What do doctors typically charge for Aminolevulinic Acid Hcl for Topical Administration?

The nationwide median physician charge for Aminolevulinic Acid Hcl for Topical Administration (HCPCS J7308) is $600.00. Doctor billed charges vary based on geographic region, setting, and overhead.

What is the standard insurance baseline for HCPCS J7308?

The standard insurance baseline reimbursement rate is $384.71. This represents the customary allowable amount established across standard fee schedules.

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HCPCS J7308Medical Service

Aminolevulinic Acid Hcl for Topical Administration

Aminolevulinic acid hcl for topical administration, 20%, single unit dosage form (354 mg). Clinical pricing breakdown and utilization metrics across 1,726 practicing doctors nationwide.

$600.00

Peer Median Charge

Gross billed rate

$384.71

Standard Baseline

Customary allowable

1.6x

National Markup

Charge vs baseline

1,726

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 $600.00. However, insured patients almost never pay this full amount directly. Insurers negotiate rates down toward the $384.71 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 J7308 if paid upfront?"
"Are there separate facility, anesthesia, or pathology fees associated with this procedure?"