How much does Medicare pay for HCPCS J3380?

Medicare allowed an average of $21.66 per service and paid $17.22 of that, the balance being the patient's coinsurance and deductible (2024 data). Providers submitted an average of $52.56, which is what they billed rather than what they received — Medicare pays its fee schedule regardless of the charge.

What is HCPCS code J3380?

Injection, vedolizumab, intravenous, 1 mg. It was billed 8,328,838 times to 12,322 Medicare beneficiaries by 746 providers in 2024.

Which specialty bills J3380 most?

Gastroenterology, with 4,063,974 services from 447 clinicians. Next are Nurse Practitioner, Rheumatology, Internal Medicine.

HCPCS J3380

Injection, vedolizumab, intravenous, 1 mg

$21.66Medicare-allowed amount per service, averaged across 8,328,838 services

Providers submitted

$52.56

Asking price, not received

Medicare allowed

$21.66

The fee schedule figure

Medicare paid

$17.22

Balance is patient coinsurance

Providers submitted an average of $52.56 for this code and Medicare allowed $21.66 — 2.4× 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 $17.22 (80%); the rest is the patient’s coinsurance and deductible.

Services: 8,328,838
Beneficiaries: 12,322
Providers billing it: 746
Total allowed: $180,402,631

What Medicare pays for HCPCS J3380

Across 8,328,838 services billed by 746 providers to 12,322 beneficiaries, Medicare allowed an average of $21.66 per service. That is 675.9 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 J3380

Specialty	Services	Beneficiaries	Avg allowed	Providers
Gastroenterology	4,063,974	7,315	$21.65	447
Nurse Practitioner	2,260,810	2,817	$21.66	161
Rheumatology	413,402	365	$21.81	21
Internal Medicine	360,006	502	$21.62	31
Hematology-Oncology	322,224	357	$21.68	25
Infectious Disease	264,304	248	$21.62	14
Physician Assistant	171,907	203	$21.56	14
Family Practice	98,700	102	$21.55	5
Allergy/ Immunology	79,800	90	$21.84	7
Pediatric Medicine	76,200	67	$21.88	4
Endocrinology	58,800	98	$21.83	7
Neurology	48,907	42	$21.04	2
Anesthesiology	33,604	24	$21.91	1
Obstetrics & Gynecology	21,600	14	$21.95	1
Vascular Surgery	18,300	16	$20.81	1

J3380 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
Florida	887,704	$21.72	$17.36	64
New York	475,809	$21.74	$17.40	32
Illinois	442,813	$21.83	$17.47	36
Missouri	387,002	$21.83	$17.43	25
Tennessee	381,901	$21.37	$17.19	26
Nebraska	372,000	$21.88	$17.42	37
Pennsylvania	361,202	$21.67	$17.41	52
California	351,900	$21.65	$17.29	24
Texas	320,101	$21.21	$17.18	30
South Carolina	316,500	$21.64	$17.45	19
Maryland	312,316	$21.74	$17.46	28
Virginia	292,500	$21.62	$17.50	22
Ohio	291,037	$21.36	$17.23	32
Minnesota	273,300	$21.77	$17.42	39
North Carolina	262,512	$21.67	$17.46	34
Michigan	230,700	$21.77	$17.44	21
Indiana	182,404	$21.55	$17.50	18
Colorado	181,207	$21.75	$17.45	22
Washington	160,801	$21.82	$17.42	10
Kansas	157,501	$21.92	$17.42	11
New Jersey	153,000	$21.78	$17.45	15
Connecticut	145,200	$21.61	$17.38	14
Arizona	137,500	$21.74	$17.45	18
Oklahoma	128,102	$21.23	$16.91	9
Mississippi	114,302	$21.45	$17.09	15
Alabama	97,200	$21.93	$17.43	13
Georgia	95,700	$21.78	$17.47	7
Wisconsin	79,200	$21.86	$17.43	5
Louisiana	72,001	$20.95	$17.17	10
Oregon	68,707	$21.73	$17.36	9
Iowa	68,402	$21.92	$17.43	3
Delaware	58,800	$21.70	$17.46	8
Nevada	57,006	$21.91	$17.44	3
District of Columbia	57,000	$21.96	$17.47	6
Arkansas	56,401	$20.93	$17.62	4
New Hampshire	56,100	$21.84	$17.36	7
Utah	54,307	$19.64	$16.01	6
South Dakota	52,800	$21.90	$17.41	2
Massachusetts	45,000	$21.85	$17.47	3
Vermont	28,800	$21.94	$17.44	1
Rhode Island	28,200	$21.76	$17.49	3
Alaska	18,300	$21.72	$17.48	2
Idaho	15,600	$21.88	$17.39	1

Related codes

J3301Injection, triamcinolone acetonide, not otherwise specified, 10 mg$0.97
J3304Injection, triamcinolone acetonide, preservative-free, extended-releas$17.28
J3300Injection, triamcinolone acetonide, preservative free, 1 mg$4.35
J3370Injection, vancomycin hcl, 500 mg$2.20
J3315Injection, triptorelin pamoate, 3.75 mg$428.00
J3360Injection, diazepam, up to 5 mg$5.64

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.