HCPCS J3105
Injection, terbutaline sulfate, up to 1 mg
Current code48 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) |
|---|---|---|---|
| BHC Fairfax Hospital | $12.96 – $18.36 | $27.00 | $27.00 |
| Capital Medical Center | $55.22 – $65.37 | $30.26 – $30.76 | $75.65 – $76.90 |
| Cascade Valley Hospital | $5.65 – $259 | $6.22 | $7.78 |
| Deaconess Medical Center | $44.65 – $88.99 | $48.08 – $48.76 | $120 – $122 |
| EvergreenHealth Medical Center | $1.33 – $30.69 | $26.40 | $33.00 |
| EvergreenHealth Monroe | $20.79 – $30.69 | $26.40 | $33.00 |
| Harborview Medical Center | $15.51 | — | — |
| Highline Medical Center | $165 – $346 | $117 | $385 |
| Island Hospital | $2.47 | — | — |
| Kadlec Regional Medical Center | $2.61 – $8.13 | $34.61 | $49.44 |
| Legacy Salmon Creek Medical Center | $3.17 – $17.74 | — | — |
| Mary Bridge Children's Hospital | $7.51 – $75.30 | $4.66 – $37.00 | $11.63 – $92.50 |
| MultiCare Auburn Medical Center | $55.63 – $58.18 | $30.48 – $31.88 | $76.20 – $79.70 |
| MultiCare Covington Medical Center | $55.63 – $56.47 | $30.48 – $30.94 | $76.20 – $77.35 |
| MultiCare Good Samaritan Hospital | $54.90 – $55.85 | $30.08 – $30.60 | $75.20 – $76.50 |
| MultiCare Valley Hospital | $45.16 – $87.52 | $48.62 | $122 |
| Olympic Medical Center | $28.65 – $51.27 | $41.02 | $51.27 |
| Overlake Hospital Medical Center & Clinics | $3.98 – $4.24 | $5.72 – $6.42 | $11.45 – $12.84 |
| PeaceHealth Peace Island Medical Center | — | $40.33 – $41.60 | $62.05 – $64.00 |
| PeaceHealth Southwest Medical Cente | $3.83 | $40.33 – $41.60 | $62.05 – $64.00 |
| PeaceHealth St John Medical Center | $4.30 | $40.33 – $41.60 | $62.05 – $64.00 |
| PeaceHealth St Joseph Medical Center | $4.28 | $40.33 – $41.60 | $62.05 – $64.00 |
| PeaceHealth United General Medical Center | — | $40.33 – $41.60 | $62.05 – $64.00 |
| Prov Sacred HRT Med Ctr & Childs Hosp. | $2.52 – $4.72 | $70.66 | $101 |
| Providence Centralia Hospital | $5.95 – $9.04 | $44.17 – $44.18 | $84.95 – $84.96 |
| Providence Holy Family Hospital | $2.52 – $4.72 | $70.66 | $101 |
| Providence Mount Carmel Hospital | — | $70.66 | $101 |
| Providence Regional Medical Center Everett | $2.52 – $4.72 | $40.09 | $77.09 – $77.10 |
| Providence St Joseph Hospital | — | $70.66 | $101 |
| Providence St Mary Medical Center | $4.72 – $22.68 | $30.00 | $42.86 |
| Providence St Peter Hospital | $2.61 – $4.91 | $40.71 – $44.17 | $78.29 – $84.95 |
| Seattle Children's Hospital | $74.55 – $133 | $138 | $138 |
| Skagit Valley Hospital | $1.12 – $7.39 | $6.22 | $7.78 |
| St Anthony Hospital | $192 – $289 | $117 | $385 |
| St Clare Hospital | $192 – $289 | $111 | $385 |
| St Elizabeth Hospital | $2.89 – $346 | $136 | $385 |
| St Francis Community Hospital | $192 – $289 | $121 | $385 |
| St Joseph Medical Center | $192 – $289 | $127 | $385 |
| St Michael Medical Center | $3.96 – $346 | $170 | $385 |
| Swedish Edmonds Hospital | $2.52 – $5.48 | $36.04 | $75.08 |
| Swedish Issaquah | $2.52 – $5.48 | $36.04 | $75.08 |
| Swedish Medical Center | $2.52 – $2.61 | $36.04 | $75.08 |
| Swedish Medical Center / Cherry Hill | $2.52 – $2.61 | $36.04 | $75.08 |
| Tacoma General Allenmore Hospital | $55.63 – $58.18 | $30.48 – $31.88 | $76.20 – $79.70 |
| Three Rivers Hospital | — | $151 | $151 |
| University of Washington Medical Ctr | $15.51 | — | — |
| Virginia Mason Medical Center | $10.30 – $31.43 | $20.04 | $39.29 |
| Yakima Valley Memorial | $4.92 – $68.30 | $6.14 – $31.88 | $15.35 – $79.70 |
Medicare (traditional) reference
CMS publishes no national amount for this code.