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
LIDO 4%/50ML 2000MG/50ML SNTP
Worland, WY
See all hospitals reporting HCPCS J3490 →Price type
Washakie Medical Center’s median price of $24 is 50% below the median hospital's median price ($48), higher than 29% 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: 6 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 | Medica medicare advantage facility · percent of total billed charges · outpatientfrom % of charges | $8.92 | $19.82 | $0.29 – $67.34 |
| 2 | Medica commercial facility · percent of total billed charges · outpatientfrom % of charges | $17.63 | $39.19 | $0.57 – $133.14 |
| 3 | Humana medicare advantage facility · percent of total billed charges · outpatientfrom % of charges | $21.07 | $520.67 | $0.29 – $2,524 |
| 4 | UnitedHealthcare medicare advantage facility · percent of total billed charges · outpatientfrom % of charges | $21.07 | $520.67 | $0.29 – $2,524 |
| 5 | UnitedHealthcare nebraska medicaid/chip facility · percent of total billed charges · outpatientfrom % of charges | $21.07 | $520.67 | $0.29 – $2,524 |
| 6 | UnitedHealthcare commercial facility · percent of total billed charges · inpatientfrom % of charges | $40.26 | $994.70 | $0.55 – $4,822 |
| 7 | UnitedHealthcare commercial facility · percent of total billed charges · outpatientfrom % of charges | $40.26 | $994.70 | $0.55 – $4,822 |
| 8 | Bcbs Wy institutional facility · percent of total billed charges · inpatientfrom % of charges | $41.71 | $1,031 | $0.57 – $4,996 |
| 9 | Bcbs Wy institutional facility · percent of total billed charges · outpatientfrom % of charges | $41.71 | $1,031 | $0.57 – $4,996 |
| 10 | Cigna commercial facility · percent of total billed charges · inpatientfrom % of charges | $42.59 | $1,052 | $0.58 – $5,101 |
| 11 | Cigna commercial facility · percent of total billed charges · outpatientfrom % of charges | $42.59 | $1,052 | $0.58 – $5,101 |
| 12 | MultiPlan commercial facility · percent of total billed charges · inpatientfrom % of charges | $42.59 | $1,052 | $0.58 – $5,101 |
| 13 | MultiPlan commercial facility · percent of total billed charges · outpatientfrom % of charges | $42.59 | $1,052 | $0.58 – $5,101 |
Last updated: Feb 12, 2026
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