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See a sample rate comparisonHCPCS J3260 (Tobramycin Sulfate) Fee Schedule
Last Verified: October 2026
Healthcare providers use this code to document and receive reimbursement for visits that address moderate-level medical decision-making, often including multiple diagnoses or prescription management.
Injection, tobramycin sulfate, up to 80 mg
| Key Fact | Detail |
|---|---|
| Service Type | Drugs Administered Other than Oral Method Drugs, Administered by Injection |
| Common Place of Service | 11 - Office |
| Complexity Level | Low |
| Medicare Fee Schedule | $2.35 per up to 80 mg (October 2026 ASP) · View Medicare rates for J3260 |
| Medicaid Fee Schedule | $2.22 median of the 8 states in the free preview · View Medicaid rates for J3260 |
| Medicare Payment Limit | $2.373  |
| WAC Price | Lorem ipsum dolor sit amet consectetur Lorem ipsum dolor sit amet consectetur VisitBuyandBill.com |
| Related NDC Codes | • 00409-3578-01 - TOBRAMYCIN SULFATE (VIAL,FLIPTOP) 40 MG/ML • 36000-0242-01 - TOBRAMYCIN SULFATE (MDV;USP,LATEX-FREE) 40 MG/1 ML • 36000-0244-25 - TOBRAMYCIN SULFATE (MDV;USP,LATEX-FREE) 40 MG/1 ML • 39822-0412-01 - TOBRAMYCIN SULFATE (BULK VIAL,PF) 1.2 GM • 39822-0412-06 - TOBRAMYCIN SULFATE (BULK VIAL,PF) 1.2 GM |
National average reimbursement for HCPCS J3260 by major payers:
$2.14
$2.48
$2.61
$2.45
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HCPCS J3260
5 of 25 sample ratesHigher to lower in this preview
Slh Vista, Inc., Saint Louis University Hospital
St Louis University
$5.59Published rateHayley Williams
New York University
$2.99Published rateSantiam Memorial Hospital
$2.26Published rateTuscaloosa Vamc
$1.97Published rateJennifer Drouet
New York City Health And Hospitals Corporation
$1.77Published rate
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See a sample payer proposalHCPCS J3260 vs. Other Drugs, Administered by Injection Codes
The HCPCS J3260 code is part of the Drugs Administered Other than Oral Method services used for Drugs, Administered by Injection. It represents a moderate-complexity encounter and is one of several codes that vary based on time spent, level of medical decision-making, and documentation requirements.
The HCPCS J3260 code involves more provider time and moderate medical decision-making, unlike lower-level codes that require less time and simpler assessments. It typically includes multiple diagnoses, medication management, or test interpretation, leading to higher reimbursement and more detailed documentation requirements.
| Code | Complexity | Description |
|---|---|---|
| 00409-3578-01-NDC | Moderate | TOBRAMYCIN SULFATE (VIAL,FLIPTOP) 40 MG/ML |
| 36000-0242-01-NDC | Moderate | TOBRAMYCIN SULFATE (MDV;USP,LATEX-FREE) 40 MG/1 ML |
| 36000-0244-25-NDC | Moderate | TOBRAMYCIN SULFATE (MDV;USP,LATEX-FREE) 40 MG/1 ML |
| J3260-HCPCS | Low | Injection, tobramycin sulfate, up to 80 mg |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS J3260. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the J3260 fee schedule helps patients estimate costs and providers optimize billing for accurate reimbursements.
Factors that affect fee schedules
Medicare & Medicaid Rates
Government-set reimbursement amounts
Private Insurance Rates
Negotiated rates between providers and insurance companies
Geographic Location
Costs may be higher in urban areas.
Provider Type
Hospital providers may have different rates than private practice.
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