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HCPCS J7613Medical Service

Albuterol Inhalation Solution Fda-approved Final Product Non-compounded Administered Through Dme Unit Dose 1 Mg

Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg. Clinical pricing breakdown and utilization metrics across 836 practicing doctors nationwide.

$5.00
Peer Median Charge
Gross billed rate
$0.04
Standard Baseline
Customary allowable
125.0x
National Markup
Charge vs baseline
836
Active Physicians
Billing this code
Planning care or already received a bill for CPT J7613?Calculate total facility bundle costs or generate an assertive dispute settlement offer.

Understanding This Medical Fee

Gross Charge vs Negotiated Payment: The median physician charge for this service is $5.00. However, insured patients almost never pay this full amount directly. Insurers negotiate rates down toward the $0.04 baseline.

Self-Pay & Uninsured Guidance: If you are paying without insurance or out-of-network, request a prompt-pay cash discount. Most medical practices are willing to settle self-pay bills near the customary baseline rate rather than the full gross charge.

Key Questions for Your Doctor's Billing Office:
  • "Does Dr. [Name] participate in my specific insurance plan network?"
  • "What is the total self-pay or cash rate for code J7613 if paid upfront?"
  • "Are there separate facility, anesthesia, or pathology fees associated with this procedure?"