RxDoctor Payments Data

HCPCS J7030

Infusion, normal saline solution , 1000 cc

$2.58Medicare-allowed amount per service, averaged across 228,996 services
Providers submitted
$19.48

Asking price, not received

Medicare allowed
$2.58

The fee schedule figure

Medicare paid
$2.02

Balance is patient coinsurance

Providers submitted an average of $19.48 for this code and Medicare allowed $2.587.6× 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 $2.02 (78%); the rest is the patient’s coinsurance and deductible.

Services
228,996

Medicare Part B, 2024

Beneficiaries
88,006
Providers billing it
3,064
Total allowed
$590,810

Services × allowed amount

What Medicare pays for HCPCS J7030

Across 228,996 services billed by 3,064 providers to 88,006 beneficiaries, Medicare allowed an average of $2.58 per service. That is 2.6 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 J7030

SpecialtyServicesBeneficiariesAvg allowedProviders
Hematology-Oncology122,25344,482$2.591,510
Medical Oncology43,31014,702$2.59544
Internal Medicine11,6744,457$2.59166
Nurse Practitioner9,0803,986$2.58195
Family Practice8,9873,510$2.58125
Pain Management5,0361,445$2.5515
Emergency Medicine4,6204,063$2.58161
Physician Assistant3,5672,791$2.55123
Rheumatology2,246624$2.5228
Physical Medicine and Rehabilitation2,162548$2.598
Cardiology2,1021,998$2.3016
Hematology1,699674$2.5925
Interventional Cardiology1,696424$2.634
Gynecological Oncology1,673602$2.6024
Infectious Disease1,39195$2.604

J7030 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
Florida31,418$2.59$2.06345
California28,361$2.60$2.04296
Texas26,362$2.58$2.04371
Illinois13,821$2.56$2.06166
Arizona10,237$2.59$2.05122
Virginia10,039$2.60$2.03125
New York9,421$2.50$1.98119
Maryland7,517$2.57$2.0384
Tennessee6,006$2.59$2.0399
Missouri5,809$2.57$2.03139
Nevada5,628$2.59$2.0445
Arkansas5,181$2.60$2.0350
South Carolina5,133$2.58$2.0273
North Carolina5,061$2.60$2.0266
Ohio4,883$2.58$2.0380
Georgia4,519$2.56$2.0081
Colorado4,187$2.61$2.0560
New Jersey3,772$2.59$2.0664
Pennsylvania3,613$2.60$2.0365
Kansas3,038$2.60$2.0425
Minnesota2,863$2.58$2.0380
Alabama2,732$2.58$2.0257
Nebraska2,704$2.58$2.0530
Washington2,211$2.59$2.0433
Indiana2,207$2.58$2.0437
Michigan2,030$2.59$2.0541
Iowa1,736$2.59$2.0331
Oregon1,703$2.57$2.0527
Kentucky1,321$2.54$2.0612
Massachusetts1,294$2.60$2.0225
Oklahoma1,262$2.60$2.0229
Louisiana1,172$2.57$1.9627
Alaska1,146$2.59$2.0419
Delaware1,106$2.58$2.048
Maine1,058$2.51$2.0614
Wisconsin1,000$2.59$2.0310
North Dakota932$2.60$2.026
Utah926$2.50$2.0518
New Mexico894$2.57$2.0516
South Dakota814$2.62$2.037
Idaho721$2.58$2.067
New Hampshire680$2.58$2.032
Mississippi613$2.60$2.0118
Vermont513$2.61$2.063
Hawaii432$2.61$2.045
Wyoming234$2.59$1.976
Connecticut202$2.59$2.055
West Virginia133$2.60$2.064
Guam68$2.61$2.011
U.S. Virgin Islands59$2.62$1.402
XX51$2.59$2.071
Rhode Island49$2.61$2.082
District of Columbia41$2.61$2.081
Montana40$2.61$1.923
ZZ25$2.40$2.121
AP18$2.57$2.051

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.