What do doctors typically charge for Measurement of Tumor Necrosis Factor Receptor 1a?

The nationwide median physician charge for Measurement of Tumor Necrosis Factor Receptor 1a (HCPCS 0105U) is $1200.00. Doctor billed charges vary based on geographic region, setting, and overhead.

What is the standard insurance baseline for HCPCS 0105U?

The standard insurance baseline reimbursement rate is $926.38. This represents the customary allowable amount established across standard fee schedules.

Home/Procedures/Measurement of Tumor Necrosis Factor Receptor 1a

HCPCS 0105UMedical Service

Measurement of Tumor Necrosis Factor Receptor 1a

Measurement of tumor necrosis factor receptor 1a, receptor superfamily 2 (tnfr1, tnfr2), and kidney injury molecule-1 (kim-1) in plasma to evaluate risk of rapid kidney function decline. Clinical pricing breakdown and utilization metrics across 1 practicing doctors nationwide.

$1200.00

Peer Median Charge

Gross billed rate

$926.38

Standard Baseline

Customary allowable

1.3x

National Markup

Charge vs baseline

Active Physicians

Billing this code

Planning care or already received a bill for CPT 0105U?Calculate total facility bundle costs or generate an assertive dispute settlement offer.

Calculate Bundled Cost →Dispute an Inflated Bill 🧾

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 $926.38 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 0105U if paid upfront?"
"Are there separate facility, anesthesia, or pathology fees associated with this procedure?"