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
ASCORBIC ACID/500MG 25GM/50ML IJMDV
Casa Grande, AZ
See all hospitals reporting HCPCS J3490 →Price type
Banner Casa Grande Medical Center’s median price of $1 is 97% below the median hospital's median price ($48), higher than 4% 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, 12 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 | UnitedHealthcare uhc doctor's plan facility · percent of total billed charges · outpatientfrom % of charges | $0.92 | $17.46 | $0.02 – $142.64 |
| 2 | UnitedHealthcare uhc core facility · percent of total billed charges · outpatientfrom % of charges | $0.97 | $18.42 | $0.02 – $150.47 |
| 3 | UnitedHealthcare commercial facility · percent of total billed charges · outpatientfrom % of charges | $1.02 | $19.38 | $0.02 – $158.30 |
| 4 | Aetna medicare advantage facility · percent of total billed charges · outpatientfrom % of charges | $0.70 | $197.76 | $0.01 – $1,052 |
| 5 | Aetna qualified health plan facility · percent of total billed charges · outpatientfrom % of charges | $0.98 | $274.88 | $0.01 – $1,462 |
| 6 | Aetna banner employee plans facility · percent of total billed charges · outpatientfrom % of charges | $1.34 | $376.73 | $0.02 – $2,003 |
| 7 | Aetna designated group facility · percent of total billed charges · outpatientfrom % of charges | $1.49 | $419.24 | $0.02 – $2,230 |
| 8 | Aetna joint venture facility · percent of total billed charges · outpatientfrom % of charges | $1.63 | $456.82 | $0.02 – $2,429 |
| 9 | Aetna broad network facility · percent of total billed charges · outpatientfrom % of charges | $1.76 | $493.40 | $0.02 – $2,624 |
| 10 | Oscar commercial facility · percent of total billed charges · outpatientfrom % of charges | $1.76 | $494.39 | $0.03 – $2,629 |
| 11 | Aetna medical rental facility · percent of total billed charges · inpatientfrom % of charges | $1.86 | $521.09 | $0.03 – $2,771 |
| 12 | Aetna medical rental facility · percent of total billed charges · outpatientfrom % of charges | $1.86 | $521.09 | $0.03 – $2,771 |
Last updated: Mar 2, 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.