Hospital Bill Data

J3490

HCPCS

AMOXICILLIN 125 MG/5 ML ORAL SUSPENSION

Verified from hospital fileNot a bill estimate
iDirect answer

Based on the latest published hospital price files, code J3490 (AMOXICILLIN 125 MG/5 ML ORAL SUSPENSION) appears at 52 hospitals with disclosed cash prices from $0.00 to $76,729. This is public hospital price transparency data, not a guaranteed estimate of your bill.

Published-price availability

51
hospitals publish a price
1
list this service without a published price
2765
Cash
2765
List
2662
Negotiated
301
Allowed

A blank price (“—”) means a hospital names this service but did not publish a dollar amount — it is not a free service or a $0 price.

Compare J3490 prices

Filter by hospital, city, setting, or payer — the summary and charts update with your filters.

Published cash prices for code J3490 vary by about 19182370× across the 51 hospitals with disclosed prices here — from $0.00 to $76,729. Shopping around can matter.

51
Hospitals
2,825
Prices shown
$0.00
Lowest cash
$76,729
Highest cash
code J3490 cash price2765 disclosed · 51 hospitals
$0.00median ~$281$76,729

Cash price by city

Reflects your current filters.

Cash price by city$0.00$2,939
  • Stanford · 1 hospital$0.00–$106
  • Chicago · 1 hospital$0.52–$14.35
  • Lake Forest · 1 hospital$1.40–$10.32
  • Winfield · 1 hospital$1.57–$17.15
  • Wadesboro · 1 hospital$1.58–$2,939
  • Polson · 1 hospital$1.60–$287

2,825 prices shown.

ServiceHospitalCodeList priceCash priceNegotiated rangeAllowed (median)
AMOXICILLIN 125 MG/5 ML ORAL SUSPENSION
Inpatient
Carle Foundation HospitalJ3490
HCPCS
$21.46$21.46$2.15 – $14.19
DAKIN'S SOLUTION 0.125 %
Inpatient
Carle Foundation HospitalJ3490
HCPCS
$85.05$85.05$8.51 – $56.22
SILDENAFIL (PULMONARY HYPERTENSION) 20 MG TABLET
Inpatient
Carle Foundation HospitalJ3490
HCPCS
$84.28$84.28$8.43 – $55.71
PRALUENT PEN 75 MG/ML SUBCUTANEOUS PEN INJECTOR
Inpatient
Carle Foundation HospitalJ3490
HCPCS
$1,220$1,220$122 – $807
HC DEXTROSE 50% 50CC IV
Inpatient & outpatient
Endeavor Health Edward HospitalJ3490
HCPCS
$137$137
Imdelltra (Amg757): 1 Kit In 1 Package (55513-077-01) * 10 Mg In 1 Vial (55513-069-01) * 7 Ml In 1 Vial (55513-068-01)
Inpatient & outpatient
Endeavor Health Edward HospitalJ3490
HCPCS
$5,099$5,099
NDC Description Not Available
Inpatient & outpatient
Endeavor Health Edward HospitalJ3490
HCPCS
$89.61$89.61
Erythromycin: 50 TUBE in 1 CARTON (17478-070-31) / 1 g in 1 TUBE
Inpatient & outpatient
Endeavor Health Edward HospitalJ3490
HCPCS
$77.23$77.23
Erythromycin: 1 TUBE in 1 CARTON (17478-070-35) / 3.5 g in 1 TUBE
Inpatient & outpatient
Endeavor Health Edward HospitalJ3490
HCPCS
$38.62$38.62
Erythromycin: 50 TUBE in 1 CARTON (17478-824-01) / 1 g in 1 TUBE
Inpatient & outpatient
Endeavor Health Edward HospitalJ3490
HCPCS
$77.25$77.25
Erythromycin: 1 TUBE in 1 CARTON (17478-824-35) / 3.5 g in 1 TUBE
Inpatient & outpatient
Endeavor Health Edward HospitalJ3490
HCPCS
$38.62$38.62
Erythromycin: 50 Tube In 1 Box (24208-910-19) / 1 G In 1 Tube
Inpatient & outpatient
Endeavor Health Edward HospitalJ3490
HCPCS
$93.73$93.73
AMOXICILLIN 125 MG/5 ML ORAL SUSPENSION
Inpatient
Methodist Medical Center of IllinoisJ3490
HCPCS
$21.46$21.46$2.15 – $14.19
DAKIN'S SOLUTION 0.125 %
Inpatient
Methodist Medical Center of IllinoisJ3490
HCPCS
$85.05$85.05$8.51 – $56.22
SILDENAFIL (PULMONARY HYPERTENSION) 20 MG TABLET
Inpatient
Methodist Medical Center of IllinoisJ3490
HCPCS
$84.28$84.28$8.43 – $55.71
PRALUENT PEN 75 MG/ML SUBCUTANEOUS PEN INJECTOR
Inpatient
Methodist Medical Center of IllinoisJ3490
HCPCS
$1,220$1,220$122 – $807
ACETAMINOPHEN 325 MG ORAL TAB
Outpatient
Northwestern Memorial HospitalJ3490
HCPCS
$2.00$1.40$0.54 – $2.00
ACETAMINOPHEN-CAFFEINE 500-65 MG ORAL TAB
Outpatient
Northwestern Memorial HospitalJ3490
HCPCS
$2.00$1.40$0.47 – $2.00
ALBUTEROL SULFATE 2.5 MG /3 ML (0.083 %) INH NEBU
Outpatient
Northwestern Memorial HospitalJ3490
HCPCS
$5.50$3.85$0.35 – $5.50
ALBUTEROL SULFATE 2.5 MG /3 ML (0.083 %) INH NEBU|DISCARDED DRUG NOT ADMINISTE
Outpatient
Northwestern Memorial HospitalJ3490
HCPCS
$0.75$0.52$0.18 – $7.00
ALLOPURINOL 300 MG ORAL TAB
Outpatient
Northwestern Memorial HospitalJ3490
HCPCS
$20.50$14.35$1.23 – $20.50
ALUM-MAG HYDROXIDE-SIMETH 200-200-20 MG/5 ML ORAL SUSP
Outpatient
Northwestern Memorial HospitalJ3490
HCPCS
$2.25$1.57$0.19 – $2.25
NDC Description Not Available
Inpatient & outpatient
University of Chicago Medical CenterJ3490
HCPCS
Sufentanil Citrate: 10 AMPULE in 1 CARTON (17478-050-01) / 1 mL in 1 AMPULE
Inpatient & outpatient
University of Chicago Medical CenterJ3490
HCPCS
Diltiazem Hydrochloride: 10 Vial In 1 Carton (0641-6015-10) / 25 Ml In 1 Vial (0641-6015-01)
Inpatient & outpatient
University of Chicago Medical CenterJ3490
HCPCS

