HCPCS J3415
Injection, pyridoxine hcl, 100 mg
Current code41 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) |
|---|---|---|---|
| Deaconess Medical Center | $58.42 – $115 | $62.90 | $157 |
| EvergreenHealth Medical Center | $12.70 – $132 | $81.60 – $114 | $102 – $142 |
| Harborview Medical Center | $15.11 | — | — |
| Highline Medical Center | $1.36 – $14.09 | $1.91 – $4.78 | $3.15 – $15.65 |
| Island Hospital | $15.56 | — | — |
| Kadlec Regional Medical Center | $19.60 – $59.96 | $34.61 – $45.53 | $49.44 – $65.04 |
| Legacy Salmon Creek Medical Center | $9.52 – $28.28 | — | — |
| Mary Bridge Children's Hospital | $68.50 – $86.32 | $42.42 | $106 |
| MultiCare Good Samaritan Hospital | $60.01 – $75.66 | $32.88 – $41.46 | $82.20 – $104 |
| MultiCare Valley Hospital | $58.42 – $113 | $62.90 | $157 |
| Olympic Medical Center | $59.69 – $107 | $85.43 | $107 |
| Overlake Hospital Medical Center & Clinics | $29.35 – $31.24 | $6.08 – $9.75 | $12.16 – $19.50 |
| PeaceHealth Peace Island Medical Center | — | $54.26 | $83.47 |
| PeaceHealth Southwest Medical Cente | $24.11 | $54.26 | $83.47 |
| PeaceHealth St John Medical Center | $27.06 | $54.26 | $83.47 |
| PeaceHealth St Joseph Medical Center | $26.93 | $54.26 – $54.34 | $83.47 – $83.60 |
| PeaceHealth United General Medical Center | — | $54.26 | $83.47 |
| Prov Sacred HRT Med Ctr & Childs Hosp. | $17.49 – $34.72 | $124 | $176 |
| Providence Centralia Hospital | $43.75 – $80.65 | $87.45 | $168 |
| Providence Holy Family Hospital | $17.49 – $34.72 | $124 | $176 |
| Providence Mount Carmel Hospital | — | $70.66 – $124 | $101 – $176 |
| Providence Regional Medical Center Everett | $17.49 – $34.72 | $40.79 – $60.66 | $78.44 – $117 |
| Providence St Joseph Hospital | — | $70.66 – $124 | $101 – $176 |
| Providence St Mary Medical Center | $34.72 – $62.40 | $30.00 – $68.14 | $42.86 – $97.34 |
| Providence St Peter Hospital | $23.25 – $36.11 | $45.17 – $87.45 | $86.87 – $168 |
| Seattle Children's Hospital | $65.15 – $116 | $121 | $121 |
| St Anthony Hospital | $1.58 – $11.74 | $1.91 – $4.76 | $3.15 – $15.65 |
| St Clare Hospital | $1.58 – $11.74 | $1.81 – $4.52 | $3.15 – $15.65 |
| St Elizabeth Hospital | $1.05 – $26.46 | $1.12 – $5.54 | $3.15 – $15.65 |
| St Francis Community Hospital | $1.58 – $11.74 | $1.97 – $4.92 | $3.15 – $15.65 |
| St Joseph Medical Center | $1.58 – $11.74 | $1.05 – $5.19 | $3.15 – $15.65 |
| St Michael Medical Center | $2.30 – $27.86 | $1.40 – $6.91 | $3.15 – $15.65 |
| Swedish Edmonds Hospital | $17.49 – $25.60 | $36.04 | $75.08 |
| Swedish Issaquah | $17.49 – $25.60 | $36.04 | $75.08 |
| Swedish Medical Center | $17.49 – $23.25 | $36.04 | $75.08 |
| Swedish Medical Center / Cherry Hill | $17.49 – $23.25 | $36.04 | $75.08 |
| Tacoma General Allenmore Hospital | $56.87 – $75.66 | $31.16 – $41.46 | $77.90 – $104 |
| Three Rivers Hospital | — | $128 | $128 |
| University of Washington Medical Ctr | $15.11 | — | — |
| Virginia Mason Medical Center | $20.52 – $49.95 | $31.84 | $62.44 |
| Yakima Valley Memorial | $36.29 | — | — |
Medicare (traditional) reference
CMS publishes no national amount for this code.