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
ETOMIDATE 2 MG/ML INTRAVENOUS SOLUTION
American Fork, UT
See all hospitals reporting HCPCS J3490 →Price type
IHC Health Services Inc., DBA Intermountain Health American Fork Hospital’s median price of $40 is 16% below the median hospital's median price ($48), higher than 43% 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: 4 payers, 21 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 charter ut facility · percent of total billed charges · inpatientfrom % of charges | $35.55 | $71.71 | $0.01 – $676.67 |
| 2 | UnitedHealthcare charter ut facility · percent of total billed charges · outpatientfrom % of charges | $35.55 | $71.71 | $0.01 – $676.67 |
| 3 | Regence blueoption facility · percent of total billed charges · inpatientfrom % of charges | $36.59 | $73.81 | $0.01 – $696.41 |
| 4 | Regence blueoption facility · percent of total billed charges · outpatientfrom % of charges | $36.59 | $73.81 | $0.01 – $696.41 |
| 5 | Cigna open access flex facility · percent of total billed charges · inpatientfrom % of charges | $37.33 | $75.30 | $0.01 – $710.51 |
| 6 | Cigna open access flex facility · percent of total billed charges · outpatientfrom % of charges | $37.33 | $75.30 | $0.01 – $710.51 |
| 7 | Regence high performance facility · percent of total billed charges · inpatientfrom % of charges | $41.48 | $83.67 | $0.01 – $789.45 |
| 8 | Regence fehbp facility · percent of total billed charges · inpatientfrom % of charges | $41.77 | $84.26 | $0.01 – $795.09 |
| 9 | Regence fehbp facility · percent of total billed charges · outpatientfrom % of charges | $41.77 | $84.26 | $0.01 – $795.09 |
| 10 | UnitedHealthcare non-options ppo facility · percent of total billed charges · inpatientfrom % of charges | $42.07 | $84.86 | $0.01 – $800.73 |
| 11 | UnitedHealthcare non-options ppo facility · percent of total billed charges · outpatientfrom % of charges | $42.07 | $84.86 | $0.01 – $800.73 |
| 12 | Regence traditional facility · percent of total billed charges · inpatientfrom % of charges | $45.03 | $90.84 | $0.01 – $857.12 |
| 13 | Regence traditional facility · percent of total billed charges · outpatientfrom % of charges | $45.03 | $90.84 | $0.01 – $857.12 |
| 14 | Aetna connected facility · percent of total billed charges · inpatientfrom % of charges | $47.40 | $95.62 | $0.01 – $902.23 |
| 15 | Aetna connected facility · percent of total billed charges · outpatientfrom % of charges | $48.00 | $96.81 | $0.01 – $913.51 |
| 16 | Aetna extended facility · percent of total billed charges · inpatientfrom % of charges | $50.36 | $101.59 | $0.01 – $958.62 |
| 17 | Aetna extended facility · percent of total billed charges · outpatientfrom % of charges | $50.36 | $101.59 | $0.01 – $958.62 |
| 18 | Cigna ppo/epo facility · percent of total billed charges · inpatientfrom % of charges | $50.36 | $101.59 | $0.01 – $958.62 |
| 19 | Cigna ppo/epo facility · percent of total billed charges · outpatientfrom % of charges | $50.36 | $101.59 | $0.01 – $958.62 |
| 20 | UnitedHealthcare options ppo facility · percent of total billed charges · inpatientfrom % of charges | $50.36 | $101.59 | $0.01 – $958.62 |
| 21 | UnitedHealthcare options ppo facility · percent of total billed charges · outpatientfrom % of charges | $50.36 | $101.59 | $0.01 – $958.62 |
Last updated: Aug 5, 2026
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