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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

Unknown: The source file doesn't say which population this rate applies to.

HospitalUnknown rates (lowest – highest)Cash priceList price (before discounts)
BHC Fairfax HospitalKirkland—$89.00 – $148$89.00 – $148
Capital Medical CenterOlympiaFile dated 2026-08-27—$7.92 – $66.24$19.80 – $166
Cascade Medical CenterLeavenworth$4.13 – $1186 plans$23.20 – $105$29.00 – $131
Cascade Valley HospitalArlington—$64.68 – $164$80.85 – $205
Deaconess Medical CenterSpokaneFile dated 2026-08-27—$7.19 – $95.10$17.97 – $238
EvergreenHealth Medical CenterKirkland$110 – $2101 plan$97.60 – $186$122 – $233
EvergreenHealth MonroeMonroe$142 – $1904 plans$164 – $186$205 – $233
Highline Medical CenterBurienFile dated 2026-02-28—$16.31 – $301$53.40 – $985
Island HospitalAnacortes—$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—$7.17 – $79.78$17.92 – $199
MultiCare Auburn Medical CenterAuburnFile dated 2026-08-27—$4.84 – $66.24$12.09 – $166
MultiCare Covington Medical CenterCovingtonFile dated 2026-08-27—$5.96 – $32.96$14.90 – $82.40
MultiCare Good Samaritan HospitalPuyallupFile dated 2026-08-27—$4.84 – $66.24$12.09 – $166
MultiCare Valley HospitalSpokane ValleyFile dated 2026-08-27—$8.65 – $95.10$21.62 – $238
Olympic Medical CenterPort AngelesFile dated 2026-06-24$58.07 – $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$18.61 – $1545 plans$73.85 – $171$73.85 – $171
Skagit Valley HospitalMount Vernon—$64.68 – $164$80.85 – $205
St Anthony HospitalGig HarborFile dated 2026-02-28—$16.25 – $300$53.40 – $985
St Clare HospitalLakewoodFile dated 2026-02-28—$15.40 – $284$53.40 – $985
St Elizabeth HospitalEnumclawFile dated 2026-02-28—$18.87 – $348$53.40 – $985
St Francis Community HospitalFederal WayFile dated 2026-02-28—$16.76 – $309$53.40 – $985
St Joseph Medical CenterTacomaFile dated 2026-02-28—$17.69 – $326$53.40 – $985
St Michael Medical CenterSilverdaleFile dated 2026-02-28—$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—$4.84 – $66.24$12.09 – $166
Three Rivers HospitalBrewster$120 – $1742 plans$178 – $212$178 – $212
Virginia Mason Medical CenterSeattle—$8.98 – $9.40$17.60 – $18.44
Yakima Valley MemorialYakimaFile dated 2026-08-27—$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.