How much does Medicare pay for HCPCS J1720?

Medicare allowed an average of $17.67 per service and paid $13.89 of that, the balance being the patient's coinsurance and deductible (2024 data). Providers submitted an average of $39.42, which is what they billed rather than what they received — Medicare pays its fee schedule regardless of the charge.

What is HCPCS code J1720?

Injection, hydrocortisone sodium succinate, up to 100 mg. It was billed 11,728 times to 4,290 Medicare beneficiaries by 184 providers in 2024.

Which specialty bills J1720 most?

Hematology-Oncology, with 4,968 services from 78 clinicians. Next are Rheumatology, Nurse Practitioner, Medical Oncology.

HCPCS J1720

Injection, hydrocortisone sodium succinate, up to 100 mg

$17.67Medicare-allowed amount per service, averaged across 11,728 services

Providers submitted

$39.42

Asking price, not received

Medicare allowed

$17.67

The fee schedule figure

Medicare paid

$13.89

Balance is patient coinsurance

Providers submitted an average of $39.42 for this code and Medicare allowed $17.67 — 2.2× less. That gap is normal and means nothing on its own: Medicare pays its fee schedule regardless of what is billed, so the submitted figure describes a hospital chargemaster, not a price anyone paid. Of the allowed amount Medicare paid $13.89 (79%); the rest is the patient’s coinsurance and deductible.

Services: 11,728
Beneficiaries: 4,290
Providers billing it: 184
Total allowed: $207,234

What Medicare pays for HCPCS J1720

Across 11,728 services billed by 184 providers to 4,290 beneficiaries, Medicare allowed an average of $17.67 per service. That is 2.7 services per beneficiary, so this is a code patients typically receive more than once. The allowed amount is the figure that matters: it is what Medicare and the patient together owe, set by the fee schedule and adjusted for local practice costs. What a provider chose to submit has no bearing on it.

This is a drug or supply code rather than a service. The unit is usually a dose or a milligram, so the per-service figure is small by construction and the total is what carries meaning — read it alongside the service count rather than on its own.

Who bills J1720

Specialty	Services	Beneficiaries	Avg allowed	Providers
Hematology-Oncology	4,968	1,620	$18.50	78
Rheumatology	2,520	802	$18.05	35
Nurse Practitioner	1,024	478	$16.06	16
Medical Oncology	954	295	$18.26	17
Orthopedic Surgery	589	361	$10.98	5
Physician Assistant	388	161	$17.24	8
Internal Medicine	283	170	$17.91	9
Urology	205	36	$18.52	1
Neurology	159	52	$18.29	3
Family Practice	155	59	$14.15	2
Allergy/ Immunology	127	28	$18.44	1
Nephrology	94	70	$17.54	1
Gastroenterology	75	24	$18.40	1
Obstetrics & Gynecology	53	39	$18.12	2
Interventional Pain Management	39	22	$18.41	1

J1720 reimbursement by state

Two different numbers. Allowed is what Medicare actually allowed in that state, which includes the local practice-cost adjustment. Standardized strips that geographic adjustment out of the payment, so it is the column to use when comparing states — a difference there reflects how the code was billed, not what it costs to run a practice locally.

State	Services	Allowed	Standardized pmt	Providers
Illinois	2,106	$18.51	$14.68	14
California	1,644	$18.71	$14.74	32
Florida	1,177	$17.79	$14.12	33
Missouri	990	$10.88	$8.18	8
New York	786	$18.05	$14.42	16
Maine	525	$18.51	$14.74	8
Ohio	466	$18.55	$14.66	7
North Carolina	406	$18.32	$14.23	5
Kentucky	391	$18.62	$14.81	3
Minnesota	388	$18.51	$14.83	4
Kansas	349	$18.00	$14.85	5
Michigan	330	$18.55	$14.83	5
Wisconsin	302	$18.20	$14.28	3
Massachusetts	292	$18.34	$15.02	7
Texas	288	$16.56	$13.90	5
New Jersey	234	$18.37	$14.72	2
Alabama	215	$18.53	$14.64	3
Pennsylvania	182	$18.52	$14.46	3
South Carolina	174	$17.51	$13.95	5
Maryland	99	$18.20	$15.05	4
Virginia	70	$15.86	$11.17	1
Colorado	67	$15.94	$12.70	2
Tennessee	51	$18.49	$14.17	1
Arizona	46	$19.09	$15.21	1
Connecticut	43	$18.74	$14.93	2
New Hampshire	25	$18.76	$14.95	1
Oregon	25	$17.15	$14.52	1
Indiana	20	$18.79	$14.97	1
Georgia	19	$18.60	$13.27	1
West Virginia	18	$18.44	$13.09	1

Related codes

J1756Injection, iron sucrose, 1 mg$0.22
J1745Injection, infliximab, excludes biosimilar, 10 mg$31.05
J1750Injection, iron dextran, 50 mg$17.12
J1740Injection, ibandronate sodium, 1 mg$27.51

Billing this code is not the same as earning it

An allowed amount is revenue to a practice, not income to a clinician. It funds staff, premises, equipment and supplies before anyone is paid. What clinicians actually earn is published separately by the Department of Labor, and what industry pays them is published separately again by CMS — this site carries both.

What doctors are paid →·Look up a clinician →·All procedure codes →

Where this comes from. CMS Medicare Physician & Other Practitioners, by Provider and Service, 2024. It covers fee-for-service Original Medicare Part B only — not Medicare Advantage, not Medicaid, and not commercial insurance, which typically pays more for the same code.

How it is averaged. CMS publishes one average per provider per code. Every figure here is re-weighted by the number of services, so a clinician who billed the code 4,000 times counts 4,000 times more than one who billed it twice. CMS also suppresses any provider-code pair with fewer than 11 beneficiaries, so low-volume practice is missing from these totals by design.