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
HC Lidocaine Hcl 2%, Inj, 20ml
Ketchum, ID
See all hospitals reporting HCPCS J3490 →Price type
St Luke's Wood River Medical Center, LTD’s median price of $7 is 86% below the median hospital's median price ($48), higher than 14% 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, 16 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 | Molina hb wr molina mmcp percent of total billed charges · bothfrom % of charges | $4.54 | $84.02 | $0.30 – $5,215 |
| 2 | Regence hb wr medicare advantage percent of total billed charges · bothfrom % of charges | $4.54 | $84.02 | $0.30 – $5,215 |
| 3 | Blue Cross Blue Shield hb wr bci true & secure med adv percent of total billed charges · bothfrom % of charges | $4.59 | $84.86 | $0.31 – $5,267 |
| 4 | Molina hb wr molina med adv percent of total billed charges · bothfrom % of charges | $4.63 | $85.70 | $0.31 – $5,320 |
| 5 | UnitedHealthcare hb wr aarp med adv percent of total billed charges · bothfrom % of charges | $4.77 | $88.22 | $0.32 – $5,476 |
| 6 | Aetna hb wr aetna med adv percent of total billed charges · bothfrom % of charges | $5.00 | $92.43 | $0.33 – $5,737 |
| 7 | Cigna hb wr cigna percent of total billed charges · bothfrom % of charges | $6.38 | $92.91 | $0.01 – $7,320 |
| 8 | Bcbs Id hb wr bci ppo fep percent of total billed charges · bothfrom % of charges | $6.54 | $113.25 | $0.01 – $7,503 |
| 9 | Blue Cross Blue Shield hb wr bci ppo fep percent of total billed charges · bothfrom % of charges | $6.54 | $113.25 | $0.01 – $7,503 |
| 10 | Aetna hb wr aetna trinity health (st al's) percent of total billed charges · bothfrom % of charges | $7.17 | $123.87 | $0.01 – $8,235 |
| 11 | UnitedHealthcare hb wr united healthcare percent of total billed charges · bothfrom % of charges | $7.21 | $124.56 | $0.01 – $8,280 |
| 12 | Aetna hb wr bp aetna percent of total billed charges · bothfrom % of charges | $7.57 | $130.75 | $0.01 – $8,692 |
| 13 | First Health hb wr first choice health percent of total billed charges · bothfrom % of charges | $7.57 | $130.75 | $0.01 – $8,692 |
| 14 | First Health hb wr ccn first health percent of total billed charges · bothfrom % of charges | $7.73 | $133.50 | $0.01 – $8,875 |
| 15 | Cigna hb wr cigna percent of total billed charges · outpatientfrom % of charges | $15.80 | $275.42 | $1.16 – $2,675 |
| 16 | Cigna hb wr cigna percent of total billed charges · inpatientfrom % of charges | $18.37 | $320.17 | $1.35 – $3,110 |
Last updated: Mar 25, 2026
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