Cost analysis for CPT J3304 — Injection, triamcinolone acetonide, preservative-free, extended-release, microsphere formulation, 1 mg
Average Medicare Payment
$13.10
2023 data
Total Payments (2023)
$36.2M
Services (2023)
2.8M
Price Change (2019–2023)
-10.5%
| Year | Avg Payment | Total Payments | Services | YoY Change |
|---|---|---|---|---|
| 2019 | $14.64 | $20.2M | 1.4M | — |
| 2020 | $14.48 | $29.7M | 2.0M | -1.1% |
| 2021 | $14.19 | $38.3M | 2.7M | -2.0% |
| 2022 | $13.40 | $37.0M | 2.8M | -5.6% |
| 2023 | $13.10 | $36.2M | 2.8M | -2.2% |
The most expensive state pays 1.0x more than the cheapest for this procedure. DC averages $13.31 vs NC at $12.72.
| State | Avg Payment | Total Payments | Services | Providers |
|---|---|---|---|---|
| DC | $13.31 | $31.9K | 2.4K | 1 |
| FL | $13.27 | $2.0M | 151.8K | 53 |
| NM | $13.27 | $91.9K | 6.9K | 3 |
| ME | $13.26 | $166.8K | 12.6K | 3 |
| NE | $13.26 | $147.6K | 11.1K | 3 |
| NH | $13.25 | $828.7K | 62.5K | 16 |
| MT | $13.23 | $78.0K | 5.9K | 2 |
| VA | $13.23 | $622.3K | 47.0K | 22 |
| CO | $13.23 | $211.3K | 16.0K | 8 |
| SC | $13.21 | $524.6K | 39.7K | 17 |
| MI | $13.21 | $169.5K | 12.8K | 8 |
| CA | $13.20 | $3.5M | 268.2K | 98 |
| MA | $13.19 | $1.3M | 98.6K | 53 |
| LA | $13.18 | $749.4K | 56.9K | 21 |
| MD | $13.17 | $522.1K | 39.6K | 29 |
| NV | $13.17 | $492.1K | 37.4K | 18 |
| UT | $13.15 | $174.3K | 13.3K | 5 |
| IN | $13.15 | $432.8K | 32.9K | 13 |
| AR | $13.14 | $548.0K | 41.7K | 23 |
| TN | $13.14 | $906.0K | 69.0K | 37 |
| PA | $13.14 | $1.9M | 144.7K | 69 |
| WA | $13.14 | $151.6K | 11.5K | 8 |
| GA | $13.13 | $1.3M | 96.6K | 43 |
| TX | $13.13 | $3.2M | 247.0K | 128 |
| IL | $13.13 | $2.8M | 211.8K | 78 |
| DE | $13.12 | $693.2K | 52.8K | 15 |
| MO | $13.12 | $1.3M | 100.5K | 40 |
| ID | $13.12 | $9.2K | 704 | 1 |
| KS | $13.12 | $285.4K | 21.8K | 10 |
| KY | $13.12 | $791.4K | 60.3K | 27 |
| MS | $13.11 | $1.8M | 137.6K | 26 |
| OR | $13.11 | $62.7K | 4.8K | 4 |
| NJ | $13.11 | $1.1M | 87.7K | 35 |
| OH | $13.10 | $941.9K | 71.9K | 35 |
| IA | $13.09 | $140.8K | 10.8K | 6 |
| AL | $13.08 | $1.2M | 89.4K | 41 |
| CT | $13.08 | $208.2K | 15.9K | 11 |
| RI | $13.07 | $161.0K | 12.3K | 7 |
| WI | $13.05 | $168.3K | 12.9K | 8 |
| OK | $13.05 | $1.5M | 114.8K | 44 |
| AZ | $13.04 | $230.4K | 17.7K | 9 |
| NY | $12.95 | $1.8M | 140.6K | 61 |
| WV | $12.91 | $220.7K | 17.1K | 10 |
| PR | $12.84 | $39.4K | 3.1K | 1 |
| NC | $12.72 | $619.5K | 48.7K | 31 |
| Provider | Specialty | State | Payments | Services | Avg/Service |
|---|---|---|---|---|---|
| Robin Mcdonald | Nurse Practitioner | MS | $690.4K | 52.4K | $13.19 |
| Eric Benson | Orthopedic Surgery | NH | $393.3K | 29.7K | $13.24 |
| Pejman Shirazy | Physical Medicine and Rehabilitation | CA | $334.0K | 25.4K | $13.15 |
| Garvin Yee | Orthopedic Surgery | FL | $330.9K | 25.1K | $13.19 |
| Valerie Starnes | Nurse Practitioner | FL | $317.0K | 23.8K | $13.31 |
| Andrew Rosen | Orthopedic Surgery | NY | $308.4K | 23.3K | $13.24 |
| Brian Schafer | Orthopedic Surgery | MO | $297.1K | 22.5K | $13.22 |
| Peter Kurzweil | Orthopedic Surgery | CA | $257.6K | 19.9K | $12.96 |
| James Bicknell | Orthopedic Surgery | LA | $250.3K | 19.1K | $13.12 |
| Jean Benoit Houle | Orthopedic Surgery | IL | $239.1K | 18.2K | $13.11 |
| John Nickless | Sports Medicine | IL | $237.9K | 18.0K | $13.23 |
| Gregory Martin | Orthopedic Surgery | FL | $198.4K | 15.0K | $13.25 |
| Angela Freehill | Orthopedic Surgery | IL | $179.4K | 13.7K | $13.07 |
| Trinity Pilkington | Orthopedic Surgery | DE | $174.7K | 13.3K | $13.12 |
| Brian Vannozzi | Orthopedic Surgery | NJ | $174.5K | 13.4K | $12.98 |
| Kelly Pucek | Orthopedic Surgery | TN | $170.8K | 13.0K | $13.18 |
| George Branovacki | Orthopedic Surgery | IL | $170.6K | 13.1K | $13.03 |
| John Barrington | Orthopedic Surgery | TX | $169.5K | 12.8K | $13.27 |
| Hari Bezwada | Orthopedic Surgery | NJ | $165.1K | 12.7K | $12.99 |
| William Woods | Orthopedic Surgery | OH | $159.3K | 12.1K | $13.13 |
Based on the data, CPT J3304 shows a 1.0x variation in pricing across states — relatively consistent by Medicare standards.
Costs have decreased 10.5% since 2019. 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.