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
STUDY ANIFROLUMAB/PLACEBO VIAL (AZ TULIP EXT)
Boise, ID
See all hospitals reporting HCPCS J3490 →Price type
St Luke's Regional Medical Center, LTD’s median price of $5 is 89% below the median hospital's median price ($48), higher than 12% 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: 7 payers, 13 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 | Blue Cross Blue Shield hb tv bci true & secure med adv other · both | $5.08 | $5.08 | $5.08 – $5.08 |
| 2 | UnitedHealthcare hb tv aarp med adv other · both | $8.75 | $8.75 | $8.75 – $8.75 |
| 3 | Regence hb tv medicare advantage other · both | $11.64 | $11.64 | $11.64 – $11.64 |
| 4 | Bcbs Id hb tv slhp blue cross carepoint qhp percent of total billed charges · inpatientfrom % of charges | $4.34 | $102.95 | $0.01 – $11,894 |
| 5 | Bcbs Id hb tv slhp blue cross large group percent of total billed charges · inpatientfrom % of charges | $4.34 | $102.95 | $0.01 – $11,894 |
| 6 | Aetna hb tv bp aetna percent of total billed charges · bothfrom % of charges | $6.38 | $119.22 | $0.01 – $14,639 |
| 7 | Cigna hb tv cigna percent of total billed charges · bothfrom % of charges | $6.38 | $119.22 | $0.01 – $14,639 |
| 8 | UnitedHealthcare hb tv united healthcare percent of total billed charges · bothfrom % of charges | $6.54 | $122.20 | $0.01 – $15,005 |
| 9 | Bcbs Id hb tv bci ppo fep percent of total billed charges · bothfrom % of charges | $6.54 | $122.76 | $0.01 – $15,005 |
| 10 | Blue Cross Blue Shield hb tv bci ppo fep percent of total billed charges · bothfrom % of charges | $6.54 | $122.76 | $0.01 – $15,005 |
| 11 | First Health hb tv ccn first health percent of total billed charges · bothfrom % of charges | $6.58 | $122.94 | $0.01 – $15,097 |
| 12 | First Health hb tv first choice health percent of total billed charges · bothfrom % of charges | $6.77 | $126.67 | $0.01 – $15,554 |
| 13 | Aetna hb tv aetna trinity health (st al's) percent of total billed charges · bothfrom % of charges | $7.17 | $134.12 | $0.01 – $16,469 |
Last updated: Mar 25, 2026
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