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
PR Drugs Unclassified
Langhorne, PA
See all hospitals reporting HCPCS J3490 →Price type
St Mary Medical Center’s median price of $0 is 99% below the median hospital's median price ($48), higher than 2% 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: 29 payers, 51 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 | Humana tricare professional · fee schedule · both | $0.24 | $0.24 | $0.24 – $0.24 |
| 2 | Tricare tricare professional · fee schedule · both | $0.24 | $0.24 | $0.24 – $0.24 |
| 3 | Anthem independence blue cross professional · fee schedule · both | $0.25 | $0.25 | $0.25 – $0.25 |
| 4 | Blue Cross Blue Shield independence blue cross professional · fee schedule · both | $0.25 | $0.25 | $0.25 – $0.25 |
| 5 | Blue Cross Blue Shield independence blue cross medicare adv professional · fee schedule · both | $0.25 | $0.25 | $0.25 – $0.25 |
| 6 | Carefirst independence blue cross professional · fee schedule · both | $0.25 | $0.25 | $0.25 – $0.25 |
| 7 | Cigna cigna professional · fee schedule · both | $0.25 | $0.25 | $0.25 – $0.25 |
| 8 | Excellus independence blue cross professional · fee schedule · both | $0.25 | $0.25 | $0.25 – $0.25 |
| 9 | Highmark independence blue cross professional · fee schedule · both | $0.25 | $0.25 | $0.25 – $0.25 |
| 10 | Kaiser independence blue cross professional · fee schedule · both | $0.25 | $0.25 | $0.25 – $0.25 |
| 11 | Premera independence blue cross professional · fee schedule · both | $0.25 | $0.25 | $0.25 – $0.25 |
| 12 | Regence independence blue cross professional · fee schedule · both | $0.25 | $0.25 | $0.25 – $0.25 |
| 13 | UnitedHealthcare united healthcare professional · fee schedule · both | $0.25 | $0.25 | $0.25 – $0.25 |
| 14 | Wellmark independence blue cross professional · fee schedule · both | $0.25 | $0.25 | $0.25 – $0.25 |
| 15 | Aetna medicare professional · fee schedule · both | $0.27 | $0.27 | $0.27 – $0.27 |
| 16 | Anthem medicare professional · fee schedule · both | $0.27 | $0.27 | $0.27 – $0.27 |
| 17 | Blue Cross Blue Shield medicare professional · fee schedule · both | $0.27 | $0.27 | $0.27 – $0.27 |
| 18 | Carefirst medicare professional · fee schedule · both | $0.27 | $0.27 | $0.27 – $0.27 |
| 19 | Caresource medicare professional · fee schedule · both | $0.27 | $0.27 | $0.27 – $0.27 |
| 20 | Cigna cigna medicare advantage professional · fee schedule · both | $0.27 | $0.27 | $0.27 – $0.27 |
| 21 | Clover medicare professional · fee schedule · both | $0.27 | $0.27 | $0.27 – $0.27 |
| 22 | Excellus medicare professional · fee schedule · both | $0.27 | $0.27 | $0.27 – $0.27 |
| 23 | Highmark medicare professional · fee schedule · both | $0.27 | $0.27 | $0.27 – $0.27 |
| 24 | Humana humana medicare advantage professional · fee schedule · both | $0.27 | $0.27 | $0.27 – $0.27 |
| 25 | Humana medicare professional · fee schedule · both | $0.27 | $0.27 | $0.27 – $0.27 |
Last updated: Mar 31, 2026
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