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HCPCS J2550

Injection, promethazine hcl, up to 50 mg

$3.15Medicare-allowed amount per service, averaged across 1,754 services
Providers submitted
$15.92

Asking price, not received

Medicare allowed
$3.15

The fee schedule figure

Medicare paid
$2.41

Balance is patient coinsurance

Providers submitted an average of $15.92 for this code and Medicare allowed $3.15 — 5.1× 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 $2.41 (77%); the rest is the patient’s coinsurance and deductible.

Services
1,754

Medicare Part B, 2024

Beneficiaries
932
Providers billing it
53
Total allowed
$5,525

Services × allowed amount

What Medicare pays for HCPCS J2550

Across 1,754 services billed by 53 providers to 932 beneficiaries, Medicare allowed an average of $3.15 per service. That is 1.9 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 J2550

SpecialtyServicesBeneficiariesAvg allowedProviders
Internal Medicine613294$3.2614
Family Practice394273$3.1116
Pain Management342123$3.086
Neurology17744$2.952
Nurse Practitioner6647$2.974
General Practice3125$3.272
Hematology-Oncology2929$3.321
Anesthesiology1615$3.231
Emergency Medicine1411$2.871
Medical Oncology1414$3.241
Diagnostic Radiology1313$3.321
Interventional Pain Management1211$3.491
Interventional Radiology1111$3.381
Geriatric Medicine1111$3.421
Physician Assistant1111$3.371

J2550 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
Florida250$3.20$2.633
California192$3.24$2.435
Arizona187$2.62$2.583
Mississippi184$3.34$2.487
Alabama144$2.72$2.665
Tennessee136$3.29$2.634
Oklahoma103$3.35$2.643
Louisiana97$3.21$2.583
New Jersey87$3.14$2.502
Georgia86$3.34$2.615
Illinois76$3.17$2.642
Texas50$3.25$2.494
Michigan46$3.36$2.491
Arkansas42$3.34$2.452
Maryland29$3.32$2.351
Indiana17$3.38$2.361
New Mexico16$3.23$2.781
North Carolina12$3.24$2.391

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.