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
AZTREONAM 1 GRAM SOLUTION FOR INJECTION
Utica, NY
See all hospitals reporting HCPCS J3490 →Price type
MVHS, Inc.’s median price of $297 is 515% above the median hospital's median price ($48), higher than 87% 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, 15 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 | Excellus excellus bcbs medicaid percent of total billed charges · bothfrom % of charges | $11.36 | $47.04 | $11.10 – $118.67 |
| 2 | Humana humana hmo/pos percent of total billed charges · inpatientfrom % of charges | $27.95 | $115.70 | $27.30 – $291.85 |
| 3 | Cigna mvp and cigna commercial percent of total billed charges · bothfrom % of charges | $30.44 | $126.02 | $29.74 – $317.89 |
| 4 | UnitedHealthcare uhc commercial percent of total billed charges · bothfrom % of charges | $31.39 | $129.94 | $30.66 – $327.77 |
| 5 | Humana humana hmo/pos percent of total billed charges · outpatientfrom % of charges | $32.25 | $133.50 | $31.50 – $336.75 |
| 6 | UnitedHealthcare uhc empire plan percent of total billed charges · bothfrom % of charges | $171.03 | $705.64 | $16.80 – $6,625 |
| 7 | Aetna aetna commercial percent of total billed charges · bothfrom % of charges | $259.05 | $1,013 | $25.03 – $9,871 |
| 8 | Blue Cross Blue Shield excellus bcbs hmo/ppo percent of total billed charges · bothfrom % of charges | $295.99 | $1,109 | $28.60 – $11,279 |
| 9 | Excellus excellus bcbs hmo/ppo percent of total billed charges · bothfrom % of charges | $295.99 | $1,158 | $28.60 – $11,279 |
| 10 | Excellus excellus bcbs indemnity percent of total billed charges · bothfrom % of charges | $295.99 | $1,158 | $28.60 – $11,279 |
| 11 | Bcbs Ny excellus bcbs indemnity percent of total billed charges · bothfrom % of charges | $295.99 | $1,179 | $28.60 – $11,279 |
| 12 | Humana humana hmo/pos percent of total billed charges · bothfrom % of charges | $325.98 | $1,720 | $165.50 – $12,422 |
| 13 | Molina misc medicaid mco percent of total billed charges · bothfrom % of charges | $434.64 | $2,293 | $220.66 – $16,562 |
| 14 | UnitedHealthcare uhc essential plan percent of total billed charges · bothfrom % of charges | $434.64 | $2,293 | $220.66 – $16,562 |
| 15 | UnitedHealthcare uhc medicaid percent of total billed charges · bothfrom % of charges | $434.64 | $2,293 | $220.66 – $16,562 |
Last updated: Aug 7, 2026
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