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
What Washington hospitals publish for this code
Commercial insurance: Rate negotiated with a private insurer or employer plan, including exchange and public-option plans.
| Hospital | Commercial insurance rates (lowest – highest) | Cash price | List price (before discounts) |
|---|---|---|---|
| BHC Fairfax Hospital | $34.20 – $63.00 | $90.00 | $90.00 |
| Capital Medical Center | $65.04 – $75.82 | $35.64 – $35.68 | $89.10 – $89.20 |
| Cascade Valley Hospital | $6.06 – $750 | $57.02 – $62.21 | $71.28 – $77.76 |
| Deaconess Medical Center | $51.41 – $101 | $55.36 – $55.38 | $138 – $138 |
| Harborview Medical Center | $110 | — | — |
| Island Hospital | $6.00 – $71.25 | $75.00 | $75.00 |
| Kadlec Regional Medical Center | $13.93 – $615 | $34.61 – $591 | $49.44 – $845 |
| Legacy Salmon Creek Medical Center | $368 | — | — |
| MultiCare Auburn Medical Center | $65.06 | $35.65 | $89.13 |
| MultiCare Covington Medical Center | $65.08 – $65.12 | $35.66 – $35.68 | $89.15 – $89.20 |
| MultiCare Good Samaritan Hospital | $65.07 – $70.92 | $35.66 – $38.86 | $89.14 – $97.15 |
| MultiCare Valley Hospital | $51.40 – $99.68 | $55.35 – $55.38 | $138 – $138 |
| Olympic Medical Center | $36.82 – $65.88 | $52.70 | $65.88 |
| Overlake Hospital Medical Center & Clinics | $92.96 – $98.96 | $6.90 – $8.31 | $13.81 – $16.62 |
| Prov Sacred HRT Med Ctr & Childs Hosp. | $53.90 – $99.96 | $70.66 – $701 | $101 – $1,001 |
| Providence Centralia Hospital | $126 – $615 | $50.34 – $61.85 | $96.81 – $119 |
| Providence Holy Family Hospital | $53.90 – $99.96 | $70.66 – $701 | $101 – $1,001 |
| Providence Mount Carmel Hospital | — | $70.66 – $701 | $101 – $1,001 |
| Providence Regional Medical Center Everett | $53.90 – $99.96 | $44.43 | $85.45 |
| Providence St Joseph Hospital | — | $70.66 – $86.65 | $101 – $124 |
| Providence St Mary Medical Center | $99.96 | $30.00 – $47.80 | $42.86 – $68.28 |
| Providence St Peter Hospital | $104 | $50.34 – $68.66 | $96.81 – $132 |
| Skagit Valley Hospital | $10.29 – $447 | $57.02 – $377 | $71.28 – $471 |
| Swedish Edmonds Hospital | $53.90 | $36.04 | $75.08 |
| Swedish Issaquah | $53.90 | $36.04 | $75.08 |
| Swedish Medical Center | $53.90 | $36.04 | $75.08 |
| Swedish Medical Center / Cherry Hill | $53.90 | $36.04 | $75.08 |
| Tacoma General Allenmore Hospital | $65.06 – $120 | $35.66 – $65.78 | $89.13 – $164 |
| Three Rivers Hospital | — | $340 | $340 |
| University of Washington Medical Ctr | $110 | — | — |
| Virginia Mason Medical Center | $17.44 – $23.25 | $14.82 | $29.06 |
| Yakima Valley Memorial | $43.66 – $141 | $35.64 – $65.78 | $89.10 – $164 |
Medicare (traditional) reference
CMS publishes no national amount for this code.