How to read these prices

Cash price
The discounted self-pay price for paying directly, without insurance.
List price
The hospital’s full undiscounted charge — rarely what anyone pays.
Negotiated rate
A rate for a specific insurer and plan; your share depends on your benefits.
Allowed amount
A historical reference for what was actually allowed, where disclosed.

Hospitals that publish J3490 prices

Open a hospital to see this code in the context of its full published prices.

Carle Foundation Hospital Endeavor Health Edward Hospital Methodist Medical Center of Illinois Northwestern Memorial Hospital University of Chicago Medical Center Carle BroMenn Medical Center Northwestern Medicine Lake Forest Hospital Northwestern Medicine Central DuPage Hospital Deaconess Gateway Hospital Henderson Hospital Deaconess Illinois Medical Center Providence Kodiak Island Medical Center Stanford Health Care Stanford Health Care Tri-Valley Texas Health Presbyterian Hospital Allen Texas Health Harris Methodist Hospital Alliance Providence Seward Hospital Providence Valdez Medical Center St Elias Specialty Hospital Healdsburg Hospital Providence Cedars-Sinai Tarzana Medical Center Providence Holy Cross Medical Center Providence Little Co of Mary Med Center San Pedro Texas Health Arlington Memorial Hospital Texas Health Harris Methodist Hospital Azle Texas Health Center for Diagnostics and Surgery Plano Texas Health Harris Methodist Hospital Cleburne Texas Health Presbyterian Hospital Dallas Texas Health Presbyterian Hospital Denton Texas Health Presbyterian Hospital Flower Mound Texas Health Harris Methodist Hospital Fort Worth Texas Health Hospital Frisco Texas Health Heart & Vascular Hospital Arlington Texas Health Harris Methodist Hospital Hurst-Euless-Bedford Texas Health Presbyterian Hospital Kaufman Providence Little Company of Mary Med Center Torrance Providence Saint John's Health Center Providence St Joseph Medical Center Texas Health Presbyterian Hospital Plano Texas Health Hospital Rockwall Texas Health Harris Methodist Hospital Southlake Texas Health Harris Methodist Hospital Southwest Fort Worth Texas Health Specialty Hospital Fort Worth Texas Health Springwood Hospital Hurst-Euless-Bedford Texas Health Harris Methodist Hospital Stephenville Penn Medicine Lancaster General Health Atrium Health Anson Atrium Health Cabarrus Atrium Health Cleveland Atrium Health Lincoln Atrium Health Pineville Atrium Health Stanly

Code J3490: frequently asked

What does code J3490 cost?
Across the published hospital price files, the disclosed cash price for J3490 ranges from $0.00 to $76,729. This is public hospital price transparency data, not a guaranteed estimate of your bill.
Will this be my final bill?
Actual patient responsibility may vary based on your insurance plan, deductible, coinsurance, network status, diagnosis, setting, bundled services, clinical circumstances, and hospital billing practices.
What is code J3490?
J3490 is the billing code hospitals use to identify "AMOXICILLIN 125 MG/5 ML ORAL SUSPENSION" on their published price files. We use it to line up the same service across different hospitals.
Why do prices for this code differ between hospitals?
Each hospital sets its own prices and negotiates separately with each insurer, so the disclosed price for the same code can vary widely from one hospital to another — and even between plans at a single hospital. Comparing the published figures is what this page is for; a difference does not by itself mean one hospital is better or worse.
What this page is not
It is not a quote, a guarantee, or medical advice. It shows what hospitals have published for this code, so you can compare and ask informed questions — your actual cost depends on your insurance, the exact services performed, and the care setting.

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