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
oxyCODONE 5 mg tablet
Pflugerville, TX
See all hospitals reporting HCPCS J3490 →Price type
Baylor Scott & White Medical Center - Pflugerville’s median price of $2 is 97% below the median hospital's median price ($48), higher than 5% 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: 8 payers, 21 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 | Superior Healthplan medicaid facility · percent of total billed charges · outpatientfrom % of charges | $0.33 | $10.64 | — – $2,516 |
| 2 | UnitedHealthcare medicaid/chip facility · percent of total billed charges · outpatientfrom % of charges | $0.36 | $11.39 | — – $2,692 |
| 3 | Baylor Scott White Health Plan bsw premier - large group/bsw premier direct to employer (rate 1)/bswh employee facility · percent of total billed charges · outpatientfrom % of charges | $1.11 | $35.27 | $0.01 – $8,322 |
| 4 | Baylor Scott White Health Plan bsw plus - large group/bsw premier direct to employer (rate 2) facility · percent of total billed charges · outpatientfrom % of charges | $1.30 | $41.49 | $0.01 – $9,790 |
| 5 | Blue Cross Blue Shield blue advantage facility · percent of total billed charges · outpatientfrom % of charges | $1.40 | $44.51 | $0.01 – $10,522 |
| 6 | Blue Cross Blue Shield blue premier/high performance network/my bluehealth facility · percent of total billed charges · outpatientfrom % of charges | $1.40 | $44.51 | $0.01 – $10,522 |
| 7 | Cigna local plus facility · percent of total billed charges · outpatientfrom % of charges | $1.41 | $44.89 | $0.01 – $10,614 |
| 8 | UnitedHealthcare commercial facility · percent of total billed charges · outpatientfrom % of charges | $1.50 | $47.71 | $0.01 – $11,277 |
| 9 | Blue Cross Blue Shield blue essentials (hmo) facility · percent of total billed charges · outpatientfrom % of charges | $1.61 | $51.28 | $0.01 – $12,123 |
| 10 | Cigna hmo/ppo facility · percent of total billed charges · outpatientfrom % of charges | $1.65 | $52.44 | $0.01 – $12,398 |
| 11 | Aetna commercial facility · percent of total billed charges · outpatientfrom % of charges | $1.67 | $53.22 | $0.01 – $12,581 |
| 12 | Blue Cross Blue Shield bluechoice (ppo) facility · percent of total billed charges · outpatientfrom % of charges | $1.70 | $54.18 | $0.01 – $12,809 |
| 13 | Humana commercial hmo facility · percent of total billed charges · outpatientfrom % of charges | $1.98 | $62.89 | $0.01 – $14,868 |
| 14 | First Health ppo facility · percent of total billed charges · inpatientfrom % of charges | $2.13 | $67.73 | $0.01 – $16,012 |
| 15 | First Health ppo facility · percent of total billed charges · outpatientfrom % of charges | $2.13 | $67.73 | $0.01 – $16,012 |
| 16 | Humana commercial ppo facility · percent of total billed charges · outpatientfrom % of charges | $2.13 | $67.77 | $0.01 – $16,012 |
| 17 | Baylor Scott White Health Plan bsw premier - large group/bsw premier direct to employer (rate 1)/bswh employee facility · percent of total billed charges · inpatientfrom % of charges | $16.94 | $68.75 | $0.01 – $243.00 |
| 18 | Baylor Scott White Health Plan bsw plus - large group/bsw premier direct to employer (rate 2) facility · percent of total billed charges · inpatientfrom % of charges | $19.95 | $80.97 | $0.01 – $286.20 |
| 19 | Humana commercial ppo facility · percent of total billed charges · inpatientfrom % of charges | $60.75 | $86.18 | $20.25 – $279.00 |
| 20 | Humana commercial hmo facility · percent of total billed charges · inpatientfrom % of charges | $24.46 | $99.31 | $0.01 – $351.00 |
| 21 | UnitedHealthcare medicare advantage facility · per diem · outpatient | $350.00 | $350.00 | $350.00 – $350.00 |
Last updated: Jun 13, 2026
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