Cost analysis for CPT J3262 — Injection, tocilizumab, 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. ME averages $4.72 vs SD at $4.46.
| State | Avg Payment | Total Payments | Services | Providers |
|---|---|---|---|---|
| ME | $4.72 | $113.7K | 24.1K | 1 |
| DC | $4.70 | $98.6K | 21.0K | 1 |
| NM | $4.70 | $351.6K | 74.9K | 3 |
| MS | $4.69 | $2.1M | 446.6K | 7 |
| RI | $4.69 | $298.2K | 63.6K | 1 |
| AK | $4.69 | $310.9K | 66.3K | 1 |
| LA | $4.69 | $1.6M | 351.8K | 5 |
| ID | $4.68 | $1.7M | 363.8K | 5 |
| UT | $4.68 | $2.0M | 420.1K | 6 |
| NE | $4.68 | $1.4M | 291.4K | 4 |
| WA | $4.67 | $1.9M | 414.9K | 15 |
| OH | $4.67 | $1.6M | 336.7K | 9 |
| GA | $4.67 | $3.0M | 649.8K | 13 |
| WI | $4.67 | $1.7M | 369.0K | 9 |
| PA | $4.67 | $8.0M | 1.7M | 30 |
| IA | $4.66 | $2.1M | 449.7K | 9 |
| AL | $4.66 | $2.1M | 442.2K | 9 |
| KS | $4.66 | $2.4M | 521.2K | 10 |
| FL | $4.66 | $16.2M | 3.5M | 67 |
| MA | $4.66 | $1.2M | 257.0K | 5 |
| KY | $4.66 | $2.0M | 434.2K | 11 |
| AZ | $4.65 | $7.3M | 1.6M | 20 |
| SC | $4.65 | $4.5M | 959.5K | 22 |
| AR | $4.65 | $1.0M | 224.4K | 5 |
| NH | $4.64 | $235.7K | 50.8K | 1 |
| MN | $4.64 | $2.5M | 540.6K | 17 |
| OR | $4.64 | $2.5M | 532.4K | 14 |
| IL | $4.64 | $3.3M | 714.9K | 18 |
| NC | $4.64 | $9.7M | 2.1M | 43 |
| NY | $4.64 | $3.6M | 782.2K | 21 |
| MT | $4.63 | $1.4M | 293.8K | 5 |
| CO | $4.63 | $2.9M | 616.6K | 18 |
| TN | $4.62 | $3.2M | 702.9K | 13 |
| VA | $4.62 | $7.3M | 1.6M | 19 |
| IN | $4.62 | $3.4M | 741.6K | 13 |
| TX | $4.60 | $8.1M | 1.7M | 38 |
| NJ | $4.60 | $4.3M | 939.5K | 19 |
| CT | $4.60 | $367.3K | 79.9K | 4 |
| MD | $4.59 | $3.5M | 761.9K | 22 |
| MI | $4.58 | $1.7M | 375.7K | 9 |
| CA | $4.58 | $10.0M | 2.2M | 49 |
| DE | $4.56 | $678.7K | 149.0K | 3 |
| MO | $4.50 | $3.3M | 736.8K | 14 |
| OK | $4.49 | $3.5M | 770.3K | 8 |
| SD | $4.46 | $456.8K | 102.5K | 2 |
| Provider | Specialty | State | Payments | Services | Avg/Service |
|---|---|---|---|---|---|
| David Carleton | Rheumatology | VA | $1.9M | 409.4K | $4.57 |
| Barry Eibschutz | Rheumatology | CA | $1.0M | 217.7K | $4.67 |
| Adam Rosen | Rheumatology | FL | $948.2K | 200.7K | $4.72 |
| Eugenia Rullan Bidot | Rheumatology | FL | $948.1K | 203.7K | $4.65 |
| Ananda Walaliyadda | Rheumatology | ID | $897.5K | 191.7K | $4.68 |
| Craig Carson | Rheumatology | OK | $846.6K | 194.3K | $4.36 |
| Areena Swarup | Rheumatology | AZ | $810.8K | 172.8K | $4.69 |
| Sanjay Chabra | Rheumatology | TX | $809.8K | 172.7K | $4.69 |
| Nehal Gandhi | Rheumatology | PA | $781.5K | 166.8K | $4.68 |
| Michael Joseph | Rheumatology | MO | $778.5K | 169.0K | $4.61 |
| Joy Schechtman | Rheumatology | AZ | $774.6K | 165.0K | $4.69 |
| Amanda Fowler | Rheumatology | MS | $771.2K | 164.7K | $4.68 |
| Nehad Soloman | Rheumatology | AZ | $767.2K | 169.4K | $4.53 |
| Debbie Foley | Rheumatology | OK | $766.1K | 163.7K | $4.68 |
| Melvin Churchill | Rheumatology | NE | $750.1K | 160.3K | $4.68 |
| Jyothi Mallepalli | Rheumatology | LA | $743.4K | 158.7K | $4.69 |
| Saurin Mehta | Rheumatology | PA | $731.2K | 156.2K | $4.68 |
| Bogdan Cherascu | Rheumatology | IA | $715.8K | 152.8K | $4.68 |
| Joseph Shanahan | Rheumatology | NC | $698.1K | 150.1K | $4.65 |
| Susan Zito | Rheumatology | FL | $676.8K | 143.8K | $4.70 |
Based on the data, CPT J3262 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.