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
HYDROMORPHONE 10 MG (0.2 MG/ML) IN 50 ML NS IV DRIP
Burley, ID
See all hospitals reporting HCPCS J3490 →Price type
IHC Health Services Inc., DBA Intermountain Health Cassia Regional Hospital’s median price of $46 is 4% below the median hospital's median price ($48), higher than 48% 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: 8 payers, 32 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 | Aetna medicare adv hmo facility · percent of total billed charges · outpatientfrom % of charges | $16.57 | $29.36 | $0.10 – $201.60 |
| 2 | Aetna medicare adv ppo facility · percent of total billed charges · outpatientfrom % of charges | $16.57 | $29.36 | $0.10 – $201.60 |
| 3 | Bcbs Id medicare id true blue facility · percent of total billed charges · outpatientfrom % of charges | $16.57 | $29.36 | $0.10 – $201.60 |
| 4 | Humana medicare choice ppo facility · percent of total billed charges · outpatientfrom % of charges | $16.57 | $29.36 | $0.10 – $201.60 |
| 5 | Molina medicare choice care hmo facility · percent of total billed charges · outpatientfrom % of charges | $16.57 | $29.36 | $0.10 – $201.60 |
| 6 | Molina medicare complete care hmo snp facility · percent of total billed charges · outpatientfrom % of charges | $16.57 | $29.36 | $0.10 – $201.60 |
| 7 | Regence idaho ut svc facility · percent of total billed charges · outpatientfrom % of charges | $16.57 | $29.36 | $0.10 – $201.60 |
| 8 | UnitedHealthcare medicare advantage facility · percent of total billed charges · outpatientfrom % of charges | $16.57 | $29.36 | $0.10 – $201.60 |
| 9 | Bcbs Id exchange facility · percent of total billed charges · inpatientfrom % of charges | $41.97 | $74.37 | $0.24 – $510.72 |
| 10 | Bcbs Id traditional/ppo facility · percent of total billed charges · inpatientfrom % of charges | $44.18 | $78.28 | $0.26 – $537.60 |
| 11 | Bcbs Id exchange facility · percent of total billed charges · outpatientfrom % of charges | $49.84 | $88.31 | $0.29 – $606.48 |
| 12 | Regence blue shield id facility · percent of total billed charges · inpatientfrom % of charges | $50.25 | $89.05 | $0.29 – $611.52 |
| 13 | Regence blue shield id facility · percent of total billed charges · outpatientfrom % of charges | $50.25 | $89.05 | $0.29 – $611.52 |
| 14 | Aetna standard facility · percent of total billed charges · inpatientfrom % of charges | $52.46 | $92.96 | $0.30 – $638.40 |
| 15 | Aetna standard facility · percent of total billed charges · outpatientfrom % of charges | $52.46 | $92.96 | $0.30 – $638.40 |
| 16 | Bcbs Id traditional/ppo facility · percent of total billed charges · outpatientfrom % of charges | $52.46 | $92.96 | $0.30 – $638.40 |
| 17 | Cigna hmo facility · percent of total billed charges · inpatientfrom % of charges | $52.46 | $92.96 | $0.30 – $638.40 |
| 18 | Cigna hmo facility · percent of total billed charges · outpatientfrom % of charges | $52.46 | $92.96 | $0.30 – $638.40 |
| 19 | Cigna ppo/epo facility · percent of total billed charges · inpatientfrom % of charges | $52.46 | $92.96 | $0.30 – $638.40 |
| 20 | Cigna ppo/epo facility · percent of total billed charges · outpatientfrom % of charges | $52.46 | $92.96 | $0.30 – $638.40 |
| 21 | First Health commercial facility · percent of total billed charges · inpatientfrom % of charges | $52.46 | $92.96 | $0.30 – $638.40 |
| 22 | First Health commercial facility · percent of total billed charges · outpatientfrom % of charges | $52.46 | $92.96 | $0.30 – $638.40 |
| 23 | Molina chip facility · percent of total billed charges · inpatientfrom % of charges | $52.46 | $92.96 | $0.30 – $638.40 |
| 24 | Molina chip facility · percent of total billed charges · outpatientfrom % of charges | $52.46 | $92.96 | $0.30 – $638.40 |
| 25 | Molina marketplace facility · percent of total billed charges · inpatientfrom % of charges | $52.46 | $92.96 | $0.30 – $638.40 |
Last updated: Aug 5, 2026
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