What do doctors typically charge for Molecular Pathology Test for Liver Disease?

The nationwide median physician charge for Molecular Pathology Test for Liver Disease (HCPCS 0003M) is $1200.00. Doctor billed charges vary based on geographic region, setting, and overhead.

What is the standard insurance baseline for HCPCS 0003M?

The standard insurance baseline reimbursement rate is $493.33. This represents the customary allowable amount established across standard fee schedules.

Home/Procedures/Molecular Pathology Test for Liver Disease

HCPCS 0003MMedical Service

Molecular Pathology Test for Liver Disease

Molecular pathology test for liver disease, including non-alcohol liver disease (nash fibrosure). Clinical pricing breakdown and utilization metrics across 3 practicing doctors nationwide.

$1200.00

Peer Median Charge

Gross billed rate

$493.33

Standard Baseline

Customary allowable

2.4x

National Markup

Charge vs baseline

Active Physicians

Billing this code

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Understanding This Medical Fee

Gross Charge vs Negotiated Payment: The median physician charge for this service is $1200.00. However, insured patients almost never pay this full amount directly. Insurers negotiate rates down toward the $493.33 baseline.

Self-Pay & Uninsured Guidance: If you are paying without insurance or out-of-network, request a prompt-pay cash discount. Most medical practices are willing to settle self-pay bills near the customary baseline rate rather than the full gross charge.

Key Questions for Your Doctor's Billing Office:

"Does Dr. [Name] participate in my specific insurance plan network?"
"What is the total self-pay or cash rate for code 0003M if paid upfront?"
"Are there separate facility, anesthesia, or pathology fees associated with this procedure?"