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
HYDROMORPHONE 10 MG (0.2 MG/ML) IN 50 ML NS IV DRIP
Panguitch, UT
See all hospitals reporting HCPCS J3490 →Price type
Garfield County, a political subdivision of the State of Utah, DBA Intermountain Health Garfield Memorial Hospital’s median price of $44 is 9% below the median hospital's median price ($48), higher than 46% 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: 7 payers, 37 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 medicare hmo facility · percent of total billed charges · outpatientfrom % of charges | $18.60 | $24.10 | $0.12 – $88.44 |
| 2 | Aetna aetna medicare ppo facility · percent of total billed charges · outpatientfrom % of charges | $18.60 | $24.10 | $0.12 – $88.44 |
| 3 | Molina medicaid facility · percent of total billed charges · outpatientfrom % of charges | $18.60 | $24.10 | $0.12 – $88.44 |
| 4 | Molina molina healthcare medicaid hmo facility · percent of total billed charges · outpatientfrom % of charges | $18.60 | $24.10 | $0.12 – $88.44 |
| 5 | Molina molina medicare complete care hmo snp facility · percent of total billed charges · outpatientfrom % of charges | $20.55 | $26.63 | $0.13 – $97.76 |
| 6 | Tricare tricare (hnfs) military program facility · percent of total billed charges · outpatientfrom % of charges | $21.20 | $27.46 | $0.14 – $100.80 |
| 7 | Tricare tricare (hnfs) military program facility · percent of total billed charges · inpatientfrom % of charges | $25.21 | $32.66 | $0.16 – $119.89 |
| 8 | UnitedHealthcare commercial facility · percent of total billed charges · inpatientfrom % of charges | $40.13 | $52.00 | $0.26 – $190.86 |
| 9 | UnitedHealthcare commercial facility · percent of total billed charges · outpatientfrom % of charges | $41.11 | $53.27 | $0.27 – $195.51 |
| 10 | Molina medicaid facility · percent of total billed charges · inpatientfrom % of charges | $43.56 | $56.44 | $0.28 – $207.15 |
| 11 | Molina molina healthcare medicaid hmo facility · percent of total billed charges · inpatientfrom % of charges | $43.56 | $56.44 | $0.28 – $207.15 |
| 12 | Aetna aetna extended network facility · percent of total billed charges · inpatientfrom % of charges | $46.49 | $60.24 | $0.30 – $221.11 |
| 13 | Aetna aetna standard network aka aetna health plan network for utah facility · percent of total billed charges · inpatientfrom % of charges | $46.49 | $60.24 | $0.30 – $221.11 |
| 14 | Aetna aetna standard network aka aetna health plan network for utah facility · percent of total billed charges · outpatientfrom % of charges | $46.49 | $60.24 | $0.30 – $221.11 |
| 15 | Aetna aetna utah connected network facility · percent of total billed charges · inpatientfrom % of charges | $46.49 | $60.24 | $0.30 – $221.11 |
| 16 | Aetna aetna utah connected network facility · percent of total billed charges · outpatientfrom % of charges | $46.49 | $60.24 | $0.30 – $221.11 |
| 17 | Aetna aetna whole health connected utah network facility · percent of total billed charges · inpatientfrom % of charges | $46.49 | $60.24 | $0.30 – $221.11 |
| 18 | Blue Cross Blue Shield bcbs association-blue card ppo plan facility · percent of total billed charges · inpatientfrom % of charges | $46.49 | $60.24 | $0.30 – $221.11 |
| 19 | Blue Cross Blue Shield bcbs association-blue card ppo plan facility · percent of total billed charges · outpatientfrom % of charges | $46.49 | $60.24 | $0.30 – $221.11 |
| 20 | Blue Cross Blue Shield bcbs association-blue card traditional plan facility · percent of total billed charges · inpatientfrom % of charges | $46.49 | $60.24 | $0.30 – $221.11 |
| 21 | Blue Cross Blue Shield bcbs association-blue card traditional plan facility · percent of total billed charges · outpatientfrom % of charges | $46.49 | $60.24 | $0.30 – $221.11 |
| 22 | Cigna cigna managed care (hmo or open access plus aka oap) facility · percent of total billed charges · inpatientfrom % of charges | $46.49 | $60.24 | $0.30 – $221.11 |
| 23 | Cigna cigna managed care (hmo or open access plus aka oap) facility · percent of total billed charges · outpatientfrom % of charges | $46.49 | $60.24 | $0.30 – $221.11 |
| 24 | Cigna cigna open access flex facility · percent of total billed charges · inpatientfrom % of charges | $46.49 | $60.24 | $0.30 – $221.11 |
| 25 | Cigna cigna open access flex facility · percent of total billed charges · outpatientfrom % of charges | $46.49 | $60.24 | $0.30 – $221.11 |
Last updated: Aug 5, 2026
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