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
TRACE ELEMENTS W SELEN-4/1ML 1ML IV
Torrington, WY
See all hospitals reporting HCPCS J3490 →Price type
Banner Community Hospital’s median price of $7 is 85% 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: 7 payers, 16 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 | Medica medicare advantage facility · percent of total billed charges · outpatientfrom % of charges | $1.47 | $2.42 | $0.18 – $6.08 |
| 2 | Medica commercial facility · percent of total billed charges · outpatientfrom % of charges | $3.10 | $5.10 | $0.39 – $12.81 |
| 3 | Cigna hmo medicare advantage plan/ppo medicare advantage plan facility · percent of total billed charges · outpatientfrom % of charges | $3.34 | $662.76 | $0.18 – $2,314 |
| 4 | Humana medicare advantage facility · percent of total billed charges · outpatientfrom % of charges | $3.34 | $662.76 | $0.18 – $2,314 |
| 5 | UnitedHealthcare medicare advantage facility · percent of total billed charges · outpatientfrom % of charges | $3.34 | $662.76 | $0.18 – $2,314 |
| 6 | UnitedHealthcare nebraska medicaid/chip facility · percent of total billed charges · outpatientfrom % of charges | $3.65 | $723.01 | $0.20 – $2,524 |
| 7 | Bcbs Wy institutional facility · percent of total billed charges · inpatientfrom % of charges | $7.22 | $1,431 | $0.39 – $4,996 |
| 8 | Bcbs Wy institutional facility · percent of total billed charges · outpatientfrom % of charges | $7.22 | $1,431 | $0.39 – $4,996 |
| 9 | UnitedHealthcare commercial facility · percent of total billed charges · inpatientfrom % of charges | $7.22 | $1,431 | $0.39 – $4,996 |
| 10 | UnitedHealthcare commercial facility · percent of total billed charges · outpatientfrom % of charges | $7.22 | $1,431 | $0.39 – $4,996 |
| 11 | First Health medical rental facility · percent of total billed charges · inpatientfrom % of charges | $7.30 | $1,446 | $0.39 – $5,048 |
| 12 | First Health medical rental facility · percent of total billed charges · outpatientfrom % of charges | $7.30 | $1,446 | $0.39 – $5,048 |
| 13 | Cigna commercial facility · percent of total billed charges · inpatientfrom % of charges | $7.37 | $1,461 | $0.40 – $5,101 |
| 14 | Cigna commercial facility · percent of total billed charges · outpatientfrom % of charges | $7.37 | $1,461 | $0.40 – $5,101 |
| 15 | MultiPlan commercial facility · percent of total billed charges · inpatientfrom % of charges | $7.37 | $1,461 | $0.40 – $5,101 |
| 16 | MultiPlan commercial facility · percent of total billed charges · outpatientfrom % of charges | $7.37 | $1,461 | $0.40 – $5,101 |
Last updated: Mar 2, 2026
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