What do doctors typically charge for Injection Sodium Ferric Gluconate Complex in Sucrose Injection 12 5 Mg?

The nationwide median physician charge for Injection Sodium Ferric Gluconate Complex in Sucrose Injection 12 5 Mg (HCPCS J2916) is $12.05. Doctor billed charges vary based on geographic region, setting, and overhead.

What is the standard insurance baseline for HCPCS J2916?

The standard insurance baseline reimbursement rate is $2.09. This represents the customary allowable amount established across standard fee schedules.

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HCPCS J2916Medical Service

Injection Sodium Ferric Gluconate Complex in Sucrose Injection 12 5 Mg

Injection, sodium ferric gluconate complex in sucrose injection, 12.5 mg. Clinical pricing breakdown and utilization metrics across 54 practicing doctors nationwide.

$12.05

Peer Median Charge

Gross billed rate

$2.09

Standard Baseline

Customary allowable

5.8x

National Markup

Charge vs baseline

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 $12.05. However, insured patients almost never pay this full amount directly. Insurers negotiate rates down toward the $2.09 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 J2916 if paid upfront?"
"Are there separate facility, anesthesia, or pathology fees associated with this procedure?"