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Every billing code / Treatments and drugs / Injections and Infusions (nononcologic)

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.

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$15.84 – $1412 plans$7.92 – $66.24$19.80 – $166
Cascade Medical CenterLeavenworth$4.13 – $82.252 plans$23.20 – $105$29.00 – $131
Cascade Valley HospitalArlington$6.87 – $1,7628 plans$64.68 – $164$80.85 – $205
Deaconess Medical CenterSpokaneFile dated 2026-08-27$12.76 – $1742 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
Highline Medical CenterBurienFile dated 2026-02-28$22.97 – $8866 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—$34.61 – $89.78$49.44 – $128
Mary Bridge Children's HospitalTacomaFile dated 2026-08-27$11.72 – $1606 plans$7.17 – $79.78$17.92 – $199
MultiCare Auburn Medical CenterAuburnFile dated 2026-08-27$7.13 – $1213 plans$4.84 – $66.24$12.09 – $166
MultiCare Covington Medical CenterCovingtonFile dated 2026-08-27$8.79 – $60.153 plans$5.96 – $32.96$14.90 – $82.40
MultiCare Good Samaritan HospitalPuyallupFile dated 2026-08-27$7.13 – $1213 plans$4.84 – $66.24$12.09 – $166
MultiCare Valley HospitalSpokane ValleyFile dated 2026-08-27$15.57 – $1712 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—$7.94 – $37.98$15.87 – $75.95
Prov Sacred HRT Med Ctr & Childs Hosp.SpokaneFile dated 2026-04-01—$70.66 – $244$101 – $348
Providence Centralia HospitalCentraliaFile dated 2026-04-01—$45.32 – $50.94$87.16 – $97.97
Providence Holy Family HospitalSpokaneFile dated 2026-04-01—$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—$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—$30.00 – $163$42.86 – $233
Providence St Peter HospitalOlympiaFile dated 2026-04-01—$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$29.37 – $7394 plans$16.25 – $300$53.40 – $985
St Clare HospitalLakewoodFile dated 2026-02-28$29.37 – $7394 plans$15.40 – $284$53.40 – $985
St Elizabeth HospitalEnumclawFile dated 2026-02-28$19.23 – $8869 plans$18.87 – $348$53.40 – $985
St Francis Community HospitalFederal WayFile dated 2026-02-28$29.37 – $7394 plans$16.76 – $309$53.40 – $985
St Joseph Medical CenterTacomaFile dated 2026-02-28$29.37 – $7394 plans$17.69 – $326$53.40 – $985
St Michael Medical CenterSilverdaleFile dated 2026-02-28$33.65 – $88610 plans$23.57 – $435$53.40 – $985
Swedish Edmonds HospitalEdmondsFile dated 2026-04-01—$36.04 – $60.82$75.08 – $127
Swedish IssaquahIssaquahFile dated 2026-04-01—$36.04 – $60.82$75.08 – $127
Swedish Medical CenterSeattleFile dated 2026-04-01—$36.04 – $60.82$75.08 – $127
Swedish Medical Center / Cherry HillSeattleFile dated 2026-04-01—$36.04 – $60.82$75.08 – $127
Tacoma General Allenmore HospitalTacomaFile dated 2026-08-27$7.13 – $1213 plans$4.84 – $66.24$12.09 – $166
Three Rivers HospitalBrewster—$178 – $212$178 – $212
Virginia Mason Medical CenterSeattle$11.27 – $14.754 plans$8.98 – $9.40$17.60 – $18.44
Yakima Valley MemorialYakimaFile dated 2026-08-27$8.33 – $92.741 plan$5.96 – $66.24$14.88 – $166

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.