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HCPCS J3415

Injection, pyridoxine hcl, 100 mg

Current code41 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.

HospitalCommercial insurance rates (lowest – highest)Cash priceList price (before discounts)
Deaconess Medical CenterSpokaneFile dated 2026-08-27$112 – $1152 plans$62.90$157
EvergreenHealth Medical CenterKirkland$12.70 – $1327 plans$81.60 – $114$102 – $142
Highline Medical CenterBurienFile dated 2026-02-28$1.36 – $14.096 plans$1.91 – $4.78$3.15 – $15.65
Kadlec Regional Medical CenterRichlandFile dated 2026-04-01—$34.61 – $45.53$49.44 – $65.04
Mary Bridge Children's HospitalTacomaFile dated 2026-08-27$69.36 – $84.846 plans$42.42$106
MultiCare Good Samaritan HospitalPuyallupFile dated 2026-08-27$48.50 – $75.663 plans$32.88 – $41.46$82.20 – $104
MultiCare Valley HospitalSpokane ValleyFile dated 2026-08-27$1132 plans$62.90$157
Olympic Medical CenterPort AngelesFile dated 2026-06-24$59.69 – $1076 plans$85.43$107
Overlake Hospital Medical Center & ClinicsBellevueFile dated 2026-04-01—$6.08 – $9.75$12.16 – $19.50
Prov Sacred HRT Med Ctr & Childs Hosp.SpokaneFile dated 2026-04-01—$124$176
Providence Centralia HospitalCentraliaFile dated 2026-04-01—$87.45$168
Providence Holy Family HospitalSpokaneFile dated 2026-04-01—$124$176
Providence Mount Carmel HospitalColvilleFile dated 2026-04-01—$70.66 – $124$101 – $176
Providence Regional Medical Center EverettEverettFile dated 2026-04-01—$40.79 – $60.66$78.44 – $117
Providence St Joseph HospitalChewelahFile dated 2026-04-01—$70.66 – $124$101 – $176
Providence St Mary Medical CenterWalla WallaFile dated 2026-04-01—$30.00 – $68.14$42.86 – $97.34
Providence St Peter HospitalOlympiaFile dated 2026-04-01—$45.17 – $87.45$86.87 – $168
Seattle Children's HospitalSeattle$65.15 – $11698 plans$121$121
St Anthony HospitalGig HarborFile dated 2026-02-28$1.74 – $11.744 plans$1.91 – $4.76$3.15 – $15.65
St Clare HospitalLakewoodFile dated 2026-02-28$1.74 – $11.744 plans$1.81 – $4.52$3.15 – $15.65
St Elizabeth HospitalEnumclawFile dated 2026-02-28$1.14 – $14.099 plans$1.12 – $5.54$3.15 – $15.65
St Francis Community HospitalFederal WayFile dated 2026-02-28$1.74 – $11.744 plans$1.97 – $4.92$3.15 – $15.65
St Joseph Medical CenterTacomaFile dated 2026-02-28$1.74 – $11.744 plans$1.05 – $5.19$3.15 – $15.65
St Michael Medical CenterSilverdaleFile dated 2026-02-28$1.99 – $14.0910 plans$1.40 – $6.91$3.15 – $15.65
Swedish Edmonds HospitalEdmondsFile dated 2026-04-01—$36.04$75.08
Swedish IssaquahIssaquahFile dated 2026-04-01—$36.04$75.08
Swedish Medical CenterSeattleFile dated 2026-04-01—$36.04$75.08
Swedish Medical Center / Cherry HillSeattleFile dated 2026-04-01—$36.04$75.08
Tacoma General Allenmore HospitalTacomaFile dated 2026-08-27$45.96 – $75.663 plans$31.16 – $41.46$77.90 – $104
Three Rivers HospitalBrewster—$128$128
Virginia Mason Medical CenterSeattle$39.99 – $49.954 plans$31.84$62.44

Lowest and highest amounts each hospital lists for this code during a hospital stay, 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.