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
SUGAMMADEX 100 MG/ML INTRAVENOUS SOLUTION
Claremore, OK
See all hospitals reporting HCPCS J3490 →Price type
AHS Claremore Hospital, LLC’s median price of $220 is 356% above the median hospital's median price ($48), higher than 84% 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: 5 payers, 10 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 | Healthcare Highways hch john soules foods [221011] facility · percent of total billed charges · bothfrom % of charges | $139.54 | $139.54 | $139.54 – $139.54 |
| 2 | Oscar oscar insurance company [700500] facility · percent of total billed charges · bothfrom % of charges | $139.54 | $139.54 | $139.54 – $139.54 |
| 3 | UnitedHealthcare uhc compass hix [206019] facility · percent of total billed charges · bothfrom % of charges | $218.97 | $218.97 | $218.97 – $218.97 |
| 4 | UnitedHealthcare united healthcare charter [206031] facility · percent of total billed charges · bothfrom % of charges | $218.97 | $218.97 | $218.97 – $218.97 |
| 5 | Healthcare Highways hch 90 degree benefits [221013] facility · percent of total billed charges · bothfrom % of charges | $219.92 | $219.92 | $219.92 – $219.92 |
| 6 | Healthcare Highways hch broken arrow [221012] facility · percent of total billed charges · bothfrom % of charges | $219.92 | $219.92 | $219.92 – $219.92 |
| 7 | Healthcare Highways health plans inc [221008] facility · percent of total billed charges · bothfrom % of charges | $219.92 | $219.92 | $219.92 – $219.92 |
| 8 | Healthcare Highways taro health plan [221010] facility · percent of total billed charges · bothfrom % of charges | $219.92 | $219.92 | $219.92 – $219.92 |
| 9 | Aetna meritain aetna ardent employee [368502] facility · percent of total billed charges · bothfrom % of charges | $245.04 | $245.04 | $245.04 – $245.04 |
| 10 | Medica medica quest [291001] facility · percent of total billed charges · bothfrom % of charges | $315.37 | $315.37 | $315.37 – $315.37 |
Last updated: Mar 31, 2026
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