Cost analysis for CPT J7326 — Hyaluronan or derivative, gel-one, for intra-articular injection, per dose
Average Medicare Payment
$401.39
2023 data
Total Payments (2023)
$35.0M
Services (2023)
87.0K
Price Change (2014–2023)
-8.3%
| Year | Avg Payment | Total Payments | Services | YoY Change |
|---|---|---|---|---|
| 2014 | $437.60 | $8.2M | 18.6K | — |
| 2015 | $438.75 | $10.1M | 23.1K | +0.3% |
| 2016 | $452.22 | $13.3M | 29.6K | +3.1% |
| 2017 | $428.19 | $13.9M | 32.5K | -5.3% |
| 2018 | $406.53 | $15.2M | 37.3K | -5.1% |
| 2019 | $792.21 | $51.0M | 63.8K | +94.9% |
| 2020 | $894.55 | $74.8M | 82.9K | +12.9% |
| 2021 | $949.34 | $112.7M | 118.1K | +6.1% |
| 2022 | $738.95 | $77.7M | 105.7K | -22.2% |
| 2023 | $401.39 | $35.0M | 87.0K | -45.7% |
The most expensive state pays 1.0x more than the cheapest for this procedure. AK averages $405.49 vs WI at $394.77.
| State | Avg Payment | Total Payments | Services | Providers |
|---|---|---|---|---|
| AK | $405.49 | $90.0K | 222 | 7 |
| MN | $403.95 | $60.6K | 150 | 5 |
| MO | $403.91 | $275.9K | 683 | 16 |
| NJ | $403.68 | $4.5M | 11.1K | 140 |
| LA | $403.53 | $243.7K | 604 | 14 |
| NC | $403.41 | $1.4M | 3.5K | 64 |
| DC | $403.10 | $137.1K | 340 | 6 |
| CA | $403.08 | $1.5M | 3.7K | 64 |
| SC | $403.06 | $1.5M | 3.8K | 49 |
| AL | $403.05 | $613.4K | 1.5K | 36 |
| KY | $402.97 | $854.3K | 2.1K | 42 |
| MD | $402.77 | $1.5M | 3.7K | 62 |
| WY | $402.67 | $130.5K | 324 | 9 |
| PA | $402.64 | $2.4M | 5.8K | 112 |
| FL | $402.52 | $3.8M | 9.3K | 132 |
| MA | $402.32 | $693.6K | 1.7K | 41 |
| AR | $402.28 | $349.2K | 868 | 15 |
| NY | $402.06 | $2.7M | 6.8K | 124 |
| CO | $402.01 | $478.4K | 1.2K | 29 |
| MS | $402.01 | $568.8K | 1.4K | 23 |
| WA | $402.01 | $379.9K | 945 | 20 |
| VA | $401.89 | $942.8K | 2.3K | 53 |
| KS | $401.87 | $78.4K | 195 | 7 |
| NV | $401.83 | $316.2K | 787 | 11 |
| TX | $401.66 | $1.6M | 4.1K | 103 |
| IL | $401.66 | $2.8M | 7.1K | 115 |
| TN | $401.53 | $576.2K | 1.4K | 40 |
| AZ | $401.07 | $43.7K | 109 | 2 |
| CT | $400.97 | $142.3K | 355 | 9 |
| MI | $400.46 | $185.0K | 462 | 14 |
| OH | $400.40 | $998.2K | 2.5K | 71 |
| IN | $399.89 | $453.9K | 1.1K | 25 |
| GA | $399.64 | $829.7K | 2.1K | 48 |
| OK | $399.50 | $340.0K | 851 | 22 |
| NH | $399.42 | $89.5K | 224 | 4 |
| NM | $398.63 | $351.2K | 881 | 11 |
| NE | $398.19 | $150.1K | 377 | 13 |
| WV | $397.99 | $41.0K | 103 | 5 |
| OR | $397.03 | $49.6K | 125 | 3 |
| IA | $396.13 | $458.7K | 1.2K | 17 |
| WI | $394.77 | $148.0K | 375 | 12 |
| Provider | Specialty | State | Payments | Services | Avg/Service |
|---|---|---|---|---|---|
| Gregory Smith | Orthopedic Surgery | FL | $247.7K | 616 | $402.10 |
| Jeffrey Oettinger | Orthopedic Surgery | FL | $233.7K | 576 | $405.67 |
| Julia Bruene | Orthopedic Surgery | IL | $214.1K | 534 | $400.94 |
| Thomas John | Orthopedic Surgery | NJ | $211.3K | 520 | $406.28 |
| Phillip Ludkowski | Orthopedic Surgery | IL | $183.0K | 457 | $400.37 |
| Oscar Vazquez | Orthopedic Surgery | NJ | $181.8K | 449 | $405.01 |
| Eric Shapiro | Orthopedic Surgery | FL | $173.4K | 428 | $405.14 |
| Eric Mirsky | Orthopedic Surgery | NJ | $169.7K | 418 | $406.02 |
| Kevin Cassidy | Orthopedic Surgery | NY | $163.9K | 406 | $403.62 |
| James O'leary | Sports Medicine | SC | $159.9K | 396 | $403.79 |
| Peter Kurzweil | Orthopedic Surgery | CA | $150.6K | 372 | $404.91 |
| David Raab | Orthopedic Surgery | IL | $138.0K | 340 | $406.00 |
| Douglas Dodson | Orthopedic Surgery | NM | $137.4K | 349 | $393.66 |
| Kurt Hirshorn | Orthopedic Surgery | FL | $133.0K | 333 | $399.32 |
| Elvis Grandic | Orthopedic Surgery | FL | $132.4K | 326 | $406.25 |
| Sridhar Durbhakula | Orthopedic Surgery | MD | $130.4K | 322 | $404.96 |
| Mark Chase | Orthopedic Surgery | NJ | $117.5K | 291 | $403.82 |
| Shariar Cohen-Gadol | Rheumatology | CA | $115.3K | 285 | $404.44 |
| Kraig Pepper | Orthopedic Surgery | TX | $109.2K | 270 | $404.48 |
| David Bullek | Orthopedic Surgery | NJ | $108.5K | 267 | $406.41 |
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.
Note: All data is from publicly available Medicare records. OpenMedicare is an independent journalism project not affiliated with CMS.