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
LIDOCAINE HCL 1% 5 ML SDV
Pendleton, OR
See all hospitals reporting HCPCS J3490 →Price type
Commonspirit Oregon’s median price of $73 is 50% above the median hospital's median price ($48), higher than 63% 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, 8 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 | Cigna commercial|all plans fee schedule · inpatient | $69.93 | $110.52 | $17.54 – $352.18 |
| 2 | Cigna commercial|all plans fee schedule · outpatient | $72.52 | $114.62 | $18.19 – $365.23 |
| 3 | Regence commercial|all plans fee schedule · inpatient | $103.60 | $163.74 | $25.98 – $521.75 |
| 4 | Regence commercial|all plans fee schedule · outpatient | $103.60 | $163.74 | $25.98 – $521.75 |
| 5 | Aetna commercial|all plans fee schedule · inpatient | $123.03 | $194.44 | $30.85 – $619.58 |
| 6 | Aetna commercial|all plans fee schedule · outpatient | $123.03 | $194.44 | $30.85 – $619.58 |
| 7 | UnitedHealthcare commercial|all plans fee schedule · inpatient | $123.03 | $194.44 | $30.85 – $619.58 |
| 8 | UnitedHealthcare commercial|all plans fee schedule · outpatient | $123.03 | $194.44 | $30.85 – $619.58 |
Last updated: Feb 28, 2026
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