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
SODIUM BICARBONATE 8.4 % SOLUTION
201 9th St W Ada, MN
See all hospitals reporting HCPCS J3490 →Price type
Essentia Health Ada’s median price of $32 is 34% below the median hospital's median price ($48), higher than 36% 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, 39 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 | Healthpartners medicaid facility · percent of total billed charges · inpatientfrom % of charges | $19.45 | $35.64 | $0.23 – $850.85 |
| 2 | Sanford Health Plan commercial-ndpers facility · percent of total billed charges · inpatientfrom % of charges | $21.44 | $39.30 | $0.25 – $938.12 |
| 3 | Sanford Health Plan commercial facility · percent of total billed charges · inpatientfrom % of charges | $22.58 | $41.37 | $0.26 – $987.55 |
| 4 | Blue Cross Blue Shield medicaid facility · percent of total billed charges · inpatientfrom % of charges | $27.50 | $50.40 | $0.32 – $1,203 |
| 5 | Healthpartners shp facility · percent of total billed charges · inpatientfrom % of charges | $30.40 | $55.71 | $0.35 – $1,330 |
| 6 | Medica medicaid facility · percent of total billed charges · inpatientfrom % of charges | $31.15 | $57.09 | $0.36 – $1,363 |
| 7 | Ucare commercial facility · percent of total billed charges · inpatientfrom % of charges | $32.90 | $60.29 | $0.38 – $1,439 |
| 8 | Cigna commercial facility · percent of total billed charges · inpatientfrom % of charges | $33.25 | $60.93 | $0.39 – $1,455 |
| 9 | Healthpartners commercial facility · percent of total billed charges · inpatientfrom % of charges | $33.25 | $60.93 | $0.39 – $1,455 |
| 10 | Healthpartners medicaid facility · percent of total billed charges · outpatientfrom % of charges | $19.45 | $61.52 | $0.19 – $889.25 |
| 11 | Medica medicaid facility · percent of total billed charges · outpatientfrom % of charges | $19.90 | $62.94 | $0.20 – $909.83 |
| 12 | Blue Cross Blue Shield bcbs mn facility · percent of total billed charges · inpatientfrom % of charges | $35.00 | $64.14 | $0.41 – $1,531 |
| 13 | Blue Cross Blue Shield commercial facility · percent of total billed charges · inpatientfrom % of charges | $35.00 | $64.14 | $0.41 – $1,531 |
| 14 | Sanford Health Plan commercial-ndpers facility · percent of total billed charges · outpatientfrom % of charges | $21.44 | $67.83 | $0.21 – $980.47 |
| 15 | Sanford Health Plan commercial facility · percent of total billed charges · outpatientfrom % of charges | $22.58 | $71.40 | $0.23 – $1,032 |
| 16 | Blue Cross Blue Shield medicare facility · percent of total billed charges · outpatientfrom % of charges | $24.00 | $75.91 | $0.24 – $1,097 |
| 17 | Healthpartners medicare facility · percent of total billed charges · outpatientfrom % of charges | $24.00 | $75.91 | $0.24 – $1,097 |
| 18 | Medica medicare facility · percent of total billed charges · outpatientfrom % of charges | $24.00 | $75.91 | $0.24 – $1,097 |
| 19 | Ucare medicare facility · percent of total billed charges · outpatientfrom % of charges | $24.00 | $75.91 | $0.24 – $1,097 |
| 20 | UnitedHealthcare medicare facility · percent of total billed charges · outpatientfrom % of charges | $24.00 | $75.91 | $0.24 – $1,097 |
| 21 | Medica commercial-fi facility · percent of total billed charges · inpatientfrom % of charges | $41.55 | $76.15 | $0.48 – $1,818 |
| 22 | Medica commercial-si facility · percent of total billed charges · inpatientfrom % of charges | $41.55 | $76.15 | $0.48 – $1,818 |
| 23 | Aetna commercial facility · percent of total billed charges · inpatientfrom % of charges | $42.50 | $77.89 | $0.49 – $1,859 |
| 24 | Medica commercial facility · percent of total billed charges · inpatientfrom % of charges | $45.05 | $79.35 | $0.48 – $1,971 |
| 25 | Medica ifb aco facility · percent of total billed charges · inpatientfrom % of charges | $43.75 | $80.18 | $0.51 – $1,914 |
Last updated: Jan 1, 2026
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