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
LIDOCAINE HCL (PF) 1 INJECTION SOLN (OR ONLY)
Philadelphia, PA
See all hospitals reporting HCPCS J3490 →Price type
Pennsylvania Hospital of the University of Pennsylvania Health System’s median price of $15 is 69% below the median hospital's median price ($48), higher than 21% 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: 11 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 | UnitedHealthcare unitedhealthcare non options facility · case rate · inpatient | $36.00 | $36.00 | $36.00 – $36.00 |
| 2 | UnitedHealthcare unitedhealthcare compass exchange facility · percent of total billed charges · outpatientfrom % of charges | $5.64 | $55.71 | $0.20 – $1,088 |
| 3 | Cigna cigna new business facility · fee schedule · outpatient | $6.88 | $67.97 | $0.25 – $1,328 |
| 4 | Highmark highmark facility · other · outpatient | $6.88 | $67.97 | $0.25 – $1,328 |
| 5 | Bcbs Nj horizon blue cross of nj- hmo pos and direct access facility · percent of total billed charges · outpatientfrom % of charges | $7.43 | $73.41 | $0.27 – $1,434 |
| 6 | Aetna aetna commercial facility · percent of total billed charges · outpatientfrom % of charges | $7.65 | $75.58 | $0.28 – $1,476 |
| 7 | Aetna aetna commercial hmo with capitation facility · percent of total billed charges · outpatientfrom % of charges | $7.65 | $75.58 | $0.28 – $1,476 |
| 8 | Cigna cigna facility · percent of total billed charges · outpatientfrom % of charges | $9.32 | $92.09 | $0.34 – $1,799 |
| 9 | UnitedHealthcare unitedhealthcare new business facility · percent of total billed charges · outpatientfrom % of charges | $10.67 | $105.49 | $0.39 – $2,060 |
| 10 | UnitedHealthcare unitedhealthcare community (fka americhoice ma) facility · percent of total billed charges · outpatientfrom % of charges | $11.00 | $108.75 | $0.40 – $2,124 |
| 11 | UnitedHealthcare unitedhealthcare non options facility · percent of total billed charges · outpatientfrom % of charges | $11.11 | $109.84 | $0.40 – $2,145 |
| 12 | Blue Cross Blue Shield ibc traditional facility · percent of total billed charges · outpatientfrom % of charges | $11.29 | $111.55 | $0.41 – $2,179 |
| 13 | Blue Cross Blue Shield keystone health plan east-ibc hmo facility · percent of total billed charges · outpatientfrom % of charges | $11.35 | $112.18 | $0.41 – $2,191 |
| 14 | Blue Cross Blue Shield personal choice-ibc ppo facility · percent of total billed charges · outpatientfrom % of charges | $11.35 | $112.18 | $0.41 – $2,191 |
| 15 | Aetna aetna hmo facility · percent of total billed charges · outpatientfrom % of charges | $13.75 | $135.94 | $0.50 – $2,655 |
| 16 | Aetna aetna ppo facility · percent of total billed charges · outpatientfrom % of charges | $13.75 | $135.94 | $0.50 – $2,655 |
| 17 | First Health first health global facility · percent of total billed charges · inpatientfrom % of charges | $13.75 | $135.94 | $0.50 – $2,655 |
| 18 | First Health first health global facility · percent of total billed charges · outpatientfrom % of charges | $13.75 | $135.94 | $0.50 – $2,655 |
| 19 | Bcbs Nj horizon blue cross of nj-ppo facility · percent of total billed charges · outpatientfrom % of charges | $14.03 | $138.66 | $0.51 – $2,708 |
| 20 | Bcbs Nj horizon blue cross of nj-indemnity facility · percent of total billed charges · outpatientfrom % of charges | $16.78 | $165.85 | $0.61 – $3,239 |
| 21 | Humana humana choice care facility · percent of total billed charges · inpatientfrom % of charges | $22.00 | $217.51 | $0.80 – $4,248 |
| 22 | Humana humana choice care facility · percent of total billed charges · outpatientfrom % of charges | $22.00 | $217.51 | $0.80 – $4,248 |
| 23 | Aetna aetna hmo facility · percent of total billed charges · inpatientfrom % of charges | $27.50 | $271.89 | $1.00 – $5,310 |
| 24 | Aetna aetna ppo facility · percent of total billed charges · inpatientfrom % of charges | $27.50 | $271.89 | $1.00 – $5,310 |
| 25 | Bcbs Nj horizon blue cross of nj-indemnity facility · percent of total billed charges · inpatientfrom % of charges | $27.50 | $271.89 | $1.00 – $5,310 |
Last updated: Mar 20, 2026
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