Dornase alfa inhalation solution, 2.5 mg

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.

Model: claude-haiku-5-5
Provider: anthropic
API: message_batches
Reasoning effort: low
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

DORNASE ALFA 2.5 MG/2.5ML INH SOLN

Anthem pricing summary

Low

Average

$226

Median

$124

High

$2.8k

Anthem rate distribution

Filter by billing methodology

Filter by billing class

293 hospital rates

#		Plans
1	AKRON GENERAL MEDICAL CENTER Akron, OH facility · case rate · outpatient	1	$124	$124	—	—	—	$124 – $124
2	ARTHUR G JAMES CANCER HOSPITAL AND RESEARCH INSTITUTE Columbus, OH percent of total billed charges · inpatientfrom % of charges	2	$337	$337	$55	16%	—	$282 – $392
3	ARTHUR G JAMES CANCER HOSPITAL AND RESEARCH INSTITUTE Columbus, OH percent of total billed charges · outpatientfrom % of charges	3	$278	$279	$97	35%	—	$161 – $398
4	Acadia Hospital Bangor, ME facility · fee schedule · outpatient	2	$59	$59	$7	12%	—	$52 – $66
5	Acadia Hospital Bangor, ME professional · fee schedule · outpatient	2	$55	$55	$1	1%	—	$54 – $55
6	Adena Fayette Medical Center Washington Court House, OH facility · fee schedule · outpatient	3	$54	$54	—	—	—	$54 – $54
7	Adena Health System Chillicothe, OH facility · fee schedule · outpatient	4	$119	$123	$17	14%	—	$107 – $146
8	American Hospital Management Corporation Arcata, CA facility · percent of total billed charges · outpatientfrom % of charges	2	$173	$173	—	—	—	$173 – $173
9	Anderson Hospital Maryville, IL facility · percent of total billed charges · outpatientfrom % of charges	1	$155	$155	—	—	—	$155 – $155
10	Anderson Hospital Maryville, IL professional · percent of total billed charges · outpatientfrom % of charges	1	$160	$160	—	—	—	$160 – $160
11	Appalachian Regional Healthcare, Inc. Hazard, KY fee schedule · outpatient	1	$65	$65	—	—	—	$65 – $65
12	Appalachian Regional Healthcare, Inc. Hazard, KY percent of total billed charges · outpatientfrom % of charges	1	$332	$332	—	—	—	$332 – $332
13	Ascension NE Wisconsin, Inc. Appleton, WI other · outpatient	3	$120	$107	$17	16%	—	$83 – $120
14	Ascension NE Wisconsin, Inc. Oshkosh, WI other · outpatient	3	$167	$139	$40	29%	—	$83 – $167
15	Ascension SE Wisconsin Hospital, Inc. Milwaukee, WI fee schedule · both	1	$70	$70	—	—	—	$70 – $70
16	Ascension SE Wisconsin Hospital, Inc. Milwaukee, WI other · outpatient	3	$88	$103	$26	26%	—	$80 – $139
17	Ascension SE Wisconsin Hospital, Inc. Franklin, WI fee schedule · both	1	$55	$55	—	—	—	$55 – $55
18	Ascension SE Wisconsin Hospital, Inc. Franklin, WI other · outpatient	3	$88	$103	$26	26%	—	$80 – $139
19	Ascension SE Wisconsin Hospital, Inc. Brookfield, WI fee schedule · both	1	$70	$70	—	—	—	$70 – $70
20	Ascension SE Wisconsin Hospital, Inc. Brookfield, WI other · outpatient	3	$88	$103	$26	26%	—	$80 – $139
21	Ascension St. Francis Hospital, Inc. Milwaukee, WI fee schedule · both	1	$70	$70	—	—	—	$70 – $70
22	Ascension St. Francis Hospital, Inc. Milwaukee, WI other · outpatient	3	$88	$103	$26	26%	—	$80 – $139
23	Aspen Valley Hospital District Aspen, CO facility · percent of total billed charges · bothfrom % of charges	2	$484	$484	$40	8%	—	$444 – $523
24	Aurora BayCare Medical Center Green Bay, WI fee schedule · outpatient	2	$59	$59	$5	9%	—	$54 – $64
25	Aurora Lakeland Medical Center Elkhorn, WI fee schedule · outpatient	2	$59	$59	$5	9%	—	$54 – $64

Page 1 of 12

← Payers reporting HCPCS J7639 · Snapshot 20261111T120946Z-9134e7f7

HCPCS J7639