RxDoctor Payments Data

HCPCS J2250

Injection, midazolam hydrochloride, per 1 mg

$0.13Medicare-allowed amount per service, averaged across 243,537 services
Providers submitted
$9.40

Asking price, not received

Medicare allowed
$0.13

The fee schedule figure

Medicare paid
$0.10

Balance is patient coinsurance

Providers submitted an average of $9.40 for this code and Medicare allowed $0.1372.3× 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 $0.10 (77%); the rest is the patient’s coinsurance and deductible.

Office pays differently to hospital

Office / non-facility
$0.13
Hospital / facility
$0.14

The facility rate is higher for this code, which is unusual and generally means the service depends on equipment or staffing a hospital carries. 241,794 services were billed in an office setting and 1,743 in a facility.

Services
243,537

Medicare Part B, 2024

Beneficiaries
59,666
Providers billing it
1,106
Total allowed
$31,660

Services × allowed amount

What Medicare pays for HCPCS J2250

Across 243,537 services billed by 1,106 providers to 59,666 beneficiaries, Medicare allowed an average of $0.13 per service. That is 4.1 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 J2250

SpecialtyServicesBeneficiariesAvg allowedProviders
Pain Management52,00910,289$0.13158
Interventional Pain Management45,7078,113$0.13130
Anesthesiology44,6509,162$0.13152
Physical Medicine and Rehabilitation15,2484,323$0.1469
Gastroenterology14,6923,309$0.1445
Diagnostic Radiology11,5604,670$0.14107
Vascular Surgery11,3784,775$0.1499
Interventional Radiology7,4092,669$0.1474
Nephrology7,2042,813$0.1441
Cardiology4,7942,111$0.1456
Family Practice4,442713$0.1317
General Surgery3,193868$0.1413
Internal Medicine3,1751,166$0.1420
Interventional Cardiology2,748849$0.1434
Urology2,485501$0.138

J2250 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.

StateServicesAllowedStandardized pmtProviders
Texas34,179$0.13$0.11139
California21,796$0.14$0.10106
Illinois19,844$0.13$0.1165
Oklahoma15,417$0.13$0.1119
Florida14,524$0.13$0.1189
Alabama14,160$0.13$0.1125
Michigan13,789$0.13$0.1179
Arizona11,384$0.13$0.1142
Virginia9,678$0.14$0.1155
Tennessee7,102$0.13$0.1136
Utah7,052$0.13$0.1143
New York6,729$0.13$0.1143
South Carolina6,550$0.14$0.1121
Mississippi4,922$0.13$0.118
Pennsylvania4,630$0.13$0.1118
Colorado4,115$0.14$0.1125
Ohio4,086$0.13$0.1116
Georgia4,078$0.13$0.1129
Washington4,060$0.13$0.1124
Indiana3,579$0.14$0.1114
Minnesota3,459$0.14$0.0932
Nevada2,959$0.13$0.118
New Jersey2,475$0.14$0.1116
New Mexico2,440$0.14$0.117
Arkansas2,171$0.14$0.1122
Louisiana2,101$0.14$0.1112
Massachusetts2,060$0.13$0.1112
Maryland2,002$0.14$0.1110
North Carolina1,978$0.14$0.1125
Nebraska1,735$0.14$0.117
Delaware1,358$0.14$0.115
Kentucky1,176$0.12$0.115
South Dakota1,121$0.12$0.105
Missouri1,068$0.14$0.117
Oregon928$0.13$0.118
Alaska782$0.14$0.113
Kansas291$0.14$0.114
Hawaii285$0.13$0.112
Guam242$0.14$0.104
Wyoming241$0.13$0.102
Montana224$0.13$0.091
Wisconsin197$0.14$0.113
Iowa151$0.13$0.111
Vermont95$0.13$0.111
Maine85$0.14$0.112
New Hampshire80$0.14$0.101
Idaho72$0.14$0.111
Connecticut58$0.14$0.113
Puerto Rico29$0.14$0.101

Related codes

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.