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
etomidate 2 mg/mL (20mL) IV Sol [CITY]
Oceanside, CA
See all hospitals reporting HCPCS J3490 →Price type
Tri-City Medical Center’s median price of $26 is 46% below the median hospital's median price ($48), higher than 30% 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, 19 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 medicare advantage facility · percent of total billed charges · outpatientfrom % of charges | $10.77 | $23.55 | $5.00 – $96.77 |
| 2 | Molina covered california ppo facility · percent of total billed charges · outpatientfrom % of charges | $16.15 | $35.32 | $7.50 – $145.16 |
| 3 | Molina medicare advantage facility · percent of total billed charges · outpatientfrom % of charges | $16.15 | $35.32 | $7.50 – $145.16 |
| 4 | Kaiser hmo facility · percent of total billed charges · outpatientfrom % of charges | $18.84 | $41.20 | $8.75 – $169.35 |
| 5 | UnitedHealthcare select/select plus facility · percent of total billed charges · inpatientfrom % of charges | $19.26 | $43.37 | $8.38 – $162.14 |
| 6 | UnitedHealthcare commercial facility · percent of total billed charges · inpatientfrom % of charges | $21.09 | $47.49 | $9.18 – $177.57 |
| 7 | UnitedHealthcare select/select plus facility · percent of total billed charges · outpatientfrom % of charges | $22.63 | $49.48 | $10.51 – $203.36 |
| 8 | UnitedHealthcare commercial facility · percent of total billed charges · outpatientfrom % of charges | $24.79 | $54.21 | $11.51 – $222.81 |
| 9 | Bcbs Ca commercial facility · percent of total billed charges · outpatientfrom % of charges | $26.99 | $57.69 | $11.50 – $222.57 |
| 10 | Bcbs Ca commercial facility · percent of total billed charges · inpatientfrom % of charges | $28.73 | $64.70 | $12.50 – $241.93 |
| 11 | Cigna hmo facility · percent of total billed charges · inpatientfrom % of charges | $28.73 | $64.70 | $12.50 – $241.93 |
| 12 | Cigna hmo facility · percent of total billed charges · outpatientfrom % of charges | $32.25 | $65.20 | $12.50 – $241.93 |
| 13 | Magellan commercial/medicare advantage facility · percent of total billed charges · outpatientfrom % of charges | $32.30 | $70.64 | $15.00 – $290.31 |
| 14 | Cigna ppo facility · percent of total billed charges · outpatientfrom % of charges | $34.82 | $73.52 | $14.43 – $279.18 |
| 15 | Cigna ppo facility · percent of total billed charges · inpatientfrom % of charges | $33.16 | $74.67 | $14.43 – $279.18 |
| 16 | Aetna commercial facility · percent of total billed charges · outpatientfrom % of charges | $37.69 | $82.41 | $17.50 – $338.69 |
| 17 | MultiPlan ppo facility · percent of total billed charges · inpatientfrom % of charges | $37.69 | $82.41 | $17.50 – $338.69 |
| 18 | MultiPlan ppo facility · percent of total billed charges · outpatientfrom % of charges | $37.69 | $82.41 | $17.50 – $338.69 |
| 19 | Aetna commercial facility · case rate · outpatient | $6,640 | $6,640 | $6,640 – $6,640 |
Last updated: May 29, 2026
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