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Data Sources: Centers for Medicare & Medicaid Services (CMS), Medicare Provider Utilization and Payment Data
Disclaimer: This site is an independent journalism project. Data analysis and editorial content are not affiliated with or endorsed by CMS or any government agency. All spending figures are based on publicly available Medicare payment records.
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Methodology•Download Data
  1. Home
  2. Procedures
  3. J7320
  4. Cost Analysis

How Much Does Hyaluronan or derivitive, genvisc 850, for intra-articular injection, 1 mg Cost on Medicare?

Cost analysis for CPT J7320 — Hyaluronan or derivitive, genvisc 850, for intra-articular injection, 1 mg

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Average Medicare Payment

$5.68

2023 data

Total Payments (2023)

$23.8M

Services (2023)

4.3M

Price Change (2017–2023)

+0.5%

📈 Year-over-Year Cost Trend

YearAvg PaymentTotal PaymentsServicesYoY Change
2017$5.65$11.5M2.0M—
2018$5.11$12.4M2.4M-9.6%
2019$11.30$47.0M4.1M+121.1%
2020$13.27$84.8M6.4M+17.4%
2021$13.44$116.3M8.6M+1.3%
2022$12.01$68.9M5.8M-10.6%
2023$5.68$23.8M4.3M-52.7%

🗺️ State-by-State Cost Variation

The most expensive state pays 2.6x more than the cheapest for this procedure. OK averages $13.07 vs CT at $5.10.

StateAvg PaymentTotal PaymentsServicesProviders
OK$13.07$6.2K4751
ID$11.92$34.6K2.9K1
UT$7.30$227.7K31.2K3
AZ$7.08$1.6M225.7K19
HI$7.06$329.7K46.7K2
OR$6.78$272.5K40.2K7
NV$6.47$63.0K9.7K4
CA$6.35$2.1M327.2K46
WA$6.01$131.6K21.9K3
MD$5.59$268.5K48.0K15
IA$5.57$41.4K7.4K1
PA$5.50$581.1K105.6K6
TX$5.50$1.3M245.4K35
IN$5.49$51.1K9.3K2
LA$5.46$19.7K3.6K1
FL$5.46$2.0M357.3K50
AR$5.46$13.0K2.4K2
MS$5.40$68.1K12.6K4
MO$5.39$146.7K27.2K6
VA$5.39$513.3K95.3K17
MI$5.38$246.7K45.9K12
NE$5.37$341.5K63.5K7
NM$5.35$32.1K6.0K3
TN$5.35$69.0K12.9K5
NC$5.35$173.4K32.4K6
NJ$5.32$1.8M331.2K43
NY$5.32$2.8M535.9K53
CO$5.31$183.7K34.6K2
PR$5.30$431.9K81.4K1
SC$5.29$736.7K139.3K15
KY$5.29$1.2M222.5K7
IL$5.29$4.2M803.2K36
OH$5.28$851.5K161.4K9
GA$5.26$714.5K136.0K25
AL$5.13$130.5K25.4K8
WI$5.12$43.3K8.4K2
CT$5.10$31.4K6.2K3

💰 Who Bills the Most for This Procedure?

ProviderSpecialtyStatePaymentsServicesAvg/Service
Rahul KhapekarFamily PracticeIL$1.7M326.0K$5.23
Robert StreisandVascular SurgeryNY$805.3K150.8K$5.34
Ermin ArriolaPhysical Medicine and RehabilitationIL$715.8K135.1K$5.30
Hubert FrankeGeneral PracticeNJ$712.5K135.1K$5.28
Duan CopelandGeneral PracticeAZ$678.3K78.8K$8.61
Nicholas ManolitsisPhysical Medicine and RehabilitationIL$558.2K105.8K$5.27
Pamela HarstonPhysical Medicine and RehabilitationKY$527.9K100.8K$5.24
Faisal AliInternal MedicineNY$489.5K93.6K$5.23
Jason FoggPain ManagementKY$465.7K85.3K$5.46
Scot ParisGeneral SurgeryPA$462.7K88.1K$5.25
Joezer Lugo RanalPhysical Medicine and RehabilitationPR$431.9K81.4K$5.30
Peter SimonianOrthopedic SurgeryCA$371.7K71.8K$5.18
Patricia BornhorstPhysical Medicine and RehabilitationOH$362.1K68.8K$5.26
Darren EgamiOrthopedic SurgeryHI$302.9K43.0K$7.05
Daniel McmanusEmergency MedicineSC$261.3K49.7K$5.26
John FloresFamily PracticeTX$260.7K46.1K$5.66
Kenneth SmithEmergency MedicineOH$221.1K39.1K$5.65
Samuel UzabelHospice and Palliative CareFL$194.9K34.0K$5.73
Hoang NguyenInternal MedicineCA$185.0K28.8K$6.41
Brooke WagnerPhysician AssistantNE$184.4K33.2K$5.55

🤔 Is Hyaluronan or derivitive, genvisc 850, for intra-articular injection, 1 mg Overpriced?

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.

Data Sources

  • • Centers for Medicare & Medicaid Services (CMS)
  • • Medicare Provider Utilization and Payment Data (2014-2023)
  • • Medicare Physician Fee Schedule

Note: All data is from publicly available Medicare records. OpenMedicare is an independent journalism project not affiliated with CMS.