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-Prilocaine Cream 2.5-2.5%
Hillsboro, ND
See all hospitals reporting HCPCS J3490 →Price type
Sanford Hillsboro Medical Center’s median price of $22 is 54% below the median hospital's median price ($48), higher than 27% 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, 24 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 | Bcbs Mn pmap percent of total billed charges · outpatientfrom % of charges | $8.14 | $12.03 | $0.73 – $129.63 |
| 2 | Sanford Health Plan medicare replacement percent of total billed charges · outpatientfrom % of charges | $15.34 | $22.66 | $1.37 – $244.17 |
| 3 | Ucare medicare replacement percent of total billed charges · outpatientfrom % of charges | $16.48 | $24.35 | $1.47 – $262.37 |
| 4 | Aetna medicare replacement percent of total billed charges · outpatientfrom % of charges | $16.61 | $24.54 | $1.48 – $264.51 |
| 5 | Bcbs Nd medicare replacement percent of total billed charges · outpatientfrom % of charges | $16.61 | $24.54 | $1.48 – $264.51 |
| 6 | UnitedHealthcare medicare replacement percent of total billed charges · outpatientfrom % of charges | $16.61 | $24.54 | $1.48 – $264.51 |
| 7 | Bcbs Nd commercial percent of total billed charges · outpatientfrom % of charges | $21.83 | $32.25 | $1.95 – $347.61 |
| 8 | Sanford Health Plan sd exchange true percent of total billed charges · inpatientfrom % of charges | $26.55 | $39.22 | $2.37 – $422.68 |
| 9 | Sanford Health Plan sd exchange true percent of total billed charges · outpatientfrom % of charges | $26.55 | $39.22 | $2.37 – $422.68 |
| 10 | Medica choice percent of total billed charges · inpatientfrom % of charges | $27.74 | $40.99 | $2.48 – $441.75 |
| 11 | Medica choice percent of total billed charges · outpatientfrom % of charges | $27.74 | $40.99 | $2.48 – $441.75 |
| 12 | UnitedHealthcare commercial + top 20 percent of total billed charges · inpatientfrom % of charges | $28.08 | $41.49 | $2.51 – $447.10 |
| 13 | UnitedHealthcare commercial + top 20 percent of total billed charges · outpatientfrom % of charges | $28.08 | $41.49 | $2.51 – $447.10 |
| 14 | Aetna commercial percent of total billed charges · inpatientfrom % of charges | $29.22 | $43.18 | $2.61 – $465.31 |
| 15 | Aetna commercial percent of total billed charges · outpatientfrom % of charges | $29.22 | $43.18 | $2.61 – $465.31 |
| 16 | Ucare commercial percent of total billed charges · inpatientfrom % of charges | $29.55 | $43.65 | $2.64 – $470.45 |
| 17 | Ucare commercial percent of total billed charges · outpatientfrom % of charges | $29.55 | $43.65 | $2.64 – $470.45 |
| 18 | Medica elect percent of total billed charges · inpatientfrom % of charges | $29.66 | $43.82 | $2.65 – $472.27 |
| 19 | Medica elect percent of total billed charges · outpatientfrom % of charges | $29.66 | $43.82 | $2.65 – $472.27 |
| 20 | MultiPlan commercial percent of total billed charges · inpatientfrom % of charges | $30.27 | $44.72 | $2.70 – $481.91 |
| 21 | MultiPlan commercial percent of total billed charges · outpatientfrom % of charges | $30.27 | $44.72 | $2.70 – $481.91 |
| 22 | Bcbs Mn commercial percent of total billed charges · outpatientfrom % of charges | $31.11 | $45.97 | $2.78 – $495.40 |
| 23 | Sanford Health Plan commercial/nd pers/group health/true/sd exchange commercial percent of total billed charges · inpatientfrom % of charges | $31.23 | $46.14 | $2.79 – $497.27 |
| 24 | Sanford Health Plan commercial/nd pers/group health/true/sd exchange commercial percent of total billed charges · outpatientfrom % of charges | $31.23 | $46.14 | $2.79 – $497.27 |
Last updated: Mar 4, 2026
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