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
SOD PHOS 15 MMOL/250ML NS
Pennington, NJ
See all hospitals reporting HCPCS J3490 →Price type
Capital Health System Inc’s median price of $13 is 74% below the median hospital's median price ($48), higher than 19% 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: 6 payers, 15 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 managed medicaid percent of total billed charges · outpatientfrom % of charges | $2.92 | $25.08 | $0.01 – $177.80 |
| 2 | Aetna Better Health managed medicaid percent of total billed charges · outpatientfrom % of charges | $3.95 | $33.86 | $0.01 – $240.03 |
| 3 | Blue Cross Blue Shield omnia percent of total billed charges · outpatientfrom % of charges | $7.28 | $62.51 | $0.01 – $443.17 |
| 4 | Blue Cross Blue Shield managed care percent of total billed charges · outpatientfrom % of charges | $8.09 | $69.47 | $0.01 – $492.51 |
| 5 | Blue Cross Blue Shield indemnity percent of total billed charges · outpatientfrom % of charges | $8.73 | $74.98 | $0.01 – $531.62 |
| 6 | Blue Cross Blue Shield ppo percent of total billed charges · outpatientfrom % of charges | $8.73 | $74.98 | $0.01 – $531.62 |
| 7 | Aetna commercial percent of total billed charges · outpatientfrom % of charges | $15.63 | $131.53 | $0.02 – $902.34 |
| 8 | Cigna shared administration percent of total billed charges · inpatientfrom % of charges | $54.75 | $470.21 | $0.06 – $3,334 |
| 9 | Cigna shared administration percent of total billed charges · outpatientfrom % of charges | $54.75 | $470.21 | $0.06 – $3,334 |
| 10 | MultiPlan commercial percent of total billed charges · inpatientfrom % of charges | $62.05 | $532.91 | $0.07 – $3,778 |
| 11 | MultiPlan commercial percent of total billed charges · outpatientfrom % of charges | $62.05 | $532.91 | $0.07 – $3,778 |
| 12 | Cigna local plus percent of total billed charges · outpatientfrom % of charges | $52.04 | $536.07 | $0.07 – $3,961 |
| 13 | Cigna managed care/ppo percent of total billed charges · outpatientfrom % of charges | $61.48 | $540.85 | $0.07 – $3,961 |
| 14 | Cigna local plus percent of total billed charges · inpatientfrom % of charges | $68.61 | $619.03 | $0.07 – $3,961 |
| 15 | Cigna managed care/ppo percent of total billed charges · inpatientfrom % of charges | $68.61 | $619.03 | $0.07 – $3,961 |
Last updated: Jun 24, 2026
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