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
MENTHL-METHYL SALC 10-15%/85GM CR
Phoenix, AZ
See all hospitals reporting HCPCS J3490 →Price type
Banner University Medical Center Phoenix’s median price of $9 is 81% below the median hospital's median price ($48), higher than 17% 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.
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| # | ||||
|---|---|---|---|---|
| 1 | UnitedHealthcare uhc doctor's plan facility · percent of total billed charges · outpatientfrom % of charges | $3.35 | $17.38 | $0.40 – $92.15 |
| 2 | UnitedHealthcare uhc core facility · percent of total billed charges · outpatientfrom % of charges | $3.50 | $18.16 | $0.42 – $96.33 |
| 3 | UnitedHealthcare commercial facility · percent of total billed charges · outpatientfrom % of charges | $3.68 | $19.13 | $0.44 – $101.46 |
| 4 | Aetna medicare advantage facility · percent of total billed charges · outpatientfrom % of charges | $4.64 | $146.44 | $0.16 – $1,052 |
| 5 | Aetna qualified health plan facility · percent of total billed charges · outpatientfrom % of charges | $5.22 | $164.74 | $0.18 – $1,183 |
| 6 | Aetna banner employee plans facility · percent of total billed charges · outpatientfrom % of charges | $7.80 | $246.01 | $0.28 – $1,767 |
| 7 | Aetna joint venture facility · percent of total billed charges · outpatientfrom % of charges | $10.72 | $338.27 | $0.38 – $2,429 |
| 8 | Aetna designated group facility · percent of total billed charges · outpatientfrom % of charges | $11.39 | $359.50 | $0.40 – $2,582 |
| 9 | Oscar commercial facility · percent of total billed charges · outpatientfrom % of charges | $11.60 | $366.09 | $0.41 – $2,629 |
| 10 | Aetna medical rental facility · percent of total billed charges · inpatientfrom % of charges | $12.23 | $385.86 | $0.43 – $2,771 |
| 11 | Aetna medical rental facility · percent of total billed charges · outpatientfrom % of charges | $12.23 | $385.86 | $0.43 – $2,771 |
| 12 | Aetna broad network facility · percent of total billed charges · outpatientfrom % of charges | $13.39 | $422.47 | $0.47 – $3,034 |
Last updated: Mar 2, 2026
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