Cost analysis for CPT J9217 — Leuprolide acetate (for depot suspension), 7.5 mg
Average Medicare Payment
$132.81
2023 data
Total Payments (2023)
$76.8M
Services (2023)
577.1K
Price Change (2014–2023)
-21.4%
| Year | Avg Payment | Total Payments | Services | YoY Change |
|---|---|---|---|---|
| 2014 | $168.95 | $131.2M | 775.9K | — |
| 2015 | $178.69 | $140.6M | 786.4K | +5.8% |
| 2016 | $178.67 | $143.9M | 804.8K | -0.0% |
| 2017 | $163.05 | $128.1M | 785.3K | -8.7% |
| 2018 | $166.46 | $131.5M | 789.0K | +2.1% |
| 2019 | $175.79 | $144.0M | 818.4K | +5.6% |
| 2020 | $174.11 | $131.8M | 756.2K | -1.0% |
| 2021 | $141.33 | $98.9M | 699.2K | -18.8% |
| 2022 | $137.70 | $90.9M | 659.0K | -2.6% |
| 2023 | $132.81 | $76.8M | 577.1K | -3.6% |
The most expensive state pays 1.0x more than the cheapest for this procedure. ME averages $135.24 vs RI at $129.06.
| State | Avg Payment | Total Payments | Services | Providers |
|---|---|---|---|---|
| ME | $135.24 | $167.6K | 1.2K | 6 |
| ND | $134.52 | $49.2K | 366 | 2 |
| WY | $134.51 | $113.0K | 840 | 7 |
| SD | $134.27 | $345.0K | 2.6K | 16 |
| MO | $133.97 | $1.3M | 9.4K | 71 |
| WI | $133.96 | $710.9K | 5.3K | 34 |
| FL | $133.93 | $6.8M | 50.5K | 362 |
| CO | $133.89 | $891.8K | 6.7K | 57 |
| DE | $133.78 | $777.3K | 5.8K | 25 |
| NC | $133.72 | $2.4M | 18.3K | 117 |
| MA | $133.68 | $993.5K | 7.4K | 55 |
| TN | $133.64 | $2.4M | 18.2K | 111 |
| ID | $133.63 | $190.0K | 1.4K | 10 |
| NH | $133.59 | $148.0K | 1.1K | 9 |
| AR | $133.56 | $1.1M | 8.1K | 54 |
| CT | $133.48 | $605.1K | 4.5K | 30 |
| IA | $133.41 | $1.3M | 9.5K | 54 |
| IL | $133.41 | $3.3M | 25.0K | 158 |
| OH | $133.38 | $2.2M | 16.2K | 97 |
| LA | $133.37 | $1.0M | 7.7K | 47 |
| MI | $133.35 | $1.7M | 13.0K | 77 |
| AZ | $133.35 | $2.7M | 20.4K | 138 |
| PA | $133.25 | $2.8M | 21.1K | 132 |
| SC | $133.24 | $1.6M | 12.1K | 73 |
| MT | $133.21 | $281.3K | 2.1K | 12 |
| KS | $133.12 | $1.2M | 9.2K | 45 |
| NJ | $133.10 | $2.6M | 19.2K | 116 |
| TX | $133.10 | $4.9M | 36.8K | 266 |
| KY | $133.04 | $876.5K | 6.6K | 31 |
| IN | $133.04 | $2.0M | 15.2K | 88 |
| MD | $132.99 | $2.7M | 20.2K | 98 |
| VA | $132.87 | $3.1M | 23.2K | 129 |
| OK | $132.82 | $1.2M | 9.2K | 59 |
| CA | $132.81 | $7.1M | 53.5K | 321 |
| GU | $132.78 | $21.5K | 162 | 1 |
| MN | $132.77 | $1.4M | 10.8K | 84 |
| MS | $132.62 | $1.6M | 12.1K | 53 |
| NE | $132.47 | $1.1M | 8.4K | 54 |
| AK | $132.27 | $311.8K | 2.4K | 21 |
| OR | $132.17 | $783.4K | 5.9K | 52 |
| GA | $132.01 | $2.4M | 18.0K | 119 |
| UT | $131.97 | $618.0K | 4.7K | 26 |
| NV | $131.84 | $860.5K | 6.5K | 36 |
| NY | $131.77 | $2.8M | 21.3K | 155 |
| HI | $131.76 | $131.8K | 1.0K | 6 |
| WA | $131.74 | $1.2M | 9.3K | 82 |
| DC | $131.58 | $87.5K | 665 | 4 |
| VT | $131.57 | $26.6K | 202 | 2 |
| NM | $131.54 | $562.3K | 4.3K | 24 |
| WV | $131.34 | $79.7K | 607 | 5 |
| AL | $129.19 | $1.1M | 8.7K | 50 |
| Provider | Specialty | State | Payments | Services | Avg/Service |
|---|---|---|---|---|---|
| Luke Nordquist | Medical Oncology | NE | $237.6K | 1.8K | $129.61 |
| Helen Reidler | Physician Assistant | DE | $149.5K | 1.1K | $133.64 |
| William Townsend | Urology | NC | $139.5K | 1.0K | $133.64 |
| David Cheng | Urology | GA | $137.5K | 1.1K | $130.08 |
| Joy Maulik | Nurse Practitioner | MD | $137.4K | 1.0K | $133.97 |
| Sukumar Ethirajan | Hematology | KS | $135.4K | 1.0K | $133.93 |
| Paul Eber | Urology | TN | $119.3K | 888 | $134.31 |
| Iris Kennedy | Nurse Practitioner | AR | $107.8K | 801 | $134.56 |
| Jiakai Zhu | Urology | MD | $107.1K | 808 | $132.56 |
| Felix Chi-Ming Yip | Urology | CA | $105.7K | 783 | $135.02 |
| David Key | Urology | OH | $103.2K | 763 | $135.31 |
| Ghasoub Harb | Urology | IA | $101.2K | 747 | $135.53 |
| Melissa Giese | Physician Assistant | MD | $101.1K | 754 | $134.10 |
| John Shen | Hematology-Oncology | CA | $100.8K | 760 | $132.65 |
| Eugene Kwon | Urology | MN | $100.6K | 754 | $133.44 |
| John Malcolm | Urology | VA | $100.6K | 747 | $134.66 |
| Jeanette Foronda | Physician Assistant | PA | $99.8K | 752 | $132.78 |
| Joyce Freidly | Physician Assistant | MD | $98.9K | 733 | $134.96 |
| Gordon Brown | Urology | NJ | $98.7K | 741 | $133.17 |
| Patrick Daily | Urology | MS | $96.5K | 716 | $134.74 |
Based on the data, CPT J9217 shows a 1.0x variation in pricing across states — relatively consistent by Medicare standards.
Costs have decreased 21.4% 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.