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
Lidocaine/epinephrine 1:100000-2% Sol 20 mL [SMCE]
Kellogg, ID
See all hospitals reporting HCPCS J3490 →Price type
West Shoshone Hospital District’s median price of $13 is 74% below the median hospital's median price ($48), higher than 19% 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, 11 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 | UnitedHealthcare commercial facility · percent of total billed charges · outpatientfrom % of charges | $6.87 | $6.87 | $6.87 – $6.87 |
| 2 | Bcbs Id medicare advantage facility · fee schedule · both | $7.57 | $28.28 | $1.18 – $217.91 |
| 3 | UnitedHealthcare medicare advantage facility · fee schedule · both | $7.57 | $28.28 | $1.18 – $217.91 |
| 4 | Aetna medicare advantage facility · fee schedule · both | $9.86 | $36.83 | $1.54 – $283.79 |
| 5 | Aetna auto facility · fee schedule · both | $12.32 | $46.04 | $1.92 – $354.74 |
| 6 | Aetna work comp facility · fee schedule · both | $12.32 | $46.04 | $1.92 – $354.74 |
| 7 | Aetna commercial facility · fee schedule · both | $15.84 | $59.19 | $2.47 – $456.10 |
| 8 | Cigna commercial facility · fee schedule · both | $16.72 | $62.48 | $2.61 – $481.44 |
| 9 | MultiPlan commercial facility · fee schedule · both | $16.72 | $62.48 | $2.61 – $481.44 |
| 10 | Regence commercial facility · fee schedule · both | $16.72 | $62.48 | $2.61 – $481.44 |
| 11 | UnitedHealthcare commercial facility · fee schedule · both | $16.72 | $62.48 | $2.61 – $481.44 |
Last updated: Sep 29, 2026
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