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
Montclair, NJ
See all hospitals reporting HCPCS J3490 →Price type
Hackensack Meridian Mountainside Medical Center’s median price of $191 is 295% above the median hospital's median price ($48), higher than 82% 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: 9 payers, 19 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 | Cigna cigna hmo pos open access [126018] facility · percent of total billed charges · bothfrom % of charges | $127.65 | $127.65 | $65.08 – $190.21 |
| 2 | Cigna cigna indemnity [126019] facility · percent of total billed charges · bothfrom % of charges | $127.65 | $127.65 | $65.08 – $190.21 |
| 3 | Healthcare Highways hch 90 degree benefits [221013] facility · percent of total billed charges · bothfrom % of charges | $180.46 | $180.46 | $92.01 – $268.91 |
| 4 | Healthcare Highways hch broken arrow [221012] facility · percent of total billed charges · bothfrom % of charges | $180.46 | $180.46 | $92.01 – $268.91 |
| 5 | Healthcare Highways hch john soules foods [221011] facility · percent of total billed charges · bothfrom % of charges | $180.46 | $180.46 | $92.01 – $268.91 |
| 6 | Medicare rehab medicare [163504] facility · percent of total billed charges · bothfrom % of charges | $180.46 | $180.46 | $92.01 – $268.91 |
| 7 | Aetna aetna liberty [101531] facility · percent of total billed charges · bothfrom % of charges | $206.88 | $206.88 | $105.48 – $308.27 |
| 8 | Aetna aetna better health [351001] facility · percent of total billed charges · bothfrom % of charges | $215.68 | $215.68 | $109.97 – $321.39 |
| 9 | UnitedHealthcare uhc surest bind [206032] facility · percent of total billed charges · bothfrom % of charges | $220.08 | $220.08 | $112.21 – $327.95 |
| 10 | UnitedHealthcare united healthcare oxford [206009] facility · percent of total billed charges · bothfrom % of charges | $220.08 | $220.08 | $112.21 – $327.95 |
| 11 | UnitedHealthcare united healthcare student svc [206012] facility · percent of total billed charges · bothfrom % of charges | $220.08 | $220.08 | $112.21 – $327.95 |
| 12 | Aetna aetna ppo [101526] facility · percent of total billed charges · bothfrom % of charges | $249.31 | $249.31 | $127.11 – $371.50 |
| 13 | First Health first health network [137501] facility · percent of total billed charges · bothfrom % of charges | $330.12 | $330.12 | $168.32 – $491.92 |
| 14 | Cigna cigna behavioral health [126013] facility · percent of total billed charges · bothfrom % of charges | $352.13 | $352.13 | $179.54 – $524.71 |
| 15 | First Health tall tree administrators [137508] facility · percent of total billed charges · bothfrom % of charges | $374.14 | $374.14 | $190.76 – $557.51 |
| 16 | Healthcare Highways health plans inc [221008] facility · percent of total billed charges · bothfrom % of charges | $374.14 | $374.14 | $190.76 – $557.51 |
| 17 | MultiPlan ihc hs [168011] facility · percent of total billed charges · bothfrom % of charges | $374.14 | $374.14 | $190.76 – $557.51 |
| 18 | Phcs group health cooperative scw [178012] facility · percent of total billed charges · bothfrom % of charges | $374.14 | $374.14 | $190.76 – $557.51 |
| 19 | Humana humana commercial [214001] facility · percent of total billed charges · bothfrom % of charges | $408.91 | $408.91 | $208.49 – $609.32 |
Last updated: Feb 12, 2026
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