HCPCS J3030

Injection, sumatriptan succinate, 6 mg (code may be used for medicare when drug administered under the direct supervision of a physician, not for use when drug is self administered)

Current code33 hospitals with prices

Description from CMS's HCPCS Level II code file.

What Washington hospitals publish for this code

Commercial insurance: Rate negotiated with a private insurer or employer plan, including exchange and public-option plans.

Prices for HCPCS J3030 by hospital
HospitalCommercial insurance rates (lowest – highest)Cash priceList price (before discounts)
BHC Fairfax HospitalKirkland$34.20 – $63.004 plans$90.00$90.00
Capital Medical CenterOlympiaFile dated 2026-08-27$65.04 – $75.822 plans$35.64 – $35.68$89.10 – $89.20
Cascade Valley HospitalArlington$6.06 – $7508 plans$57.02 – $62.21$71.28 – $77.76
Deaconess Medical CenterSpokaneFile dated 2026-08-27$51.41 – $1015 plans$55.36 – $55.38$138 – $138
Harborview Medical CenterSeattleFile dated 2026-04-01$1101 plan——
Island HospitalAnacortes$6.00 – $71.2513 plans$75.00$75.00
Kadlec Regional Medical CenterRichlandFile dated 2026-04-01$13.93 – $6153 plans$34.61 – $591$49.44 – $845
Legacy Salmon Creek Medical CenterVancouverFile dated 2026-04-01$3681 plan——
MultiCare Auburn Medical CenterAuburnFile dated 2026-08-27$65.062 plans$35.65$89.13
MultiCare Covington Medical CenterCovingtonFile dated 2026-08-27$65.08 – $65.122 plans$35.66 – $35.68$89.15 – $89.20
MultiCare Good Samaritan HospitalPuyallupFile dated 2026-08-27$65.07 – $70.922 plans$35.66 – $38.86$89.14 – $97.15
MultiCare Valley HospitalSpokane ValleyFile dated 2026-08-27$51.40 – $99.685 plans$55.35 – $55.38$138 – $138
Olympic Medical CenterPort AngelesFile dated 2026-06-24$36.82 – $65.886 plans$52.70$65.88
Overlake Hospital Medical Center & ClinicsBellevueFile dated 2026-04-01$92.96 – $98.963 plans$6.90 – $8.31$13.81 – $16.62
Prov Sacred HRT Med Ctr & Childs Hosp.SpokaneFile dated 2026-04-01$53.90 – $99.962 plans$70.66 – $701$101 – $1,001
Providence Centralia HospitalCentraliaFile dated 2026-04-01$126 – $6153 plans$50.34 – $61.85$96.81 – $119
Providence Holy Family HospitalSpokaneFile dated 2026-04-01$53.90 – $99.962 plans$70.66 – $701$101 – $1,001
Providence Mount Carmel HospitalColvilleFile dated 2026-04-01—$70.66 – $701$101 – $1,001
Providence Regional Medical Center EverettEverettFile dated 2026-04-01$53.90 – $99.963 plans$44.43$85.45
Providence St Joseph HospitalChewelahFile dated 2026-04-01—$70.66 – $86.65$101 – $124
Providence St Mary Medical CenterWalla WallaFile dated 2026-04-01$99.961 plan$30.00 – $47.80$42.86 – $68.28
Providence St Peter HospitalOlympiaFile dated 2026-04-01$1041 plan$50.34 – $68.66$96.81 – $132
Skagit Valley HospitalMount Vernon$10.29 – $447at least 7 plans$57.02 – $377$71.28 – $471
Swedish Edmonds HospitalEdmondsFile dated 2026-04-01$53.901 plan$36.04$75.08
Swedish IssaquahIssaquahFile dated 2026-04-01$53.901 plan$36.04$75.08
Swedish Medical CenterSeattleFile dated 2026-04-01$53.901 plan$36.04$75.08
Swedish Medical Center / Cherry HillSeattleFile dated 2026-04-01$53.901 plan$36.04$75.08
Tacoma General Allenmore HospitalTacomaFile dated 2026-08-27$65.06 – $1202 plans$35.66 – $65.78$89.13 – $164
Three Rivers HospitalBrewster—$340$340
University of Washington Medical CtrSeattleFile dated 2026-04-01$1101 plan——
Virginia Mason Medical CenterSeattle$17.44 – $23.259 plans$14.82$29.06
Yakima Valley MemorialYakimaFile dated 2026-08-27$43.66 – $1416 plans$35.64 – $65.78$89.10 – $164

Lowest and highest amounts each hospital lists for this code as an outpatient, including lines it lists for both settings or without saying which. A doctor’s fee is shown separately when the hospital lists one with the code. “At least” means plans were counted in more than one group and some may be the same plan. This is one line of a bill; most care brings several.

Medicare (traditional) reference

CMS publishes no national amount for this code.