J7612
HCPCSLevalbuterol: 30 Pouch In 1 Carton (76204-700-01) / 1 Ampule In 1 Pouch (76204-700-11) / 3 Ml In 1 Ampule
Based on the latest published hospital price files, code J7612 (Levalbuterol: 30 Pouch In 1 Carton (76204-700-01) / 1 Ampule In 1 Pouch (76204-700-11) / 3 Ml In 1 Ampule) appears at 5 hospitals with disclosed cash prices from $9.33 to $77.40. This is public hospital price transparency data, not a guaranteed estimate of your bill.
Published-price availability
A blank price (“—”) means a hospital names this service but did not publish a dollar amount — it is not a free service or a $0 price.
Compare J7612 prices
Filter by hospital, city, setting, or payer — the summary and charts update with your filters.
Published cash prices for code J7612 vary by about 8.3× across the 4 hospitals with disclosed prices here — from $9.33 to $77.40. Shopping around can matter.
Lowest cash price by hospital
- Healdsburg Hospital$9.33
Cash price by city
Reflects your current filters.
- Healdsburg · 1 hospital$9.33
- Naperville · 1 hospital$40.14–$40.17
- San Pedro · 1 hospital$73.21
- Tarzana · 1 hospital$77.40
7 prices shown.
| Service | Hospital | Code | List price | Cash price | Negotiated range | Allowed (median) | |
|---|---|---|---|---|---|---|---|
| Levalbuterol: 30 Pouch In 1 Carton (76204-700-01) / 1 Ampule In 1 Pouch (76204-700-11) / 3 Ml In 1 Ampule Inpatient & outpatient | Endeavor Health Edward Hospital | J7612 HCPCS | $40.14 | $40.14 | — | — | |
| NDC Description Not Available Inpatient & outpatient | Endeavor Health Edward Hospital | J7612 HCPCS | $40.17 | $40.17 | — | — | |
| Levalbuterol non-comp con Outpatient | Endeavor Health Edward Hospital | J7612 HCPCS | — | — | $1.10 – $1.10 | — | |
| Levalbuterol non-comp con Outpatient | University of Chicago Medical Center | J7612 HCPCS | — | — | — | — | |
| LEVALBUTEROL HCL SOLN NEBU CONC 1.25 MG/0.5ML (BASE EQUIV) Inpatient & outpatient | Healdsburg Hospital | J7612 HCPCS | $18.29 | $9.33 | — | — | |
| LEVALBUTEROL HCL SOLN NEBU CONC 1.25 MG/0.5ML (BASE EQUIV) Inpatient & outpatient | Providence Cedars-Sinai Tarzana Medical Center | J7612 HCPCS | $221 | $77.40 | — | — | |
| LEVALBUTEROL HCL SOLN NEBU CONC 1.25 MG/0.5ML (BASE EQUIV) Inpatient & outpatient | Providence Little Co of Mary Med Center San Pedro | J7612 HCPCS | $209 | $73.21 | — | — |
How to read these prices
- Cash price
- The discounted self-pay price for paying directly, without insurance.
- List price
- The hospital’s full undiscounted charge — rarely what anyone pays.
- Negotiated rate
- A rate for a specific insurer and plan; your share depends on your benefits.
- Allowed amount
- A historical reference for what was actually allowed, where disclosed.
Hospitals that publish J7612 prices
Open a hospital to see this code in the context of its full published prices.
Code J7612: frequently asked
- What does code J7612 cost?
- Across the published hospital price files, the disclosed cash price for J7612 ranges from $9.33 to $77.40. This is public hospital price transparency data, not a guaranteed estimate of your bill.
- Will this be my final bill?
- Actual patient responsibility may vary based on your insurance plan, deductible, coinsurance, network status, diagnosis, setting, bundled services, clinical circumstances, and hospital billing practices.
- What is code J7612?
- J7612 is the billing code hospitals use to identify "Levalbuterol: 30 Pouch In 1 Carton (76204-700-01) / 1 Ampule In 1 Pouch (76204-700-11) / 3 Ml In 1 Ampule" on their published price files. We use it to line up the same service across different hospitals.
- Why do prices for this code differ between hospitals?
- Each hospital sets its own prices and negotiates separately with each insurer, so the disclosed price for the same code can vary widely from one hospital to another — and even between plans at a single hospital. Comparing the published figures is what this page is for; a difference does not by itself mean one hospital is better or worse.
- What this page is not
- It is not a quote, a guarantee, or medical advice. It shows what hospitals have published for this code, so you can compare and ask informed questions — your actual cost depends on your insurance, the exact services performed, and the care setting.