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 HCL (CARDIAC) 20 MG/ML IV SOLN
Windom, MN
See all hospitals reporting HCPCS J3490 →Price type
Windom Area Hospital’s median price of $48 is about the same as the median hospital's median price ($48), higher than 49% 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: 9 payers, 23 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 replacement facility · other · inpatient | $6.26 | $6.26 | $6.26 – $6.26 |
| 2 | Blue Cross Blue Shield medicare replacement facility · other · inpatient | $11.67 | $11.67 | $11.67 – $11.67 |
| 3 | Ucare medicare replacement facility · other · inpatient | $38.51 | $38.51 | $38.51 – $38.51 |
| 4 | Bcbs Mn pmap facility · percent of total billed charges · inpatientfrom % of charges | $23.79 | $40.91 | $5.56 – $103.76 |
| 5 | Bcbs Mn pmap facility · percent of total billed charges · outpatientfrom % of charges | $23.79 | $40.91 | $5.56 – $103.76 |
| 6 | Blue Cross Blue Shield managed medicaid facility · percent of total billed charges · inpatientfrom % of charges | $23.79 | $40.91 | $5.56 – $103.76 |
| 7 | Blue Cross Blue Shield managed medicaid facility · percent of total billed charges · outpatientfrom % of charges | $23.79 | $40.91 | $5.56 – $103.76 |
| 8 | Aetna medicare replacement facility · percent of total billed charges · outpatientfrom % of charges | $27.55 | $47.38 | $6.44 – $120.18 |
| 9 | Blue Cross Blue Shield medicare replacement facility · percent of total billed charges · outpatientfrom % of charges | $27.55 | $47.38 | $6.44 – $120.18 |
| 10 | Humana medicare replacement facility · percent of total billed charges · outpatientfrom % of charges | $27.55 | $47.38 | $6.44 – $120.18 |
| 11 | Medica medicare replacement facility · percent of total billed charges · outpatientfrom % of charges | $27.55 | $47.38 | $6.44 – $120.18 |
| 12 | Ucare medicare replacement facility · percent of total billed charges · outpatientfrom % of charges | $27.55 | $47.38 | $6.44 – $120.18 |
| 13 | UnitedHealthcare medicare replacement facility · percent of total billed charges · outpatientfrom % of charges | $27.55 | $47.38 | $6.44 – $120.18 |
| 14 | Medica pmap facility · percent of total billed charges · inpatientfrom % of charges | $31.12 | $53.52 | $7.28 – $135.75 |
| 15 | Medica pmap facility · percent of total billed charges · outpatientfrom % of charges | $31.12 | $53.52 | $7.28 – $135.75 |
| 16 | UnitedHealthcare commercial facility · percent of total billed charges · inpatientfrom % of charges | $51.21 | $88.08 | $11.98 – $223.42 |
| 17 | UnitedHealthcare commercial facility · percent of total billed charges · outpatientfrom % of charges | $51.21 | $88.08 | $11.98 – $223.42 |
| 18 | Bcbs Mn commercial facility · percent of total billed charges · outpatientfrom % of charges | $52.52 | $90.33 | $12.28 – $229.13 |
| 19 | Bcbs Nd commercial facility · percent of total billed charges · outpatientfrom % of charges | $52.52 | $90.33 | $12.28 – $229.13 |
| 20 | Blue Cross Blue Shield commercial facility · percent of total billed charges · outpatientfrom % of charges | $52.52 | $90.33 | $12.28 – $229.13 |
| 21 | Wellmark commercial facility · percent of total billed charges · outpatientfrom % of charges | $52.52 | $90.33 | $12.28 – $229.13 |
| 22 | Medica commercial facility · percent of total billed charges · inpatientfrom % of charges | $58.60 | $100.79 | $13.70 – $255.65 |
| 23 | Medica commercial facility · percent of total billed charges · outpatientfrom % of charges | $58.60 | $100.79 | $13.70 – $255.65 |
Last updated: Feb 3, 2026
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