HCPCS J7612
Levalbuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, concentrated form, 0.5 mg
Current codeBronchodilator18 hospitals with prices
What Washington hospitals publish for this code
Other government program: TRICARE, VA, Indian Health Service, workers' compensation, or another public program.
| Hospital | Other government program rates (lowest – highest) | Cash price | List price (before discounts) |
|---|---|---|---|
| Capital Medical Center | — | — | — |
| Cascade Valley Hospital | — | $12.86 – $15.64 | $16.08 – $19.55 |
| Deaconess Medical Center | — | — | — |
| EvergreenHealth Medical Center | — | $28.00 | $35.00 |
| EvergreenHealth Monroe | — | $28.00 | $35.00 |
| Kadlec Regional Medical Center | — | — | — |
| Mary Bridge Children's Hospital | — | — | — |
| MultiCare Valley Hospital | — | — | — |
| PeaceHealth Peace Island Medical Center | — | $5.62 | $8.65 |
| PeaceHealth St Joseph Medical Center | — | $5.62 | $8.65 |
| Prov Sacred HRT Med Ctr & Childs Hosp. | — | $10.37 – $190 | $14.81 – $271 |
| Providence Centralia Hospital | — | — | — |
| Providence Holy Family Hospital | — | $10.37 – $190 | $14.81 – $271 |
| Providence Mount Carmel Hospital | — | $10.37 – $15.28 | $14.81 – $21.83 |
| Providence St Joseph Hospital | — | $10.37 – $190 | $14.81 – $271 |
| Providence St Mary Medical Center | — | — | — |
| Seattle Children's Hospital | $75.85 | $185 | $185 |
| Skagit Valley Hospital | — | $12.86 – $15.64 | $16.08 – $19.55 |
Medicare (traditional) reference
CMS publishes no national amount for this code.