
| MI | $7.90 | $1.5M | 191.5K | 12 |
| PA | $7.90 | $10.4M | 1.3M | 59 |
| NH | $7.90 | $137.7K | 17.4K | 1 |
| AR | $7.89 | $1.2M | 147.8K | 10 |
| WY | $7.89 | $256.9K | 32.5K | 1 |
| CA | $7.89 | $19.1M | 2.4M | 111 |
| MO | $7.89 | $2.1M | 264.1K | 17 |
| OH | $7.89 | $4.7M | 593.9K | 19 |
| FL | $7.89 | $23.5M | 3.0M | 141 |
| TX | $7.89 | $12.2M | 1.5M | 85 |
| NJ | $7.89 | $2.7M | 340.1K | 25 |
| OK | $7.88 | $3.7M | 467.2K | 17 |
| SC | $7.88 | $4.7M | 591.1K | 36 |
| MN | $7.88 | $1.4M | 181.1K | 13 |
| MS | $7.88 | $1.1M | 141.5K | 11 |
| NV | $7.87 | $1.1M | 134.2K | 2 |
| IL | $7.87 | $9.8M | 1.2M | 32 |
| IN | $7.86 | $3.8M | 477.4K | 20 |
| LA | $7.86 | $1.9M | 245.9K | 12 |
| GA | $7.84 | $4.0M | 506.8K | 23 |
| AZ | $7.83 | $7.7M | 981.4K | 43 |
| MA | $7.80 | $520.6K | 66.8K | 5 |
| NM | $7.73 | $897.4K | 116.1K | 3 |
| DE | $7.73 | $1.5M | 190.3K | 6 |
| PR | $7.72 | $144.3K | 18.7K | 1 |
| HI | $7.70 | $1.0M | 136.3K | 4 |
| ME | $7.17 | $33.1K | 4.6K | 1 |
| Provider | Specialty | State | Payments | Services | Avg/Service |
|---|---|---|---|---|---|
| Amanda Mckee | Nurse Practitioner | IL | $3.5M | 438.3K | $7.90 |
| Barry Jacobson | Obstetrics & Gynecology | PA | $1.7M | 212.5K | $7.91 |
| Kelleen Graver | Nurse Practitioner | OH | $1.4M | 184.4K | $7.83 |
| Kelley Funderburg | Nurse Practitioner | TN | $1.4M | 173.3K | $7.88 |
| Tara Adams | Nurse Practitioner | GA | $1.3M | 167.4K | $7.85 |
| Elizabeth Clayton | Rheumatology | MD | $1.3M | 166.1K | $7.91 |
| Amy Shaw | Family Practice | CA | $1.1M | 143.1K | $7.88 |
| Jeffrey Weber | Gastroenterology | WI | $1.1M | 139.0K | $7.97 |
| Shariar Cohen-Gadol | Rheumatology | CA | $1.1M | 132.5K | $7.95 |
| Susan Yonce | Nurse Practitioner | SC | $914.7K | 115.7K | $7.90 |
| Seth Kantor | Rheumatology | OH | $913.8K | 114.7K | $7.97 |
| Tiffani Lowell | Nurse Practitioner | OK | $907.7K | 115.9K | $7.83 |
| Robert Gelfand | Hematology-Oncology | NY | $860.1K | 108.2K | $7.95 |
| Courtney Burland | Physician Assistant | IL | $837.9K | 112.3K | $7.46 |
| Vipul Joshi | Rheumatology | FL | $803.8K | 101.2K | $7.94 |
| Rachel Bates | Physician Assistant | TN | $769.9K | 98.5K | $7.82 |
| Ayesha Siddiqui | Family Practice | NY | $751.0K | 94.9K | $7.91 |
| Clayton Labaume | Physician Assistant | CO | $729.1K | 92.4K | $7.89 |
| Nehad Soloman | Rheumatology | AZ | $700.9K | 90.1K | $7.78 |
| Svetlana Meier | Rheumatology | ID | $696.5K | 88.4K | $7.88 |
Based on the data, CPT J3111 shows a 1.1x variation in pricing across states — relatively consistent by Medicare standards.
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.