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Data Sources: Centers for Medicare & Medicaid Services (CMS), Medicare Provider Utilization and Payment Data
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Methodology•Download Data
  1. Home
  2. Procedures
  3. J7326
  4. Cost Analysis

How Much Does Hyaluronan or derivative, gel-one, for intra-articular injection, per dose Cost on Medicare?

Cost analysis for CPT J7326 — Hyaluronan or derivative, gel-one, for intra-articular injection, per dose

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Average Medicare Payment

$401.39

2023 data

Total Payments (2023)

$35.0M

Services (2023)

87.0K

Price Change (2014–2023)

-8.3%

📈 Year-over-Year Cost Trend

YearAvg PaymentTotal PaymentsServicesYoY Change
2014$437.60$8.2M18.6K—
2015$438.75$10.1M23.1K+0.3%
2016$452.22$13.3M29.6K+3.1%
2017$428.19$13.9M32.5K-5.3%
2018$406.53$15.2M37.3K-5.1%
2019$792.21$51.0M63.8K+94.9%
2020$894.55$74.8M82.9K+12.9%
2021$949.34$112.7M118.1K+6.1%
2022$738.95$77.7M105.7K-22.2%
2023$401.39$35.0M87.0K-45.7%

🗺️ State-by-State Cost Variation

The most expensive state pays 1.0x more than the cheapest for this procedure. AK averages $405.49 vs WI at $394.77.

StateAvg PaymentTotal PaymentsServicesProviders
AK$405.49$90.0K2227
MN$403.95$60.6K1505
MO$403.91$275.9K68316
NJ$403.68$4.5M11.1K140
LA$403.53$243.7K60414
NC$403.41$1.4M3.5K64
DC$403.10$137.1K3406
CA$403.08$1.5M3.7K64
SC$403.06$1.5M3.8K49
AL$403.05$613.4K1.5K36
KY$402.97$854.3K2.1K42
MD$402.77$1.5M3.7K62
WY$402.67$130.5K3249
PA$402.64$2.4M5.8K112
FL$402.52$3.8M9.3K132
MA$402.32$693.6K1.7K41
AR$402.28$349.2K86815
NY$402.06$2.7M6.8K124
CO$402.01$478.4K1.2K29
MS$402.01$568.8K1.4K23
WA$402.01$379.9K94520
VA$401.89$942.8K2.3K53
KS$401.87$78.4K1957
NV$401.83$316.2K78711
TX$401.66$1.6M4.1K103
IL$401.66$2.8M7.1K115
TN$401.53$576.2K1.4K40
AZ$401.07$43.7K1092
CT$400.97$142.3K3559
MI$400.46$185.0K46214
OH$400.40$998.2K2.5K71
IN$399.89$453.9K1.1K25
GA$399.64$829.7K2.1K48
OK$399.50$340.0K85122
NH$399.42$89.5K2244
NM$398.63$351.2K88111
NE$398.19$150.1K37713
WV$397.99$41.0K1035
OR$397.03$49.6K1253
IA$396.13$458.7K1.2K17
WI$394.77$148.0K37512

💰 Who Bills the Most for This Procedure?

ProviderSpecialtyStatePaymentsServicesAvg/Service
Gregory SmithOrthopedic SurgeryFL$247.7K616$402.10
Jeffrey OettingerOrthopedic SurgeryFL$233.7K576$405.67
Julia BrueneOrthopedic SurgeryIL$214.1K534$400.94
Thomas JohnOrthopedic SurgeryNJ$211.3K520$406.28
Phillip LudkowskiOrthopedic SurgeryIL$183.0K457$400.37
Oscar VazquezOrthopedic SurgeryNJ$181.8K449$405.01
Eric ShapiroOrthopedic SurgeryFL$173.4K428$405.14
Eric MirskyOrthopedic SurgeryNJ$169.7K418$406.02
Kevin CassidyOrthopedic SurgeryNY$163.9K406$403.62
James O'learySports MedicineSC$159.9K396$403.79
Peter KurzweilOrthopedic SurgeryCA$150.6K372$404.91
David RaabOrthopedic SurgeryIL$138.0K340$406.00
Douglas DodsonOrthopedic SurgeryNM$137.4K349$393.66
Kurt HirshornOrthopedic SurgeryFL$133.0K333$399.32
Elvis GrandicOrthopedic SurgeryFL$132.4K326$406.25
Sridhar DurbhakulaOrthopedic SurgeryMD$130.4K322$404.96
Mark ChaseOrthopedic SurgeryNJ$117.5K291$403.82
Shariar Cohen-GadolRheumatologyCA$115.3K285$404.44
Kraig PepperOrthopedic SurgeryTX$109.2K270$404.48
David BullekOrthopedic SurgeryNJ$108.5K267$406.41

🤔 Is Hyaluronan or derivative, gel-one, for intra-articular injection, per dose Overpriced?

Based on the data, CPT J7326 shows a 1.0x variation in pricing across states — relatively consistent by Medicare standards.

Costs have decreased 8.3% 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.

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.