Dornase alfa inhalation solution, 2.5 mg at Benefis Hospitals Inc

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.

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Provider: anthropic
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Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

DORNASE ALFA 2.5 MG/2.5ML IN SOLN

Falls, MT

See all hospitals reporting HCPCS J7639 →

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How this price compares nationally

Benefis Hospitals Inc’s median price of $647 is 508% above the median hospital's median price ($106), higher than 96% of the 1,385 hospitals reporting HCPCS J7639. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting HCPCS J7639 at Benefis Hospitals Inc

Negotiated rates from the hospital’s own file: 11 payers, 26 plan rates. A facility fee, a professional fee, a per diem and a case rate are different bills, so each is listed on its own. Open a payer to see it across hospitals.

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1	Blue Cross Blue Shield bhs hb bcbs employee health plan fee schedule · outpatient	$93	$93	—	—	—	$93 – $93
2	Blue Cross Blue Shield bhs hb bcbs blue options fee schedule · outpatient	$123	$123	—	—	—	$123 – $123
3	Aetna bhs hb medicare fee schedule · outpatient	$157	$157	—	—	—	$157 – $157
4	Anthem bhs hb medicare fee schedule · outpatient	$157	$157	—	—	—	$157 – $157
5	Blue Cross Blue Shield bhs hb medicare fee schedule · outpatient	$157	$157	—	—	—	$157 – $157
6	Kaiser bhs hb medicare fee schedule · outpatient	$157	$157	—	—	—	$157 – $157
7	Medicare bhs hb medicare fee schedule · outpatient	$157	$157	—	—	—	$157 – $157
8	WellCare bhs hb medicare fee schedule · outpatient	$157	$157	—	—	—	$157 – $157
9	Cigna bhs hb allegiance fee schedule · outpatient	$241	$241	—	—	—	$241 – $241
10	Healthpartners bhs hb allegiance fee schedule · outpatient	$241	$241	—	—	—	$241 – $241
11	Kaiser bhs hb allegiance fee schedule · outpatient	$241	$241	—	—	—	$241 – $241
12	Medical Mutual bhs hb allegiance fee schedule · outpatient	$241	$241	—	—	—	$241 – $241
13	Blue Cross Blue Shield bhs hb bcbs blue focus percent of total billed charges · outpatientfrom % of charges	$489	$489	—	—	—	$489 – $489
14	Blue Cross Blue Shield bhs hb bcbs employee health plan percent of total billed charges · inpatientfrom % of charges	$564	$564	—	—	—	$564 – $564
15	Blue Cross Blue Shield bhs hb bcbs blue focus percent of total billed charges · inpatientfrom % of charges	$602	$602	—	—	—	$602 – $602
16	Blue Cross Blue Shield bhs hb bcbs blue options percent of total billed charges · inpatientfrom % of charges	$612	$612	—	—	—	$612 – $612
17	Blue Cross Blue Shield bhs hb bcbs federal percent of total billed charges · bothfrom % of charges	$639	$639	—	—	—	$639 – $639
18	Blue Cross Blue Shield bhs hb bcbs healthy montana kids percent of total billed charges · bothfrom % of charges	$639	$639	—	—	—	$639 – $639
19	Blue Cross Blue Shield bhs hb bcbs healthlink ppo percent of total billed charges · bothfrom % of charges	$647	$647	—	—	—	$647 – $647
20	Cigna bhs hb allegiance percent of total billed charges · inpatientfrom % of charges	$677	$677	—	—	—	$677 – $677
21	Healthpartners bhs hb allegiance percent of total billed charges · inpatientfrom % of charges	$677	$677	—	—	—	$677 – $677
22	Kaiser bhs hb allegiance percent of total billed charges · inpatientfrom % of charges	$677	$677	—	—	—	$677 – $677
23	Medical Mutual bhs hb allegiance percent of total billed charges · inpatientfrom % of charges	$677	$677	—	—	—	$677 – $677
24	Aetna bhs hb first choice health percent of total billed charges · bothfrom % of charges	$692	$692	—	—	—	$692 – $692
25	First Health bhs hb first choice health percent of total billed charges · bothfrom % of charges	$692	$692	—	—	—	$692 – $692

Page 1 of 2 · 26 rates

Last updated: Mar 26, 2026

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