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
CEFOTETAN 1 GRAM INJ SOLR
Wadena, MN
See all hospitals reporting HCPCS J3490 →Price type
Astera Health’s median price of $65 is 34% above the median hospital's median price ($48), higher than 59% 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: 7 payers, 34 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 | Ucare ucare pmap [300063] percent of total billed charges · outpatientfrom % of charges | $23.30 | $105.52 | $1.30 – $1,239 |
| 2 | Blue Cross Blue Shield mr-bcbs mn [400069] percent of total billed charges · outpatientfrom % of charges | $34.02 | $116.63 | $3.58 – $1,362 |
| 3 | Medica mr-medica advantage solutions [100895] percent of total billed charges · outpatientfrom % of charges | $34.02 | $116.63 | $3.58 – $1,362 |
| 4 | Ucare mr-ucare [300064] percent of total billed charges · outpatientfrom % of charges | $26.96 | $117.28 | $1.50 – $1,430 |
| 5 | Ucare mr-ucare msho [300061] percent of total billed charges · outpatientfrom % of charges | $26.96 | $117.28 | $1.50 – $1,430 |
| 6 | Medica medica mncare [100751] percent of total billed charges · outpatientfrom % of charges | $27.36 | $123.93 | $1.53 – $1,456 |
| 7 | Medica medica pmap [100345] percent of total billed charges · outpatientfrom % of charges | $27.36 | $123.93 | $1.53 – $1,456 |
| 8 | Medica mr-medica dual solutions msho [100344] percent of total billed charges · outpatientfrom % of charges | $35.68 | $155.26 | $1.99 – $1,893 |
| 9 | Medica mr-medica dual solutions msho [100344] percent of total billed charges · inpatientfrom % of charges | $37.03 | $161.12 | $2.07 – $1,965 |
| 10 | Ucare ucare commercial [100748] percent of total billed charges · inpatientfrom % of charges | $44.41 | $201.16 | $2.48 – $2,363 |
| 11 | UnitedHealthcare united healthcare [100453] percent of total billed charges · inpatientfrom % of charges | $47.55 | $215.39 | $2.66 – $2,530 |
| 12 | Ucare ucare commercial [100748] percent of total billed charges · outpatientfrom % of charges | $47.58 | $215.51 | $2.66 – $2,531 |
| 13 | Blue Cross Blue Shield bcbs federal employees [400004] percent of total billed charges · inpatientfrom % of charges | $48.67 | $220.46 | $2.72 – $2,589 |
| 14 | Blue Cross Blue Shield bcbs federal employees [400004] percent of total billed charges · outpatientfrom % of charges | $48.67 | $220.46 | $2.72 – $2,589 |
| 15 | Blue Cross Blue Shield bcbs high value network percent of total billed charges · inpatientfrom % of charges | $48.67 | $220.46 | $2.72 – $2,589 |
| 16 | Blue Cross Blue Shield bcbs high value network percent of total billed charges · outpatientfrom % of charges | $48.67 | $220.46 | $2.72 – $2,589 |
| 17 | Blue Cross Blue Shield blue plus [400058] percent of total billed charges · inpatientfrom % of charges | $48.67 | $220.46 | $2.72 – $2,589 |
| 18 | Blue Cross Blue Shield blue plus [400058] percent of total billed charges · outpatientfrom % of charges | $48.67 | $220.46 | $2.72 – $2,589 |
| 19 | UnitedHealthcare united healthcare [100453] percent of total billed charges · outpatientfrom % of charges | $49.47 | $224.09 | $2.77 – $2,632 |
| 20 | Medica medica [100341] percent of total billed charges · outpatientfrom % of charges | $49.86 | $225.83 | $2.79 – $2,652 |
| 21 | MultiPlan multiplan percent of total billed charges · inpatientfrom % of charges | $51.20 | $231.92 | $2.86 – $2,724 |
| 22 | MultiPlan multiplan percent of total billed charges · outpatientfrom % of charges | $51.20 | $231.92 | $2.86 – $2,724 |
| 23 | Sanford Health Plan sanford health plan [100578] percent of total billed charges · inpatientfrom % of charges | $54.55 | $237.35 | $3.04 – $2,894 |
| 24 | Sanford Health Plan sanford health plan [100578] percent of total billed charges · outpatientfrom % of charges | $54.55 | $237.35 | $3.04 – $2,894 |
| 25 | Aetna aetna - fh [100925] percent of total billed charges · inpatientfrom % of charges | $57.60 | $260.90 | $3.22 – $3,064 |
Last updated: Feb 20, 2026
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