Cost analysis for CPT J9299 — Injection, nivolumab, 1 mg
Average Medicare Payment
N/A
Total Payments (Latest)
N/A
Services (Latest)
N/A
Price Change (–)
N/A
The most expensive state pays 1.1x more than the cheapest for this procedure. SD averages $23.85 vs WV at $21.22.
| State | Avg Payment | Total Payments | Services | Providers |
|---|---|---|---|---|
| SD | $23.85 | $271.9K | 11.4K | 1 |
| WI | $23.74 | $151.9K | 6.4K | 1 |
| DE | $23.70 | $988.7K | 41.7K | 3 |
| MA | $23.68 | $269.9K | 11.4K | 1 |
| MI | $23.68 | $769.2K | 32.5K | 1 |
| ND | $23.67 | $1.1M | 45.6K | 1 |
| CO | $23.66 | $1.4M | 60.0K | 4 |
| NJ | $23.66 | $2.3M | 95.6K | 4 |
| DC | $23.65 | $678.3K | 28.7K | 1 |
| OR | $23.64 | $1.1M | 45.6K | 5 |
| VT | $23.64 | $519.2K | 22.0K | 1 |
| NE | $23.64 | $5.8M | 244.4K | 13 |
| UT | $23.64 | $1.1M | 48.0K | 1 |
| NY | $23.64 | $4.4M | 185.4K | 10 |
| AR | $23.63 | $13.0M | 549.6K | 30 |
| IN | $23.63 | $1.5M | 63.3K | 3 |
| MN | $23.63 | $3.3M | 141.7K | 21 |
| AK | $23.61 | $1.4M | 60.1K | 3 |
| PA | $23.60 | $2.9M | 123.3K | 10 |
| MO | $23.58 | $7.9M | 336.1K | 22 |
| ME | $23.54 | $2.0M | 85.6K | 3 |
| TN | $23.53 | $8.8M | 372.9K | 18 |
| KS | $23.53 | $8.9M | 379.1K | 14 |
| AL | $23.53 | $3.7M | 159.2K | 7 |
| IL | $23.51 | $9.2M | 389.4K | 30 |
| FL | $23.50 | $30.1M | 1.3M | 71 |
| SC | $23.47 | $6.0M | 257.6K | 14 |
| LA | $23.44 | $1.9M | 79.3K | 2 |
| AZ | $23.43 | $7.5M | 321.8K | 26 |
| OK | $23.42 | $2.6M | 110.8K | 8 |
| VA | $23.41 | $9.1M | 386.9K | 27 |
| MS | $23.40 | $4.6M | 194.7K | 8 |
| OH | $23.39 | $1.9M | 80.5K | 5 |
| MD | $23.29 | $13.9M | 595.8K | 21 |
| GA | $23.26 | $3.5M | 148.4K | 8 |
| NC | $23.22 | $2.7M | 114.6K | 9 |
| TX | $23.16 | $11.2M | 484.7K | 33 |
| IA | $22.98 | $3.7M | 160.7K | 7 |
| WA | $22.79 | $2.4M | 106.4K | 6 |
| CA | $22.78 | $21.0M | 921.9K | 39 |
| NV | $22.67 | $3.3M | 143.7K | 9 |
| ID | $21.52 | $2.1M | 95.9K | 3 |
| WV | $21.22 | $365.4K | 17.2K | 1 |
| Provider | Specialty | State | Payments | Services | Avg/Service |
|---|---|---|---|---|---|
| William Sharfman | Medical Oncology | MD | $1.9M | 83.8K | $23.09 |
| Vinh-Linh Nguyen | Hematology-Oncology | CA | $1.6M | 74.4K | $21.80 |
| Dexter Estrada | Hematology-Oncology | CA | $1.3M | 56.5K | $23.68 |
| John Waples | Hematology-Oncology | AL | $1.3M | 55.6K | $23.65 |
| Kamal Patel | Hematology-Oncology | AR | $1.3M | 55.5K | $23.44 |
| James Uyeki | Medical Oncology | TX | $1.3M | 55.0K | $23.67 |
| Richard Cherny | Hematology-Oncology | NY | $1.3M | 54.2K | $23.66 |
| Asit Choksi | Medical Oncology | TX | $1.3M | 59.7K | $21.01 |
| David Smith | Hematology-Oncology | MD | $1.2M | 52.4K | $23.64 |
| Vijay Patel | Hematology-Oncology | FL | $1.2M | 51.6K | $23.64 |
| Jack Saux | Hematology-Oncology | LA | $1.2M | 50.4K | $23.56 |
| Kai Zu | Hematology-Oncology | CA | $1.2M | 50.0K | $23.64 |
| Ravi Rao | Hematology-Oncology | CA | $1.2M | 49.5K | $23.56 |
| Ajay Sehgal | Hematology-Oncology | TX | $1.2M | 48.7K | $23.65 |
| Jeffrey Geitz | Hematology-Oncology | KS | $1.1M | 48.2K | $23.64 |
| Carl Gray | Hematology | UT | $1.1M | 48.0K | $23.64 |
| Ronald Drengler | Medical Oncology | TX | $1.1M | 48.2K | $23.24 |
| Leonid Shunyakov | Medical Oncology | MO | $1.1M | 47.0K | $23.55 |
| David Portnoy | Hematology-Oncology | TN | $1.1M | 46.3K | $23.64 |
| Anil Potti | Hematology-Oncology | ND | $1.1M | 45.6K | $23.67 |
Based on the data, CPT J9299 shows a 1.1x variation in pricing across states — relatively consistent by Medicare standards.
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.