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
FAMOTIDINE (PF) 20 MG/2ML IV SOLN
Waterloo, IA
See all hospitals reporting HCPCS J3490 →Price type
Allen Memorial Hospital Corporation’s median price of $45 is 8% below the median hospital's median price ($48), higher than 46% 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: 3 payers, 5 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 | Medica commercial percent of total billed charges · outpatientfrom % of charges | $44.41 | $44.41 | $41.92 – $46.90 |
| 2 | Aetna hmo percent of total billed charges · outpatientfrom % of charges | $44.50 | $44.50 | $44.50 – $44.50 |
| 3 | Aetna ppo percent of total billed charges · outpatientfrom % of charges | $44.50 | $44.50 | $44.50 – $44.50 |
| 4 | Cigna commercial percent of total billed charges · inpatientfrom % of charges | $57.58 | $57.58 | $57.58 – $57.58 |
| 5 | Cigna commercial percent of total billed charges · outpatientfrom % of charges | $57.58 | $57.58 | $57.58 – $57.58 |
Last updated: Jan 28, 2026
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