Cost analysis for CPT J7320 — Hyaluronan or derivitive, genvisc 850, for intra-articular injection, 1 mg
Average Medicare Payment
$5.68
2023 data
Total Payments (2023)
$23.8M
Services (2023)
4.3M
Price Change (2017–2023)
+0.5%
| Year | Avg Payment | Total Payments | Services | YoY Change |
|---|---|---|---|---|
| 2017 | $5.65 | $11.5M | 2.0M | — |
| 2018 | $5.11 | $12.4M | 2.4M | -9.6% |
| 2019 | $11.30 | $47.0M | 4.1M | +121.1% |
| 2020 | $13.27 | $84.8M | 6.4M | +17.4% |
| 2021 | $13.44 | $116.3M | 8.6M | +1.3% |
| 2022 | $12.01 | $68.9M | 5.8M | -10.6% |
| 2023 | $5.68 | $23.8M | 4.3M | -52.7% |
The most expensive state pays 2.6x more than the cheapest for this procedure. OK averages $13.07 vs CT at $5.10.
| State | Avg Payment | Total Payments | Services | Providers |
|---|---|---|---|---|
| OK | $13.07 | $6.2K | 475 | 1 |
| ID | $11.92 | $34.6K | 2.9K | 1 |
| UT | $7.30 | $227.7K | 31.2K | 3 |
| AZ | $7.08 | $1.6M | 225.7K | 19 |
| HI | $7.06 | $329.7K | 46.7K | 2 |
| OR | $6.78 | $272.5K | 40.2K | 7 |
| NV | $6.47 | $63.0K | 9.7K | 4 |
| CA | $6.35 | $2.1M | 327.2K | 46 |
| WA | $6.01 | $131.6K | 21.9K | 3 |
| MD | $5.59 | $268.5K | 48.0K | 15 |
| IA | $5.57 | $41.4K | 7.4K | 1 |
| PA | $5.50 | $581.1K | 105.6K | 6 |
| TX | $5.50 | $1.3M | 245.4K | 35 |
| IN | $5.49 | $51.1K | 9.3K | 2 |
| LA | $5.46 | $19.7K | 3.6K | 1 |
| FL | $5.46 | $2.0M | 357.3K | 50 |
| AR | $5.46 | $13.0K | 2.4K | 2 |
| MS | $5.40 | $68.1K | 12.6K | 4 |
| MO | $5.39 | $146.7K | 27.2K | 6 |
| VA | $5.39 | $513.3K | 95.3K | 17 |
| MI | $5.38 | $246.7K | 45.9K | 12 |
| NE | $5.37 | $341.5K | 63.5K | 7 |
| NM | $5.35 | $32.1K | 6.0K | 3 |
| TN | $5.35 | $69.0K | 12.9K | 5 |
| NC | $5.35 | $173.4K | 32.4K | 6 |
| NJ | $5.32 | $1.8M | 331.2K | 43 |
| NY | $5.32 | $2.8M | 535.9K | 53 |
| CO | $5.31 | $183.7K | 34.6K | 2 |
| PR | $5.30 | $431.9K | 81.4K | 1 |
| SC | $5.29 | $736.7K | 139.3K | 15 |
| KY | $5.29 | $1.2M | 222.5K | 7 |
| IL | $5.29 | $4.2M | 803.2K | 36 |
| OH | $5.28 | $851.5K | 161.4K | 9 |
| GA | $5.26 | $714.5K | 136.0K | 25 |
| AL | $5.13 | $130.5K | 25.4K | 8 |
| WI | $5.12 | $43.3K | 8.4K | 2 |
| CT | $5.10 | $31.4K | 6.2K | 3 |
| Provider | Specialty | State | Payments | Services | Avg/Service |
|---|---|---|---|---|---|
| Rahul Khapekar | Family Practice | IL | $1.7M | 326.0K | $5.23 |
| Robert Streisand | Vascular Surgery | NY | $805.3K | 150.8K | $5.34 |
| Ermin Arriola | Physical Medicine and Rehabilitation | IL | $715.8K | 135.1K | $5.30 |
| Hubert Franke | General Practice | NJ | $712.5K | 135.1K | $5.28 |
| Duan Copeland | General Practice | AZ | $678.3K | 78.8K | $8.61 |
| Nicholas Manolitsis | Physical Medicine and Rehabilitation | IL | $558.2K | 105.8K | $5.27 |
| Pamela Harston | Physical Medicine and Rehabilitation | KY | $527.9K | 100.8K | $5.24 |
| Faisal Ali | Internal Medicine | NY | $489.5K | 93.6K | $5.23 |
| Jason Fogg | Pain Management | KY | $465.7K | 85.3K | $5.46 |
| Scot Paris | General Surgery | PA | $462.7K | 88.1K | $5.25 |
| Joezer Lugo Ranal | Physical Medicine and Rehabilitation | PR | $431.9K | 81.4K | $5.30 |
| Peter Simonian | Orthopedic Surgery | CA | $371.7K | 71.8K | $5.18 |
| Patricia Bornhorst | Physical Medicine and Rehabilitation | OH | $362.1K | 68.8K | $5.26 |
| Darren Egami | Orthopedic Surgery | HI | $302.9K | 43.0K | $7.05 |
| Daniel Mcmanus | Emergency Medicine | SC | $261.3K | 49.7K | $5.26 |
| John Flores | Family Practice | TX | $260.7K | 46.1K | $5.66 |
| Kenneth Smith | Emergency Medicine | OH | $221.1K | 39.1K | $5.65 |
| Samuel Uzabel | Hospice and Palliative Care | FL | $194.9K | 34.0K | $5.73 |
| Hoang Nguyen | Internal Medicine | CA | $185.0K | 28.8K | $6.41 |
| Brooke Wagner | Physician Assistant | NE | $184.4K | 33.2K | $5.55 |
The data suggests significant pricing inconsistencies for CPT J7320. With a 2.6x price gap between the most and least expensive states, geography plays an outsized role in what Medicare pays for this procedure.
Costs have remained relatively stable over time, but the geographic variation suggests Medicare's geographic adjustment factors may not fully capture the true cost differences across states.
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.