Hospitals report these codes with terse, inconsistent chargemaster text. This plain-English title was written by an AI model from that text and has not been reviewed by a person, so it can be wrong. The prices on this page come straight from hospital filings and do not depend on it.
Original text from hospital filings
ARFORMOTEROL 15 MCG/2 ML INHL NEBU [77581]
Low
$1
Average
$7
Median
$1
High
$59
Each hospital's average Tricare rate, under the methodology and billing class chosen below.
39 hospitals; the 90th percentile is 27.0× the 10th. Each bar is a price range and its height is how many hospitals fall in it. Hover a bar, or a row in the ladder, for details.
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51 hospital rates
iThe hospitals that file a Tricare rate for this code, one row per hospital and set of terms (billing class, payment method, setting). Rates under different terms are never blended, so the terms are shown under each hospital’s name. Figures are the hospital’s averages across its plans.| # | Plans | |||||||
|---|---|---|---|---|---|---|---|---|
| 1 | ACADIA GENERAL HOSPITAL, INC 1305 CROWLEY RAYNE HWY fee schedule · outpatient | 1 | $1 | $1 | — | — | — | $1 – $1 |
| 2 | Abington Memorial Hospital Abington, PA facility · fee schedule · outpatient | 1 | $1 | $1 | — | — | — | $1 – $1 |
| 3 | Abington Memorial Hospital Abington, PA professional · fee schedule · both | 1 | $1 | $1 | — | — | — | $1 – $1 |
| 4 | Ascension Seton Austin, TX fee schedule · outpatient | 1 | $8 | $8 | — | — | — | $8 – $8 |
| 5 | Ascension Seton Austin, TX fee schedule · outpatient | 1 | $8 | $8 | — | — | — | $8 – $8 |
| 6 | Ascension Seton Austin, TX fee schedule · outpatient | 1 | $8 | $8 | — | — | — | $8 – $8 |
| 7 | Ascension Seton Smithville, TX fee schedule · outpatient | 1 | $8 | $8 | — | — | — | $8 – $8 |
| 8 | Ascension Seton Bastrop, TX fee schedule · outpatient | 1 | $8 | $8 | — | — | — | $8 – $8 |
| 9 | Ascension Seton Austin, TX fee schedule · outpatient | 1 | $8 | $8 | — | — | — | $8 – $8 |
| 10 | EAST BATON ROUGE MEDICAL CENTER, LLC Baton Rouge, LA fee schedule · outpatient | 1 | $1 | $1 | — | — | — | $1 – $1 |
| 11 | Fisher-Titus Medical Center Norwalk, OH facility · percent of total billed charges · inpatientfrom % of charges | 1 | $6 | $6 | — | — | — | $6 – $6 |
| 12 | Fisher-Titus Medical Center Norwalk, OH facility · percent of total billed charges · outpatientfrom % of charges | 1 | $6 | $6 | — | — | — | $6 – $6 |
| 13 | Glenwood Regional Medical Center - HSA West Monroe, LA facility · fee schedule · outpatient | 1 | $1 | $1 | — | — | — | $1 – $1 |
| 14 | HSA CGH LLC Coral Gables, FL facility · percent of total billed charges · outpatientfrom % of charges | 1 | $1 | $1 | — | — | — | $1 – $1 |
| 15 | HSA PGH LLC Hialeah, FL facility · percent of total billed charges · outpatientfrom % of charges | 1 | $1 | $1 | — | — | — | $1 – $1 |
| 16 | Hospital Service District #1, Parish of Terrebonne, State of Louisiana dba Terrebonne General Health System Houma, LA facility · fee schedule · outpatient | 1 | $1 | $1 | — | — | — | $1 – $1 |
| 17 | Jefferson Health - Northeast Langhorne, PA facility · fee schedule · inpatient | 1 | $1 | $1 | — | — | — | $1 – $1 |
| 18 | Jefferson Health - Northeast Langhorne, PA facility · fee schedule · outpatient | 1 | $1 | $1 | — | — | — | $1 – $1 |
| 19 | Jefferson Health - Northeast Philadelphia, PA facility · fee schedule · inpatient | 1 | $1 | $1 | — | — | — | $1 – $1 |
| 20 | Jefferson Health - Northeast Philadelphia, PA facility · fee schedule · outpatient | 1 | $1 | $1 | — | — | — | $1 – $1 |
| 21 | Jefferson Health - Northeast Philadelphia, PA facility · fee schedule · inpatient | 1 | $1 | $1 | — | — | — | $1 – $1 |
| 22 | Jefferson Health - Northeast Philadelphia, PA facility · fee schedule · outpatient | 1 | $1 | $1 | — | — | — | $1 – $1 |
| 23 | Kaweah Health Medical Center Visalia, CA facility · fee schedule · outpatient | 1 | $1 | $1 | — | — | — | $1 – $1 |
| 24 | Kaweah Health Mental Health Hospital Visalia, CA facility · fee schedule · outpatient | 1 | $44 | $44 | $0 | 1% | — | $44 – $44 |
| 25 | Kaweah Health Rehabilitation Hospital Visalia, CA facility · fee schedule · outpatient | 1 | $44 | $44 | — | — | — | $44 – $44 |
← Payers reporting HCPCS J7605 · Snapshot 20261111T120946Z-9134e7f7