Cost analysis for CPT J7312 — Injection, dexamethasone, intravitreal implant, 0.1 mg
Average Medicare Payment
$155.94
2023 data
Total Payments (2023)
$22.1M
Services (2023)
141.6K
Price Change (2014–2023)
+0.9%
| Year | Avg Payment | Total Payments | Services | YoY Change |
|---|---|---|---|---|
| 2014 | $154.55 | $10.9M | 70.2K | — |
| 2015 | $155.22 | $18.1M | 116.1K | +0.4% |
| 2016 | $154.47 | $21.4M | 138.5K | -0.5% |
| 2017 | $155.10 | $24.7M | 158.8K | +0.4% |
| 2018 | $154.84 | $27.6M | 178.1K | -0.2% |
| 2019 | $154.66 | $28.4M | 183.4K | -0.1% |
| 2020 | $156.59 | $25.9M | 165.7K | +1.2% |
| 2021 | $158.51 | $25.1M | 158.6K | +1.2% |
| 2022 | $155.81 | $25.0M | 160.4K | -1.7% |
| 2023 | $155.94 | $22.1M | 141.6K | +0.1% |
The most expensive state pays 1.1x more than the cheapest for this procedure. AK averages $158.76 vs NE at $142.55.
| State | Avg Payment | Total Payments | Services | Providers |
|---|---|---|---|---|
| AK | $158.76 | $61.1K | 385 | 1 |
| DC | $158.68 | $56.6K | 357 | 1 |
| GU | $158.65 | $17.8K | 112 | 1 |
| WV | $158.62 | $35.5K | 224 | 1 |
| MN | $158.40 | $41.3K | 261 | 2 |
| MA | $158.28 | $142.9K | 903 | 4 |
| CO | $158.15 | $298.9K | 1.9K | 8 |
| MT | $158.07 | $94.1K | 595 | 2 |
| MO | $157.93 | $371.5K | 2.4K | 11 |
| IN | $157.78 | $286.4K | 1.8K | 6 |
| PA | $157.68 | $709.7K | 4.5K | 14 |
| AR | $157.63 | $213.0K | 1.4K | 5 |
| WI | $157.48 | $67.2K | 427 | 2 |
| AZ | $157.46 | $1.1M | 7.1K | 23 |
| CA | $157.23 | $1.7M | 10.8K | 42 |
| CT | $157.18 | $107.8K | 686 | 3 |
| NC | $157.14 | $958.1K | 6.1K | 17 |
| MD | $157.13 | $1.2M | 7.4K | 22 |
| OH | $157.10 | $916.4K | 5.8K | 22 |
| KY | $157.10 | $526.7K | 3.4K | 12 |
| UT | $156.97 | $474.7K | 3.0K | 9 |
| ID | $156.86 | $241.6K | 1.5K | 3 |
| FL | $156.80 | $1.6M | 10.2K | 35 |
| IA | $156.65 | $296.1K | 1.9K | 9 |
| NV | $156.38 | $411.1K | 2.6K | 6 |
| VA | $156.25 | $892.5K | 5.7K | 21 |
| NJ | $156.16 | $592.6K | 3.8K | 14 |
| WA | $155.84 | $689.4K | 4.4K | 15 |
| KS | $155.80 | $479.9K | 3.1K | 11 |
| NY | $155.65 | $912.1K | 5.9K | 19 |
| GA | $155.49 | $450.8K | 2.9K | 12 |
| IL | $155.49 | $1.3M | 8.1K | 28 |
| OK | $155.09 | $219.3K | 1.4K | 4 |
| MI | $154.84 | $469.2K | 3.0K | 13 |
| TN | $154.70 | $594.8K | 3.8K | 13 |
| TX | $154.69 | $1.6M | 10.0K | 38 |
| SC | $154.17 | $357.2K | 2.3K | 7 |
| LA | $153.46 | $273.9K | 1.8K | 7 |
| MS | $153.21 | $121.2K | 791 | 4 |
| ND | $152.41 | $76.8K | 504 | 1 |
| AL | $152.28 | $506.3K | 3.3K | 8 |
| NM | $152.03 | $351.2K | 2.3K | 7 |
| OR | $151.17 | $333.8K | 2.2K | 7 |
| HI | $144.48 | $19.2K | 133 | 1 |
| NE | $142.55 | $29.9K | 210 | 1 |
| Provider | Specialty | State | Payments | Services | Avg/Service |
|---|---|---|---|---|---|
| Sunil Gupta | Ophthalmology | FL | $215.2K | 1.4K | $157.67 |
| Warren Thompson | Ophthalmology | AL | $205.1K | 1.3K | $158.34 |
| Irene Voo | Ophthalmology | NV | $161.3K | 1.0K | $156.16 |
| Vatsal Doshi | Ophthalmology | NJ | $127.8K | 805 | $158.81 |
| Ashkan Abbey | Ophthalmology | TX | $127.8K | 826 | $154.70 |
| Edward Marcus | Ophthalmology | NY | $125.4K | 819 | $153.17 |
| Alexander Eaton | Ophthalmology | FL | $124.8K | 798 | $156.41 |
| Min-Kyu Han | Ophthalmology | IL | $123.8K | 784 | $157.86 |
| Shil Patel | Ophthalmology | NC | $114.5K | 728 | $157.28 |
| Eric Suan | Ophthalmology | MD | $114.4K | 721 | $158.68 |
| Daniel Feiler | Ophthalmology | KS | $114.3K | 721 | $158.50 |
| Stephen Desouza | Ophthalmology | AZ | $113.2K | 714 | $158.60 |
| Sujit Itty | Ophthalmology | AZ | $109.8K | 693 | $158.50 |
| William Phillips | Ophthalmology | MD | $108.8K | 686 | $158.63 |
| Robert Wang | Ophthalmology | TX | $108.2K | 743 | $145.59 |
| Enrique Garcia-Valenzuela | Ophthalmology | IL | $107.5K | 679 | $158.31 |
| Steven Williams | Ophthalmology | TN | $104.0K | 660 | $157.60 |
| Kyle Thompson | Ophthalmology | ID | $104.0K | 658 | $158.07 |
| David Boyer | Ophthalmology | CA | $102.6K | 658 | $155.97 |
| Zeina Haddad | Ophthalmology | NC | $99.8K | 630 | $158.35 |
Based on the data, CPT J7312 shows a 1.1x variation in pricing across states — relatively consistent by Medicare standards.
Costs have increased 0.9% 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.