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
PULMOZYME 1MG/ML AMPS
Monroeville, PA
See all hospitals reporting HCPCS J7639 →Price type
UPMC East’s median price of $107 is about the same as the median hospital's median price ($106), higher than 51% 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, 36 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 | Highmark complete blue medicare advantage/freedom blue medicare advantage/security blue medicare advantage facility · fee schedule · outpatient | $11 | $11 | — | — | — | $11 – $11 |
| 2 | Highmark managed care - social mission facility · fee schedule · outpatient | $33 | $33 | — | — | — | $33 – $33 |
| 3 | Highmark commercial - social mission indemnity facility · fee schedule · outpatient | $33 | $33 | — | — | — | $33 – $33 |
| 4 | Highmark managed care facility · fee schedule · outpatient | $44 | $44 | — | — | — | $44 – $44 |
| 5 | Highmark commercial - indemnity facility · fee schedule · outpatient | $44 | $44 | — | — | — | $44 – $44 |
| 6 | UnitedHealthcare all business facility · fee schedule · outpatient | $54 | $54 | — | — | — | $54 – $54 |
| 7 | UnitedHealthcare compass exchange facility · fee schedule · outpatient | $54 | $54 | — | — | — | $54 – $54 |
| 8 | UnitedHealthcare unison medplus facility · fee schedule · outpatient | $54 | $54 | — | — | — | $54 – $54 |
| 9 | Amerihealth Caritas community healthchoices (chc)/medicaid facility · fee schedule · outpatient | $55 | $55 | — | — | — | $55 – $55 |
| 10 | Highmark medicaid facility · fee schedule · outpatient | $55 | $55 | — | — | — | $55 – $55 |
| 11 | UnitedHealthcare unison kids facility · fee schedule · outpatient | $59 | $59 | — | — | — | $59 – $59 |
| 12 | Aetna medicare facility · percent of total billed charges · outpatientfrom % of charges | $72 | $72 | — | — | — | $72 – $72 |
| 13 | Highmark upmc emergent facility · fee schedule · outpatient | $88 | $88 | — | — | — | $88 – $88 |
| 14 | UnitedHealthcare compass exchange facility · percent of total billed charges · inpatientfrom % of charges | $98 | $98 | — | — | — | $98 – $98 |
| 15 | Aetna neighborhood network facility · percent of total billed charges · outpatientfrom % of charges | $101 | $101 | — | — | — | $101 – $101 |
| 16 | Aetna neighborhood network facility · percent of total billed charges · inpatientfrom % of charges | $104 | $104 | — | — | — | $104 – $104 |
| 17 | Aetna ebr fi facility · percent of total billed charges · inpatientfrom % of charges | $110 | $110 | — | — | — | $110 – $110 |
| 18 | Aetna ebr fi facility · percent of total billed charges · outpatientfrom % of charges | $110 | $110 | — | — | — | $110 – $110 |
| 19 | Aetna home depot employer group facility · percent of total billed charges · outpatientfrom % of charges | $110 | $110 | — | — | — | $110 – $110 |
| 20 | Aetna nbr aso/fi facility · percent of total billed charges · outpatientfrom % of charges | $113 | $113 | — | — | — | $113 – $113 |
| 21 | Cigna nbr aso/fi facility · percent of total billed charges · outpatientfrom % of charges | $113 | $113 | — | — | — | $113 – $113 |
| 22 | Cigna new business aso facility · percent of total billed charges · outpatientfrom % of charges | $113 | $113 | — | — | — | $113 – $113 |
| 23 | Aetna home depot employer group facility · percent of total billed charges · inpatientfrom % of charges | $113 | $113 | — | — | — | $113 – $113 |
| 24 | Aetna ebr aso facility · percent of total billed charges · inpatientfrom % of charges | $116 | $116 | — | — | — | $116 – $116 |
| 25 | Aetna ebr aso facility · percent of total billed charges · outpatientfrom % of charges | $116 | $116 | — | — | — | $116 – $116 |
Last updated: Mar 6, 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.