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
CLINIMIX E INJ
Kansas City, MO
See all hospitals reporting HCPCS J3490 →Price type
Belton Regional Medical Center’s median price of $67 is 39% above the median hospital's median price ($48), higher than 60% 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: 9 payers, 26 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 | Anthem missouricaremgmcd percent of total billed charges · outpatientfrom % of charges | $24.37 | $41.96 | $4.24 – $143.56 |
| 2 | Ambetter commercial-exchange percent of total billed charges · outpatientfrom % of charges | $34.87 | $60.04 | $6.06 – $205.40 |
| 3 | Oscar hix percent of total billed charges · outpatientfrom % of charges | $35.62 | $61.33 | $6.19 – $209.82 |
| 4 | Humana aso percent of total billed charges · outpatientfrom % of charges | $39.55 | $68.11 | $6.87 – $233.01 |
| 5 | Humana epo percent of total billed charges · outpatientfrom % of charges | $39.55 | $68.11 | $6.87 – $233.01 |
| 6 | Humana hmo percent of total billed charges · outpatientfrom % of charges | $39.55 | $68.11 | $6.87 – $233.01 |
| 7 | Cigna surefit/localplus percent of total billed charges · outpatientfrom % of charges | $46.49 | $80.05 | $8.08 – $273.87 |
| 8 | Humana pos percent of total billed charges · outpatientfrom % of charges | $49.67 | $85.54 | $8.63 – $292.64 |
| 9 | Humana ppo percent of total billed charges · outpatientfrom % of charges | $49.67 | $85.54 | $8.63 – $292.64 |
| 10 | Blue Cross Blue Shield freedomnetworkselect percent of total billed charges · outpatientfrom % of charges | $37.95 | $86.70 | $3.66 – $709.29 |
| 11 | UnitedHealthcare optionsppo percent of total billed charges · outpatientfrom % of charges | $41.41 | $94.62 | $3.99 – $774.05 |
| 12 | Cigna localkc percent of total billed charges · outpatientfrom % of charges | $55.33 | $95.29 | $9.62 – $326.00 |
| 13 | Aetna ivlhix percent of total billed charges · outpatientfrom % of charges | $57.36 | $98.78 | $9.97 – $337.92 |
| 14 | Cigna comm percent of total billed charges · outpatientfrom % of charges | $69.17 | $119.11 | $12.02 – $407.49 |
| 15 | Blue Cross Blue Shield freedomnetwork percent of total billed charges · outpatientfrom % of charges | $59.40 | $135.71 | $5.73 – $1,110 |
| 16 | Blue Cross Blue Shield pc percent of total billed charges · outpatientfrom % of charges | $59.40 | $135.71 | $5.73 – $1,110 |
| 17 | Aetna familyhealthplanmcd percent of total billed charges · outpatientfrom % of charges | $61.05 | $139.48 | $5.89 – $1,141 |
| 18 | Blue Cross Blue Shield participating percent of total billed charges · outpatientfrom % of charges | $67.65 | $154.56 | $6.52 – $1,264 |
| 19 | Blue Cross Blue Shield traditional percent of total billed charges · outpatientfrom % of charges | $67.65 | $154.56 | $6.52 – $1,264 |
| 20 | Blue Cross Blue Shield blue-care(hmo) percent of total billed charges · outpatientfrom % of charges | $70.95 | $162.10 | $6.84 – $1,326 |
| 21 | Blue Cross Blue Shield blueaccess percent of total billed charges · outpatientfrom % of charges | $70.95 | $162.10 | $6.84 – $1,326 |
| 22 | UnitedHealthcare globalbenefitplan percent of total billed charges · outpatientfrom % of charges | $74.25 | $169.64 | $7.16 – $1,388 |
| 23 | MultiPlan primarynetwork percent of total billed charges · outpatientfrom % of charges | $99.34 | $171.08 | $17.27 – $585.29 |
| 24 | Blue Cross Blue Shield preferred-careblue(ppo) percent of total billed charges · outpatientfrom % of charges | $90.75 | $207.34 | $8.75 – $1,696 |
| 25 | MultiPlan complimentarynetwork percent of total billed charges · outpatientfrom % of charges | $122.10 | $278.96 | $11.77 – $2,282 |
Last updated: Mar 1, 2026
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