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
ZOLEDRONIC ACID 5 MG/100 ML IN MANNITOL 5 %-WATER INTRAVENOUS PIGGYBCK
Quitman, TX
See all hospitals reporting HCPCS J3489 →Price type
Quitman Hospital, LLC’s median price of $201 is 198% above the median hospital's median price ($67), higher than 69% of the 2,262 hospitals reporting HCPCS J3489. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 9 payers, 22 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 | Blue Cross Blue Shield blue cross medicare advantage oos [116005] facility · percent of total billed charges · bothfrom % of charges | $112 | $112 | — | — | — | $112 – $112 |
| 2 | Cigna cigna medicare replacement [126500] facility · percent of total billed charges · bothfrom % of charges | $112 | $112 | — | — | — | $112 – $112 |
| 3 | Humana humana medicare advantage/ppo/gold [152503] facility · percent of total billed charges · bothfrom % of charges | $112 | $112 | — | — | — | $112 – $112 |
| 4 | Medicare medicare part a and b [163500] facility · percent of total billed charges · bothfrom % of charges | $112 | $112 | — | — | — | $112 – $112 |
| 5 | Medicare medicare part a only [163502] facility · percent of total billed charges · bothfrom % of charges | $112 | $112 | — | — | — | $112 – $112 |
| 6 | Medicare medicare part b only [163501] facility · percent of total billed charges · bothfrom % of charges | $112 | $112 | — | — | — | $112 – $112 |
| 7 | WellCare wellcare medicare [377501] facility · percent of total billed charges · bothfrom % of charges | $112 | $112 | — | — | — | $112 – $112 |
| 8 | Aetna aetna coventry medicare replacement [102002] facility · percent of total billed charges · bothfrom % of charges | $115 | $115 | — | — | 100 | $115 – $115 |
| 9 | UnitedHealthcare uhc medicare advantage [206511] facility · percent of total billed charges · bothfrom % of charges | $115 | $115 | — | — | — | $115 – $115 |
| 10 | Ambetter ambetter [293000] facility · percent of total billed charges · bothfrom % of charges | $128 | $128 | — | — | — | $128 – $128 |
| 11 | Healthcare Highways hch 90 degree benefits [221013] facility · percent of total billed charges · bothfrom % of charges | $201 | $201 | — | — | — | $201 – $201 |
| 12 | Healthcare Highways hch broken arrow [221012] facility · percent of total billed charges · bothfrom % of charges | $201 | $201 | — | — | — | $201 – $201 |
| 13 | Healthcare Highways hch john soules foods [221011] facility · percent of total billed charges · bothfrom % of charges | $201 | $201 | — | — | — | $201 – $201 |
| 14 | Blue Cross Blue Shield bcbs medicaid [116504] facility · percent of total billed charges · bothfrom % of charges | $267 | $267 | — | — | — | $267 – $267 |
| 15 | Cigna cigna healthspring medicaid replacement [394500] facility · percent of total billed charges · bothfrom % of charges | $267 | $267 | — | — | — | $267 – $267 |
| 16 | UnitedHealthcare uhc medicaid community plan [375501] facility · percent of total billed charges · bothfrom % of charges | $267 | $267 | — | — | — | $267 – $267 |
| 17 | UnitedHealthcare uhc medica choice [206030] facility · percent of total billed charges · bothfrom % of charges | $402 | $402 | — | — | — | $402 – $402 |
| 18 | UnitedHealthcare united healthcare student svc [206012] facility · percent of total billed charges · bothfrom % of charges | $402 | $402 | — | — | — | $402 – $402 |
| 19 | UnitedHealthcare united healthcare texas exchange plan [206034] facility · percent of total billed charges · bothfrom % of charges | $402 | $402 | — | — | — | $402 – $402 |
| 20 | Cigna cigna ppo [126025] facility · percent of total billed charges · bothfrom % of charges | $457 | $457 | — | — | — | $457 – $457 |
| 21 | Aetna aetna [101529] facility · percent of total billed charges · bothfrom % of charges | $707 | $707 | — | — | — | $707 – $707 |
| 22 | Aetna meritain aetna [368500] facility · percent of total billed charges · bothfrom % of charges | $707 | $707 | — | — | — | $707 – $707 |
Last updated: Feb 12, 2026
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