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
DOXYCYCLINE 0.4 MG/ML SOLN-IV
Charleston, WV
See all hospitals reporting HCPCS J3490 →Price type
Charleston Area Medical Center’s median price of $39 is 18% below the median hospital's median price ($48), higher than 43% 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, 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 | Highmark medicare advantage percent of total billed charges · bothfrom % of charges | $18.07 | $36.97 | $2.25 – $153.69 |
| 2 | Aetna Better Health chip percent of total billed charges · bothfrom % of charges | $18.21 | $37.26 | $2.27 – $154.92 |
| 3 | UnitedHealthcare medicare advantage percent of total billed charges · bothfrom % of charges | $18.61 | $38.08 | $2.32 – $158.30 |
| 4 | Aetna medicare advantage percent of total billed charges · bothfrom % of charges | $20.24 | $41.41 | $2.52 – $172.13 |
| 5 | Caresource commercial percent of total billed charges · bothfrom % of charges | $27.10 | $55.46 | $3.38 – $230.53 |
| 6 | Tricare commercial percent of total billed charges · bothfrom % of charges | $43.36 | $88.73 | $5.40 – $368.85 |
| 7 | Highmark ppo aca percent of total billed charges · bothfrom % of charges | $58.20 | $119.00 | $7.02 – $495.06 |
| 8 | Highmark ppo/pos percent of total billed charges · bothfrom % of charges | $65.90 | $134.42 | $7.02 – $560.59 |
| 9 | Highmark traditional percent of total billed charges · bothfrom % of charges | $65.90 | $134.42 | $7.02 – $560.59 |
| 10 | Cigna commercial percent of total billed charges · bothfrom % of charges | $67.21 | $137.53 | $8.37 – $571.72 |
| 11 | Aetna commercial percent of total billed charges · bothfrom % of charges | $70.82 | $144.92 | $8.82 – $602.46 |
| 12 | MultiPlan commercial percent of total billed charges · bothfrom % of charges | $70.82 | $144.92 | $8.82 – $602.46 |
| 13 | UnitedHealthcare commercial percent of total billed charges · bothfrom % of charges | $70.82 | $144.92 | $8.82 – $602.46 |
Last updated: Apr 1, 2026
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