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
AMINO ACID INJECTION 50G/1000 ML (50MG/ML)
Winston-Salem, NC
See all hospitals reporting HCPCS J3490 →Price type
Forsyth Memorial Hospital, Inc.’s median price of $1.2k is 2295% above the median hospital's median price ($48), higher than 95% 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: 11 payers, 23 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 healthy blue medicaid fee schedule · outpatient | $315.54 | $315.54 | $315.54 – $315.54 |
| 2 | UnitedHealthcare medicaid fee schedule · outpatient | $315.54 | $315.54 | $315.54 – $315.54 |
| 3 | WellCare medicaid fee schedule · outpatient | $315.54 | $315.54 | $315.54 – $315.54 |
| 4 | Cigna aca fee schedule · outpatient | $644.74 | $644.74 | $644.74 – $644.74 |
| 5 | Caresource qualified health plan fee schedule · outpatient | $666.40 | $666.40 | $666.40 – $666.40 |
| 6 | Aetna medicare fee schedule · outpatient | $833.00 | $833.00 | $833.00 – $833.00 |
| 7 | Blue Cross Blue Shield blue home fee schedule · outpatient | $869.65 | $869.65 | $869.65 – $869.65 |
| 8 | Blue Cross Blue Shield blue value fee schedule · outpatient | $899.64 | $899.64 | $899.64 – $899.64 |
| 9 | Cigna commercial fee schedule · outpatient | $989.60 | $989.60 | $989.60 – $989.60 |
| 10 | Aetna commercial fee schedule · outpatient | $1,026 | $1,026 | $1,026 – $1,026 |
| 11 | Blue Cross Blue Shield hmo fee schedule · outpatient | $1,145 | $1,145 | $1,145 – $1,145 |
| 12 | Blue Cross Blue Shield ppo fee schedule · outpatient | $1,145 | $1,145 | $1,145 – $1,145 |
| 13 | Humana commercial fee schedule · outpatient | $1,298 | $1,298 | $1,298 – $1,298 |
| 14 | Aetna aca fee schedule · outpatient | $1,333 | $1,333 | $1,333 – $1,333 |
| 15 | Aetna first health fee schedule · outpatient | $1,333 | $1,333 | $1,333 – $1,333 |
| 16 | Aetna non-par products of apcn fee schedule · outpatient | $1,333 | $1,333 | $1,333 – $1,333 |
| 17 | Aetna rental network products fee schedule · outpatient | $1,333 | $1,333 | $1,333 – $1,333 |
| 18 | Aetna whole health non-multitier fee schedule · outpatient | $1,333 | $1,333 | $1,333 – $1,333 |
| 19 | Medcost mbs fee schedule · outpatient | $1,416 | $1,416 | $1,416 – $1,416 |
| 20 | Beechstreet commercial fee schedule · outpatient | $1,499 | $1,499 | $1,499 – $1,499 |
| 21 | MultiPlan all plans fee schedule · outpatient | $1,499 | $1,499 | $1,499 – $1,499 |
| 22 | Phcs all plans fee schedule · outpatient | $1,499 | $1,499 | $1,499 – $1,499 |
| 23 | Medcost non-mbs fee schedule · outpatient | $1,566 | $1,566 | $1,566 – $1,566 |
Last updated: Mar 30, 2026
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