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
SUCROSE 24% SOLUTION 1 ML
Manchester, CT
See all hospitals reporting HCPCS J3490 →Price type
Manchester Memorial Hospital’s median price of $19 is 60% below the median hospital's median price ($48), higher than 25% of the 1,757 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, 4 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.
Filter by billing methodology
Filter by billing class
| # | ||||
|---|---|---|---|---|
| 1 | Aetna commercial percent of total billed charges · outpatientfrom % of charges | $16.00 | $64.91 | $0.09 – $2,119 |
| 2 | UnitedHealthcare commercial percent of total billed charges · outpatientfrom % of charges | $18.88 | $76.21 | $0.10 – $2,438 |
| 3 | Anthem commercial percent of total billed charges · outpatientfrom % of charges | $22.26 | $90.83 | $0.11 – $3,247 |
| 4 | Cigna commercial percent of total billed charges · outpatientfrom % of charges | $23.11 | $93.29 | $0.13 – $2,984 |
Last updated: Apr 1, 2026
See Flumazenil IV injection pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.