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
LEVALBUTEROL 1.25 MG/3 ML SOLUTION FOR NEBULIZATION
Low
$0
Average
$2
Median
$0
High
$22
Each hospital's average Tricare rate, under the methodology and billing class chosen below.
53 hospitals; the 90th percentile is 66.7× 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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58 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 | $0 | $0 | — | — | — | $0 – $0 |
| 2 | Aspen Valley Hospital District Aspen, CO facility · percent of total billed charges · bothfrom % of charges | 4 | $4 | $5 | $2 | 31% | — | $4 – $8 |
| 3 | Austin Center for Outpatient Surgery LP, DBA Northwest Hills Surgical Hospital Austin, TX fee schedule · outpatient | 1 | $0 | $0 | — | — | — | $0 – $0 |
| 4 | Columbia Lutheran Charities Astoria, OR facility · percent of total billed charges · bothfrom % of charges | 1 | $14 | $14 | $2 | 13% | — | $12 – $15 |
| 5 | Coulee Medical Center Grand Coulee, WA facility · percent of total billed charges · outpatientfrom % of charges | 1 | $6 | $6 | — | — | — | $6 – $6 |
| 6 | EAST BATON ROUGE MEDICAL CENTER, LLC Baton Rouge, LA fee schedule · outpatient | 1 | $0 | $0 | — | — | — | $0 – $0 |
| 7 | Fisher-Titus Medical Center Norwalk, OH facility · percent of total billed charges · inpatientfrom % of charges | 1 | $2 | $3 | $1 | 19% | — | $2 – $4 |
| 8 | Fisher-Titus Medical Center Norwalk, OH facility · percent of total billed charges · outpatientfrom % of charges | 1 | $2 | $3 | $0 | 20% | — | $2 – $3 |
| 9 | Fisher-Titus Medical Center Norwalk, OH professional · percent of total billed charges · inpatientfrom % of charges | 1 | $4 | $4 | — | — | — | $4 – $4 |
| 10 | Fisher-Titus Medical Center Norwalk, OH professional · percent of total billed charges · outpatientfrom % of charges | 1 | $4 | $4 | — | — | — | $4 – $4 |
| 11 | GUTHRIE CORTLAND MEDICAL CENTER Cortland, NY facility · other · outpatient | 1 | $22 | $22 | — | — | — | $22 – $22 |
| 12 | Glenwood Regional Medical Center - HSA West Monroe, LA facility · fee schedule · outpatient | 1 | $0 | $0 | $0 | 39% | — | $0 – $0 |
| 13 | HOSPITAL SERVICE DISTRICT NO. 1 OF THE PARISH OF ST. CHARLES, STATE OF LOUISIANA LULING, LA fee schedule · outpatient | 1 | $0 | $0 | $0 | 11% | — | $0 – $0 |
| 14 | HOSPITAL SERVICE DISTRICT OF THE PARISH OF ST. BERNARD, STATE OF LOUISIANA Chalmette, LA fee schedule · outpatient | 1 | $0 | $0 | — | — | — | $0 – $0 |
| 15 | HOULTON REGIONAL HOSPITAL HOULTON, ME percent of total billed charges · bothfrom % of charges | 1 | $3 | $3 | $1 | 22% | — | $2 – $3 |
| 16 | HOULTON REGIONAL HOSPITAL HOULTON, ME percent of total billed charges · outpatientfrom % of charges | 1 | $7 | $7 | — | — | — | $7 – $7 |
| 17 | HSA CGH LLC Coral Gables, FL facility · percent of total billed charges · outpatientfrom % of charges | 1 | $0 | $0 | $0 | 41% | — | $0 – $0 |
| 18 | HSA PGH LLC Hialeah, FL facility · percent of total billed charges · outpatientfrom % of charges | 1 | $0 | $0 | $0 | 41% | — | $0 – $0 |
| 19 | Hospital Service District #1, Parish of Terrebonne, State of Louisiana dba Terrebonne General Health System Houma, LA facility · fee schedule · outpatient | 1 | $0 | $0 | $0 | 17% | — | $0 – $0 |
| 20 | KAPLAN GENERAL HOSPITAL, INC ST, LA percent of total billed charges · outpatientfrom % of charges | 1 | $11 | $11 | — | — | — | $11 – $11 |
| 21 | Kaweah Health Medical Center Visalia, CA facility · fee schedule · outpatient | 1 | $0 | $0 | — | — | — | $0 – $0 |
| 22 | Kaweah Health Mental Health Hospital Visalia, CA facility · fee schedule · outpatient | 1 | $12 | $12 | $0 | 0% | — | $12 – $12 |
| 23 | Kaweah Health Rehabilitation Hospital Visalia, CA facility · fee schedule · outpatient | 1 | $12 | $12 | — | — | — | $12 – $12 |
| 24 | LAFAYETTE GENERAL MEDICAL CENTER INC Lafayette, LA fee schedule · outpatient | 1 | $0 | $0 | — | — | — | $0 – $0 |
| 25 | Little Company of Mary Hospital of Indiana Inc Jasper, IN professional · fee schedule · both | 1 | $0 | $0 | — | — | — | $0 – $0 |
← Payers reporting HCPCS J7614 · Snapshot 20261111T120946Z-9134e7f7