How much does Medicare pay for HCPCS J9045?

Medicare allowed an average of $3.52 per service and paid $2.80 of that, the balance being the patient's coinsurance and deductible (2024 data). Providers submitted an average of $128.53, which is what they billed rather than what they received — Medicare pays its fee schedule regardless of the charge.

What is HCPCS code J9045?

Injection, carboplatin, 50 mg. It was billed 429,420 times to 26,188 Medicare beneficiaries by 1,388 providers in 2024.

Which specialty bills J9045 most?

Hematology-Oncology, with 288,589 services from 934 clinicians. Next are Medical Oncology, Gynecological Oncology, Internal Medicine.

HCPCS J9045

Injection, carboplatin, 50 mg

$3.52Medicare-allowed amount per service, averaged across 429,420 services

Providers submitted

$128.53

Asking price, not received

Medicare allowed

$3.52

The fee schedule figure

Medicare paid

$2.80

Balance is patient coinsurance

Providers submitted an average of $128.53 for this code and Medicare allowed $3.52 — 36.5× 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 $2.80 (80%); the rest is the patient’s coinsurance and deductible.

Services: 429,420
Beneficiaries: 26,188
Providers billing it: 1,388
Total allowed: $1,511,558

What Medicare pays for HCPCS J9045

Across 429,420 services billed by 1,388 providers to 26,188 beneficiaries, Medicare allowed an average of $3.52 per service. That is 16.4 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 J9045

Specialty	Services	Beneficiaries	Avg allowed	Providers
Hematology-Oncology	288,589	17,464	$3.52	934
Medical Oncology	86,444	5,809	$3.53	299
Gynecological Oncology	24,176	949	$3.51	47
Internal Medicine	14,300	973	$3.52	51
Hematology	7,183	442	$3.54	22
Nurse Practitioner	2,363	141	$3.52	10
Obstetrics & Gynecology	2,203	121	$3.55	7
Physician Assistant	1,918	123	$3.55	8
Hospitalist	793	43	$3.54	2
Hematopoietic Cell Transplantation and Cellular Therapy	704	76	$3.51	5
Surgical Oncology	333	12	$3.56	1
Hospice and Palliative Care	246	21	$3.56	1
Radiation Oncology	168	14	$3.56	1

J9045 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
Florida	56,276	$3.53	$2.83	168
Texas	48,960	$3.52	$2.82	180
California	31,910	$3.53	$2.81	92
Illinois	24,850	$3.54	$2.81	77
Virginia	24,707	$3.51	$2.84	90
Arizona	19,770	$3.54	$2.83	69
Maryland	18,153	$3.51	$2.83	48
Tennessee	17,963	$3.53	$2.82	54
Arkansas	16,140	$3.53	$2.83	39
Minnesota	11,608	$3.54	$2.82	48
Alabama	10,465	$3.53	$2.85	31
Pennsylvania	9,968	$3.51	$2.83	34
South Carolina	9,963	$3.52	$2.82	28
Georgia	9,635	$3.45	$2.80	31
New York	9,040	$3.54	$2.81	40
New Jersey	8,834	$3.53	$2.82	24
Iowa	8,818	$3.54	$2.80	22
Kansas	8,736	$3.56	$2.83	17
Nebraska	7,575	$3.50	$2.80	22
Ohio	7,530	$3.54	$2.82	26
Oregon	6,711	$3.52	$2.84	24
Michigan	6,686	$3.52	$2.83	27
Mississippi	6,392	$3.51	$2.84	15
Nevada	6,145	$3.51	$2.80	21
Washington	5,576	$3.51	$2.78	20
Colorado	5,209	$3.50	$2.83	22
North Carolina	4,663	$3.54	$2.83	21
Oklahoma	4,640	$3.54	$2.83	13
Indiana	3,815	$3.52	$2.83	13
Missouri	3,449	$3.55	$2.81	14
New Mexico	1,952	$3.50	$2.81	9
Delaware	1,944	$3.47	$2.84	6
Alaska	1,816	$3.50	$2.85	8
Wisconsin	1,379	$3.54	$2.82	6
Wyoming	1,261	$3.55	$2.82	2
Idaho	1,247	$3.57	$2.83	3
Louisiana	793	$3.47	$2.85	2
New Hampshire	692	$3.56	$2.84	4
Maine	666	$3.44	$2.81	3
Connecticut	585	$3.55	$2.77	3
South Dakota	432	$3.50	$2.89	2
North Dakota	377	$3.43	$2.81	1
West Virginia	372	$3.61	$2.88	2
XX	341	$3.52	$2.81	1
Vermont	316	$3.57	$2.84	1
Utah	283	$3.53	$2.81	1
Rhode Island	279	$3.56	$2.83	1
Massachusetts	263	$3.48	$2.86	2
Kentucky	235	$3.57	$2.84	1

Related codes

J9025Injection, azacitidine, 1 mg$0.37
J9030Bcg live intravesical instillation$2.85
J9041Injection, bortezomib, 0.1 mg$1.80
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.