How much does Medicare pay for HCPCS J9041?

Medicare allowed an average of $1.80 per service and paid $1.40 of that, the balance being the patient's coinsurance and deductible (2024 data). Providers submitted an average of $88.25, which is what they billed rather than what they received — Medicare pays its fee schedule regardless of the charge.

What is HCPCS code J9041?

Injection, bortezomib, 0.1 mg. It was billed 629,937 times to 5,084 Medicare beneficiaries by 306 providers in 2024.

Which specialty bills J9041 most?

Hematology-Oncology, with 457,447 services from 203 clinicians. Next are Medical Oncology, Internal Medicine, Hematology.

HCPCS J9041

Injection, bortezomib, 0.1 mg

$1.80Medicare-allowed amount per service, averaged across 629,937 services

Providers submitted

$88.25

Asking price, not received

Medicare allowed

$1.80

The fee schedule figure

Medicare paid

$1.40

Balance is patient coinsurance

Providers submitted an average of $88.25 for this code and Medicare allowed $1.80 — 49.0× 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 $1.40 (78%); the rest is the patient’s coinsurance and deductible.

Services: 629,937
Beneficiaries: 5,084
Providers billing it: 306
Total allowed: $1,133,887

What Medicare pays for HCPCS J9041

Across 629,937 services billed by 306 providers to 5,084 beneficiaries, Medicare allowed an average of $1.80 per service. That is 123.9 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 J9041

Specialty	Services	Beneficiaries	Avg allowed	Providers
Hematology-Oncology	457,447	3,274	$1.80	203
Medical Oncology	121,958	1,336	$1.80	74
Internal Medicine	25,814	216	$1.78	14
Hematology	19,523	204	$1.75	11
Hematopoietic Cell Transplantation and Cellular Therapy	5,195	54	$1.77	4

J9041 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
Virginia	69,086	$1.81	$1.42	33
Florida	53,505	$1.81	$1.42	34
Illinois	50,830	$1.80	$1.41	28
New York	49,746	$1.79	$1.41	16
Kansas	47,950	$1.83	$1.41	11
California	47,380	$1.78	$1.43	9
Arkansas	37,940	$1.80	$1.41	16
Minnesota	36,167	$1.79	$1.41	41
Mississippi	29,295	$1.79	$1.39	6
Arizona	27,040	$1.75	$1.39	30
Texas	26,390	$1.76	$1.41	13
Maryland	19,344	$1.82	$1.42	6
North Carolina	18,576	$1.83	$1.42	12
South Carolina	18,528	$1.72	$1.48	9
Pennsylvania	17,767	$1.80	$1.41	8
Oklahoma	14,070	$1.82	$1.44	7
Iowa	10,115	$1.78	$1.39	2
Nebraska	9,450	$1.76	$1.38	2
Delaware	6,850	$1.85	$1.41	1
Missouri	6,510	$1.73	$1.37	4
Colorado	5,880	$1.89	$1.47	2
Tennessee	5,635	$1.80	$1.39	6
Michigan	5,490	$1.85	$1.43	3
Alabama	4,200	$1.82	$1.36	1
Oregon	3,780	$1.77	$1.39	1
Idaho	3,284	$1.84	$1.47	1
Washington	2,994	$1.86	$1.37	2
Ohio	1,120	$1.73	$1.38	1
Wisconsin	1,015	$1.83	$1.45	1

Related codes

J9025Injection, azacitidine, 1 mg$0.37
J9030Bcg live intravesical instillation$2.85
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
J9000Injection, doxorubicin hydrochloride, 10 mg$3.29

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.