HCPCS J7643

Glycopyrrolate, inhalation solution, compounded product, administered through dme, unit dose form, per milligram

Current codeBronchodilator2 hospitals with prices

Description from CMS's HCPCS Level II code file.

What Washington hospitals publish for this code

Medicare (traditional): Traditional Medicare. Applies only to people on original Medicare.

Prices for HCPCS J7643 by hospital
Hospital	Medicare (traditional) rates (lowest – highest)	Cash price	List price (before discounts)
Overlake Hospital Medical Center & ClinicsBellevueFile dated 2026-04-01	—	—	—
Three Rivers HospitalBrewster	$76.921 plan	$114	$114

Lowest and highest amounts each hospital lists for this code as an outpatient, 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.