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See a sample rate comparisonHCPCS J3475 (Magnesium Sulfate) 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, magnesium sulfate, 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 J3475 |
| Medicare Payment Limit | $0.481  |
| WAC Price | Lorem ipsum dolor sit amet consectetur Lorem ipsum dolor sit amet consectetur VisitBuyandBill.com |
| Related NDC Codes | • 00264-4204-52 - MAGNESIUM SULFATE (PAB,LATEX-FREE) 40 MG/1 ML • 00264-4205-52 - MAGNESIUM SULFATE (LATEX-FREE) 80 MG/1 ML • 00264-4206-54 - MAGNESIUM SULFATE (LATEX-FREE) 80 MG/1 ML • 00264-4400-54 - MAGNESIUM SULFATE-DEXTROSE (LATEX-FREE) 5%-1 GM/100 ML • 00338-1708-40 - MAGNESIUM SULFATE (2G;VIAFLO,LATEX-FREE) 40 MG/1 ML |
National average reimbursement for HCPCS J3475 by major payers:
$0.43
$0.56
$0.64
$0.51
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HCPCS J3475
5 of 25 sample ratesHigher to lower in this preview
Raymond Vallera
Texas Digestive Disease Consultants
$3.66Published rateNacogdoches Gastroenterology PLLC
$0.79Published rateLauren S Campbell Md PA
Lauren S. Campbell, M.D., P.A.
$0.78Published rateRosemary Castoreno
Gaps Health Ca
$0.69Published rateEye Institute Of Austin
Eye Institute Of Austin, P.A.
$0.55Published rate
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See a sample payer proposalHCPCS J3475 vs. Other Drugs, Administered by Injection Codes
The HCPCS J3475 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 J3475 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 |
|---|---|---|
| 00264-4204-52-NDC | Moderate | MAGNESIUM SULFATE (PAB,LATEX-FREE) 40 MG/1 ML |
| 00264-4205-52-NDC | Moderate | MAGNESIUM SULFATE (LATEX-FREE) 80 MG/1 ML |
| 00264-4206-54-NDC | Moderate | MAGNESIUM SULFATE (LATEX-FREE) 80 MG/1 ML |
| J3475-HCPCS | Low | Injection, magnesium sulfate, 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 J3475. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the J3475 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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