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
DEXTROSE 5 % IN WATER (D5W) 5 % IV PGBK
Butler, AL
See all hospitals reporting HCPCS J3490 →Price type
Rush Hospital/Butler, Inc.’s median price of $33 is 32% below the median hospital's median price ($48), higher than 38% 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: 10 payers, 12 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 all payor percent of total billed charges · outpatientfrom % of charges | $22.08 | $70.65 | $1.22 – $1,212 |
| 2 | Cigna Healthspring all payor other · outpatient | $26.10 | $81.40 | $1.40 – $1,384 |
| 3 | Humana all payor other · outpatient | $26.10 | $81.40 | $1.40 – $1,384 |
| 4 | WellCare all payor other · outpatient | $26.10 | $81.40 | $1.40 – $1,384 |
| 5 | Ambetter all payor other · outpatient | $25.46 | $81.47 | $1.41 – $1,398 |
| 6 | Molina all payor other · outpatient | $26.35 | $82.22 | $1.41 – $1,398 |
| 7 | UnitedHealthcare all payor other · outpatient | $29.53 | $96.41 | $1.71 – $1,691 |
| 8 | Cigna all payor other · outpatient | $30.81 | $98.59 | $1.71 – $1,691 |
| 9 | Optum all payor other · outpatient | $31.89 | $99.20 | $1.71 – $1,691 |
| 10 | Aetna all payor other · outpatient | $36.41 | $116.52 | $2.02 – $1,999 |
| 11 | UnitedHealthcare all payor percent of total billed charges · outpatientfrom % of charges | $36.41 | $116.52 | $2.02 – $1,999 |
| 12 | MultiPlan all payor percent of total billed charges · outpatientfrom % of charges | $40.49 | $132.57 | $2.33 – $2,306 |
Last updated: Apr 1, 2026
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