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
GUAIFEN-COD/100-10MG 5ML SU
Page, AZ
See all hospitals reporting HCPCS J3490 →Price type
Page Hospital’s median price of $34 is 29% below the median hospital's median price ($48), higher than 39% 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, 23 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 medicare advantage facility · percent of total billed charges · outpatientfrom % of charges | $50.22 | $471.16 | $0.05 – $1,784 |
| 2 | Aetna banner employee plans facility · percent of total billed charges · outpatientfrom % of charges | $73.88 | $693.12 | $0.07 – $2,624 |
| 3 | Aetna medicare advantage facility · percent of total billed charges · outpatientfrom % of charges | $78.47 | $736.18 | $0.08 – $2,787 |
| 4 | Bcbs Az medicare advantage facility · percent of total billed charges · outpatientfrom % of charges | $78.47 | $736.18 | $0.08 – $2,787 |
| 5 | Cigna hmo medicare advantage plan/ppo medicare advantage plan facility · percent of total billed charges · outpatientfrom % of charges | $78.47 | $736.18 | $0.08 – $2,787 |
| 6 | Kaiser medicare advantage facility · percent of total billed charges · outpatientfrom % of charges | $78.47 | $736.18 | $0.08 – $2,787 |
| 7 | UnitedHealthcare uhc medicare advantage facility · percent of total billed charges · outpatientfrom % of charges | $78.47 | $736.18 | $0.08 – $2,787 |
| 8 | UnitedHealthcare uhc individual exchange facility · percent of total billed charges · outpatientfrom % of charges | $81.43 | $763.96 | $0.08 – $2,892 |
| 9 | Devoted medicare advantage facility · percent of total billed charges · outpatientfrom % of charges | $86.32 | $809.80 | $0.09 – $3,066 |
| 10 | Bcbs Az bxbsaz neighborhood facility · percent of total billed charges · outpatientfrom % of charges | $87.62 | $822.03 | $0.09 – $3,112 |
| 11 | Bcbs Az bxbsaz alliance/bxbsaz blue hpn facility · percent of total billed charges · outpatientfrom % of charges | $93.45 | $876.75 | $0.09 – $3,319 |
| 12 | Bcbs Az bxbsaz alliance chs facility · percent of total billed charges · outpatientfrom % of charges | $98.11 | $920.51 | $0.10 – $3,485 |
| 13 | Aetna aetna qualified health plan facility · percent of total billed charges · outpatientfrom % of charges | $106.75 | $1,001 | $0.11 – $3,791 |
| 14 | Aetna joint venture facility · percent of total billed charges · outpatientfrom % of charges | $107.49 | $1,008 | $0.11 – $3,818 |
| 15 | Bcbs Az bcbsaz medicare facility · percent of total billed charges · outpatientfrom % of charges | $116.81 | $1,096 | $0.12 – $4,149 |
| 16 | Bcbs Az bcbsaz workers comp facility · percent of total billed charges · outpatientfrom % of charges | $116.81 | $1,096 | $0.12 – $4,149 |
| 17 | Bcbs Az commercial facility · percent of total billed charges · outpatientfrom % of charges | $116.81 | $1,096 | $0.12 – $4,149 |
| 18 | Oscar commercial facility · percent of total billed charges · outpatientfrom % of charges | $129.47 | $1,215 | $0.13 – $4,599 |
| 19 | Aetna medical rental facility · percent of total billed charges · inpatientfrom % of charges | $131.92 | $1,238 | $0.13 – $4,685 |
| 20 | Aetna medical rental facility · percent of total billed charges · outpatientfrom % of charges | $131.92 | $1,238 | $0.13 – $4,685 |
| 21 | Aetna broad network facility · percent of total billed charges · outpatientfrom % of charges | $134.43 | $1,261 | $0.14 – $4,775 |
| 22 | Cigna commerical/hmo benefit plan/local flex plan/network benefit plan/open access plan facility · percent of total billed charges · inpatientfrom % of charges | $136.36 | $1,279 | $0.14 – $4,843 |
| 23 | Cigna commerical/hmo benefit plan/local flex plan/network benefit plan/open access plan facility · percent of total billed charges · outpatientfrom % of charges | $136.36 | $1,279 | $0.14 – $4,843 |
Last updated: Mar 2, 2026
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