Injection, medroxyprogesterone acetate, 1 mg
Medicare pricing data for 2,832 providers across 40 states
This procedure has a 5.5x markup — hospitals charge $1.32 but Medicare allows only $0.24. Uninsured patients may face bills 5.5 times higher than what insurance negotiates. Prices vary significantly by location — from $0 in Colorado to $2 in California. Where you get this procedure matters more than almost any other factor. Note: These costs reflect the Medicare physician/supplier component. Hospital facility fees are billed separately and can be 2-5x the physician fee.
💡 What You Should Know
Injection, medroxyprogesterone acetate, 1 mg (HCPCS code J1050) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $0.24, but hospitals typically charge $1.32 — a 5.5x markup. Prices vary significantly by state and provider.
🏷️ Typical Out-of-Pocket Cost
Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $0.24, your out-of-pocket cost would be approximately $0.05. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.
What Hospitals Charge vs. What Medicare Pays
Hospitals charge 5.5x more than what Medicare allows for this procedure. Medicare actually pays $0.17 on average.
Cost by State
Medicare-allowed amounts vary significantly by state
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| California | $2 | $3 | 101 | 20,296 | +662.5% |
| Oregon | $1 | $1 | 22 | 6,000 | +337.5% |
| North Dakota | $1 | $1 | 11 | 3,750 | +291.7% |
| Utah | $1 | $1 | 19 | 3,977 | +266.7% |
| Montana | $1 | $1 | 11 | 3,150 | +250.0% |
| South Dakota | $1 | $2 | 18 | 5,852 | +250.0% |
| Washington | $1 | $1 | 40 | 7,545 | +237.5% |
| Indiana | $1 | $1 | 75 | 16,352 | +212.5% |
| Kansas | $1 | $1 | 30 | 7,501 | +175.0% |
| Iowa | $1 | $1 | 103 | 31,351 | +158.3% |
| Michigan | $1 | $1 | 66 | 14,449 | +145.8% |
| Missouri | $1 | $1 | 35 | 8,853 | +125.0% |
| Nebraska | $1 | $1 | 70 | 21,001 | +125.0% |
| Ohio | $0 | $1 | 166 | 41,973 | +100.0% |
| Arizona | $0 | $1 | 25 | 6,290 | +91.7% |
| Kentucky | $0 | $1 | 64 | 13,294 | +66.7% |
| South Carolina | $0 | $2 | 39 | 9,232 | +25.0% |
| Georgia | $0 | $1 | 40 | 10,526 | +20.8% |
| Alabama | $0 | $3 | 23 | 8,563 | +8.3% |
| North Carolina | $0 | $1 | 66 | 11,574 | +4.2% |
| Tennessee | $0 | $1 | 47 | 23,966 | +4.2% |
| Illinois | $0 | $1 | 64 | 19,201 | -20.8% |
| Massachusetts | $0 | $2 | 14 | 3,301 | -20.8% |
| Minnesota | $0 | $1 | 107 | 27,160 | -20.8% |
| Wisconsin | $0 | $1 | 93 | 27,600 | -20.8% |
| New York | $0 | $2 | 21 | 4,503 | -33.3% |
| Virginia | $0 | $1 | 51 | 17,482 | -50.0% |
| Mississippi | $0 | $2 | 66 | 27,669 | -87.5% |
| Florida | $0 | $1 | 54 | 10,542 | -91.7% |
| Louisiana | $0 | $1 | 51 | 14,879 | -91.7% |
| Delaware | $0 | $10 | 11 | 1,654 | -95.8% |
| District of Columbia | $0 | $1 | 18 | 3,761 | -95.8% |
| Maryland | $0 | $1 | 65 | 16,564 | -95.8% |
| New Jersey | $0 | $2 | 57 | 16,047 | -95.8% |
| New Mexico | $0 | $1 | 51 | 18,006 | -95.8% |
| Oklahoma | $0 | $2 | 129 | 35,474 | -95.8% |
| Pennsylvania | $0 | $1 | 206 | 59,197 | -95.8% |
| Texas | $0 | $1 | 322 | 111,758 | -95.8% |
| Arkansas | $0 | $1 | 124 | 69,021 | -95.8% |
| Colorado | $0 | $1 | 205 | 57,877 | -95.8% |
⚠️ Important: These costs reflect the Medicare physician/supplier component. Hospital facility fees may be billed separately. Total out-of-pocket costs may be higher.
💊 Need post-procedure medications? Check costs on OpenPrescriber