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
PR VI2RELBINE TARTRATE/10 MG
Quitman, MS
See all hospitals reporting HCPCS J9390 →Price type
Rush Medical Foundation’s median price of $13 is 63% below the median hospital's median price ($36), higher than 31% of the 1,799 hospitals reporting HCPCS J9390. 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, 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 | Cigna Healthspring all payor fee schedule · outpatient | $2 | $2 | — | — | — | $2 – $2 |
| 2 | Optum all payor fee schedule · outpatient | $2 | $2 | — | — | — | $2 – $2 |
| 3 | WellCare all payor fee schedule · outpatient | $2 | $2 | — | — | — | $2 – $2 |
| 4 | Ambetter all payor fee schedule · outpatient | $3 | $3 | — | — | — | $3 – $3 |
| 5 | Humana all payor fee schedule · outpatient | $4 | $4 | $2 | 45% | — | $2 – $5 |
| 6 | Molina all payor fee schedule · outpatient | $4 | $4 | $2 | 54% | — | $2 – $7 |
| 7 | UnitedHealthcare all payor fee schedule · outpatient | $8 | $6 | $3 | 48% | — | $2 – $8 |
| 8 | Cigna all payor fee schedule · outpatient | $7 | $7 | — | — | — | $7 – $7 |
| 9 | Aetna all payor fee schedule · outpatient | $8 | $8 | — | — | — | $8 – $8 |
| 10 | Bcbs Ms all payor fee schedule · outpatient | $12 | $12 | $1 | 9% | — | $11 – $14 |
| 11 | Humana all payor percent of total billed charges · outpatientfrom % of charges | $62 | $62 | — | — | — | $62 – $62 |
| 12 | Cigna all payor other · outpatient | $74 | $74 | — | — | — | $74 – $74 |
| 13 | Cigna Healthspring all payor other · outpatient | $77 | $77 | — | — | — | $77 – $77 |
| 14 | Humana all payor other · outpatient | $77 | $77 | — | — | — | $77 – $77 |
| 15 | Optum all payor other · outpatient | $77 | $77 | — | — | — | $77 – $77 |
| 16 | UnitedHealthcare all payor other · outpatient | $77 | $77 | — | — | — | $77 – $77 |
| 17 | Ambetter all payor other · outpatient | $78 | $78 | — | — | — | $78 – $78 |
| 18 | Molina all payor other · outpatient | $78 | $78 | — | — | — | $78 – $78 |
| 19 | WellCare all payor other · outpatient | $78 | $78 | — | — | — | $78 – $78 |
| 20 | Aetna all payor percent of total billed charges · outpatientfrom % of charges | $86 | $86 | — | — | — | $86 – $86 |
| 21 | UnitedHealthcare all payor percent of total billed charges · outpatientfrom % of charges | $86 | $86 | — | — | — | $86 – $86 |
| 22 | MultiPlan all payor percent of total billed charges · outpatientfrom % of charges | $100 | $100 | — | — | — | $100 – $100 |
| 23 | Bcbs Ms all payor other · outpatient | $106 | $106 | — | — | — | $106 – $106 |
Last updated: Apr 1, 2026
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