Cost analysis for CPT J3245 — Injection, tildrakizumab, 1 mg
Average Medicare Payment
N/A
Total Payments (Latest)
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Services (Latest)
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Price Change (–)
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The most expensive state pays 1.1x more than the cheapest for this procedure. CO averages $111.32 vs HI at $100.62.
| State | Avg Payment | Total Payments | Services | Providers |
|---|---|---|---|---|
| CO | $111.32 | $289.4K | 2.6K | 1 |
| MS | $110.59 | $376.0K | 3.4K | 1 |
| ND | $110.35 | $838.7K | 7.6K | 2 |
| LA | $110.31 | $308.9K | 2.8K | 1 |
| RI | $110.20 | $264.5K | 2.4K | 1 |
| MO | $110.20 | $3.3M | 30.2K | 7 |
| WI | $110.19 | $1.8M | 16.2K | 4 |
| NJ | $110.12 | $3.1M | 28.2K | 7 |
| NE | $110.11 | $737.7K | 6.7K | 1 |
| NC | $110.11 | $4.5M | 40.7K | 7 |
| CT | $110.06 | $1.2M | 11.0K | 2 |
| IA | $110.02 | $1.5M | 13.6K | 1 |
| TN | $109.99 | $6.1M | 55.3K | 15 |
| IN | $109.99 | $4.5M | 40.7K | 10 |
| SC | $109.86 | $7.0M | 63.4K | 16 |
| AR | $109.84 | $2.3M | 20.7K | 5 |
| FL | $109.82 | $7.5M | 68.1K | 15 |
| GA | $109.82 | $2.4M | 22.2K | 4 |
| NH | $109.79 | $878.4K | 8.0K | 2 |
| AL | $109.75 | $921.9K | 8.4K | 2 |
| CA | $109.74 | $9.9M | 90.1K | 19 |
| AZ | $109.67 | $2.5M | 22.4K | 7 |
| OR | $109.67 | $767.7K | 7.0K | 2 |
| TX | $109.64 | $11.6M | 105.5K | 28 |
| OK | $109.56 | $1.7M | 15.4K | 2 |
| DE | $109.56 | $1.5M | 13.8K | 1 |
| MA | $109.54 | $2.4M | 21.9K | 3 |
| IL | $109.42 | $6.1M | 56.1K | 13 |
| MI | $109.42 | $2.0M | 17.9K | 5 |
| NY | $109.42 | $1.4M | 12.4K | 3 |
| KS | $109.22 | $316.7K | 2.9K | 1 |
| MD | $109.21 | $1.6M | 14.2K | 2 |
| VA | $109.12 | $5.1M | 46.7K | 7 |
| KY | $108.95 | $3.1M | 28.3K | 5 |
| PA | $108.37 | $8.0M | 74.2K | 12 |
| OH | $108.17 | $3.9M | 35.9K | 9 |
| NV | $103.50 | $672.8K | 6.5K | 1 |
| HI | $100.62 | $462.9K | 4.6K | 1 |
| Provider | Specialty | State | Payments | Services | Avg/Service |
|---|---|---|---|---|---|
| Eugene Wade | Family Practice | NC | $2.0M | 17.5K | $111.43 |
| Daniel Shrager | Dermatology | PA | $1.9M | 17.2K | $109.79 |
| Suleman Bangash | Dermatology | IL | $1.7M | 15.6K | $109.84 |
| Jonathan Wiesen | Pulmonary Disease | VA | $1.6M | 14.5K | $107.38 |
| Jeffrey Lertdilok | Nurse Practitioner | TX | $1.5M | 14.1K | $109.75 |
| Mayda Melendez | Family Practice | DE | $1.5M | 13.8K | $109.56 |
| Brooke Raney | Nurse Practitioner | IA | $1.5M | 13.6K | $110.02 |
| Danielle Young | Nurse Practitioner | PA | $1.4M | 13.1K | $110.07 |
| Laertes Manuelidis | Dermatology | FL | $1.4M | 12.5K | $109.77 |
| Robert Brennan | Infectious Disease | VA | $1.3M | 12.2K | $109.79 |
| Barry Eibschutz | Rheumatology | CA | $1.2M | 11.1K | $109.39 |
| Robert Singh | Vascular Surgery | PA | $1.2M | 11.7K | $103.42 |
| Jeffrey Crowley | Dermatology | CA | $1.1M | 9.7K | $110.11 |
| Jeffrey Sobell | Dermatology | MA | $1.1M | 9.7K | $109.16 |
| Kristina Bikoulova | Nurse Practitioner | CT | $1.1M | 9.6K | $109.84 |
| Stacey Godman | Nurse Practitioner | MA | $1.0M | 9.4K | $109.84 |
| Marie Goh | Physician Assistant | CA | $1.0M | 9.3K | $109.77 |
| Halden Ford | Dermatology | KY | $1.0M | 9.3K | $109.67 |
| Herman Miller | Infectious Disease | CA | $999.7K | 9.1K | $109.86 |
| Joel Lurie | Nurse Practitioner | TX | $989.0K | 9.0K | $109.89 |
Based on the data, CPT J3245 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.