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
sugammadex Sodium 200 MG/2ML Soln 2 mL Vial
Bloomsburg, PA
See all hospitals reporting HCPCS J3490 →Price type
Geisinger Bloomsburg Hospital’s median price of $285 is 490% above the median hospital's median price ($48), higher than 86% 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, 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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Filter by billing class
| # | ||||
|---|---|---|---|---|
| 1 | Medicaid medicaid fee schedule · outpatient | $1.00 | $1.00 | $1.00 – $1.00 |
| 2 | UnitedHealthcare united healthcare - managed medicaid fee schedule · outpatient | $1.47 | $1.47 | $1.47 – $1.47 |
| 3 | UnitedHealthcare united healthcare - chip - managed medicare fee schedule · outpatient | $2.50 | $2.50 | $2.50 – $2.50 |
| 4 | Blue Cross Blue Shield capital - special network rates percent of total billed charges · outpatientfrom % of charges | $121.67 | $160.33 | $57.37 – $340.60 |
| 5 | Blue Cross Blue Shield capital - enhanced network rates percent of total billed charges · outpatientfrom % of charges | $173.83 | $229.07 | $81.97 – $486.63 |
| 6 | Cigna cigna percent of total billed charges · outpatientfrom % of charges | $199.88 | $263.39 | $94.25 – $559.54 |
| 7 | Blue Cross Blue Shield highmark bc/bs - special care percent of total billed charges · outpatientfrom % of charges | $272.79 | $359.46 | $128.63 – $763.65 |
| 8 | Aetna aetna - medicare advantage percent of total billed charges · outpatientfrom % of charges | $286.94 | $378.11 | $135.30 – $803.28 |
| 9 | Blue Cross Blue Shield capital - basic network rates percent of total billed charges · outpatientfrom % of charges | $303.52 | $399.97 | $143.12 – $849.70 |
| 10 | Aetna aetna percent of total billed charges · outpatientfrom % of charges | $305.87 | $403.06 | $144.23 – $856.27 |
| 11 | Blue Cross Blue Shield highmark percent of total billed charges · outpatientfrom % of charges | $389.68 | $513.50 | $183.75 – $1,091 |
| 12 | Blue Cross Blue Shield highmark bc/bs percent of total billed charges · outpatientfrom % of charges | $389.68 | $513.50 | $183.75 – $1,091 |
| 13 | Aetna first health network percent of total billed charges · inpatientfrom % of charges | $480.00 | $632.52 | $226.34 – $1,344 |
| 14 | Aetna first health network percent of total billed charges · outpatientfrom % of charges | $480.00 | $632.52 | $226.34 – $1,344 |
| 15 | Blue Cross Blue Shield first priority health percent of total billed charges · outpatientfrom % of charges | $511.95 | $674.62 | $241.40 – $1,433 |
| 16 | Humana humana - commercial percent of total billed charges · inpatientfrom % of charges | $643.53 | $848.02 | $303.45 – $1,802 |
| 17 | Humana humana - commercial percent of total billed charges · outpatientfrom % of charges | $643.53 | $848.02 | $303.45 – $1,802 |
| 18 | MultiPlan multiplan/private health care system percent of total billed charges · inpatientfrom % of charges | $643.53 | $848.02 | $303.45 – $1,802 |
| 19 | MultiPlan multiplan/private health care system percent of total billed charges · outpatientfrom % of charges | $643.53 | $848.02 | $303.45 – $1,802 |
| 20 | UnitedHealthcare united healthcare - all payer rate case rate · inpatient | $3,937 | $3,937 | $3,937 – $3,937 |
| 21 | Blue Cross Blue Shield highmark bc/bs - special care case rate · inpatient | $8,534 | $8,534 | $8,534 – $8,534 |
| 22 | Blue Cross Blue Shield highmark case rate · inpatient | $12,191 | $12,191 | $12,191 – $12,191 |
| 23 | Blue Cross Blue Shield highmark bc/bs case rate · inpatient | $12,191 | $12,191 | $12,191 – $12,191 |
Last updated: Jul 1, 2026
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