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 non-comp unit
Maple Grove, MN
See all hospitals reporting HCPCS J7639 →Price type
Fairview Maple Grove Surgery Center’s median price of $59 is 45% below the median hospital's median price ($106), higher than 21% of the 1,385 hospitals reporting HCPCS J7639. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 6 payers, 21 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.
Filter by billing methodology
Filter by billing class
| # | |||||||
|---|---|---|---|---|---|---|---|
| 1 | Blue Cross Blue Shield federal fee schedule · outpatient | $50 | $50 | — | — | — | $50 – $50 |
| 2 | Blue Cross Blue Shield commercial fee schedule · outpatient | $51 | $51 | — | — | — | $51 – $51 |
| 3 | Blue Cross Blue Shield medicaid fee schedule · outpatient | $51 | $51 | — | — | — | $51 – $51 |
| 4 | Blue Cross Blue Shield federal fee schedule · both | $52 | $52 | — | — | — | $52 – $52 |
| 5 | Ucare mhcp fee schedule · both | $53 | $53 | — | — | — | $53 – $53 |
| 6 | Blue Cross Blue Shield commercial fee schedule · both | $53 | $53 | — | — | — | $53 – $53 |
| 7 | Medica accessability fee schedule · both | $53 | $53 | — | — | — | $53 – $53 |
| 8 | Medica medicaid fee schedule · both | $53 | $53 | — | — | — | $53 – $53 |
| 9 | Medica ma non-snp fee schedule · both | $57 | $57 | — | — | — | $57 – $57 |
| 10 | Medica ma snp fee schedule · both | $57 | $57 | — | — | — | $57 – $57 |
| 11 | Medica prime solution fee schedule · both | $57 | $57 | — | — | — | $57 – $57 |
| 12 | Medica vantage fee schedule · both | $57 | $57 | — | — | — | $57 – $57 |
| 13 | Blue Cross Blue Shield medicaid fee schedule · both | $58 | $58 | — | — | — | $58 – $58 |
| 14 | Medicaid medicaid fee schedule · both | $59 | $59 | — | — | — | $59 – $59 |
| 15 | Cigna commercial fee schedule · both | $62 | $62 | $5 | 9% | — | $57 – $67 |
| 16 | UnitedHealthcare commercial fee schedule · both | $97 | $97 | — | — | — | $97 – $97 |
| 17 | Cigna commercial fee schedule · outpatient | $98 | $98 | $9 | 9% | — | $89 – $106 |
| 18 | Medica bold fee schedule · both | $98 | $98 | — | — | — | $98 – $98 |
| 19 | Medica choice without / elect fee schedule · both | $109 | $109 | — | — | — | $109 – $109 |
| 20 | Medica city of st paul / essential uplan fee schedule · both | $109 | $109 | — | — | — | $109 – $109 |
| 21 | Medica choice with fee schedule · both | $113 | $113 | — | — | — | $113 – $113 |
Last updated: May 18, 2026
See Dornase alfa inhalation solution, 2.5 mg pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.