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
GABAPENTIN 250 MG/5 ML ORAL SOLUTION
Philadelphia, PA
See all hospitals reporting HCPCS J3490 →Price type
Fox Chase Cancer Center’s median price of $3 is 93% below the median hospital's median price ($48), higher than 9% 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: 6 payers, 16 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 | Highmark medicare advantage facility · percent of total billed charges · outpatientfrom % of charges | $0.68 | $0.62 | $0.50 – $0.68 |
| 2 | Highmark commercial facility · percent of total billed charges · outpatientfrom % of charges | $0.70 | $0.64 | $0.51 – $0.70 |
| 3 | Bcbs Pa medicare advantage hmo/medicare advantage ppo facility · percent of total billed charges · outpatientfrom % of charges | $2.36 | $67.40 | $0.01 – $8,751 |
| 4 | Bcbs Pa medicare advantage select 65 facility · percent of total billed charges · outpatientfrom % of charges | $2.36 | $67.40 | $0.01 – $8,751 |
| 5 | Bcbs Nj indemnity facility · percent of total billed charges · outpatientfrom % of charges | $2.88 | $82.26 | $0.02 – $10,681 |
| 6 | Bcbs Nj managed care facility · percent of total billed charges · outpatientfrom % of charges | $2.88 | $82.26 | $0.02 – $10,681 |
| 7 | Bcbs Nj ppo facility · percent of total billed charges · outpatientfrom % of charges | $2.88 | $82.26 | $0.02 – $10,681 |
| 8 | UnitedHealthcare vaccn facility · percent of total billed charges · outpatientfrom % of charges | $2.98 | $85.24 | $0.02 – $11,069 |
| 9 | Oscar pennsylvania health plan facility · percent of total billed charges · outpatientfrom % of charges | $3.17 | $90.57 | $0.02 – $11,760 |
| 10 | Aetna commercial facility · percent of total billed charges · outpatientfrom % of charges | $3.86 | $110.29 | $0.02 – $14,320 |
| 11 | Aetna first health facility · percent of total billed charges · outpatientfrom % of charges | $3.86 | $110.29 | $0.02 – $14,320 |
| 12 | Bcbs Pa hmo facility · percent of total billed charges · outpatientfrom % of charges | $3.91 | $111.88 | $0.02 – $14,527 |
| 13 | Aetna medicare advantage facility · percent of total billed charges · outpatientfrom % of charges | $3.95 | $112.95 | $0.02 – $14,666 |
| 14 | Bcbs Pa ppo facility · percent of total billed charges · outpatientfrom % of charges | $4.27 | $122.17 | $0.03 – $15,863 |
| 15 | Bcbs Pa temple member facility · percent of total billed charges · outpatientfrom % of charges | $4.27 | $122.17 | $0.03 – $15,863 |
| 16 | Bcbs Pa indemnity facility · percent of total billed charges · outpatientfrom % of charges | $4.69 | $134.21 | $0.03 – $17,426 |
Last updated: Apr 8, 2026
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