How much does Medicare pay for HCPCS J9000?

Medicare allowed an average of $3.29 per service and paid $2.62 of that, the balance being the patient's coinsurance and deductible (2024 data). Providers submitted an average of $31.79, which is what they billed rather than what they received — Medicare pays its fee schedule regardless of the charge.

What is HCPCS code J9000?

Injection, doxorubicin hydrochloride, 10 mg. It was billed 5,868 times to 380 Medicare beneficiaries by 30 providers in 2024.

Which specialty bills J9000 most?

Hematology-Oncology, with 4,485 services from 21 clinicians. Next are Medical Oncology.

HCPCS J9000

Injection, doxorubicin hydrochloride, 10 mg

$3.29Medicare-allowed amount per service, averaged across 5,868 services

Providers submitted

$31.79

Asking price, not received

Medicare allowed

$3.29

The fee schedule figure

Medicare paid

$2.62

Balance is patient coinsurance

Providers submitted an average of $31.79 for this code and Medicare allowed $3.29 — 9.7× 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 $2.62 (80%); the rest is the patient’s coinsurance and deductible.

Services: 5,868
Beneficiaries: 380
Providers billing it: 30
Total allowed: $19,306

What Medicare pays for HCPCS J9000

Across 5,868 services billed by 30 providers to 380 beneficiaries, Medicare allowed an average of $3.29 per service. That is 15.4 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 J9000

Specialty	Services	Beneficiaries	Avg allowed	Providers
Hematology-Oncology	4,485	266	$3.28	21
Medical Oncology	1,383	114	$3.32	9

J9000 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
Texas	1,096	$3.30	$2.63	6
Florida	505	$3.28	$2.63	3
Virginia	445	$3.33	$2.65	2
Minnesota	443	$3.32	$2.64	4
California	388	$3.10	$2.46	1
Illinois	371	$3.40	$2.71	2
Kansas	361	$3.02	$2.68	2
Arizona	361	$3.28	$2.61	2
Georgia	348	$3.35	$2.67	2
Iowa	348	$3.30	$2.63	1
Alabama	336	$3.29	$2.62	1
Mississippi	283	$3.38	$2.70	1
Maryland	249	$3.30	$2.63	1
Missouri	179	$3.41	$2.71	1
Arkansas	155	$3.37	$2.68	1

Related codes

J9025Injection, azacitidine, 1 mg$0.37
J9030Bcg live intravesical instillation$2.85
J9041Injection, bortezomib, 0.1 mg$1.80
J9045Injection, carboplatin, 50 mg$3.52
J9035Injection, bevacizumab, 10 mg$69.31
J9047Injection, carfilzomib, 1 mg$47.63
J9022Injection, atezolizumab, 10 mg$83.41
J9073Injection, cyclophosphamide (ingenus), 5 mg$0.89
J9075Injection, cyclophosphamide, not otherwise specified, 5 mg$0.99
J9060Injection, cisplatin, powder or solution, 10 mg$3.28

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.