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% 100 ML Bag
Flandreau, SD
See all hospitals reporting HCPCS J3490 →Price type
Avera Flandreau Hospital’s median price of $8 is 84% 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: 4 payers, 11 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.
Filter by billing methodology
Filter by billing class
| # | ||||
|---|---|---|---|---|
| 1 | Wellmark hmo outpatient | $5.81 | $5.81 | $5.81 – $5.81 |
| 2 | Medica ind percent of total billed charges · inpatientfrom % of charges | $5.90 | $18.33 | $0.73 – $346.57 |
| 3 | Medica ind percent of total billed charges · outpatientfrom % of charges | $6.04 | $18.76 | $0.74 – $354.57 |
| 4 | Wellmark ppo percent of total billed charges · inpatientfrom % of charges | $6.27 | $19.46 | $0.77 – $367.90 |
| 5 | Wellmark ppo percent of total billed charges · outpatientfrom % of charges | $6.27 | $19.46 | $0.77 – $367.90 |
| 6 | Medica com percent of total billed charges · inpatientfrom % of charges | $7.01 | $21.77 | $0.86 – $411.62 |
| 7 | Medica com percent of total billed charges · outpatientfrom % of charges | $7.17 | $22.28 | $0.88 – $421.22 |
| 8 | UnitedHealthcare com percent of total billed charges · inpatientfrom % of charges | $7.75 | $24.06 | $0.96 – $454.81 |
| 9 | UnitedHealthcare com percent of total billed charges · outpatientfrom % of charges | $7.75 | $24.06 | $0.96 – $454.81 |
| 10 | Healthpartners com percent of total billed charges · inpatientfrom % of charges | $8.63 | $26.80 | $1.06 – $506.53 |
| 11 | Healthpartners com percent of total billed charges · outpatientfrom % of charges | $8.63 | $26.80 | $1.06 – $506.53 |
Last updated: Apr 1, 2026
See Flumazenil IV injection pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.