What do doctors typically charge for Injection Golimumab 1 Mg for Intravenous Use?

The nationwide median physician charge for Injection Golimumab 1 Mg for Intravenous Use (HCPCS J1602) is $42.00. Doctor billed charges vary based on geographic region, setting, and overhead.

What is the standard insurance baseline for HCPCS J1602?

The standard insurance baseline reimbursement rate is $13.23. This represents the customary allowable amount established across standard fee schedules.

Home/Procedures/Injection Golimumab 1 Mg for Intravenous Use

HCPCS J1602Medical Service

Injection Golimumab 1 Mg for Intravenous Use

Q: What is Injection Golimumab 1 Mg for Intravenous Use (HCPCS J1602)?

Injection, golimumab, 1 mg, for intravenous use. This clinical code is utilized across practices and hospitals for diagnostic and therapeutic service documentation.

Injection, golimumab, 1 mg, for intravenous use. Clinical pricing breakdown and utilization metrics across 1,041 practicing doctors nationwide.

$42.00

Peer Median Charge

Gross billed rate

$13.23

Standard Baseline

Customary allowable

3.2x

National Markup

Charge vs baseline

1,041

Active Physicians

Billing this code

Planning care or already received a bill for CPT J1602?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 $42.00. However, insured patients almost never pay this full amount directly. Insurers negotiate rates down toward the $13.23 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 J1602 if paid upfront?"
"Are there separate facility, anesthesia, or pathology fees associated with this procedure?"