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
albuterol (Proventil) (2.5 MG/3ML) 0.083% nebulizer solution 0.63 mg
Jasper, TX
See all hospitals reporting HCPCS J3490 →Price type
Southeast Texas - Jasper Memorial’s median price of $10 is 80% below the median hospital's median price ($48), higher than 18% 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, 27 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 | UnitedHealthcare chip km percent of total billed charges · outpatientfrom % of charges | $3.11 | $10.19 | $0.95 – $69.31 |
| 2 | UnitedHealthcare star kid km percent of total billed charges · outpatientfrom % of charges | $3.11 | $10.19 | $0.95 – $69.31 |
| 3 | UnitedHealthcare star km percent of total billed charges · outpatientfrom % of charges | $3.11 | $10.19 | $0.95 – $69.31 |
| 4 | UnitedHealthcare star plus km percent of total billed charges · outpatientfrom % of charges | $3.11 | $10.19 | $0.95 – $69.31 |
| 5 | Aetna mm percent of total billed charges · outpatientfrom % of charges | $5.33 | $17.47 | $1.63 – $118.83 |
| 6 | Molina chip km percent of total billed charges · outpatientfrom % of charges | $6.67 | $21.84 | $2.04 – $148.53 |
| 7 | Molina star km percent of total billed charges · outpatientfrom % of charges | $6.67 | $21.84 | $2.04 – $148.53 |
| 8 | Molina star plus km percent of total billed charges · outpatientfrom % of charges | $6.67 | $21.84 | $2.04 – $148.53 |
| 9 | Cigna new business percent of total billed charges · outpatientfrom % of charges | $8.67 | $28.39 | $2.66 – $193.10 |
| 10 | UnitedHealthcare hix percent of total billed charges · outpatientfrom % of charges | $18.68 | $29.02 | $6.22 – $69.31 |
| 11 | UnitedHealthcare all payer percent of total billed charges · outpatientfrom % of charges | $20.01 | $31.09 | $6.67 – $74.27 |
| 12 | Healthcare Highways ppo percent of total billed charges · outpatientfrom % of charges | $10.00 | $32.76 | $3.07 – $222.80 |
| 13 | Bcbs Tx blue advantage hmo percent of total billed charges · outpatientfrom % of charges | $10.23 | $33.49 | $3.14 – $227.75 |
| 14 | Devoted mm percent of total billed charges · outpatientfrom % of charges | $11.12 | $36.40 | $3.41 – $247.56 |
| 15 | Bcbs Tx heb percent of total billed charges · outpatientfrom % of charges | $11.56 | $37.85 | $3.55 – $257.46 |
| 16 | Bcbs Tx hmo percent of total billed charges · outpatientfrom % of charges | $11.56 | $37.85 | $3.55 – $257.46 |
| 17 | Bcbs Tx ppo percent of total billed charges · outpatientfrom % of charges | $12.89 | $42.22 | $3.96 – $287.17 |
| 18 | Cigna ppo percent of total billed charges · outpatientfrom % of charges | $13.34 | $43.68 | $4.09 – $297.07 |
| 19 | Bcbs Tx traditional percent of total billed charges · outpatientfrom % of charges | $13.56 | $44.41 | $4.16 – $302.02 |
| 20 | Aetna new business percent of total billed charges · outpatientfrom % of charges | $13.78 | $45.13 | $4.23 – $306.98 |
| 21 | First Health ppo percent of total billed charges · outpatientfrom % of charges | $14.45 | $47.32 | $4.43 – $321.83 |
| 22 | Aetna epo percent of total billed charges · outpatientfrom % of charges | $15.34 | $50.23 | $4.71 – $341.63 |
| 23 | Aetna hmo percent of total billed charges · outpatientfrom % of charges | $15.34 | $50.23 | $4.71 – $341.63 |
| 24 | Aetna pos percent of total billed charges · outpatientfrom % of charges | $15.34 | $50.23 | $4.71 – $341.63 |
| 25 | Aetna ppo percent of total billed charges · outpatientfrom % of charges | $15.34 | $50.23 | $4.71 – $341.63 |
Last updated: Jan 13, 2026
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