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
KETAMINE HCL 50 MG/ML INJ
Coral Gables, FL
See all hospitals reporting HCPCS J3490 →Price type
Hsa Cgh Llc’s median price of $37 is 22% below the median hospital's median price ($48), higher than 41% 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, 22 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 | Humana humana commercial hmo facility · other · outpatient | $23.96 | $96.84 | $3.50 – $693.00 |
| 2 | Humana humana commercial ppo facility · other · outpatient | $24.99 | $100.99 | $3.65 – $722.70 |
| 3 | Aetna aetna signature administrators (asa) facility · percent of total billed charges · inpatientfrom % of charges | $44.16 | $312.15 | $6.20 – $7,799 |
| 4 | Aetna aetna signature administrators (asa) facility · percent of total billed charges · outpatientfrom % of charges | $44.16 | $312.15 | $6.20 – $7,799 |
| 5 | Tricare tricare traditional facility · percent of total billed charges · outpatientfrom % of charges | $49.85 | $352.43 | $7.00 – $8,805 |
| 6 | First Health first health facility · percent of total billed charges · inpatientfrom % of charges | $50.57 | $357.47 | $7.10 – $8,931 |
| 7 | First Health first health facility · percent of total billed charges · outpatientfrom % of charges | $50.57 | $357.47 | $7.10 – $8,931 |
| 8 | Aetna aetna national advantage program (nap) facility · percent of total billed charges · inpatientfrom % of charges | $53.41 | $377.60 | $7.50 – $9,434 |
| 9 | Aetna aetna national advantage program (nap) facility · percent of total billed charges · outpatientfrom % of charges | $53.41 | $377.60 | $7.50 – $9,434 |
| 10 | Oscar oscar health plan hix facility · percent of total billed charges · inpatientfrom % of charges | $238.72 | $452.89 | $17.05 – $1,317 |
| 11 | Oscar oscar health plan hix facility · percent of total billed charges · outpatientfrom % of charges | $238.72 | $452.89 | $17.05 – $1,317 |
| 12 | Humana humana commercial hmo facility · percent of total billed charges · inpatientfrom % of charges | $912.58 | $1,221 | $593.34 – $2,466 |
| 13 | Humana humana commercial hmo facility · percent of total billed charges · outpatientfrom % of charges | $912.58 | $1,221 | $593.34 – $2,466 |
| 14 | Humana humana commercial ppo facility · percent of total billed charges · inpatientfrom % of charges | $912.58 | $1,221 | $593.34 – $2,466 |
| 15 | Humana humana commercial ppo facility · percent of total billed charges · outpatientfrom % of charges | $912.58 | $1,221 | $593.34 – $2,466 |
| 16 | Amerihealth Caritas amerihealth caritas medicaid facility · percent of total billed charges · inpatientfrom % of charges | $931.20 | $1,246 | $605.45 – $2,516 |
| 17 | Amerihealth Caritas amerihealth caritas medicaid facility · percent of total billed charges · outpatientfrom % of charges | $931.20 | $1,246 | $605.45 – $2,516 |
| 18 | Aetna aetna exchange facility · percent of total billed charges · outpatientfrom % of charges | $1,912 | $1,912 | $1,912 – $1,912 |
| 19 | Aetna aetna gatekeeper facility · percent of total billed charges · outpatientfrom % of charges | $2,516 | $2,516 | $2,516 – $2,516 |
| 20 | Aetna aetna non-gatekeeper facility · percent of total billed charges · outpatientfrom % of charges | $2,516 | $2,516 | $2,516 – $2,516 |
| 21 | Aetna aetna exchange facility · percent of total billed charges · inpatientfrom % of charges | $2,717 | $2,717 | $2,717 – $2,717 |
| 22 | Aetna aetna non-gatekeeper facility · percent of total billed charges · inpatientfrom % of charges | $3,522 | $3,522 | $3,522 – $3,522 |
Last updated: Aug 31, 2026
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