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 100 MG/ML INTRAVENOUS SOLUTION
Westwood, NJ
See all hospitals reporting HCPCS J3490 →Price type
Hackensack Meridian at Pascack Valley’s median price of $535 is 1008% above the median hospital's median price ($48), higher than 92% 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: 12 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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| # | ||||
|---|---|---|---|---|
| 1 | UnitedHealthcare uhccp [375500] facility · percent of total billed charges · bothfrom % of charges | $151.93 | $151.93 | $107.31 – $196.54 |
| 2 | Clover clover health medicare replacement [379500] facility · percent of total billed charges · bothfrom % of charges | $169.54 | $169.54 | $119.75 – $219.32 |
| 3 | Cigna cigna hmo pos open access [126018] facility · percent of total billed charges · bothfrom % of charges | $243.00 | $243.00 | $171.64 – $314.36 |
| 4 | Cigna cigna indemnity [126019] facility · percent of total billed charges · bothfrom % of charges | $243.00 | $243.00 | $171.64 – $314.36 |
| 5 | Healthcare Highways hch 90 degree benefits [221013] facility · percent of total billed charges · bothfrom % of charges | $386.17 | $386.17 | $272.77 – $499.57 |
| 6 | Healthcare Highways hch broken arrow [221012] facility · percent of total billed charges · bothfrom % of charges | $386.17 | $386.17 | $272.77 – $499.57 |
| 7 | Healthcare Highways hch john soules foods [221011] facility · percent of total billed charges · bothfrom % of charges | $386.17 | $386.17 | $272.77 – $499.57 |
| 8 | Aetna aetna signature [101528] facility · percent of total billed charges · bothfrom % of charges | $402.56 | $402.56 | $284.34 – $520.77 |
| 9 | Aetna meritain aetna ardent employee [368502] facility · percent of total billed charges · bothfrom % of charges | $402.56 | $402.56 | $284.34 – $520.77 |
| 10 | WellCare wellcare medicare [377501] facility · percent of total billed charges · bothfrom % of charges | $423.85 | $423.85 | $299.38 – $548.31 |
| 11 | Aetna aetna better health [351001] facility · percent of total billed charges · bothfrom % of charges | $461.52 | $461.52 | $325.99 – $597.05 |
| 12 | UnitedHealthcare uhc surest bind [206032] facility · percent of total billed charges · bothfrom % of charges | $470.94 | $470.94 | $332.65 – $609.23 |
| 13 | UnitedHealthcare united healthcare oxford [206009] facility · percent of total billed charges · bothfrom % of charges | $470.94 | $470.94 | $332.65 – $609.23 |
| 14 | UnitedHealthcare united healthcare student svc [206012] facility · percent of total billed charges · bothfrom % of charges | $470.94 | $470.94 | $332.65 – $609.23 |
| 15 | First Health tall tree administrators [137508] facility · percent of total billed charges · bothfrom % of charges | $800.60 | $800.60 | $565.50 – $1,036 |
| 16 | Healthcare Highways health plans inc [221008] facility · percent of total billed charges · bothfrom % of charges | $800.60 | $800.60 | $565.50 – $1,036 |
| 17 | MultiPlan ihc hs [168011] facility · percent of total billed charges · bothfrom % of charges | $800.60 | $800.60 | $565.50 – $1,036 |
| 18 | Phcs group health cooperative scw [178012] facility · percent of total billed charges · bothfrom % of charges | $800.60 | $800.60 | $565.50 – $1,036 |
| 19 | Anthem anthem blue cross blue shield [352500] facility · percent of total billed charges · bothfrom % of charges | $880.18 | $880.18 | $621.71 – $1,139 |
| 20 | Blue Cross Blue Shield empire bcbs hmo pos epo [115558] facility · percent of total billed charges · bothfrom % of charges | $880.18 | $880.18 | $621.71 – $1,139 |
| 21 | Blue Cross Blue Shield empire bcbs ppo [115559] facility · percent of total billed charges · bothfrom % of charges | $880.18 | $880.18 | $621.71 – $1,139 |
| 22 | UnitedHealthcare the empire plan [206029] facility · percent of total billed charges · bothfrom % of charges | $880.18 | $880.18 | $621.71 – $1,139 |
| 23 | Humana humana commercial [214001] facility · percent of total billed charges · bothfrom % of charges | $913.62 | $913.62 | $645.33 – $1,182 |
Last updated: Feb 12, 2026
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