HCPCS J3030 at Forks Community Hospital
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)
What Forks Community Hospital publishes for this code: as an outpatient
| Who pays | Hospital’s fee (lowest – highest) | Doctor’s fee the hospital lists |
|---|---|---|
| Commercial insurance | $24.94 – $58.11 | — |
| Medicare Advantage | $21.50 – $557 | — |
| Medicaid managed care | $20.09 – $25.86 | — |
| Other government program | $21.50 – $26.15 | — |
| Unknown | $33.46 – $58.11 | — |
| Cash price | $46.49 | — |
| List price | $58.11 | — |
Bills to expect
The hospital’s fee is the price above. Doctors usually send their own bills. Their amounts here are what original Medicare allows in the rest of Washington for 2026, and a private-plan estimate of 118% to 179% of that (the range found across studies of what insurers pay doctors). Those are estimates, not quotes.
| Bill | What it’s for | Original Medicare allows | Private plan estimate |
|---|---|---|---|
| Hospital's fee | The drug, per billing unit | — | The price above |
Compare HCPCS J3030 at every Washington hospital, with Medicare’s reference amounts.