Cost analysis for CPT J7325 — Hyaluronan or derivative, synvisc or synvisc-one, for intra-articular injection, 1 mg
Average Medicare Payment
$7.28
2023 data
Total Payments (2023)
$24.1M
Services (2023)
3.3M
Price Change (2014–2023)
-24.5%
| Year | Avg Payment | Total Payments | Services | YoY Change |
|---|---|---|---|---|
| 2014 | $9.64 | $82.0M | 8.5M | — |
| 2015 | $9.83 | $80.5M | 8.2M | +2.0% |
| 2016 | $9.87 | $78.1M | 7.9M | +0.4% |
| 2017 | $9.72 | $73.1M | 7.5M | -1.5% |
| 2018 | $9.23 | $56.1M | 6.1M | -5.0% |
| 2019 | $8.86 | $45.1M | 5.1M | -4.0% |
| 2020 | $8.46 | $27.5M | 3.2M | -4.5% |
| 2021 | $8.46 | $28.3M | 3.3M | 0.0% |
| 2022 | $7.88 | $25.1M | 3.2M | -6.9% |
| 2023 | $7.28 | $24.1M | 3.3M | -7.6% |
The most expensive state pays 1.0x more than the cheapest for this procedure. DC averages $7.47 vs MT at $7.16.
| State | Avg Payment | Total Payments | Services | Providers |
|---|---|---|---|---|
| DC | $7.47 | $7.2K | 961 | 1 |
| NE | $7.44 | $21.1K | 2.8K | 4 |
| HI | $7.43 | $13.2K | 1.8K | 1 |
| RI | $7.40 | $18.1K | 2.4K | 1 |
| NV | $7.40 | $73.1K | 9.9K | 6 |
| NJ | $7.38 | $318.8K | 43.2K | 26 |
| IA | $7.35 | $228.9K | 31.2K | 23 |
| AK | $7.35 | $57.5K | 7.8K | 8 |
| CA | $7.34 | $2.2M | 299.7K | 109 |
| MI | $7.34 | $190.2K | 25.9K | 12 |
| AR | $7.33 | $337.1K | 46.0K | 16 |
| CT | $7.33 | $195.1K | 26.6K | 21 |
| ND | $7.32 | $103.0K | 14.1K | 10 |
| NM | $7.32 | $109.0K | 14.9K | 10 |
| KS | $7.32 | $199.5K | 27.3K | 13 |
| MD | $7.32 | $882.0K | 120.6K | 54 |
| WY | $7.31 | $73.6K | 10.1K | 9 |
| DE | $7.31 | $33.1K | 4.5K | 2 |
| MA | $7.31 | $226.1K | 30.9K | 21 |
| FL | $7.31 | $1.1M | 148.3K | 72 |
| GA | $7.30 | $435.0K | 59.6K | 34 |
| UT | $7.30 | $122.7K | 16.8K | 15 |
| NC | $7.30 | $1.2M | 159.9K | 111 |
| SC | $7.30 | $777.0K | 106.5K | 44 |
| WA | $7.30 | $956.6K | 131.1K | 86 |
| NY | $7.30 | $1.8M | 244.7K | 125 |
| IN | $7.30 | $260.6K | 35.7K | 17 |
| LA | $7.29 | $648.0K | 88.8K | 48 |
| MN | $7.29 | $805.2K | 110.4K | 73 |
| TN | $7.28 | $388.3K | 53.3K | 30 |
| OK | $7.28 | $452.3K | 62.1K | 27 |
| WV | $7.28 | $21.3K | 2.9K | 3 |
| ME | $7.28 | $6.3K | 864 | 1 |
| SD | $7.28 | $87.4K | 12.0K | 8 |
| KY | $7.27 | $475.7K | 65.4K | 31 |
| IL | $7.27 | $1.0M | 142.1K | 63 |
| OR | $7.26 | $476.0K | 65.6K | 44 |
| AZ | $7.26 | $468.9K | 64.6K | 36 |
| PA | $7.26 | $1.8M | 243.0K | 126 |
| MO | $7.25 | $810.9K | 111.8K | 52 |
| TX | $7.25 | $1.4M | 197.3K | 113 |
| VA | $7.25 | $184.5K | 25.4K | 15 |
| OH | $7.25 | $804.1K | 110.9K | 71 |
| MS | $7.24 | $38.4K | 5.3K | 5 |
| ID | $7.23 | $215.8K | 29.8K | 24 |
| NH | $7.23 | $35.3K | 4.9K | 4 |
| AL | $7.23 | $908.6K | 125.7K | 71 |
| CO | $7.22 | $409.9K | 56.7K | 34 |
| WI | $7.21 | $508.5K | 70.5K | 46 |
| MT | $7.16 | $231.2K | 32.3K | 17 |
| Provider | Specialty | State | Payments | Services | Avg/Service |
|---|---|---|---|---|---|
| Pejman Shirazy | Physical Medicine and Rehabilitation | CA | $412.5K | 55.8K | $7.40 |
| Jon Dounchis | Orthopedic Surgery | FL | $137.6K | 19.2K | $7.15 |
| Daniel Parker | Sports Medicine | CA | $110.3K | 14.9K | $7.39 |
| Walter Choung | Orthopedic Surgery | FL | $98.3K | 13.3K | $7.37 |
| Muzaffar Hussain | Orthopedic Surgery | OK | $98.1K | 13.3K | $7.39 |
| Gregory Rubin | Sports Medicine | FL | $94.0K | 13.1K | $7.17 |
| James O'dowd | Orthopedic Surgery | CA | $91.8K | 12.4K | $7.40 |
| Matt Thornburg | Family Practice | MO | $82.0K | 11.1K | $7.39 |
| Sydney Chung | Physician Assistant | CA | $78.5K | 10.7K | $7.34 |
| Kelly Connor | Physician Assistant | AZ | $76.5K | 10.5K | $7.28 |
| Adam Buerk | Orthopedic Surgery | PA | $72.7K | 10.1K | $7.19 |
| David Mehl | Orthopedic Surgery | IL | $72.5K | 9.8K | $7.36 |
| Landon Todd | Physician Assistant | CA | $66.8K | 9.0K | $7.40 |
| Brian Dickson | Orthopedic Surgery | AR | $66.6K | 9.2K | $7.26 |
| Hasham Alvi | Orthopedic Surgery | IL | $66.3K | 9.0K | $7.34 |
| Russell Tigges | Orthopedic Surgery | NY | $66.1K | 8.9K | $7.40 |
| Scott Alpert | Orthopedic Surgery | NY | $64.8K | 8.8K | $7.38 |
| John Hardcastle | Orthopedic Surgery | NY | $64.7K | 8.8K | $7.31 |
| Cristin Henry | Physician Assistant | SC | $64.6K | 8.9K | $7.24 |
| Todd Tredinnick | Orthopedic Surgery | MD | $60.5K | 8.3K | $7.33 |
Based on the data, CPT J7325 shows a 1.0x variation in pricing across states — relatively consistent by Medicare standards.
Costs have decreased 24.5% 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.