How much does Medicare pay for HCPCS J7120?

Medicare allowed an average of $2.40 per service and paid $1.85 of that, the balance being the patient's coinsurance and deductible (2024 data). Providers submitted an average of $29.73, which is what they billed rather than what they received — Medicare pays its fee schedule regardless of the charge.

What is HCPCS code J7120?

Ringers lactate infusion, up to 1000 cc. It was billed 10,074 times to 4,710 Medicare beneficiaries by 99 providers in 2024.

Which specialty bills J7120 most?

Family Practice, with 2,369 services from 10 clinicians. Next are Anesthesiology, Internal Medicine, Obstetrics & Gynecology.

HCPCS J7120

Ringers lactate infusion, up to 1000 cc

$2.40Medicare-allowed amount per service, averaged across 10,074 services

Providers submitted

$29.73

Asking price, not received

Medicare allowed

$2.40

The fee schedule figure

Medicare paid

$1.85

Balance is patient coinsurance

Providers submitted an average of $29.73 for this code and Medicare allowed $2.40 — 12.4× 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 $1.85 (77%); the rest is the patient’s coinsurance and deductible.

Services: 10,074
Beneficiaries: 4,710
Providers billing it: 99
Total allowed: $24,178

What Medicare pays for HCPCS J7120

Across 10,074 services billed by 99 providers to 4,710 beneficiaries, Medicare allowed an average of $2.40 per service. That is 2.1 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 J7120

Specialty	Services	Beneficiaries	Avg allowed	Providers
Family Practice	2,369	623	$2.36	10
Anesthesiology	1,232	890	$2.42	12
Internal Medicine	1,126	492	$2.44	13
Obstetrics & Gynecology	959	258	$2.44	2
Interventional Pain Management	901	385	$2.32	6
Pain Management	701	380	$2.41	4
Hematology-Oncology	652	160	$2.44	9
Emergency Medicine	630	548	$2.41	16
Certified Registered Nurse Anesthetist (CRNA)	388	376	$2.43	6
General Practice	262	129	$2.43	1
Nurse Practitioner	234	121	$2.45	5
Rheumatology	155	23	$2.42	1
Gastroenterology	136	129	$2.45	3
Nephrology	95	45	$2.42	2
Physical Medicine and Rehabilitation	80	18	$2.40	1

J7120 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
California	5,560	$2.40	$1.88	36
New York	822	$2.42	$1.93	6
Massachusetts	751	$2.43	$1.70	7
Virginia	486	$2.33	$1.93	2
Illinois	411	$2.43	$1.92	4
Alabama	297	$2.37	$1.94	1
Florida	244	$2.43	$1.94	5
Minnesota	186	$2.46	$1.95	4
Tennessee	151	$2.45	$1.44	2
North Carolina	139	$2.41	$1.86	5
Utah	125	$2.14	$2.03	1
Georgia	117	$2.43	$1.90	2
Kansas	102	$2.42	$1.87	3
Rhode Island	88	$2.43	$1.73	1
Texas	87	$2.41	$1.75	4
Maryland	75	$2.55	$1.97	1
Arkansas	69	$2.43	$1.88	2
Arizona	52	$2.38	$1.82	2
New Jersey	50	$2.50	$1.79	1
Oklahoma	39	$2.46	$1.91	1
Indiana	35	$2.43	$1.88	1
Oregon	34	$2.36	$1.95	1
Montana	28	$2.42	$1.93	1
Connecticut	27	$2.44	$1.87	1
Guam	23	$2.47	$1.70	1
Delaware	22	$2.40	$1.91	1
Wisconsin	20	$2.40	$1.91	1
Michigan	18	$2.55	$0.44	1
Mississippi	16	$2.40	$1.92	1

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.