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
INJECTION, TERBUTALINE SULFATE, UP TO 1 MG
Glendale, CA
See all hospitals reporting HCPCS J3105 →Price type
Glendale Adventist Medical Center’s median price of $202 is 1815% above the median hospital's median price ($11), higher than 98% of the 2,214 hospitals reporting HCPCS J3105. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 10 payers, 19 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 blue cross exchange fee schedule · outpatient | $12 | $12 | — | — | — | $12 – $12 |
| 2 | Blue Cross Blue Shield blue cross non-mcs fee schedule · outpatient | $13 | $13 | — | — | — | $13 – $13 |
| 3 | Blue Cross Blue Shield blue cross mcs - all other plans fee schedule · outpatient | $16 | $16 | — | — | — | $16 – $16 |
| 4 | Blue Cross Blue Shield blue shield medi-cal percent of total billed charges · outpatientfrom % of charges | $85 | $85 | — | — | 1–10 | $85 – $85 |
| 5 | Blue Cross Blue Shield blue shield epn - all other plans percent of total billed charges · outpatientfrom % of charges | $135 | $135 | — | — | 1–10 | $135 – $135 |
| 6 | UnitedHealthcare uhc jll csp percent of total billed charges · outpatientfrom % of charges | $141 | $141 | — | — | — | $141 – $141 |
| 7 | UnitedHealthcare uhc all payer - all other plans percent of total billed charges · outpatientfrom % of charges | $149 | $149 | — | — | — | $149 – $149 |
| 8 | UnitedHealthcare uhc hmo percent of total billed charges · outpatientfrom % of charges | $149 | $149 | — | — | — | $149 – $149 |
| 9 | Blue Cross Blue Shield blue shield non epn percent of total billed charges · outpatientfrom % of charges | $156 | $156 | — | — | 1–10 | $156 – $156 |
| 10 | Cigna cigna all other - all other plans percent of total billed charges · outpatientfrom % of charges | $167 | $167 | — | — | — | $167 – $167 |
| 11 | Cigna cigna hmo percent of total billed charges · outpatientfrom % of charges | $167 | $167 | — | — | — | $167 – $167 |
| 12 | Optum optum health - all other plans percent of total billed charges · outpatientfrom % of charges | $175 | $175 | — | — | — | $175 – $175 |
| 13 | Optum optum health mcr adv percent of total billed charges · outpatientfrom % of charges | $175 | $175 | — | — | — | $175 – $175 |
| 14 | First Health first health- all plans percent of total billed charges · outpatientfrom % of charges | $213 | $213 | — | — | — | $213 – $213 |
| 15 | Phcs phcs- all plans percent of total billed charges · outpatientfrom % of charges | $239 | $239 | — | — | — | $239 – $239 |
| 16 | Kaiser kaiser - all plans percent of total billed charges · outpatientfrom % of charges | $312 | $312 | — | — | — | $312 – $312 |
| 17 | Medicaid medi-cal fee schedule · outpatient | $368 | $368 | — | — | — | $368 – $368 |
| 18 | Molina molina mcal fee schedule · outpatient | $368 | $368 | — | — | — | $368 – $368 |
| 19 | Aetna aetna - all plans fee schedule · outpatient | $855 | $855 | — | — | — | $855 – $855 |
Last updated: Jul 30, 2026
See Terbutaline sulfate injection, 1 mg/mL pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.