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
BUPIV5MG/EPI0.005MG 30ML
Dulles, VA
See all hospitals reporting HCPCS J3490 →Price type
Stonesprings Hospital Center’s median price of $82 is 70% above the median hospital's median price ($48), higher than 67% 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: 4 payers, 9 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 | Aetna mgmcr percent of total billed charges · outpatientfrom % of charges | $33.33 | $42.35 | $1.34 – $155.04 |
| 2 | Cigna ifp percent of total billed charges · outpatientfrom % of charges | $44.00 | $55.90 | $1.77 – $204.65 |
| 3 | Aetna broad percent of total billed charges · outpatientfrom % of charges | $66.83 | $79.98 | $8.81 – $341.09 |
| 4 | UnitedHealthcare optionsppo percent of total billed charges · outpatientfrom % of charges | $69.33 | $88.09 | $2.79 – $322.48 |
| 5 | Cigna hmo percent of total billed charges · outpatientfrom % of charges | $74.88 | $95.15 | $3.01 – $348.32 |
| 6 | Cigna ppo percent of total billed charges · outpatientfrom % of charges | $74.88 | $95.15 | $3.01 – $348.32 |
| 7 | Carefirst hmo percent of total billed charges · outpatientfrom % of charges | $97.77 | $124.23 | $3.93 – $454.78 |
| 8 | Carefirst rpn percent of total billed charges · outpatientfrom % of charges | $97.77 | $124.23 | $3.93 – $454.78 |
| 9 | UnitedHealthcare globalbenefitplan percent of total billed charges · outpatientfrom % of charges | $99.99 | $127.05 | $4.02 – $465.12 |
Last updated: Mar 1, 2026
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