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
Cushing, OK
See all hospitals reporting HCPCS J3490 →Price type
AHS Cushing Hospital, LLC’s median price of $243 is 404% above the median hospital's median price ($48), higher than 85% 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: 9 payers, 15 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 | $98.04 | $98.04 | $98.04 – $98.04 |
| 2 | Oscar oscar insurance company [700500] facility · percent of total billed charges · bothfrom % of charges | $98.04 | $98.04 | $98.04 – $98.04 |
| 3 | Healthcare Highways hch 90 degree benefits [221013] facility · percent of total billed charges · bothfrom % of charges | $117.25 | $117.25 | $117.25 – $117.25 |
| 4 | Healthcare Highways hch broken arrow [221012] facility · percent of total billed charges · bothfrom % of charges | $117.25 | $117.25 | $117.25 – $117.25 |
| 5 | Healthcare Highways taro health plan [221010] facility · percent of total billed charges · bothfrom % of charges | $117.25 | $117.25 | $117.25 – $117.25 |
| 6 | Aetna aetna aco wilco [101532] facility · percent of total billed charges · bothfrom % of charges | $172.15 | $172.15 | $172.15 – $172.15 |
| 7 | Cigna cigna [126008] facility · percent of total billed charges · bothfrom % of charges | $191.76 | $191.76 | $191.76 – $191.76 |
| 8 | Healthpartners healthpartners [150000] facility · percent of total billed charges · bothfrom % of charges | $191.76 | $191.76 | $191.76 – $191.76 |
| 9 | UnitedHealthcare united healthcare charter [206031] facility · percent of total billed charges · bothfrom % of charges | $194.11 | $194.11 | $194.11 – $194.11 |
| 10 | First Health benveo/ucs [137512] facility · percent of total billed charges · bothfrom % of charges | $271.75 | $271.75 | $271.75 – $271.75 |
| 11 | MultiPlan providence health plan [168004] facility · percent of total billed charges · bothfrom % of charges | $271.75 | $271.75 | $271.75 – $271.75 |
| 12 | Phcs lifestyle health plans [178013] facility · percent of total billed charges · bothfrom % of charges | $325.48 | $325.48 | $325.48 – $325.48 |
| 13 | First Health tall tree administrators [137508] facility · percent of total billed charges · bothfrom % of charges | $345.08 | $345.08 | $345.08 – $345.08 |
| 14 | MultiPlan ihc hs [168011] facility · percent of total billed charges · bothfrom % of charges | $345.08 | $345.08 | $345.08 – $345.08 |
| 15 | Phcs group health cooperative scw [178012] facility · percent of total billed charges · bothfrom % of charges | $345.08 | $345.08 | $345.08 – $345.08 |
Last updated: Mar 31, 2026
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