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
Bridion 100mg/Ml 2ml
DYER, IN
See all hospitals reporting HCPCS J3490 →Price type
FRANCISCAN ALLIANCE, INC. dba FRANCISCAN HEALTH DYER’s median price of $347 is 619% above the median hospital's median price ($48), higher than 90% 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: 4 payers, 21 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 | Aetna aetna-nid-dyer-munster-crn point percent of total billed charges · bothfrom % of charges | $219.76 | $219.76 | $219.76 – $219.76 |
| 2 | Cigna cigna localplus-nid percent of total billed charges · bothfrom % of charges | $229.41 | $229.41 | $229.41 – $229.41 |
| 3 | UnitedHealthcare bind/surest insurance [322006] percent of total billed charges · bothfrom % of charges | $257.28 | $257.28 | $257.28 – $257.28 |
| 4 | UnitedHealthcare definity health claims [115602] percent of total billed charges · bothfrom % of charges | $257.28 | $257.28 | $257.28 – $257.28 |
| 5 | UnitedHealthcare uhc nid-hammond-dyer-munster-crn point percent of total billed charges · bothfrom % of charges | $257.28 | $257.28 | $257.28 – $257.28 |
| 6 | UnitedHealthcare united healthcare choice [315037] percent of total billed charges · bothfrom % of charges | $257.28 | $257.28 | $257.28 – $257.28 |
| 7 | UnitedHealthcare united healthcare core [321009] percent of total billed charges · bothfrom % of charges | $257.28 | $257.28 | $257.28 – $257.28 |
| 8 | UnitedHealthcare united healthcare hmo [115604] percent of total billed charges · bothfrom % of charges | $257.28 | $257.28 | $257.28 – $257.28 |
| 9 | UnitedHealthcare united healthcare navigate [321010] percent of total billed charges · bothfrom % of charges | $257.28 | $257.28 | $257.28 – $257.28 |
| 10 | Bcbs Il st anthony health-nir-stmar&fhm&stant mc percent of total billed charges · bothfrom % of charges | $268.00 | $268.00 | $268.00 – $268.00 |
| 11 | Bcbs Il st anthony healthnetwork hmo [313054] percent of total billed charges · bothfrom % of charges | $268.00 | $268.00 | $268.00 – $268.00 |
| 12 | Cigna cigna behavioral health-nir-st marg-dyer percent of total billed charges · bothfrom % of charges | $375.20 | $375.20 | $375.20 – $375.20 |
| 13 | Bcbs Il bc/bs of illinois hmo-nid-hammond-dyer percent of total billed charges · bothfrom % of charges | $402.00 | $402.00 | $402.00 – $402.00 |
| 14 | Bcbs Il hammond clinic attn hmo [313023] percent of total billed charges · bothfrom % of charges | $402.00 | $402.00 | $402.00 – $402.00 |
| 15 | Bcbs Il hmo illinois [312028] percent of total billed charges · bothfrom % of charges | $402.00 | $402.00 | $402.00 – $402.00 |
| 16 | UnitedHealthcare uhc options ppo-nid-ham-dyer-mun-crn pt percent of total billed charges · bothfrom % of charges | $402.00 | $402.00 | $402.00 – $402.00 |
| 17 | UnitedHealthcare united healthcare [115607] percent of total billed charges · bothfrom % of charges | $402.00 | $402.00 | $402.00 – $402.00 |
| 18 | UnitedHealthcare united healthcare [315698] percent of total billed charges · bothfrom % of charges | $402.00 | $402.00 | $402.00 – $402.00 |
| 19 | UnitedHealthcare united healthcare ppo [115605] percent of total billed charges · bothfrom % of charges | $402.00 | $402.00 | $402.00 – $402.00 |
| 20 | UnitedHealthcare united healthcare ppo [115606] percent of total billed charges · bothfrom % of charges | $402.00 | $402.00 | $402.00 – $402.00 |
| 21 | Bcbs Il blue cross blue shield il ppo [312014] percent of total billed charges · bothfrom % of charges | $423.44 | $423.44 | $423.44 – $423.44 |
Last updated: Jan 1, 2026
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