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
TRIAMCINLN-NYSTAT/15GM 15GM ON
Tucson, AZ
See all hospitals reporting HCPCS J3490 →Price type
Banner University Med Center South’s median price of $6 is 88% below the median hospital's median price ($48), higher than 13% 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, 10 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 | UnitedHealthcare commercial facility · percent of total billed charges · outpatientfrom % of charges | $5.87 | $26.58 | $0.23 – $166.18 |
| 2 | Aetna medicare advantage facility · percent of total billed charges · outpatientfrom % of charges | $3.02 | $118.98 | $0.08 – $1,052 |
| 3 | Aetna qualified health plan facility · percent of total billed charges · outpatientfrom % of charges | $3.62 | $142.77 | $0.10 – $1,262 |
| 4 | Aetna banner employee plans facility · percent of total billed charges · outpatientfrom % of charges | $4.91 | $193.34 | $0.13 – $1,709 |
| 5 | Aetna joint venture facility · percent of total billed charges · outpatientfrom % of charges | $6.98 | $274.84 | $0.18 – $2,429 |
| 6 | Aetna designated group facility · percent of total billed charges · outpatientfrom % of charges | $7.41 | $292.09 | $0.20 – $2,582 |
| 7 | Oscar commercial facility · percent of total billed charges · outpatientfrom % of charges | $7.55 | $297.44 | $0.20 – $2,629 |
| 8 | Aetna medical rental facility · percent of total billed charges · inpatientfrom % of charges | $7.96 | $313.50 | $0.21 – $2,771 |
| 9 | Aetna medical rental facility · percent of total billed charges · outpatientfrom % of charges | $7.96 | $313.50 | $0.21 – $2,771 |
| 10 | Aetna broad network facility · percent of total billed charges · outpatientfrom % of charges | $8.71 | $343.25 | $0.23 – $3,034 |
Last updated: Mar 2, 2026
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