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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

Description from CMS's HCPCS Level II code file.

What Washington hospitals publish for this code

Medicaid managed care: Rate for an Apple Health managed-care plan. Applies only to members of that plan.

HospitalMedicaid managed care rates (lowest – highest)Cash priceList price (before discounts)
Capital Medical CenterOlympiaFile dated 2026-08-27—$44.02$110
Cascade Valley HospitalArlington$468 – $4691 plan$374 – $375$468 – $469
Deaconess Medical CenterSpokaneFile dated 2026-08-27—$72.62$182
EvergreenHealth Medical CenterKirkland—$534$667
Kadlec Regional Medical CenterRichlandFile dated 2026-04-01—$330 – $423$472 – $605
Mary Bridge Children's HospitalTacomaFile dated 2026-08-27—$54.28 – $54.66$136 – $137
MultiCare Auburn Medical CenterAuburnFile dated 2026-08-27—$52.15$130
MultiCare Good Samaritan HospitalPuyallupFile dated 2026-08-27—$45.04 – $53.62$113 – $134
MultiCare Valley HospitalSpokane ValleyFile dated 2026-08-27—$61.73$154
Olympic Medical CenterPort AngelesFile dated 2026-06-24$73.10 – $80.065 plans$482$602
Prov Sacred HRT Med Ctr & Childs Hosp.SpokaneFile dated 2026-04-01—$157 – $200$225 – $285
Providence Centralia HospitalCentraliaFile dated 2026-04-01—$103$197
Providence Holy Family HospitalSpokaneFile dated 2026-04-01—$157 – $200$225 – $285
Providence Regional Medical Center EverettEverettFile dated 2026-04-01—$62.70 – $79.51$121 – $153
Providence St Mary Medical CenterWalla WallaFile dated 2026-04-01—$272 – $349$389 – $499
Providence St Peter HospitalOlympiaFile dated 2026-04-01—$103$197
Seattle Children's HospitalSeattle$3452 plans$1,061$1,061
Skagit Valley HospitalMount Vernon—$374 – $375$468 – $469
Swedish Edmonds HospitalEdmondsFile dated 2026-04-01—$301 – $386$627 – $803
Swedish IssaquahIssaquahFile dated 2026-04-01—$301$627
Swedish Medical CenterSeattleFile dated 2026-04-01—$301$627
Swedish Medical Center / Cherry HillSeattleFile dated 2026-04-01—$301$627
Tacoma General Allenmore HospitalTacomaFile dated 2026-08-27—$42.72 – $51.78$107 – $129
Virginia Mason Medical CenterSeattle—$105$205
Yakima Valley MemorialYakimaFile dated 2026-08-27—$37.69 – $44.02$94.22 – $110

Lowest and highest amounts each hospital lists for this code during a hospital stay, including lines it lists for both settings or without saying which. A doctor’s fee is shown separately when the hospital lists one with the code. “At least” means plans were counted in more than one group and some may be the same plan. This is one line of a bill; most care brings several.

Medicare (traditional) reference

CMS publishes no national amount for this code.