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
DEXMEDETOM 0.4MG/100ML PB
Woodland, CA
See all hospitals reporting HCPCS J3490 →Price type
Dignity Community Care’s median price of $156 is 224% above the median hospital's median price ($48), higher than 79% 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, 24 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 | Kaiser medicaid|all plans fee schedule · inpatient | $96.15 | $484.10 | $3.69 – $29,782 |
| 2 | Kaiser medicaid|all plans fee schedule · outpatient | $96.15 | $484.10 | $3.69 – $29,782 |
| 3 | Cigna commercial|localplus fee schedule · inpatient | $98.49 | $495.90 | $3.78 – $30,509 |
| 4 | Cigna commercial|localplus fee schedule · outpatient | $98.49 | $495.90 | $3.78 – $30,509 |
| 5 | Kaiser commercial|all plans fee schedule · inpatient | $126.63 | $637.59 | $4.86 – $39,226 |
| 6 | Kaiser commercial|all plans fee schedule · outpatient | $126.63 | $637.59 | $4.86 – $39,226 |
| 7 | Cigna commercial|all other plans fee schedule · inpatient | $131.32 | $661.21 | $5.04 – $40,678 |
| 8 | Cigna commercial|all other plans fee schedule · outpatient | $131.32 | $661.21 | $5.04 – $40,678 |
| 9 | Magellan commercial|all plans fee schedule · inpatient | $140.70 | $708.43 | $5.40 – $43,584 |
| 10 | Magellan commercial|all plans fee schedule · outpatient | $140.70 | $708.43 | $5.40 – $43,584 |
| 11 | Anthem commercial|connection epo fee schedule · outpatient | $175.88 | $885.54 | $6.75 – $54,480 |
| 12 | Aetna commercial|all other plans fee schedule · outpatient | $208.71 | $1,051 | $8.01 – $64,650 |
| 13 | Aetna commercial|hmo fee schedule · outpatient | $208.71 | $1,051 | $8.01 – $64,650 |
| 14 | Aetna commercial|ppo fee schedule · outpatient | $208.71 | $1,051 | $8.01 – $64,650 |
| 15 | First Health commercial|all plans fee schedule · inpatient | $211.05 | $1,063 | $8.10 – $65,376 |
| 16 | First Health commercial|all plans fee schedule · outpatient | $211.05 | $1,063 | $8.10 – $65,376 |
| 17 | MultiPlan commercial|all plans fee schedule · inpatient | $215.74 | $1,086 | $8.28 – $66,829 |
| 18 | MultiPlan commercial|all plans fee schedule · outpatient | $215.74 | $1,086 | $8.28 – $66,829 |
| 19 | Anthem commercial|all other plans fee schedule · outpatient | $218.09 | $1,098 | $8.37 – $67,555 |
| 20 | Anthem commercial|mcs fee schedule · outpatient | $234.50 | $1,181 | $9.00 – $72,640 |
| 21 | UnitedHealthcare commercial|all other plans fee schedule · outpatient | $234.50 | $1,181 | $9.00 – $72,640 |
| 22 | UnitedHealthcare commercial|hmo fee schedule · outpatient | $234.50 | $1,181 | $9.00 – $72,640 |
| 23 | UnitedHealthcare commercial|non-options ppo fee schedule · outpatient | $234.50 | $1,181 | $9.00 – $72,640 |
| 24 | UnitedHealthcare commercial|options ppo fee schedule · outpatient | $234.50 | $1,181 | $9.00 – $72,640 |
Last updated: Feb 28, 2026
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