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See a sample rate comparisonHCPCS J1600 (Gold Sodium Thiomalate) Fee Schedule
Last Verified: September 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, gold sodium thiomalate, up to 50 mg
| Key Fact | Detail |
|---|---|
| Service Type | Drugs Administered Other than Oral Method Drugs, Administered by Injection |
| Common Place of Service | 11 - Office |
| Complexity Level | Low |
| Medicaid Fee Schedule | View Medicaid rates for J1600 |
| WAC Price | Lorem ipsum dolor sit amet consectetur Lorem ipsum dolor sit amet consectetur VisitBuyandBill.com |
| Related NDC Codes | • 51927-2895-00 - GOLD SODIUM THIOMALATE |
National average reimbursement for HCPCS J1600 by major payers:
$21.49
$17.82
$14.50
$31.49
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HCPCS J1600
5 of 25 sample ratesHigher to lower in this preview
UPMC Altoona, Altoona Emergency Physicians
UPMC
$29.17Published rateEdgar Lachica
Atlantic Health System Inc
$18.93Published rateLawton Indian Hospital, Ihs Health Service
$17.50Published rateGeneva General Hospital Inc.
Geneva General Hospital
$17.50Published rateUkhs Great Bend, LLC, The University Of Kansas Health System Great Bend Campus
$11.60Published rate
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See a sample payer proposalHCPCS J1600 vs. Other Drugs, Administered by Injection Codes
The HCPCS J1600 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 J1600 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 |
|---|---|---|
| 51927-2895-00-NDC | Moderate | GOLD SODIUM THIOMALATE |
| J1599-HCPCS | Low | Injection, immune globulin, intravenous, non-lyophilized (e.g., liquid), not otherwise specified, 500 mg |
| J1600-HCPCS | Low | Injection, gold sodium thiomalate, up to 50 mg |
| J1602-HCPCS | Low | Injection, golimumab, 1 mg, for intravenous use |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS J1600. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the J1600 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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