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
DORNASE ALFA 2.5 MG/2.5ML INH SOLN
Low
$19
Average
$88
Median
$66
High
$346
Each hospital's average Highmark rate, under the methodology and billing class chosen below.
72 hospitals; the 90th percentile is 4.1× 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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107 hospital rates
iThe hospitals that file a Highmark 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 | NEMOURS CHILDREN'S HOSPITAL Philadelphia, PA percent of total billed charges · bothfrom % of charges | 2 | $288 | $346 | $81 | 24% | 1–10 | $288 – $461 |
| 2 | ALLE-KISKI MEDICAL CENTER NATRONA HEIGHTS, PA fee schedule · inpatient | 11 | $67 | $66 | $1 | 2% | — | $62 – $67 |
| 3 | ALLE-KISKI MEDICAL CENTER NATRONA HEIGHTS, PA fee schedule · outpatient | 11 | $67 | $66 | $1 | 2% | — | $62 – $67 |
| 4 | Broaddus Hospital Association Inc Philippi, WV professional · fee schedule · both | 1 | $66 | $66 | — | — | — | $66 – $66 |
| 5 | Bryn Mawr Rehabilitation Hospital Malvern, PA facility · fee schedule · outpatient | 1 | $54 | $54 | — | — | — | $54 – $54 |
| 6 | Butler Healthcare Providers_ DBA Butler Memorial Hospital Butler, PA facility · percent of total billed charges · outpatientfrom % of charges | 3 | $106 | $106 | — | — | — | $106 – $106 |
| 7 | CANONSBURG GENERAL HOSPITAL CANONSBURG, PA fee schedule · inpatient | 11 | $67 | $66 | $1 | 2% | — | $62 – $67 |
| 8 | CANONSBURG GENERAL HOSPITAL CANONSBURG, PA fee schedule · outpatient | 11 | $67 | $66 | $1 | 2% | — | $62 – $67 |
| 9 | Children's Hospital of Philadelphia, The Philadelphia, PA fee schedule · both | 1 | $165 | $165 | — | — | — | $165 – $165 |
| 10 | Children's Hospital of Philadelphia, The Philadelphia, PA percent of total billed charges · bothfrom % of charges | 1 | $437 | $437 | — | — | — | $437 – $437 |
| 11 | Clarion Hospital Clarion, PA facility · percent of total billed charges · outpatientfrom % of charges | 2 | $193 | $193 | — | — | — | $193 – $193 |
| 12 | Davis Medical Center Elkins, WV professional · fee schedule · both | 1 | $66 | $66 | — | — | — | $66 – $66 |
| 13 | ERIE COUNTY MEDICAL CENTER CORPORATION Buffalo, NY fee schedule · outpatient | 7 | $62 | $113 | $80 | 71% | — | $55 – $294 |
| 14 | GROVE CITY MEDICAL CENTER GROVE CITY, PA fee schedule · inpatient | 11 | $67 | $66 | $1 | 2% | — | $62 – $67 |
| 15 | GROVE CITY MEDICAL CENTER GROVE CITY, PA fee schedule · outpatient | 11 | $67 | $66 | $1 | 2% | — | $62 – $67 |
| 16 | JEFFERSON REGIONAL MEDICAL CENTER JEFFERSON HILLS, PA fee schedule · inpatient | 11 | $67 | $66 | $1 | 2% | — | $62 – $67 |
| 17 | JEFFERSON REGIONAL MEDICAL CENTER JEFFERSON HILLS, PA fee schedule · outpatient | 11 | $67 | $66 | $1 | 2% | — | $62 – $67 |
| 18 | Jefferson Health - Northeast Langhorne, PA facility · fee schedule · inpatient | 1 | $59 | $59 | $1 | 2% | — | $58 – $61 |
| 19 | Jefferson Health - Northeast Langhorne, PA facility · fee schedule · outpatient | 3 | $99 | $103 | $42 | 41% | — | $58 – $156 |
| 20 | Jefferson Health - Northeast Philadelphia, PA facility · fee schedule · inpatient | 1 | $61 | $61 | — | — | — | $61 – $61 |
| 21 | Jefferson Health - Northeast Philadelphia, PA facility · fee schedule · outpatient | 1 | $65 | $65 | — | — | — | $65 – $65 |
| 22 | Jefferson Health - Northeast Philadelphia, PA facility · fee schedule · inpatient | 1 | $58 | $58 | — | — | — | $58 – $58 |
| 23 | Jefferson Health - Northeast Philadelphia, PA facility · fee schedule · outpatient | 3 | $97 | $101 | $41 | 40% | — | $58 – $153 |
| 24 | Kennedy University Hospital, Inc Turnersville, NJ facility · fee schedule · inpatient | 1 | $57 | $57 | $1 | 2% | — | $55 – $58 |
| 25 | Kennedy University Hospital, Inc Turnersville, NJ facility · fee schedule · outpatient | 3 | $91 | $95 | $40 | 41% | — | $55 – $145 |
← Payers reporting HCPCS J7639 · Snapshot 20261111T120946Z-9134e7f7