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HCPCS J7606
FORMOTEROL FUMARATE SOLN NEBU 20 MCG/2ML - as described in hospitals' own price files.
25hospitals publishing a price
$16.00median cash price
$1.96median typical insurance price
| Hospital | Location | Cash price | Typical insurance | List price | Negotiated range |
|---|---|---|---|---|---|
| Orange County Global Medical Center | Santa Ana, CA | - | $1.96 | - | $1.96 - $3.30 |
| Los Angeles General Medical Center | Los Angeles, CA | - | $1.96 | - | $1.96 - $3.30 |
| San Francisco VA Medical Center | San Francisco, CA | - | $1.96 | - | $1.96 - $3.30 |
| San Mateo Medical Center | San Mateo, CA | - | $1.96 | - | $1.96 - $3.30 |
| Tri-City Medical Center | Oceanside, CA | - | $1.96 | - | $1.96 - $3.30 |
| Santa Clara Valley Medical Center | San Jose, CA | - | $1.96 | - | $1.96 - $3.30 |
| Sutter Medical Center, Sacramento | Sacramento, CA | - | $1.96 | - | $1.96 - $3.30 |
| Lompoc Valley Medical Center | Lompoc, CA | - | $1.96 | - | $1.96 - $3.30 |
| Sutter Roseville Medical Center | Roseville, CA | - | $1.96 | - | $1.96 - $3.30 |
| Christus Spohn Hospital Corpus Christi | Corpus Christi, TX | $7.02 | - | $35.09 | $1.70 - $288 |
| Christus St. Frances Cabrini Hospital | Alexandria, LA | $9.12 | - | $35.09 | $3.34 - $210 |
| Christus Southeast Texas- St. Elizabeth | Beaumont, TX | $11.58 | - | $35.09 | $1.70 - $232 |
| Swedish Edmonds Hospital | Edmonds, WA | $12.44 | - | $25.92 | - |
| Swedish Medical Center / Cherry Hill | Seattle, WA | $12.44 | - | $25.92 | - |
| Swedish Issaquah | Issaquah, WA | $12.44 | - | $25.92 | - |
| St. Mary Medical Center | Long Beach, CA | $15.04 | - | $31.33 | - |
| Providence Redwood Memorial Hospital | Fortuna, CA | $15.98 | - | $31.33 | - |
| Providence Milwaukie Hospital | Milwaukie, OR | $16.01 | - | $21.35 | - |
| Providence St. Vincent Medical Center | Portland, OR | $16.01 | - | $21.35 | - |
| Providence Portland Medical Center | Portland, OR | $16.01 | - | $21.35 | - |
| Providence Willamette Falls Medical Center | Oregon City, OR | $16.01 | - | $21.35 | - |
| Providence St. Mary Medical Center | Walla Walla, WA | $26.34 | - | $37.63 | - |
| St. Patrick Hospital | Missoula, MT | $27.88 | - | $34.85 | - |
| Allen County Regional Hospital | Iola, KS | $33.69 | - | $56.15 | $19.65 - $70.00 |
| Providence Mission Hospital | Mission Viejo, CA | $47.27 | - | $98.47 | - |
Prices are from each hospital's own machine-readable price file. Cash price is the published discounted cash price; typical insurance price is the median of the per-plan negotiated rates in the file; list price is the gross charge.
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