What is the standard insurance baseline for HCPCS Q0138?

The standard insurance baseline reimbursement rate is $0.50. This represents the customary allowable amount established across standard fee schedules.

Home/Procedures/Injection Ferumoxytol for Treatment of Iron Deficiency Anemia 1 Mg Non-esrd Use

HCPCS Q0138Medical Service

Injection Ferumoxytol for Treatment of Iron Deficiency Anemia 1 Mg Non-esrd Use

Q: What do doctors typically charge for Injection Ferumoxytol for Treatment of Iron Deficiency Anemia 1 Mg Non-esrd Use?

The nationwide median physician charge for Injection Ferumoxytol for Treatment of Iron Deficiency Anemia 1 Mg Non-esrd Use (HCPCS Q0138) is $4.00. Doctor billed charges vary based on geographic region, setting, and overhead.

Injection, ferumoxytol, for treatment of iron deficiency anemia, 1 mg (non-esrd use). Clinical pricing breakdown and utilization metrics across 1,238 practicing doctors nationwide.

$4.00

Peer Median Charge

Gross billed rate

$0.50

Standard Baseline

Customary allowable

8.0x

National Markup

Charge vs baseline

1,238

Active Physicians

Billing this code

Planning care or already received a bill for CPT Q0138?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 $4.00. However, insured patients almost never pay this full amount directly. Insurers negotiate rates down toward the $0.50 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 Q0138 if paid upfront?"
"Are there separate facility, anesthesia, or pathology fees associated with this procedure?"