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
PENTAMIDINE ISETHIONATE 300 MG IJ SOLR
Mount Vernon, IL
See all hospitals reporting HCPCS J3490 →Price type
Deaconess Illinois Crossroads Inc’s median price of $682 is 1313% above the median hospital's median price ($48), higher than 94% 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: 10 payers, 29 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 | Aetna medicare advantage professional · fee schedule · both | $0.01 | $0.01 | $0.01 – $0.01 |
| 2 | Aetna Better Health managed medicaid professional · fee schedule · both | $0.01 | $0.01 | $0.01 – $0.01 |
| 3 | Aetna Better Health medicare mmp professional · fee schedule · both | $0.01 | $0.01 | $0.01 – $0.01 |
| 4 | Bcbs Il blue choice ppo professional · fee schedule · both | $0.01 | $0.01 | $0.01 – $0.01 |
| 5 | Bcbs Il hmo/ppo professional · fee schedule · both | $0.01 | $0.01 | $0.01 – $0.01 |
| 6 | Bcbs Il managed medicaid professional · fee schedule · both | $0.01 | $0.01 | $0.01 – $0.01 |
| 7 | Bcbs Il medicare advantage professional · fee schedule · both | $0.01 | $0.01 | $0.01 – $0.01 |
| 8 | Humana dual medicare/medicaid professional · fee schedule · both | $0.01 | $0.01 | $0.01 – $0.01 |
| 9 | Humana medicare advantage professional · fee schedule · both | $0.01 | $0.01 | $0.01 – $0.01 |
| 10 | Molina dual medicare/medicaid professional · fee schedule · both | $0.01 | $0.01 | $0.01 – $0.01 |
| 11 | Molina managed medicaid professional · fee schedule · both | $0.01 | $0.01 | $0.01 – $0.01 |
| 12 | UnitedHealthcare commercial professional · fee schedule · both | $0.01 | $0.01 | $0.01 – $0.01 |
| 13 | UnitedHealthcare medicare advantage professional · fee schedule · both | $0.01 | $0.01 | $0.01 – $0.01 |
| 14 | WellCare dual medicare/medicaid professional · fee schedule · both | $0.01 | $0.01 | $0.01 – $0.01 |
| 15 | WellCare managed medicaid professional · fee schedule · both | $0.01 | $0.01 | $0.01 – $0.01 |
| 16 | WellCare medicare advantage professional · fee schedule · both | $0.01 | $0.01 | $0.01 – $0.01 |
| 17 | Aetna medicare advantage facility · percent of total billed charges · outpatientfrom % of charges | $119.95 | $119.95 | $113.72 – $126.18 |
| 18 | Cigna commercial facility · percent of total billed charges · inpatientfrom % of charges | $444.39 | $444.39 | $421.29 – $467.48 |
| 19 | Cigna commercial facility · percent of total billed charges · outpatientfrom % of charges | $444.39 | $444.39 | $421.29 – $467.48 |
| 20 | Bcbs Il blue choice ppo facility · percent of total billed charges · outpatientfrom % of charges | $499.22 | $499.22 | $473.27 – $525.16 |
| 21 | Bcbs Il hmo/ppo facility · percent of total billed charges · outpatientfrom % of charges | $542.63 | $542.63 | $514.43 – $570.83 |
| 22 | UnitedHealthcare commercial facility · percent of total billed charges · outpatientfrom % of charges | $662.58 | $662.58 | $628.14 – $697.02 |
| 23 | Humana epo/hmo/pos/ppo facility · percent of total billed charges · inpatientfrom % of charges | $891.06 | $891.06 | $844.74 – $937.37 |
| 24 | Humana epo/hmo/pos/ppo facility · percent of total billed charges · outpatientfrom % of charges | $891.06 | $891.06 | $844.74 – $937.37 |
| 25 | Aetna commercial facility · percent of total billed charges · inpatientfrom % of charges | $902.48 | $902.48 | $855.57 – $949.38 |
Last updated: Feb 3, 2026
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