HCPCS J7640
Formoterol, inhalation solution, compounded product, administered through dme, unit dose form, 12 micrograms
Current codeBronchodilator16 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 | $2.42 – $14.96 | — | — |
| Deaconess Medical Center | $2.42 – $6.53 | — | — |
| Mary Bridge Children's Hospital | $19.38 | — | — |
| MultiCare Auburn Medical Center | $2.42 – $18.10 | — | — |
| MultiCare Covington Medical Center | $2.42 – $18.10 | — | — |
| MultiCare Good Samaritan Hospital | $2.42 – $18.10 | — | — |
| MultiCare Valley Hospital | $2.42 – $6.53 | — | — |
| Overlake Hospital Medical Center & Clinics | $3.22 – $7.16 | — | — |
| Prov Sacred HRT Med Ctr & Childs Hosp. | $5.02 | — | — |
| Providence Centralia Hospital | $6.33 | — | — |
| Providence Holy Family Hospital | $5.02 | — | — |
| Providence Regional Medical Center Everett | $5.02 | — | — |
| Providence St Mary Medical Center | $5.02 | — | — |
| Providence St Peter Hospital | $5.22 | — | — |
| Tacoma General Allenmore Hospital | $2.42 – $18.10 | — | — |
| Virginia Mason Medical Center | $5.41 – $6.14 | — | — |
Medicare (traditional) reference
CMS publishes no national amount for this code.