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
ziprasidone 20 mg/mL (final conc.) Solr 1 each VIA
Ulm, MN
See all hospitals reporting HCPCS J3486 →Price type
Allina Health Systems’s median price of $49 is 14% above the median hospital's median price ($43), higher than 54% of the 2,018 hospitals reporting HCPCS J3486. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 8 payers, 23 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 | Bcbs Mn bc pmap (n) facility · other · outpatient | $5 | $5 | — | — | — | $5 – $5 |
| 2 | Bcbs Mn bc premier(n) facility · other · outpatient | $6 | $6 | — | — | — | $6 – $6 |
| 3 | Blue Cross Blue Shield bc aehp (n) facility · other · outpatient | $7 | $7 | — | — | — | $7 – $7 |
| 4 | Bcbs Mn bc high value/performance network (n) facility · other · outpatient | $8 | $8 | — | — | — | $8 – $8 |
| 5 | Bcbs Mn bc state health plan (n) facility · other · outpatient | $8 | $8 | — | — | — | $8 – $8 |
| 6 | Ucare ucare pmap (abdmnorsuv) facility · percent of total billed charges · outpatientfrom % of charges | $16 | $16 | $0 | 1% | — | $16 – $16 |
| 7 | Medica medica pmap (n) facility · percent of total billed charges · outpatientfrom % of charges | $25 | $25 | $0 | 1% | — | $25 – $26 |
| 8 | Medicaid medicaid ma (n) facility · other · outpatient | $35 | $35 | $0 | 1% | — | $35 – $35 |
| 9 | Medica medica medicare (r) facility · fee schedule · outpatient | $36 | $36 | $0 | 1% | — | $35 – $36 |
| 10 | Medica medica dual solutions (r) facility · percent of total billed charges · outpatientfrom % of charges | $36 | $36 | $0 | 1% | — | $36 – $36 |
| 11 | Blue Cross Blue Shield bc medicare (n) facility · fee schedule · outpatient | $37 | $37 | $0 | 1% | — | $37 – $37 |
| 12 | Aetna aetna elevate (n r) facility · percent of total billed charges · inpatientfrom % of charges | $49 | $49 | $0 | 1% | — | $49 – $49 |
| 13 | Aetna aetna elevate (n r) facility · percent of total billed charges · outpatientfrom % of charges | $49 | $49 | $0 | 1% | — | $49 – $50 |
| 14 | Aetna aetna performance (n r) facility · percent of total billed charges · inpatientfrom % of charges | $53 | $53 | $0 | 1% | — | $53 – $53 |
| 15 | Aetna aetna performance (n r) facility · percent of total billed charges · outpatientfrom % of charges | $53 | $53 | $0 | 1% | — | $53 – $54 |
| 16 | Medica medica ubh (n) facility · percent of total billed charges · inpatientfrom % of charges | $56 | $56 | $0 | 1% | — | $56 – $56 |
| 17 | Medica medica ubh pmap (n) facility · percent of total billed charges · outpatientfrom % of charges | $64 | $64 | $1 | 1% | — | $63 – $64 |
| 18 | Cigna hpi cigna (n) facility · other · outpatient | $65 | $65 | $1 | 1% | — | $65 – $66 |
| 19 | First Health first health (abdmnosurv) facility · percent of total billed charges · inpatientfrom % of charges | $67 | $67 | $1 | 1% | — | $67 – $68 |
| 20 | First Health first health (abdmnosurv) facility · percent of total billed charges · outpatientfrom % of charges | $67 | $67 | $1 | 1% | — | $67 – $68 |
| 21 | Medica medica ubh (n) facility · percent of total billed charges · outpatientfrom % of charges | $67 | $67 | $1 | 1% | — | $67 – $68 |
| 22 | Aetna aetna direct/indirect network (n r) facility · percent of total billed charges · inpatientfrom % of charges | $68 | $68 | $1 | 1% | — | $67 – $68 |
| 23 | Aetna aetna direct/indirect network (n r) facility · percent of total billed charges · outpatientfrom % of charges | $68 | $68 | $1 | 1% | — | $68 – $69 |
Last updated: Jun 16, 2026
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