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
DRUGS UNCLASSIFIED INJECTION
CLINTWOOD, VA
See all hospitals reporting HCPCS J3490 →Price type
Dickenson Community Hospital’s median price of $7 is 86% below the median hospital's median price ($48), higher than 14% 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: 9 payers, 11 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 aetna healthcare medicare percent of total billed charges · bothfrom % of charges | $6.63 | $201.55 | $5.85 – $892.26 |
| 2 | Blue Cross Blue Shield anthem medicare virginia percent of total billed charges · bothfrom % of charges | $6.63 | $201.55 | $5.85 – $892.26 |
| 3 | UnitedHealthcare united healthcare medicare percent of total billed charges · bothfrom % of charges | $6.63 | $201.55 | $5.85 – $892.26 |
| 4 | Humana humana medicare percent of total billed charges · bothfrom % of charges | $6.74 | $204.77 | $5.94 – $906.54 |
| 5 | Aetna aetna better health of virginia medicare percent of total billed charges · bothfrom % of charges | $6.83 | $207.59 | $6.03 – $919.03 |
| 6 | Molina molina healthcare medicare percent of total billed charges · bothfrom % of charges | $6.90 | $209.61 | $6.08 – $927.95 |
| 7 | Cigna cigna medicare percent of total billed charges · bothfrom % of charges | $6.96 | $211.62 | $6.14 – $936.87 |
| 8 | Devoted devoted health plan medicare percent of total billed charges · bothfrom % of charges | $6.96 | $211.62 | $6.14 – $936.87 |
| 9 | Medcost medcost vhn percent of total billed charges · bothfrom % of charges | $7.74 | $235.14 | $6.83 – $1,041 |
| 10 | Ambetter ambetter percent of total billed charges · bothfrom % of charges | $8.18 | $248.57 | $7.22 – $1,100 |
| 11 | Aetna aetna percent of total billed charges · bothfrom % of charges | $17.69 | $537.45 | $15.60 – $2,379 |
Last updated: Mar 23, 2026
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