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
DEXTROSE 5% IN WATER (D5W) IV
Malone, NY
See all hospitals reporting HCPCS J3490 →Price type
Alice Hyde Medical Center’s median price of $7 is 85% below the median hospital's median price ($48), higher than 15% 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, 9 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 | Excellus managed medicaid/essential plans facility · percent of total billed charges · outpatientfrom % of charges | $4.62 | $23.07 | $0.68 – $252.89 |
| 2 | Aetna medicare advantage facility · percent of total billed charges · outpatientfrom % of charges | $5.44 | $27.18 | $0.80 – $298.05 |
| 3 | Excellus medicare advantage facility · percent of total billed charges · outpatientfrom % of charges | $5.44 | $27.18 | $0.80 – $298.05 |
| 4 | Humana tricare facility · percent of total billed charges · outpatientfrom % of charges | $5.44 | $27.18 | $0.80 – $298.05 |
| 5 | UnitedHealthcare medicare advantage facility · percent of total billed charges · outpatientfrom % of charges | $5.44 | $27.18 | $0.80 – $298.05 |
| 6 | Excellus commercial facility · percent of total billed charges · outpatientfrom % of charges | $13.79 | $68.87 | $2.02 – $755.14 |
| 7 | Highmark ind/fep/ppo/hmo facility · percent of total billed charges · inpatientfrom % of charges | $14.32 | $71.50 | $2.10 – $783.95 |
| 8 | Aetna commercial facility · percent of total billed charges · outpatientfrom % of charges | $14.34 | $71.58 | $2.10 – $784.85 |
| 9 | Highmark ind/fep/ppo/hmo facility · percent of total billed charges · outpatientfrom % of charges | $14.78 | $73.81 | $2.17 – $809.24 |
Last updated: Sep 8, 2026
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