RxDoctor Payments Data

HCPCS J7324

Hyaluronan or derivative, orthovisc, for intra-articular injection, per dose

$123.96Medicare-allowed amount per service, averaged across 187,669 services
Providers submitted
$497.66

Asking price, not received

Medicare allowed
$123.96

The fee schedule figure

Medicare paid
$96.82

Balance is patient coinsurance

Providers submitted an average of $497.66 for this code and Medicare allowed $123.964.0× 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 $96.82 (78%); the rest is the patient’s coinsurance and deductible.

Office pays differently to hospital

Office / non-facility
$123.96
Hospital / facility
$126.96

The facility rate is higher for this code, which is unusual and generally means the service depends on equipment or staffing a hospital carries. 187,487 services were billed in an office setting and 182 in a facility.

Services
187,669

Medicare Part B, 2024

Beneficiaries
44,796
Providers billing it
1,442
Total allowed
$23,263,449

Services × allowed amount

What Medicare pays for HCPCS J7324

Across 187,669 services billed by 1,442 providers to 44,796 beneficiaries, Medicare allowed an average of $123.96 per service. That is 4.2 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 J7324

SpecialtyServicesBeneficiariesAvg allowedProviders
Orthopedic Surgery79,84818,983$124.07583
Physician Assistant45,80112,297$123.91415
Sports Medicine17,7683,777$123.57101
Nurse Practitioner10,7082,839$124.2292
Family Practice8,9791,878$123.6969
Physical Medicine and Rehabilitation8,5431,720$123.4161
Rheumatology5,0851,001$124.2830
Pain Management2,518469$124.5419
Internal Medicine2,385516$124.9015
Anesthesiology1,037231$123.9413
Interventional Pain Management761153$123.879
Emergency Medicine708149$124.667
Obstetrics & Gynecology587108$124.491
Pediatric Medicine545129$123.624
Osteopathic Manipulative Medicine49088$124.695

J7324 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
California29,294$124.12$97.04170
New York25,138$123.84$97.88160
New Jersey22,241$123.58$97.70168
Florida14,612$124.68$97.6897
Texas11,739$123.66$97.1881
Illinois8,446$123.40$97.6766
Pennsylvania8,126$122.91$95.4371
Arizona5,384$124.40$96.5238
Maryland5,355$124.05$96.9527
Ohio5,176$124.07$96.5047
Virginia4,037$124.70$96.2848
Kentucky3,935$124.21$96.1032
Connecticut3,914$124.59$97.1744
Tennessee3,707$123.89$96.5527
Georgia3,478$124.33$96.8037
Nevada3,326$123.81$97.8022
Nebraska2,865$123.44$96.2135
North Carolina2,833$122.88$97.5635
Oklahoma2,556$123.67$95.5615
Indiana2,447$123.76$97.0428
Alabama2,178$124.63$97.4121
South Carolina2,063$124.32$96.7913
Oregon1,898$124.60$97.0925
Massachusetts1,488$124.33$97.7616
Mississippi1,427$125.17$97.1210
Colorado1,300$123.99$96.8510
Wisconsin1,245$124.13$95.9017
Michigan1,067$123.71$97.5710
Washington1,042$123.35$95.5414
Missouri962$124.71$96.798
Arkansas805$124.02$96.795
Delaware803$126.02$98.757
Kansas439$121.47$97.356
Minnesota341$126.51$97.944
Utah291$123.21$96.464
New Hampshire290$123.81$94.261
Iowa279$124.45$97.885
Louisiana220$124.32$96.653
Rhode Island214$127.55$98.583
Idaho158$123.76$97.422
South Dakota132$124.30$96.081
New Mexico125$124.84$98.112
Montana110$128.05$99.002
U.S. Virgin Islands92$124.05$93.502
Hawaii37$121.84$95.391
Alaska31$121.64$95.091
West Virginia23$122.09$97.281

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.