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
FAT EMULSION-SOYBEAN OIL-MCT-OLIVE OIL-FISH OIL 20 % INTRAVENOUS
The hospitals that file a Bcbs Nj rate for this code, one row per hospital and set of terms (billing class, payment method, setting). Rates under different terms are never blended, so the terms are shown under each hospital’s name. Figures are the hospital’s averages across its plans.
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19 hospital rates
| # | Plans | |||
|---|---|---|---|---|
| 1 | Children's Hospital of Philadelphia, The Philadelphia, PA percent of total billed charges · bothfrom % of charges | 1 | $625.55 | — – $54,764 |
| 2 | Fox Chase Cancer Center Philadelphia, PA facility · percent of total billed charges · outpatientfrom % of charges | 3 | $82.26 | $0.02 – $10,681 |
| 3 | Jersey City Medical Center Jersey City, NJ percent of total billed charges · outpatientfrom % of charges | 2 | $436.48 | $419.10 – $453.85 |
| 4 | Pennsylvania Hospital of the University of Pennsylvania Health System Philadelphia, PA facility · other · outpatient | 1 | $271.89 | $1.00 – $5,310 |
| 5 | Pennsylvania Hospital of the University of Pennsylvania Health System Philadelphia, PA facility · percent of total billed charges · inpatientfrom % of charges | 2 | $271.89 | $1.00 – $5,310 |
| 6 | Pennsylvania Hospital of the University of Pennsylvania Health System Philadelphia, PA facility · percent of total billed charges · outpatientfrom % of charges | 3 | $125.97 | $0.27 – $3,239 |
| 7 | Presbyterian Medical Center of the University of Pennsylvania Health System D/B/A Penn Presbyterian Medical Center Philadelphia, PA facility · other · outpatient | 1 | $356.70 | $1.00 – $5,310 |
| 8 | Presbyterian Medical Center of the University of Pennsylvania Health System D/B/A Penn Presbyterian Medical Center Philadelphia, PA facility · percent of total billed charges · inpatientfrom % of charges | 2 | $356.70 | $1.00 – $5,310 |
| 9 | Presbyterian Medical Center of the University of Pennsylvania Health System D/B/A Penn Presbyterian Medical Center Philadelphia, PA facility · percent of total billed charges · outpatientfrom % of charges | 3 | $165.27 | $0.27 – $3,239 |
| 10 | Temple Health - Chestnut Hill Hospital Philadelphia, PA facility · percent of total billed charges · outpatientfrom % of charges | 3 | $74.59 | $0.02 – $9,685 |
| 11 | Temple University Hospital - Episcopal Campus Philadelphia, PA facility · percent of total billed charges · outpatientfrom % of charges | 3 | $79.92 | $0.02 – $10,377 |
| 12 | Temple University Hospital - Fox Chase Campus East Norriton, PA facility · percent of total billed charges · outpatientfrom % of charges | 3 | $79.92 | $0.02 – $10,377 |
| 13 | Temple University Hospital - Jeanes Campus Philadelphia, PA facility · percent of total billed charges · outpatientfrom % of charges | 3 | $74.59 | $0.02 – $9,685 |
| 14 | Temple University Hospital - Northeastern Campus Philadelphia, PA facility · percent of total billed charges · outpatientfrom % of charges | 3 | $79.92 | $0.02 – $10,377 |
| 15 | Temple University Hospital, Inc.- Main Campus Philadelphia, PA facility · percent of total billed charges · inpatientfrom % of charges | 2 | $124.27 | $0.02 – $19,335 |
| 16 | Temple University Hospital, Inc.- Main Campus Philadelphia, PA facility · percent of total billed charges · outpatientfrom % of charges | 5 | $96.67 | $0.02 – $18,955 |
| 17 | Temple Women & Families Hospital Philadelphia, PA facility · percent of total billed charges · outpatientfrom % of charges | 3 | $79.92 | $0.02 – $10,377 |
| 18 | The Trustees of the University of Pennsylvania D/B/A The Hospital of the University of Pennsylvania Philadelphia, PA facility · other · outpatient | 1 | $557.25 | $1.00 – $3,557 |
| 19 | The Trustees of the University of Pennsylvania D/B/A The Hospital of the University of Pennsylvania Philadelphia, PA facility · percent of total billed charges · outpatientfrom % of charges | 3 | $258.19 | $0.27 – $2,170 |
← Payers reporting HCPCS J3490 · Snapshot 20261108T203506Z-bb90dbab