J0897 — Injection, denosumab, 1 mg

What the market charges

Across 2,161 negotiated rates, the middle 80% fall between $29 and $73, with a median of $40.

What Medicare pays

Medicare allowed an average of $25 for this code, across 48,156,716 services billed by 9,797 providers. At the median, the market charges 1.6 times what Medicare pays for this code.

Where this is billed, and what it costs there

The states billing J0897 most, by Medicare service volume, each compared against the national average of $25. Each links to the providers Mishe lists there.

  • Florida — 996 providers billed it, Medicare allowed $25 — level with the national average
  • California — 1,033 providers billed it, Medicare allowed $25 — level with the national average
  • Texas — 647 providers billed it, Medicare allowed $25 — level with the national average
  • Pennsylvania — 507 providers billed it, Medicare allowed $26 — 4% above the national average
  • New York — 493 providers billed it, Medicare allowed $25 — level with the national average
  • Maryland — 314 providers billed it, Medicare allowed $25 — level with the national average
  • Illinois — 377 providers billed it, Medicare allowed $25 — level with the national average
  • New Jersey — 386 providers billed it, Medicare allowed $25 — level with the national average

Deploy this for your team

Every figure on this page came from published payer and Medicare data, assembled by Mishe. The same pricing, claim-editing and care-pathway intelligence runs underneath the plans Mishe operates.

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