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
SUGAMMADEX (BRIDION) VIAL: 200MG/2ML
Madison, WV
See all hospitals reporting HCPCS J3490 →Price type
Boone Memorial Hospital’s median price of $18 is 62% below the median hospital's median price ($48), higher than 24% 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: 4 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 | Humana medicare advantage other · outpatient | $10.47 | $10.47 | $10.47 – $10.47 |
| 2 | Aetna default fee schedule · outpatient | $10.68 | $10.68 | $10.68 – $10.68 |
| 3 | Highmark default other · outpatient | $10.68 | $10.68 | $10.68 – $10.68 |
| 4 | Humana medicare advantage other · both | $15.66 | $25.24 | $2.74 – $108.60 |
| 5 | Aetna default fee schedule · both | $15.98 | $25.75 | $2.80 – $110.82 |
| 6 | Highmark default other · both | $15.98 | $25.75 | $2.80 – $110.82 |
| 7 | Cigna default percent of total billed charges · outpatientfrom % of charges | $28.44 | $28.44 | $28.44 – $28.44 |
| 8 | Aetna default percent of total billed charges · outpatientfrom % of charges | $36.22 | $36.22 | $36.22 – $36.22 |
| 9 | Cigna default percent of total billed charges · bothfrom % of charges | $42.57 | $68.61 | $7.46 – $295.26 |
| 10 | Aetna default percent of total billed charges · bothfrom % of charges | $54.22 | $87.37 | $9.50 – $376.00 |
Last updated: Apr 7, 2026
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