What do doctors typically charge for Injection Ceftriaxone Sodium per 250 Mg?

The nationwide median physician charge for Injection Ceftriaxone Sodium per 250 Mg (HCPCS J0696) is $12.45. Doctor billed charges vary based on geographic region, setting, and overhead.

What is the standard insurance baseline for HCPCS J0696?

The standard insurance baseline reimbursement rate is $0.51. This represents the customary allowable amount established across standard fee schedules.

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HCPCS J0696Medical Service

Injection Ceftriaxone Sodium per 250 Mg

Q: What is Injection Ceftriaxone Sodium per 250 Mg (HCPCS J0696)?

Injection, ceftriaxone sodium, per 250 mg. This clinical code is utilized across practices and hospitals for diagnostic and therapeutic service documentation.

Injection, ceftriaxone sodium, per 250 mg. Clinical pricing breakdown and utilization metrics across 9,330 practicing doctors nationwide.

$12.45

Peer Median Charge

Gross billed rate

$0.51

Standard Baseline

Customary allowable

24.4x

National Markup

Charge vs baseline

9,330

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 $12.45. However, insured patients almost never pay this full amount directly. Insurers negotiate rates down toward the $0.51 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 J0696 if paid upfront?"
"Are there separate facility, anesthesia, or pathology fees associated with this procedure?"