HCPCS J3430
Injection, phytonadione (vitamin k), per 1 mg
Current code50 hospitals with prices
What Washington hospitals publish for this code
Medicare Advantage: Rate for a private Medicare Advantage plan. Applies only to members of that plan.
| Hospital | Medicare Advantage rates (lowest – highest) | Cash price | List price (before discounts) |
|---|---|---|---|
| BHC Fairfax Hospital | — | $89.00 – $148 | $89.00 – $148 |
| Capital Medical Center | — | $7.92 – $66.24 | $19.80 – $166 |
| Cascade Valley Hospital | $762 – $1,762 | $64.68 – $164 | $80.85 – $205 |
| Deaconess Medical Center | — | $7.19 – $95.10 | $17.97 – $238 |
| EvergreenHealth Medical Center | — | $97.60 – $186 | $122 – $233 |
| EvergreenHealth Monroe | — | $164 – $186 | $205 – $233 |
| Harborview Medical Center | — | — | — |
| Highline Medical Center | — | $16.31 – $301 | $53.40 – $985 |
| Island Hospital | $6.50 | $10.00 | $10.00 |
| Kadlec Regional Medical Center | — | $34.61 – $89.78 | $49.44 – $128 |
| Legacy Salmon Creek Medical Center | — | — | — |
| Mary Bridge Children's Hospital | — | $7.17 – $79.78 | $17.92 – $199 |
| MultiCare Auburn Medical Center | — | $4.84 – $66.24 | $12.09 – $166 |
| MultiCare Covington Medical Center | — | $5.96 – $32.96 | $14.90 – $82.40 |
| MultiCare Good Samaritan Hospital | — | $4.84 – $66.24 | $12.09 – $166 |
| MultiCare Valley Hospital | — | $8.65 – $95.10 | $21.62 – $238 |
| Olympic Medical Center | — | $47.70 – $85.96 | $59.63 – $107 |
| Overlake Hospital Medical Center & Clinics | — | $7.94 – $37.98 | $15.87 – $75.95 |
| PeaceHealth Peace Island Medical Center | — | $11.69 – $84.36 | $17.99 – $130 |
| PeaceHealth Southwest Medical Cente | — | $11.69 – $84.36 | $17.99 – $130 |
| PeaceHealth St John Medical Center | — | $1.30 – $84.36 | $2.00 – $130 |
| PeaceHealth St Joseph Medical Center | — | $11.69 – $113 | $17.99 – $174 |
| PeaceHealth United General Medical Center | — | $11.69 – $84.36 | $17.99 – $130 |
| Prov Sacred HRT Med Ctr & Childs Hosp. | — | $70.66 – $244 | $101 – $348 |
| Providence Centralia Hospital | — | $45.32 – $50.94 | $87.16 – $97.97 |
| Providence Holy Family Hospital | — | $70.66 – $244 | $101 – $348 |
| Providence Mount Carmel Hospital | — | $70.66 – $244 | $101 – $348 |
| Providence Regional Medical Center Everett | — | $40.41 – $42.65 | $77.72 – $82.01 |
| Providence St Joseph Hospital | — | $70.66 – $244 | $101 – $348 |
| Providence St Mary Medical Center | — | $30.00 – $163 | $42.86 – $233 |
| Providence St Peter Hospital | — | $43.24 – $48.13 | $83.16 – $92.55 |
| Seattle Children's Hospital | — | $73.85 – $171 | $73.85 – $171 |
| Skagit Valley Hospital | — | $64.68 – $164 | $80.85 – $205 |
| St Anthony Hospital | — | $16.25 – $300 | $53.40 – $985 |
| St Clare Hospital | — | $15.40 – $284 | $53.40 – $985 |
| St Elizabeth Hospital | $9.62 – $217 | $18.87 – $348 | $53.40 – $985 |
| St Francis Community Hospital | — | $16.76 – $309 | $53.40 – $985 |
| St Joseph Medical Center | — | $17.69 – $326 | $53.40 – $985 |
| St Michael Medical Center | — | $23.57 – $435 | $53.40 – $985 |
| Swedish Edmonds Hospital | — | $36.04 – $60.82 | $75.08 – $127 |
| Swedish Issaquah | — | $36.04 – $60.82 | $75.08 – $127 |
| Swedish Medical Center | — | $36.04 – $60.82 | $75.08 – $127 |
| Swedish Medical Center / Cherry Hill | — | $36.04 – $60.82 | $75.08 – $127 |
| Tacoma General Allenmore Hospital | — | $4.84 – $66.24 | $12.09 – $166 |
| Three Rivers Hospital | — | $178 – $212 | $178 – $212 |
| University of Washington Medical Ctr | — | — | — |
| Virginia Mason Medical Center | — | $8.98 – $9.40 | $17.60 – $18.44 |
| WhidbeyHealth Medical Center | — | $6.00 | $6.00 |
| Yakima Valley Memorial | — | $5.96 – $66.24 | $14.88 – $166 |
Medicare (traditional) reference
CMS publishes no national amount for this code.