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
OXYMETAZOLINE 0.05%/15ML 15ML SRNS
Susanville, CA
See all hospitals reporting HCPCS J3490 →Price type
Banner Lassen Medical Center’s median price of $1.1k is 2159% above the median hospital's median price ($48), higher than 95% 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: 6 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 | Anthem medicare advantage facility · percent of total billed charges · outpatientfrom % of charges | $1,083 | $1,081 | $0.86 – $2,156 |
| 2 | UnitedHealthcare uhc medicare advantage facility · percent of total billed charges · outpatientfrom % of charges | $1,083 | $1,081 | $0.86 – $2,156 |
| 3 | Bcbs Ca calpers ppo facility · percent of total billed charges · inpatientfrom % of charges | $2,298 | $2,293 | $1.83 – $4,575 |
| 4 | Bcbs Ca calpers ppo facility · percent of total billed charges · outpatientfrom % of charges | $2,298 | $2,293 | $1.83 – $4,575 |
| 5 | MultiPlan commercial facility · percent of total billed charges · inpatientfrom % of charges | $2,377 | $2,372 | $1.89 – $4,733 |
| 6 | MultiPlan commercial facility · percent of total billed charges · outpatientfrom % of charges | $2,377 | $2,372 | $1.89 – $4,733 |
| 7 | UnitedHealthcare commercial facility · percent of total billed charges · inpatientfrom % of charges | $2,457 | $2,451 | $1.95 – $4,890 |
| 8 | Cigna commercial facility · percent of total billed charges · inpatientfrom % of charges | $2,509 | $2,504 | $2.00 – $4,996 |
| 9 | Cigna commercial facility · percent of total billed charges · outpatientfrom % of charges | $2,509 | $2,504 | $2.00 – $4,996 |
| 10 | First Health medical rental facility · percent of total billed charges · inpatientfrom % of charges | $2,536 | $2,530 | $2.02 – $5,048 |
| 11 | First Health medical rental facility · percent of total billed charges · outpatientfrom % of charges | $2,536 | $2,530 | $2.02 – $5,048 |
Last updated: Feb 12, 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.