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
DOXYCYCLINE HYCLATE 100 MG INTRAVENOUS POWDER FOR SOLUTION
Coronado, CA
See all hospitals reporting HCPCS J3490 →Price type
Sharp Coronado Hospital and Healthcare Center’s median price of $3 is 95% below the median hospital's median price ($48), higher than 7% 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, 86 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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Filter by billing class
| # | ||||
|---|---|---|---|---|
| 1 | UnitedHealthcare united healthcare - ppo fee schedule · outpatient | $0.60 | $0.60 | $0.04 – $1.15 |
| 2 | Blue Cross Blue Shield blue cross - mcs fee schedule · outpatient | $1.00 | $0.94 | $0.81 – $1.00 |
| 3 | Blue Cross Blue Shield blue shield - hmo fee schedule · outpatient | $1.00 | $0.99 | $0.81 – $1.15 |
| 4 | Aetna aetna whole health fee schedule · outpatient | $1.00 | $1.00 | $1.00 – $1.00 |
| 5 | Blue Cross Blue Shield blue shield - ppo fee schedule · outpatient | $1.00 | $1.00 | $1.00 – $1.00 |
| 6 | Blue Cross Blue Shield blue shield - promise fee schedule · outpatient | $1.00 | $1.00 | $1.00 – $1.00 |
| 7 | Molina molina - exchange fee schedule · outpatient | $1.00 | $1.00 | $1.00 – $1.00 |
| 8 | Blue Cross Blue Shield blue cross - prudent buyer fee schedule · outpatient | $1.15 | $1.15 | $1.15 – $1.15 |
| 9 | Molina molina medi-cal fee schedule · outpatient | $1.15 | $1.15 | $1.15 – $1.15 |
| 10 | UnitedHealthcare united healthcare - hmo fee schedule · outpatient | $1.15 | $1.15 | $1.15 – $1.15 |
| 11 | Molina molina - cal medi-connect fee schedule · outpatient | $4.43 | $3.98 | $1.10 – $6.41 |
| 12 | Blue Cross Blue Shield blue cross - hmo fee schedule · outpatient | $1.10 | $5.00 | $1.00 – $12.90 |
| 13 | Medicare medicare percent of total billed charges · outpatientfrom % of charges | $1.67 | $12.74 | $0.11 – $75.19 |
| 14 | Molina molina - exchange percent of total billed charges · inpatientfrom % of charges | $1.24 | $17.34 | $0.09 – $85.97 |
| 15 | Aetna aetna whole health percent of total billed charges · outpatientfrom % of charges | $1.75 | $18.19 | $0.40 – $72.78 |
| 16 | Medicaid medi-cal fee schedule · outpatient | $19.63 | $19.63 | $19.63 – $19.63 |
| 17 | UnitedHealthcare united healthcare - medicare percent of total billed charges · inpatientfrom % of charges | $2.73 | $20.94 | $0.14 – $104.90 |
| 18 | Blue Cross Blue Shield blue cross - prudent buyer percent of total billed charges · outpatientfrom % of charges | $2.15 | $21.08 | $0.76 – $78.86 |
| 19 | Blue Cross Blue Shield blue cross - ppo percent of total billed charges · inpatientfrom % of charges | $4.40 | $21.33 | $0.67 – $84.49 |
| 20 | UnitedHealthcare united healthcare - medicare percent of total billed charges · outpatientfrom % of charges | $1.80 | $21.36 | $0.14 – $98.02 |
| 21 | Aetna first health medicare percent of total billed charges · inpatientfrom % of charges | $1.79 | $23.03 | $0.03 – $91.25 |
| 22 | Humana choice care network percent of total billed charges · inpatientfrom % of charges | $2.09 | $23.74 | $0.11 – $106.00 |
| 23 | Aetna aetna - hmo/pos percent of total billed charges · outpatientfrom % of charges | $1.87 | $23.92 | $0.12 – $92.77 |
| 24 | Kaiser kaiser - hmo percent of total billed charges · inpatientfrom % of charges | $1.67 | $24.67 | $0.20 – $156.02 |
| 25 | UnitedHealthcare united healthcare - ppo percent of total billed charges · outpatientfrom % of charges | $1.91 | $27.78 | $0.13 – $115.22 |
Last updated: Apr 1, 2026
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