What do doctors typically charge for Injection Penicillin G Benzathine 100 000 Units?

The nationwide median physician charge for Injection Penicillin G Benzathine 100 000 Units (HCPCS J0561) is $23.30. Doctor billed charges vary based on geographic region, setting, and overhead.

What is the standard insurance baseline for HCPCS J0561?

The standard insurance baseline reimbursement rate is $18.37. This represents the customary allowable amount established across standard fee schedules.

Home/Procedures/Injection Penicillin G Benzathine 100 000 Units

HCPCS J0561Medical Service

Injection Penicillin G Benzathine 100 000 Units

Q: What is Injection Penicillin G Benzathine 100 000 Units (HCPCS J0561)?

Injection, penicillin g benzathine, 100,000 units. This clinical code is utilized across practices and hospitals for diagnostic and therapeutic service documentation.

Injection, penicillin g benzathine, 100,000 units. Clinical pricing breakdown and utilization metrics across 10 practicing doctors nationwide.

$23.30

Peer Median Charge

Gross billed rate

$18.37

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 J0561?Calculate total facility bundle costs or generate an assertive dispute settlement offer.

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Understanding This Medical Fee

Gross Charge vs Negotiated Payment: The median physician charge for this service is $23.30. However, insured patients almost never pay this full amount directly. Insurers negotiate rates down toward the $18.37 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 J0561 if paid upfront?"
"Are there separate facility, anesthesia, or pathology fees associated with this procedure?"