RxDoctor Payments Data

HCPCS J3304

Injection, triamcinolone acetonide, preservative-free, extended-release, microsphere formulation, 1 mg

$17.28Medicare-allowed amount per service, averaged across 2,762,340 services
Providers submitted
$48.02

Asking price, not received

Medicare allowed
$17.28

The fee schedule figure

Medicare paid
$13.62

Balance is patient coinsurance

Providers submitted an average of $48.02 for this code and Medicare allowed $17.282.8× 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 $13.62 (79%); the rest is the patient’s coinsurance and deductible.

Office pays differently to hospital

Office / non-facility
$17.28
Hospital / facility
$16.09

The office rate is higher because the practice supplies the room, staff and equipment out of that payment. In a hospital the facility bills those separately, so the clinician's share is smaller — the total cost to Medicare is usually higher, not lower. 2,759,652 services were billed in an office setting and 2,688 in a facility.

Services
2,762,340

Medicare Part B, 2024

Beneficiaries
40,675
Providers billing it
1,076
Total allowed
$47,733,235

Services × allowed amount

What Medicare pays for HCPCS J3304

Across 2,762,340 services billed by 1,076 providers to 40,675 beneficiaries, Medicare allowed an average of $17.28 per service. That is 67.9 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 J3304

SpecialtyServicesBeneficiariesAvg allowedProviders
Orthopedic Surgery1,268,48819,036$17.31460
Physician Assistant568,3778,476$17.30268
Nurse Practitioner228,8583,246$17.3175
Sports Medicine227,2792,968$17.2879
Family Practice141,5001,827$16.9055
Rheumatology94,1891,328$17.3336
Physical Medicine and Rehabilitation78,3721,167$17.1529
Pain Management30,931584$17.1816
Pediatric Medicine19,648308$17.383
Emergency Medicine18,338333$17.288
Anesthesiology17,940296$17.2512
Internal Medicine16,181229$17.2210
General Practice12,137199$17.374
Interventional Pain Management9,602177$17.377
Plastic and Reconstructive Surgery8,160162$17.372

J3304 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
California331,449$17.33$13.7391
Illinois216,934$17.25$13.7586
Texas202,507$17.29$13.7294
Florida181,029$17.31$13.7859
New York147,839$17.25$13.6761
Pennsylvania126,906$17.35$13.6759
Georgia113,059$17.28$13.6044
Massachusetts112,346$17.35$13.7249
Mississippi112,034$17.30$13.6819
Oklahoma98,737$17.33$13.5637
Tennessee97,620$17.32$13.6841
New Jersey97,231$17.30$13.5836
Missouri93,411$17.31$13.6634
Ohio74,095$17.37$13.6631
New Hampshire69,806$17.26$13.6517
North Carolina64,473$16.20$12.7932
Alabama64,006$17.18$13.6939
Kentucky60,898$17.26$13.6928
Arkansas46,860$17.35$13.6420
Louisiana46,219$17.32$13.4915
Virginia41,970$17.32$13.7319
Delaware41,380$17.33$13.7214
South Carolina40,486$17.31$13.7415
Nevada36,085$17.21$13.7216
Maryland34,501$17.27$13.6822
Indiana33,070$17.35$13.7212
Maine18,884$17.35$13.773
Connecticut16,545$17.32$13.7410
Colorado14,848$17.36$13.668
Wisconsin13,921$17.37$13.607
Rhode Island13,251$17.22$13.706
Kansas13,185$17.24$13.618
Arizona13,121$17.29$13.755
Washington13,089$17.37$13.758
Nebraska10,841$17.39$13.774
Utah8,705$17.38$13.726
Michigan7,905$17.37$13.653
Montana7,008$17.37$13.652
New Mexico5,090$17.37$13.602
West Virginia4,320$17.36$13.453
Oregon4,195$17.17$13.624
Iowa4,192$16.84$13.822
District of Columbia3,904$17.38$13.841
Puerto Rico1,728$17.38$13.631
Alaska1,248$17.14$13.781
Wyoming704$17.42$13.721
Idaho704$17.40$13.861

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.