Mississippi · J7613

Albuterol, Inhalation Solution, Fda-Approved Final Product, Non-Compounded, Administered Through Dme, Unit Dose, 1 Mg in Mississippi

Mississippi Medicare Avg
$0.03
8% above national avg
National Medicare Avg
$0.02
All states combined
Billed Charge (MS)
$7.99
What providers submit
Est. Commercial (MS)
$0.09
National avg: $0.08
Est. Cash / Self-Pay (MS)
$2.23
Typical self-pay discount

Estimated using RAND 2024 commercial-to-Medicare ratios. Actual prices vary by insurer, plan, and facility.

955
Services in MS
202
Providers
N/A
Min Payment
N/A
Max Payment

Top Providers in Mississippi

Provider Medicare Services
Sharma, Achin M.D. $0.02 18

Mississippi Pricing in Context

In Mississippi, CPT code J7613 (Albuterol, Inhalation Solution, Fda-Approved Final Product, Non-Compounded, Administered Through Dme, Unit Dose, 1 Mg) carries an average Medicare payment of $0.03 - 8% above the national benchmark of $0.02. 202 providers across the state submitted claims for this procedure in 2023, performing 955 total services. Individual payments in MS ranged from N/A at the low end to N/A at the high end, reflecting differences in provider setting (office vs. facility), modifiers, and the specific geographic locality code applied within the state.

The average billed charge in Mississippi is $7.99, which is the figure uninsured patients would most likely encounter before any negotiation or charity discount. Medicare, by statute, only reimburses the allowed amount, the balance between billed and paid is written off under provider participation agreements. Insured patients generally pay a negotiated rate that falls between these two figures; the exact amount depends on plan design, deductible status, and in-network participation. Because Mississippi sits above the national Medicare average, commercial rates in the state may also run higher than the US median.

Using RAND 2024 commercial-to-Medicare ratios for Drugs (Administered) procedures, the estimated commercial insurance price in Mississippi lands near $0.09, with self-pay cash prices typically around $2.23. Before scheduling, patients can request a Good Faith Estimate under the No Surprises Act, compare cash rates from hospital Machine-Readable Files, and confirm whether the provider is in-network with their specific plan. This page presents CMS reference data for informational use; it does not constitute medical or financial advice.

Frequently Asked Questions

How much does Albuterol, Inhalation Solution, Fda-Approved Final Product, Non-Compounded, Administered Through Dme, Unit Dose, 1 Mg cost in Mississippi?

The average Medicare payment for Albuterol, Inhalation Solution, Fda-Approved Final Product, Non-Compounded, Administered Through Dme, Unit Dose, 1 Mg in Mississippi is $0.03, which is 8% above the national average of $0.02. Providers in MS typically bill $7.99 for this procedure.

What does Albuterol, Inhalation Solution, Fda-Approved Final Product, Non-Compounded, Administered Through Dme, Unit Dose, 1 Mg cost with insurance in Mississippi?

With commercial insurance in Mississippi, Albuterol, Inhalation Solution, Fda-Approved Final Product, Non-Compounded, Administered Through Dme, Unit Dose, 1 Mg costs an estimated $0.09. Without insurance, the estimated cash price is $2.23. These estimates are based on RAND 2024 commercial-to-Medicare ratios and vary by insurer, plan, and facility.

How many providers perform Albuterol, Inhalation Solution, Fda-Approved Final Product, Non-Compounded, Administered Through Dme, Unit Dose, 1 Mg in Mississippi?

202 providers in Mississippi billed Medicare for Albuterol, Inhalation Solution, Fda-Approved Final Product, Non-Compounded, Administered Through Dme, Unit Dose, 1 Mg in 2023, performing 955 total services. Medicare payments ranged from N/A to N/A depending on the provider.

Is Albuterol, Inhalation Solution, Fda-Approved Final Product, Non-Compounded, Administered Through Dme, Unit Dose, 1 Mg cheaper in Mississippi than the national average?

No - Albuterol, Inhalation Solution, Fda-Approved Final Product, Non-Compounded, Administered Through Dme, Unit Dose, 1 Mg costs 8% above the national average in Mississippi. The state average Medicare payment is $0.03 compared to $0.02 nationally. Factors like local cost of living, provider competition, and regional Medicare fee schedules all influence state-level pricing.

Data sourced from the CMS Medicare Physician and Other Practitioners dataset. See our methodology for details. Retrieved and formatted by PlainProcedure Editorial

Every figure on PlainProcedure is rendered directly from CMS Medicare Physician & Other Practitioners data, no number is typed in by an editor. This page draws directly on CMS Medicare Physician & Other Practitioners data, no figure is typed in by an editor. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error.