Drugs (Administered) · J3299 Drug

Injection, Triamcinolone Acetonide (xipere), 1 Mg

Medicare Payment (avg)
$37.33
What Medicare actually pays
Billed Charge (avg)
$132.97
What providers submit
Markup
3.6x
256% above Medicare rate
40.2K
Total Services
847
Beneficiaries
268
Providers
21
States with Data

Price Range Across States

Lowest State Avg
$35.81
Iowa
Highest State Avg
$37.83
Mississippi

What You Might Pay

Est. Commercial Insurance
$105.03
Range: $73.52 – $147.04
Est. Cash / Self-Pay
$71.73
Typical self-pay discount

Estimated using RAND 2024 commercial-to-Medicare ratios. Actual prices vary by insurer, plan, and facility.

How we estimate these prices

These estimates are based on the RAND Hospital Price Transparency Study (4th Edition, 2024), which found that commercial insurance prices average 224% of Medicare rates nationally. We apply category-specific ratios: Drugs (Administered) procedures average 2.24x Medicare rates. Cash/self-pay estimates blend typical cash discounts (55% of billed charges) with Medicare-based estimates (150% of allowed amounts). These are statistical estimates, not quotes. Contact your insurer or provider for actual costs.

Prices by State

State Medicare Payment Billed Charge
Mississippi $37.83 $82.93
New York $37.75 $74.99
Pennsylvania $37.75 $119.70
Arizona $37.71 $111.15
California $37.69 $272.54
Massachusetts $37.67 $104.76
South Carolina $37.67 $324.14
Georgia $37.63 $261.76
Oregon $37.59 $106.10
Missouri $37.59 $176.14
Ohio $37.53 $53.44
New Jersey $37.52 $235.48
North Carolina $37.40 $91.57
Maryland $37.39 $86.18
Florida $37.28 $118.59
Texas $37.16 $112.30
Connecticut $36.93 $90.00
Michigan $36.72 $58.10
Virginia $36.18 $135.89
Illinois $35.90 $207.03
Iowa $35.81 $78.44

What the Data Says About Injection, Triamcinolone Acetonide (xipere), 1 Mg

Across 21 states with reporting providers, CPT code J3299 (Injection, Triamcinolone Acetonide (xipere), 1 Mg) shows a national average Medicare payment of $37.33 against an average billed charge of $132.97. That gap — a 3.6x markup, or 256% above the Medicare allowed amount — reflects chargemaster pricing, not what most insured patients actually pay. Medicare's negotiated rate is the statutory benchmark; commercial insurers typically settle between the two figures based on network contracts.

Drugs (Administered) procedures like this one saw 40.2K services billed to Medicare in 2023 by 268 distinct providers, serving 847 unique beneficiaries. State-level variation is significant: Iowa reports the lowest average payment at $35.81, while Mississippi reports the highest at $37.83. Geographic Practice Cost Indices (GPCIs) explain much of that spread — local malpractice premiums, practice expense, and physician work adjustments all shift the allowed amount even when the procedure is identical.

Applying RAND 2024 commercial-to-Medicare ratios specific to the Drugs (Administered) category (2.24x), the estimated commercial insurance price lands near $105.03, with self-pay cash discounts commonly bringing the figure closer to $71.73. Uninsured patients facing the full billed charge have the strongest leverage to negotiate — the Hospital Price Transparency Rule (effective January 2021) requires providers to publish standard charges, cash rates, and payer-specific negotiated prices. This data is for educational reference; confirm coverage and out-of-pocket exposure with your insurer before any procedure.

Frequently Asked Questions

How much does Injection, Triamcinolone Acetonide (xipere), 1 Mg cost?

The national average Medicare payment for Injection, Triamcinolone Acetonide (xipere), 1 Mg (CPT J3299) is $37.33, while providers typically bill $132.97. Prices vary significantly by state, ranging from $35.81 to $37.83.

Why do providers charge more than Medicare pays?

Providers set their own chargemaster rates (billed charges), which are typically much higher than what any insurer pays. Medicare pays a fixed rate based on the procedure code and geographic location. The billed charge is relevant mainly for uninsured patients, who may face prices closer to the submitted charge.

How much does Injection, Triamcinolone Acetonide (xipere), 1 Mg cost with insurance?

With commercial insurance, Injection, Triamcinolone Acetonide (xipere), 1 Mg costs an estimated $105.03 on average (range: $73.52 – $147.04). Without insurance, the estimated cash price is $71.73. These estimates are based on RAND 2024 research on commercial-to-Medicare price ratios. Your actual cost depends on your insurer, plan, and provider.

Which state has the lowest cost for Injection, Triamcinolone Acetonide (xipere), 1 Mg?

Iowa has the lowest average Medicare payment for Injection, Triamcinolone Acetonide (xipere), 1 Mg at $35.81, while Mississippi has the highest at $37.83. This $2.02 difference reflects geographic variation in healthcare costs, local cost of living, and provider market dynamics.

How many providers perform Injection, Triamcinolone Acetonide (xipere), 1 Mg?

Nationally, 268 providers billed Medicare for Injection, Triamcinolone Acetonide (xipere), 1 Mg in 2023, performing 40.2K total services for 847 beneficiaries across 21 states and territories.

What is the billed-to-Medicare markup for Injection, Triamcinolone Acetonide (xipere), 1 Mg?

Providers bill 3.6x what Medicare pays for Injection, Triamcinolone Acetonide (xipere), 1 Mg — a 256% markup. This gap between billed charges and actual payment is common across healthcare. Uninsured patients may face charges closer to the billed amount, while insured patients pay negotiated rates between the Medicare and billed figures.

Related

Data sourced from the CMS Medicare Physician and Other Practitioners dataset. See our methodology for details. Retrieved and formatted by PlainProcedure Editorial