HCPCS J3430

Injection, phytonadione (vitamin k), per 1 mg

Current code50 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 J3430 by hospital
HospitalCommercial insurance rates (lowest – highest)Cash priceList price (before discounts)
BHC Fairfax HospitalKirkland$33.82 – $1046 plans$89.00 – $148$89.00 – $148
Capital Medical CenterOlympiaFile dated 2026-08-27$14.45 – $1412 plans$7.92 – $66.24$19.80 – $166
Cascade Valley HospitalArlington$6.87 – $1,7628 plans$64.68 – $164$80.85 – $205
Deaconess Medical CenterSpokaneFile dated 2026-08-27$6.68 – $1745 plans$7.19 – $95.10$17.97 – $238
EvergreenHealth Medical CenterKirkland$3.19 – $2177 plans$97.60 – $186$122 – $233
EvergreenHealth MonroeMonroe$129 – $21712 plans$164 – $186$205 – $233
Harborview Medical CenterSeattleFile dated 2026-04-01$3.231 plan——
Highline Medical CenterBurienFile dated 2026-02-28$22.97 – $8865 plans$16.31 – $301$53.40 – $985
Island HospitalAnacortes$2.81 – $9.5013 plans$10.00$10.00
Kadlec Regional Medical CenterRichlandFile dated 2026-04-01$2.74 – $8.404 plans$34.61 – $89.78$49.44 – $128
Legacy Salmon Creek Medical CenterVancouverFile dated 2026-04-01$4.30 – $6.554 plans——
Mary Bridge Children's HospitalTacomaFile dated 2026-08-27$11.57 – $1626 plans$7.17 – $79.78$17.92 – $199
MultiCare Auburn Medical CenterAuburnFile dated 2026-08-27$8.83 – $1212 plans$4.84 – $66.24$12.09 – $166
MultiCare Covington Medical CenterCovingtonFile dated 2026-08-27$10.88 – $60.152 plans$5.96 – $32.96$14.90 – $82.40
MultiCare Good Samaritan HospitalPuyallupFile dated 2026-08-27$8.83 – $1212 plans$4.84 – $66.24$12.09 – $166
MultiCare Valley HospitalSpokane ValleyFile dated 2026-08-27$8.03 – $1715 plans$8.65 – $95.10$21.62 – $238
Olympic Medical CenterPort AngelesFile dated 2026-06-24$33.33 – $1076 plans$47.70 – $85.96$59.63 – $107
Overlake Hospital Medical Center & ClinicsBellevueFile dated 2026-04-01$4.11 – $4.383 plans$7.94 – $37.98$15.87 – $75.95
PeaceHealth Peace Island Medical CenterFriday Harbor—$11.69 – $84.36$17.99 – $130
PeaceHealth Southwest Medical CenteVancouver$4.351 plan$11.69 – $84.36$17.99 – $130
PeaceHealth St John Medical CenterLongview$4.891 plan$1.30 – $84.36$2.00 – $130
PeaceHealth St Joseph Medical CenterBellingham$4.861 plan$11.69 – $113$17.99 – $174
PeaceHealth United General Medical CenterSedro Woolley—$11.69 – $84.36$17.99 – $130
Prov Sacred HRT Med Ctr & Childs Hosp.SpokaneFile dated 2026-04-01$3.16 – $4.863 plans$70.66 – $244$101 – $348
Providence Centralia HospitalCentraliaFile dated 2026-04-01$6.12 – $15.714 plans$45.32 – $50.94$87.16 – $97.97
Providence Holy Family HospitalSpokaneFile dated 2026-04-01$3.16 – $4.863 plans$70.66 – $244$101 – $348
Providence Mount Carmel HospitalColvilleFile dated 2026-04-01—$70.66 – $244$101 – $348
Providence Regional Medical Center EverettEverettFile dated 2026-04-01$3.16 – $4.864 plans$40.41 – $42.65$77.72 – $82.01
Providence St Joseph HospitalChewelahFile dated 2026-04-01—$70.66 – $244$101 – $348
Providence St Mary Medical CenterWalla WallaFile dated 2026-04-01$4.86 – $17.632 plans$30.00 – $163$42.86 – $233
Providence St Peter HospitalOlympiaFile dated 2026-04-01$4.53 – $5.052 plans$43.24 – $48.13$83.16 – $92.55
Seattle Children's HospitalSeattle$39.88 – $16498 plans$73.85 – $171$73.85 – $171
Skagit Valley HospitalMount Vernon$11.67 – $1957 plans$64.68 – $164$80.85 – $205
St Anthony HospitalGig HarborFile dated 2026-02-28$26.70 – $7393 plans$16.25 – $300$53.40 – $985
St Clare HospitalLakewoodFile dated 2026-02-28$26.70 – $7393 plans$15.40 – $284$53.40 – $985
St Elizabeth HospitalEnumclawFile dated 2026-02-28$3.20 – $8868 plans$18.87 – $348$53.40 – $985
St Francis Community HospitalFederal WayFile dated 2026-02-28$26.70 – $7393 plans$16.76 – $309$53.40 – $985
St Joseph Medical CenterTacomaFile dated 2026-02-28$26.70 – $7393 plans$17.69 – $326$53.40 – $985
St Michael Medical CenterSilverdaleFile dated 2026-02-28$5.71 – $88610 plans$23.57 – $435$53.40 – $985
Swedish Edmonds HospitalEdmondsFile dated 2026-04-01$3.16 – $5.694 plans$36.04 – $60.82$75.08 – $127
Swedish IssaquahIssaquahFile dated 2026-04-01$3.16 – $5.693 plans$36.04 – $60.82$75.08 – $127
Swedish Medical CenterSeattleFile dated 2026-04-01$3.16 – $4.532 plans$36.04 – $60.82$75.08 – $127
Swedish Medical Center / Cherry HillSeattleFile dated 2026-04-01$3.16 – $4.532 plans$36.04 – $60.82$75.08 – $127
Tacoma General Allenmore HospitalTacomaFile dated 2026-08-27$8.83 – $1212 plans$4.84 – $66.24$12.09 – $166
Three Rivers HospitalBrewster—$178 – $212$178 – $212
University of Washington Medical CtrSeattleFile dated 2026-04-01$3.231 plan——
Virginia Mason Medical CenterSeattle$7.72 – $14.759 plans$8.98 – $9.40$17.60 – $18.44
WhidbeyHealth Medical CenterCoupeville—$6.00$6.00
Yakima Valley MemorialYakimaFile dated 2026-08-27$5.08 – $1427 plans$5.96 – $66.24$14.88 – $166

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.