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
DEXTROSE 10 % IV BOLUS
Port Angeles, WA
See all hospitals reporting HCPCS J3490 →Price type
Clallam County Public Hospital District 2 DBA Olympic Medical Center’s median price of $24 is 51% below the median hospital's median price ($48), higher than 28% 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: 7 payers, 20 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.
Filter by billing methodology
Filter by billing class
| # | ||||
|---|---|---|---|---|
| 1 | Regence uniform medical fee schedule · inpatient | $8.92 | $39.71 | $4.13 – $2,476 |
| 2 | Regence uniform medical fee schedule · outpatient | $8.92 | $39.71 | $4.13 – $2,476 |
| 3 | Molina medicaid advantage fee schedule · inpatient | $42.29 | $42.29 | $21.56 – $63.01 |
| 4 | Molina medicaid advantage fee schedule · outpatient | $42.29 | $42.29 | $21.56 – $63.01 |
| 5 | UnitedHealthcare medicaid advantage fee schedule · inpatient | $46.31 | $46.31 | $23.61 – $69.01 |
| 6 | UnitedHealthcare medicaid advantage fee schedule · outpatient | $46.31 | $46.31 | $23.61 – $69.01 |
| 7 | Ambetter cascade select fee schedule · inpatient | $14.37 | $63.93 | $6.66 – $3,986 |
| 8 | Ambetter cascade select fee schedule · outpatient | $14.37 | $63.93 | $6.66 – $3,986 |
| 9 | Ambetter all other plans fee schedule · inpatient | $15.17 | $67.48 | $7.03 – $4,207 |
| 10 | Ambetter all other plans fee schedule · outpatient | $15.17 | $67.48 | $7.03 – $4,207 |
| 11 | Cigna all plans fee schedule · inpatient | $15.55 | $69.19 | $7.20 – $4,314 |
| 12 | Cigna all plans fee schedule · outpatient | $15.55 | $69.19 | $7.20 – $4,314 |
| 13 | Aetna all plans fee schedule · inpatient | $15.97 | $71.04 | $7.40 – $4,429 |
| 14 | Aetna all plans fee schedule · outpatient | $15.97 | $71.04 | $7.40 – $4,429 |
| 15 | Premera all plans fee schedule · inpatient | $15.97 | $71.04 | $7.40 – $4,429 |
| 16 | Premera all plans fee schedule · outpatient | $15.97 | $71.04 | $7.40 – $4,429 |
| 17 | Regence all other plans fee schedule · inpatient | $15.97 | $71.04 | $7.40 – $4,429 |
| 18 | Regence all other plans fee schedule · outpatient | $15.97 | $71.04 | $7.40 – $4,429 |
| 19 | UnitedHealthcare all other plans fee schedule · inpatient | $15.97 | $71.04 | $7.40 – $4,429 |
| 20 | UnitedHealthcare all other plans fee schedule · outpatient | $15.97 | $71.04 | $7.40 – $4,429 |
Last updated: Jun 24, 2026
See Flumazenil IV injection pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.