HCPCS J2810
Injection, theophylline, per 40 mg
Current code13 hospitals with prices
What Washington hospitals publish for this code
Commercial insurance: Rate negotiated with a private insurer or employer plan, including exchange and public-option plans.
| Hospital | Commercial insurance rates (lowest – highest) | Cash price | List price (before discounts) |
|---|---|---|---|
| Capital Medical Center | $2.38 | — | — |
| Deaconess Medical Center | $1.04 | — | — |
| Kadlec Regional Medical Center | $3.15 – $3.99 | — | — |
| Legacy Salmon Creek Medical Center | $2.36 | — | — |
| Mary Bridge Children's Hospital | $3.09 | — | — |
| MultiCare Auburn Medical Center | $2.88 | — | — |
| MultiCare Covington Medical Center | $2.88 | — | — |
| MultiCare Good Samaritan Hospital | $2.88 | — | — |
| MultiCare Valley Hospital | $1.04 | — | — |
| Overlake Hospital Medical Center & Clinics | $1.14 | — | — |
| Providence Centralia Hospital | $3.15 – $3.99 | — | — |
| Tacoma General Allenmore Hospital | $2.88 | — | — |
| Virginia Mason Medical Center | $1.28 – $1.45 | — | — |
Medicare (traditional) reference
CMS publishes no national amount for this code.