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 Tricare 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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72 hospital rates
| # | Plans | |||
|---|---|---|---|---|
| 1 | Armstrong County Memorial Hospital Kittanning, PA facility · fee schedule · outpatient | 1 | $73.54 | $1.44 – $267.00 |
| 2 | Aspen Valley Hospital District Aspen, CO facility · percent of total billed charges · bothfrom % of charges | 4 | $51.13 | $2.57 – $439.07 |
| 3 | Beaufort Memorial Hospital Beaufort, SC facility · percent of total billed charges · inpatientfrom % of charges | 1 | $10.01 | $10.01 – $10.01 |
| 4 | CORNING HOSPITAL Corning, NY facility · other · outpatient | 1 | $274.67 | $1.05 – $2,419 |
| 5 | Charleston Area Medical Center Charleston, WV percent of total billed charges · bothfrom % of charges | 1 | $88.73 | $5.40 – $368.85 |
| 6 | Columbia Lutheran Charities Astoria, OR facility · percent of total billed charges · bothfrom % of charges | 1 | $468.44 | $0.72 – $4,839 |
| 7 | Conway Regional Medical Center Conway, AR facility · fee schedule · outpatient | 1 | $32.41 | $12.09 – $63.30 |
| 8 | Coulee Medical Center Grand Coulee, WA facility · percent of total billed charges · inpatientfrom % of charges | 1 | $28.21 | $10.73 – $71.00 |
| 9 | Coulee Medical Center Grand Coulee, WA facility · percent of total billed charges · outpatientfrom % of charges | 1 | $26.87 | $3.19 – $144.08 |
| 10 | Craig Hospital Englewood, CO facility · percent of total billed charges · inpatientfrom % of charges | 1 | $399.21 | $29.03 – $881.03 |
| 11 | Craig Hospital Englewood, CO facility · percent of total billed charges · outpatientfrom % of charges | 1 | $399.21 | $29.03 – $881.03 |
| 12 | Doylestown Hospital Doylestown, PA facility · fee schedule · outpatient | 1 | $5,948 | $5,948 – $5,948 |
| 13 | Dukes Health System LLC Peru, IN facility · fee schedule · outpatient | 1 | $50.54 | $0.46 – $241.29 |
| 14 | Ellis Hospital NY 12308; 2210 Troy Schenectady Road Niskayuna, NY facility · fee schedule · outpatient | 1 | $459.50 | $1.26 – $12,297 |
| 15 | Fisher-Titus Medical Center Norwalk, OH facility · percent of total billed charges · inpatientfrom % of charges | 1 | $18.24 | $0.12 – $202.72 |
| 16 | Fisher-Titus Medical Center Norwalk, OH facility · percent of total billed charges · outpatientfrom % of charges | 1 | $17.10 | $0.11 – $190.05 |
| 17 | Fisher-Titus Medical Center Norwalk, OH professional · percent of total billed charges · inpatientfrom % of charges | 1 | $12.40 | $6.80 – $18.00 |
| 18 | Fisher-Titus Medical Center Norwalk, OH professional · percent of total billed charges · outpatientfrom % of charges | 1 | $11.63 | $6.38 – $16.88 |
| 19 | GUTHRIE CORTLAND MEDICAL CENTER Cortland, NY facility · other · outpatient | 1 | $40.63 | $1.05 – $66.00 |
| 20 | Garfield County, a political subdivision of the State of Utah, DBA Intermountain Health Garfield Memorial Hospital Panguitch, UT facility · percent of total billed charges · inpatientfrom % of charges | 1 | $32.66 | $0.16 – $119.89 |
| 21 | Garfield County, a political subdivision of the State of Utah, DBA Intermountain Health Garfield Memorial Hospital Panguitch, UT facility · percent of total billed charges · outpatientfrom % of charges | 1 | $27.46 | $0.14 – $100.80 |
| 22 | HOULTON REGIONAL HOSPITAL HOULTON, ME percent of total billed charges · bothfrom % of charges | 1 | $36.19 | $0.10 – $1,276 |
| 23 | HOULTON REGIONAL HOSPITAL HOULTON, ME percent of total billed charges · outpatientfrom % of charges | 1 | $6.92 | $0.15 – $51.49 |
| 24 | HSA CGH LLC Coral Gables, FL facility · percent of total billed charges · outpatientfrom % of charges | 1 | $352.43 | $7.00 – $8,805 |
| 25 | HSA PGH LLC Hialeah, FL facility · percent of total billed charges · outpatientfrom % of charges | 1 | $352.43 | $7.00 – $8,805 |
← Payers reporting HCPCS J3490 · Snapshot 20261108T203506Z-bb90dbab