What is Fluorodeoxyglucose F-18 Fdg (HCPCS A9552)?

Fluorodeoxyglucose f-18 fdg, diagnostic, per study dose, up to 45 millicuries. This clinical code is utilized across practices and hospitals for diagnostic and therapeutic service documentation.

What do doctors typically charge for Fluorodeoxyglucose F-18 Fdg?

The nationwide median physician charge for Fluorodeoxyglucose F-18 Fdg (HCPCS A9552) is $657.00. Doctor billed charges vary based on geographic region, setting, and overhead.

What is the standard insurance baseline for HCPCS A9552?

The standard insurance baseline reimbursement rate is $346.25. This represents the customary allowable amount established across standard fee schedules.

Home/Procedures/Fluorodeoxyglucose F-18 Fdg

HCPCS A9552Medical Service

Fluorodeoxyglucose F-18 Fdg

Fluorodeoxyglucose f-18 fdg, diagnostic, per study dose, up to 45 millicuries. Clinical pricing breakdown and utilization metrics across 2,411 practicing doctors nationwide.

$657.00

Peer Median Charge

Gross billed rate

$346.25

Standard Baseline

Customary allowable

1.9x

National Markup

Charge vs baseline

2,411

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 $657.00. However, insured patients almost never pay this full amount directly. Insurers negotiate rates down toward the $346.25 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 A9552 if paid upfront?"
"Are there separate facility, anesthesia, or pathology fees associated with this procedure?"