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
DANTROLENE SOD/20MG 20MG PWIJ
Fallon, NV
See all hospitals reporting HCPCS J3490 →Price type
Banner Churchill Community Hospital’s median price of $19 is 61% below the median hospital's median price ($48), higher than 25% 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, 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.
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| # | ||||
|---|---|---|---|---|
| 1 | Aetna commercial facility · percent of total billed charges · outpatientfrom % of charges | $7.44 | $394.42 | $0.81 – $1,367 |
| 2 | Optum medicare facility · percent of total billed charges · outpatientfrom % of charges | $9.15 | $485.43 | $0.99 – $1,683 |
| 3 | Humana medicare advantage facility · percent of total billed charges · outpatientfrom % of charges | $9.70 | $514.56 | $1.05 – $1,784 |
| 4 | UnitedHealthcare commercial facility · percent of total billed charges · inpatientfrom % of charges | $25.74 | $1,365 | $2.79 – $4,733 |
| 5 | UnitedHealthcare commercial facility · percent of total billed charges · outpatientfrom % of charges | $25.74 | $1,365 | $2.79 – $4,733 |
| 6 | Anthem hmo/indemnity/ppo/pathway/pathway x facility · percent of total billed charges · inpatientfrom % of charges | $26.31 | $1,396 | $2.85 – $4,838 |
| 7 | Anthem hmo/indemnity/ppo/pathway/pathway x facility · percent of total billed charges · outpatientfrom % of charges | $26.31 | $1,396 | $2.85 – $4,838 |
| 8 | Aetna medical rental products facility · percent of total billed charges · outpatientfrom % of charges | $26.88 | $1,426 | $2.91 – $4,943 |
| 9 | MultiPlan commercial facility · percent of total billed charges · inpatientfrom % of charges | $26.88 | $1,426 | $2.91 – $4,943 |
| 10 | MultiPlan commercial facility · percent of total billed charges · outpatientfrom % of charges | $26.88 | $1,426 | $2.91 – $4,943 |
| 11 | Cigna commercial facility · percent of total billed charges · outpatientfrom % of charges | $27.00 | $1,432 | $2.93 – $4,964 |
Last updated: Feb 12, 2026
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