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
MVI,ADULT NO.4 WITH VIT K 3300 UNIT-150 MCG/10 ML INTRAVENOUS SOLUTION
St. Louis, MO
See all hospitals reporting HCPCS J3490 →Price type
Barnes Jewish Hospital’s median price of $30 is 39% below the median hospital's median price ($48), higher than 34% 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: 10 payers, 20 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 bjc hb united health care bjh percent of total billed charges · bothfrom % of charges | $12.33 | $12.33 | $5.76 – $18.90 |
| 2 | Aetna bjc hb aetna commercial bjh percent of total billed charges · bothfrom % of charges | $14.70 | $180.08 | $4.48 – $521.06 |
| 3 | Humana bjc hb humana choicecare bjh percent of total billed charges · bothfrom % of charges | $27.51 | $277.95 | $8.38 – $797.97 |
| 4 | Blue Cross Blue Shield bjc hb wash u student health percent of total billed charges · bothfrom % of charges | $23.10 | $282.98 | $7.04 – $818.81 |
| 5 | Blue Cross Blue Shield bjc hb anthem choice bjh percent of total billed charges · bothfrom % of charges | $29.32 | $359.13 | $8.93 – $1,039 |
| 6 | Blue Cross Blue Shield bjc hb anthem access bjh percent of total billed charges · bothfrom % of charges | $29.65 | $363.25 | $9.04 – $1,051 |
| 7 | Aetna bjc hb aetna national percent of total billed charges · bothfrom % of charges | $31.21 | $382.29 | $9.51 – $1,106 |
| 8 | Aetna bjc hb first health percent of total billed charges · bothfrom % of charges | $31.21 | $382.29 | $9.51 – $1,106 |
| 9 | First Health bjc hb first health percent of total billed charges · bothfrom % of charges | $31.21 | $382.29 | $9.51 – $1,106 |
| 10 | UnitedHealthcare bjc hb first health percent of total billed charges · bothfrom % of charges | $31.21 | $382.29 | $9.51 – $1,106 |
| 11 | Aetna bjc hb group health plan ppo select percent of total billed charges · bothfrom % of charges | $31.50 | $385.89 | $9.60 – $1,117 |
| 12 | Beechstreet bjc hb multiplan percent of total billed charges · bothfrom % of charges | $31.50 | $385.89 | $9.60 – $1,117 |
| 13 | MultiPlan bjc hb multiplan percent of total billed charges · bothfrom % of charges | $31.50 | $385.89 | $9.60 – $1,117 |
| 14 | Phcs bjc hb phcs bjh percent of total billed charges · bothfrom % of charges | $31.50 | $385.89 | $9.60 – $1,117 |
| 15 | Cigna bjc hb cigna behavioral health percent of total billed charges · bothfrom % of charges | $33.60 | $411.61 | $10.24 – $1,191 |
| 16 | Medica bjc hb wellfirst first health bjh percent of total billed charges · bothfrom % of charges | $33.60 | $411.61 | $10.24 – $1,191 |
| 17 | Phcs bjc hb wellfirst first health bjh percent of total billed charges · bothfrom % of charges | $33.60 | $411.61 | $10.24 – $1,191 |
| 18 | Blue Cross Blue Shield bjc hb anthem alliance epo percent of total billed charges · bothfrom % of charges | $35.70 | $437.34 | $10.88 – $1,265 |
| 19 | Blue Cross Blue Shield bjc hb anthem blue preferred percent of total billed charges · bothfrom % of charges | $35.70 | $437.34 | $10.88 – $1,265 |
| 20 | Blue Cross Blue Shield bjc hb anthem traditional percent of total billed charges · bothfrom % of charges | $36.54 | $447.63 | $11.14 – $1,295 |
Last updated: Dec 15, 2025
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