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
Duluth, MN
See all hospitals reporting HCPCS J3490 →Price type
Essentia Health St. Mary's Children's Hospital’s median price of $34 is 30% below the median hospital's median price ($48), higher than 38% 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 | Blue Cross Blue Shield bcbs mn facility · fee schedule · outpatient | $1.00 | $1.00 | $1.00 – $1.00 |
| 2 | Sanford Health Plan commercial-ndpers facility · percent of total billed charges · inpatientfrom % of charges | $21.44 | $39.30 | $0.25 – $938.12 |
| 3 | Blue Cross Blue Shield shp facility · percent of total billed charges · inpatientfrom % of charges | $22.08 | $40.46 | $0.26 – $965.90 |
| 4 | Sanford Health Plan commercial facility · percent of total billed charges · inpatientfrom % of charges | $22.58 | $41.37 | $0.26 – $987.55 |
| 5 | Blue Cross Blue Shield bcbs mn facility · percent of total billed charges · inpatientfrom % of charges | $27.50 | $50.40 | $0.32 – $1,203 |
| 6 | Medica medicaid facility · percent of total billed charges · outpatientfrom % of charges | $16.55 | $52.34 | $0.17 – $756.67 |
| 7 | Ucare commercial facility · percent of total billed charges · inpatientfrom % of charges | $32.90 | $60.29 | $0.38 – $1,439 |
| 8 | Healthpartners medicaid facility · percent of total billed charges · outpatientfrom % of charges | $19.90 | $62.94 | $0.20 – $909.83 |
| 9 | Sanford Health Plan commercial-ndpers facility · percent of total billed charges · outpatientfrom % of charges | $21.44 | $67.83 | $0.21 – $980.47 |
| 10 | Blue Cross Blue Shield commercial facility · percent of total billed charges · inpatientfrom % of charges | $38.00 | $69.64 | $0.44 – $1,662 |
| 11 | Blue Cross Blue Shield shp facility · percent of total billed charges · outpatientfrom % of charges | $22.08 | $69.84 | $0.22 – $1,010 |
| 12 | Blue Cross Blue Shield bcbs mn facility · percent of total billed charges · outpatientfrom % of charges | $22.50 | $71.16 | $0.22 – $1,029 |
| 13 | Sanford Health Plan commercial facility · percent of total billed charges · outpatientfrom % of charges | $22.58 | $71.40 | $0.23 – $1,032 |
| 14 | Aetna commercial facility · percent of total billed charges · inpatientfrom % of charges | $42.50 | $77.89 | $0.49 – $1,859 |
| 15 | Medica commercial-fi facility · percent of total billed charges · outpatientfrom % of charges | $27.65 | $87.45 | $0.28 – $1,264 |
| 16 | Medica commercial-si facility · percent of total billed charges · outpatientfrom % of charges | $28.40 | $89.82 | $0.28 – $1,298 |
| 17 | Medica commercial facility · percent of total billed charges · outpatientfrom % of charges | $30.31 | $92.04 | $0.28 – $1,397 |
| 18 | Healthpartners shp facility · percent of total billed charges · outpatientfrom % of charges | $29.95 | $94.73 | $0.30 – $1,369 |
| 19 | Ucare commercial facility · percent of total billed charges · outpatientfrom % of charges | $32.90 | $104.06 | $0.33 – $1,504 |
| 20 | Cigna commercial facility · percent of total billed charges · outpatientfrom % of charges | $35.75 | $113.07 | $0.36 – $1,634 |
| 21 | Healthpartners commercial facility · percent of total billed charges · outpatientfrom % of charges | $35.75 | $113.07 | $0.36 – $1,634 |
| 22 | UnitedHealthcare commercial facility · percent of total billed charges · outpatientfrom % of charges | $36.60 | $115.76 | $0.37 – $1,673 |
| 23 | Blue Cross Blue Shield commercial facility · percent of total billed charges · outpatientfrom % of charges | $38.00 | $120.19 | $0.38 – $1,737 |
| 24 | Aetna commercial facility · percent of total billed charges · outpatientfrom % of charges | $42.50 | $134.42 | $0.42 – $1,943 |
Last updated: Jan 1, 2026
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