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
ketamine 50 mg/5 mL (10 mg/mL) Syrg 5 mL Syringe
Abbeville, SC
See all hospitals reporting HCPCS J3490 →Price type
Abbeville Area Medical Center’s median price of $54 is 11% above the median hospital's median price ($48), higher than 55% of the 1,749 hospitals reporting HCPCS J3490. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 6 payers, 8 plan rates. A facility fee, a professional fee, a per diem and a case rate are different bills, so each is listed on its own. Open a payer to see it across hospitals.
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| # | ||||
|---|---|---|---|---|
| 1 | Humana medicare facility · other · outpatient | $17.95 | $17.95 | $17.95 – $17.95 |
| 2 | Blue Cross Blue Shield medicare facility · other · outpatient | $38.83 | $38.83 | $38.83 – $38.83 |
| 3 | Molina commercial facility · other · outpatient | $53.66 | $53.66 | $53.66 – $53.66 |
| 4 | Aetna medicare facility · percent of total billed charges · outpatientfrom % of charges | $36.88 | $193.89 | $1.04 – $4,224 |
| 5 | UnitedHealthcare medicare facility · percent of total billed charges · outpatientfrom % of charges | $40.57 | $213.28 | $1.14 – $4,647 |
| 6 | Cigna commercial facility · percent of total billed charges · outpatientfrom % of charges | $85.19 | $447.89 | $2.39 – $9,758 |
| 7 | Aetna commercial facility · percent of total billed charges · outpatientfrom % of charges | $86.54 | $455.00 | $2.43 – $9,913 |
| 8 | UnitedHealthcare commercial facility · percent of total billed charges · outpatientfrom % of charges | $88.39 | $464.70 | $2.48 – $10,124 |
Last updated: Mar 30, 2026
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