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 Premera 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 | COMMONSPIRIT OREGON Roseburg, OR fee schedule · inpatient | 1 | $60.59 | $48.39 – $90.32 |
| 2 | COMMONSPIRIT OREGON Roseburg, OR fee schedule · outpatient | 1 | $64.47 | $51.49 – $96.11 |
| 3 | Central Washington Health Services Association Wenatchee, WA percent of total billed charges · bothfrom % of charges | 3 | $246.40 | $0.41 – $6,974 |
| 4 | Clallam County Public Hospital District 2 DBA Olympic Medical Center Port Angeles, WA fee schedule · inpatient | 1 | $71.04 | $7.40 – $4,429 |
| 5 | Clallam County Public Hospital District 2 DBA Olympic Medical Center Port Angeles, WA fee schedule · outpatient | 1 | $71.04 | $7.40 – $4,429 |
| 6 | Columbia Lutheran Charities Astoria, OR facility · percent of total billed charges · bothfrom % of charges | 1 | $1,067 | $1.90 – $12,769 |
| 7 | Coulee Medical Center Grand Coulee, WA facility · percent of total billed charges · inpatientfrom % of charges | 1 | $49.65 | $18.88 – $124.97 |
| 8 | Coulee Medical Center Grand Coulee, WA facility · percent of total billed charges · outpatientfrom % of charges | 1 | $47.29 | $5.62 – $253.58 |
| 9 | ENUMCLAW REGIONAL HOSPITAL ASSOCIATION Enumclaw, WA fee schedule · outpatient | 1 | $81.15 | $5.97 – $153.50 |
| 10 | MultiCare Covington Medical Center Covington, WA other · outpatient | 1 | $182.10 | $182.10 – $182.10 |
| 11 | MultiCare Yakima Valley Memorial Hospital Association Union Gap, WA other · outpatient | 1 | $182.10 | $182.10 – $182.10 |
| 12 | Public Hospital Dis No 1 Skagit dba Skagit Valley Hospital Vernon, WA fee schedule · both | 1 | $18,450 | $18,450 – $18,450 |
| 13 | Public Hospital Dis No 1 Skagit dba Skagit Valley Hospital Vernon, WA fee schedule · outpatient | 1 | $18,450 | $18,450 – $18,450 |
| 14 | Public Hospital Dist No 1 Skagit dba Cascade Valley Hospital Arlington, WA fee schedule · both | 1 | $15,869 | $15,869 – $15,869 |
| 15 | Public Hospital District NO 2 Skagit County Washington Anacortes, WA facility · fee schedule · both | 1 | $50.86 | $6.62 – $117.22 |
| 16 | Seattle Children's Hospital Seattle, WA facility · percent of total billed charges · bothfrom % of charges | 5 | $75.21 | $31.46 – $149.40 |
| 17 | St Mary Medical Center Langhorne, PA professional · fee schedule · both | 1 | $0.25 | $0.25 – $0.25 |
| 18 | St Peters Hospital Albany, NY professional · percent of total billed charges · bothfrom % of charges | 1 | $3.05 | $3.05 – $3.05 |
| 19 | Virginia Mason Medical Center Seattle, WA facility · percent of total billed charges · outpatientfrom % of charges | 1 | $84.70 | $0.01 – $9,026 |
← Payers reporting HCPCS J3490 · Snapshot 20261108T203506Z-bb90dbab