HCPCS J3105
Injection, terbutaline sulfate, up to 1 mg
Current code48 hospitals with prices
What Washington hospitals publish for this code
Medicare (traditional): Traditional Medicare. Applies only to people on original Medicare.
| Hospital | Medicare (traditional) rates (lowest – highest) | Cash price | List price (before discounts) |
|---|---|---|---|
| BHC Fairfax Hospital | — | $27.00 | $27.00 |
| Capital Medical Center | — | $30.26 – $30.76 | $75.65 – $76.90 |
| Cascade Valley Hospital | — | $6.22 | $7.78 |
| Deaconess Medical Center | — | $48.08 – $48.76 | $120 – $122 |
| EvergreenHealth Medical Center | — | $26.40 | $33.00 |
| EvergreenHealth Monroe | — | $26.40 | $33.00 |
| Highline Medical Center | — | $117 | $385 |
| Kadlec Regional Medical Center | — | $34.61 | $49.44 |
| Mary Bridge Children's Hospital | — | $4.66 – $37.00 | $11.63 – $92.50 |
| MultiCare Auburn Medical Center | — | $30.48 – $31.88 | $76.20 – $79.70 |
| MultiCare Covington Medical Center | — | $30.48 – $30.94 | $76.20 – $77.35 |
| MultiCare Good Samaritan Hospital | — | $30.08 – $30.60 | $75.20 – $76.50 |
| MultiCare Valley Hospital | — | $48.62 | $122 |
| Olympic Medical Center | — | $41.02 | $51.27 |
| Overlake Hospital Medical Center & Clinics | — | $5.72 – $6.42 | $11.45 – $12.84 |
| Prov Sacred HRT Med Ctr & Childs Hosp. | — | $70.66 | $101 |
| Providence Centralia Hospital | — | $44.17 – $44.18 | $84.95 – $84.96 |
| Providence Holy Family Hospital | — | $70.66 | $101 |
| Providence Mount Carmel Hospital | — | $70.66 | $101 |
| Providence Regional Medical Center Everett | — | $40.09 | $77.09 – $77.10 |
| Providence St Joseph Hospital | — | $70.66 | $101 |
| Providence St Mary Medical Center | — | $30.00 | $42.86 |
| Providence St Peter Hospital | — | $40.71 – $44.17 | $78.29 – $84.95 |
| Seattle Children's Hospital | — | $138 | $138 |
| Skagit Valley Hospital | — | $6.22 | $7.78 |
| St Anthony Hospital | — | $117 | $385 |
| St Clare Hospital | — | $111 | $385 |
| St Elizabeth Hospital | — | $136 | $385 |
| St Francis Community Hospital | — | $121 | $385 |
| St Joseph Medical Center | — | $127 | $385 |
| St Michael Medical Center | — | $170 | $385 |
| Swedish Edmonds Hospital | — | $36.04 | $75.08 |
| Swedish Issaquah | — | $36.04 | $75.08 |
| Swedish Medical Center | — | $36.04 | $75.08 |
| Swedish Medical Center / Cherry Hill | — | $36.04 | $75.08 |
| Tacoma General Allenmore Hospital | — | $30.48 – $31.88 | $76.20 – $79.70 |
| Three Rivers Hospital | $2.48 – $102 | $151 | $151 |
| Virginia Mason Medical Center | — | $20.04 | $39.29 |
| Yakima Valley Memorial | — | $6.14 – $31.88 | $15.35 – $79.70 |
Medicare (traditional) reference
CMS publishes no national amount for this code.