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
niTRIC oxide 1 Each
Danville, PA
See all hospitals reporting HCPCS J3490 →Price type
Geisinger Medical Center’s median price of $85 is 76% above the median hospital's median price ($48), higher than 68% 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, 14 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 | 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 | $55.98 | $294.30 | $4.81 – $2,695 |
| 5 | Blue Cross Blue Shield capital - enhanced network rates percent of total billed charges · outpatientfrom % of charges | $79.99 | $420.52 | $6.87 – $3,851 |
| 6 | Blue Cross Blue Shield capital - basic network rates percent of total billed charges · outpatientfrom % of charges | $97.68 | $513.53 | $8.39 – $4,702 |
| 7 | Cigna cigna percent of total billed charges · outpatientfrom % of charges | $98.14 | $515.93 | $8.43 – $4,724 |
| 8 | Aetna aetna percent of total billed charges · outpatientfrom % of charges | $107.11 | $563.10 | $9.20 – $5,156 |
| 9 | Aetna first health network percent of total billed charges · inpatientfrom % of charges | $149.91 | $788.10 | $12.87 – $7,216 |
| 10 | Aetna first health network percent of total billed charges · outpatientfrom % of charges | $149.91 | $788.10 | $12.87 – $7,216 |
| 11 | MultiPlan beech street percent of total billed charges · inpatientfrom % of charges | $194.54 | $1,023 | $16.70 – $9,365 |
| 12 | MultiPlan beech street percent of total billed charges · outpatientfrom % of charges | $194.54 | $1,023 | $16.70 – $9,365 |
| 13 | MultiPlan multiplan/private health care system percent of total billed charges · inpatientfrom % of charges | $194.54 | $1,023 | $16.70 – $9,365 |
| 14 | MultiPlan multiplan/private health care system percent of total billed charges · outpatientfrom % of charges | $194.54 | $1,023 | $16.70 – $9,365 |
Last updated: Jul 1, 2026
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