HCPCS J7639
Dornase alfa, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram
Current code36 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 | $50.35 – $319 | $44.02 | $110 |
| Cascade Valley Hospital | $39.74 – $14,688 | $374 – $375 | $468 – $469 |
| Deaconess Medical Center | $67.44 – $232 | $72.62 | $182 |
| EvergreenHealth Medical Center | $150 – $620 | $534 | $667 |
| Harborview Medical Center | $56.70 | — | — |
| Island Hospital | $55.16 | — | — |
| Kadlec Regional Medical Center | $66.55 – $204 | $330 – $423 | $472 – $605 |
| Legacy Salmon Creek Medical Center | $86.88 – $132 | — | — |
| Mary Bridge Children's Hospital | $87.64 – $220 | $54.28 – $54.66 | $136 – $137 |
| MultiCare Auburn Medical Center | $50.19 – $132 | $52.15 | $130 |
| MultiCare Covington Medical Center | $132 | — | — |
| MultiCare Good Samaritan Hospital | $43.34 – $132 | $45.04 – $53.62 | $113 – $134 |
| MultiCare Valley Hospital | $57.32 – $232 | $61.73 | $154 |
| Olympic Medical Center | $337 – $602 | $482 | $602 |
| Overlake Hospital Medical Center & Clinics | $99.68 – $139 | — | — |
| PeaceHealth Peace Island Medical Center | — | $106 | $163 |
| PeaceHealth Southwest Medical Cente | $85.49 | $106 | $163 |
| PeaceHealth St John Medical Center | $95.97 | $106 | $163 |
| PeaceHealth St Joseph Medical Center | $95.50 | $106 | $163 |
| PeaceHealth United General Medical Center | — | $106 | $163 |
| Prov Sacred HRT Med Ctr & Childs Hosp. | $57.45 – $118 | $157 – $200 | $225 – $285 |
| Providence Centralia Hospital | $149 – $344 | $103 | $197 |
| Providence Holy Family Hospital | $57.45 – $118 | $157 – $200 | $225 – $285 |
| Providence Regional Medical Center Everett | $57.45 – $118 | $62.70 – $79.51 | $121 – $153 |
| Providence St Mary Medical Center | $118 – $330 | $272 – $349 | $389 – $499 |
| Providence St Peter Hospital | $99.08 – $123 | $103 | $197 |
| Seattle Children's Hospital | $573 – $1,019 | $1,061 | $1,061 |
| Skagit Valley Hospital | $67.47 – $446 | $374 – $375 | $468 – $469 |
| Swedish Edmonds Hospital | $57.45 – $110 | $301 – $386 | $627 – $803 |
| Swedish Issaquah | $57.45 – $110 | $301 | $627 |
| Swedish Medical Center | $57.45 – $99.08 | $301 | $627 |
| Swedish Medical Center / Cherry Hill | $57.45 – $99.08 | $301 | $627 |
| Tacoma General Allenmore Hospital | $41.11 – $132 | $42.72 – $51.78 | $107 – $129 |
| University of Washington Medical Ctr | $56.70 | — | — |
| Virginia Mason Medical Center | $95.58 – $164 | $105 | $205 |
| Yakima Valley Memorial | $44.28 – $123 | $37.69 – $44.02 | $94.22 – $110 |
Medicare (traditional) reference
CMS publishes no national amount for this code.