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
PLASMA-LYTE A 1L INJ
MANCHESTER, NH
See all hospitals reporting HCPCS J3490 →Price type
Catholic Medical Center’s median price of $14 is 70% below the median hospital's median price ($48), higher than 21% 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, 13 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 individualonexchange percent of total billed charges · outpatientfrom % of charges | $7.00 | $7.00 | $7.00 – $7.00 |
| 2 | Anthem bluechoice percent of total billed charges · outpatientfrom % of charges | $8.58 | $8.58 | $8.58 – $8.58 |
| 3 | Anthem fep percent of total billed charges · outpatientfrom % of charges | $8.58 | $8.58 | $8.58 – $8.58 |
| 4 | Anthem hmo/pos percent of total billed charges · outpatientfrom % of charges | $8.58 | $8.58 | $8.58 – $8.58 |
| 5 | Anthem hpn percent of total billed charges · outpatientfrom % of charges | $8.58 | $8.58 | $8.58 – $8.58 |
| 6 | Anthem individualoffexchange percent of total billed charges · outpatientfrom % of charges | $8.58 | $8.58 | $8.58 – $8.58 |
| 7 | Anthem pathway percent of total billed charges · outpatientfrom % of charges | $8.58 | $8.58 | $8.58 – $8.58 |
| 8 | Anthem ppo percent of total billed charges · outpatientfrom % of charges | $8.58 | $8.58 | $8.58 – $8.58 |
| 9 | Amerihealth Caritas mcd percent of total billed charges · outpatientfrom % of charges | $149.79 | $149.79 | $2.27 – $297.30 |
| 10 | Anthem indemnity percent of total billed charges · outpatientfrom % of charges | $527.48 | $527.48 | $7.98 – $1,047 |
| 11 | UnitedHealthcare allpayerappendix percent of total billed charges · outpatientfrom % of charges | $662.32 | $662.32 | $10.02 – $1,315 |
| 12 | Cigna comm percent of total billed charges · outpatientfrom % of charges | $676.21 | $676.21 | $10.23 – $1,342 |
| 13 | UnitedHealthcare optionsppo percent of total billed charges · outpatientfrom % of charges | $954.49 | $954.49 | $14.44 – $1,895 |
Last updated: Mar 1, 2026
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