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See a sample rate comparisonHCPCS J1205 (Chlorothiazide Sodium) Fee Schedule
Last Verified: October 2026
Healthcare providers use this code to document and receive reimbursement for visits that address moderate-level medical decision-making, often including multiple diagnoses or prescription management.
Injection, chlorothiazide sodium, per 500 mg
| Key Fact | Detail |
|---|---|
| Service Type | Drugs Administered Other than Oral Method Drugs, Administered by Injection |
| Common Place of Service | None 11 - Office |
| Complexity Level | Low |
| Medicaid Fee Schedule | View Medicaid rates for J1205 |
| Medicare Payment Limit | $39.447  |
| WAC Price | Lorem ipsum dolor sit amet consectetur Lorem ipsum dolor sit amet consectetur VisitBuyandBill.com |
| Related NDC Codes | • 00517-1820-01 - CHLOROTHIAZIDE SODIUM (USP, SDV,LYOPHILIZED) 0.5 GM • 25021-0305-20 - CHLOROTHIAZIDE SODIUM (USP, SDV,PF,LATEX-FREE) 0.5 GM • 25021-0305-66 - CHLOROTHIAZIDE SODIUM NOVAPLUS (USP, SDV,PF,LATEX-FREE) 0.5 GM |
National average reimbursement for HCPCS J1205 by major payers:
$51.13
$51.11
$55.75
$46.30
Compare published rates across providers.
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HCPCS J1205
5 of 25 sample ratesHigher to lower in this preview
Saline Memorial Hospital, Emergency Clinic
Saline County Medical Center
$225.66Published rateCharleston Area Medical Center, Inc., Dean Ornish
Charleston Area Medical Center Inc
$96.73Published rateThe University Of Chicago Medical Center
University Of Chicago Medical Center
$60.45Published rateVariety Children'S Hospital, Nicklaus Children'S Miami Lakes Outpatient Center
Variety Childrens Hospital
$55.00Published rateSinai Hospital Of Baltimore, Inc.
Sinai Hospital Of Baltimore Inc
$39.90Published rate
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See a sample payer proposalHCPCS J1205 vs. Other Drugs, Administered by Injection Codes
The HCPCS J1205 code is part of the Drugs Administered Other than Oral Method services used for Drugs, Administered by Injection. It represents a moderate-complexity encounter and is one of several codes that vary based on time spent, level of medical decision-making, and documentation requirements.
The HCPCS J1205 code involves more provider time and moderate medical decision-making, unlike lower-level codes that require less time and simpler assessments. It typically includes multiple diagnoses, medication management, or test interpretation, leading to higher reimbursement and more detailed documentation requirements.
| Code | Complexity | Description |
|---|---|---|
| 00517-1820-01-NDC | Moderate | CHLOROTHIAZIDE SODIUM (USP, SDV,LYOPHILIZED) 0.5 GM |
| 25021-0305-20-NDC | Moderate | CHLOROTHIAZIDE SODIUM (USP, SDV,PF,LATEX-FREE) 0.5 GM |
| 25021-0305-66-NDC | Moderate | CHLOROTHIAZIDE SODIUM NOVAPLUS (USP, SDV,PF,LATEX-FREE) 0.5 GM |
| J1205-HCPCS | Low | Injection, chlorothiazide sodium, per 500 mg |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS J1205. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the J1205 fee schedule helps patients estimate costs and providers optimize billing for accurate reimbursements.
Factors that affect fee schedules
Medicare & Medicaid Rates
Government-set reimbursement amounts
Private Insurance Rates
Negotiated rates between providers and insurance companies
Geographic Location
Costs may be higher in urban areas.
Provider Type
Hospital providers may have different rates than private practice.
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