Hospitals report these codes with terse, inconsistent chargemaster text. This plain-English title was written by an AI model from that text and has not been reviewed by a person, so it can be wrong. The prices on this page come straight from hospital filings and do not depend on it.
Original text from hospital filings
SUMATRIPTAN 6 MG/0.5 ML SUBCUTANEOUS SOLUTION
Low
$5
Average
$72
Median
$36
High
$586
Each hospital's average Medical Mutual rate, under the methodology and billing class chosen below.
71 hospitals; the 90th percentile is 14.5× the 10th. Each bar is a price range and its height is how many hospitals fall in it. Hover a bar, or a row in the ladder, for details.
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94 hospital rates
iThe hospitals that file a Medical Mutual rate for this code, one row per hospital and set of terms (billing class, payment method, setting). Rates under different terms are never blended, so the terms are shown under each hospital’s name. Figures are the hospital’s averages across its plans.| # | Plans | |||||||
|---|---|---|---|---|---|---|---|---|
| 1 | East Liverpool City Hospital Liverpool, OH percent of total billed charges · outpatientfrom % of charges | 1 | $270 | $270 | — | — | 1–10 | $270 – $270 |
| 2 | Adena Fayette Medical Center Washington Court House, OH facility · percent of total billed charges · inpatientfrom % of charges | 3 | $616 | $616 | — | — | — | $616 – $616 |
| 3 | Adena Fayette Medical Center Washington Court House, OH facility · percent of total billed charges · outpatientfrom % of charges | 4 | $616 | $546 | $122 | 22% | — | $335 – $616 |
| 4 | Adena Health System Chillicothe, OH facility · percent of total billed charges · inpatientfrom % of charges | 1 | $370 | $370 | — | — | — | $370 – $370 |
| 5 | Adena Health System Chillicothe, OH facility · percent of total billed charges · outpatientfrom % of charges | 2 | $441 | $441 | $71 | 16% | — | $370 – $513 |
| 6 | Benefis Hospitals Inc Helena, MT fee schedule · outpatient | 1 | $84 | $84 | — | — | — | $84 – $84 |
| 7 | Benefis Hospitals Inc Helena, MT percent of total billed charges · bothfrom % of charges | 1 | $54 | $54 | — | — | — | $54 – $54 |
| 8 | Benefis Hospitals Inc Helena, MT percent of total billed charges · inpatientfrom % of charges | 1 | $109 | $109 | — | — | — | $109 – $109 |
| 9 | Catholic Health Initiatives-Iowa Corp Des Moines, IA facility · percent of total billed charges · bothfrom % of charges | 1 | $14 | $14 | — | — | — | $14 – $14 |
| 10 | Catholic Health Initiatives-Iowa Corp West Des Moines, IA facility · percent of total billed charges · bothfrom % of charges | 1 | $6 | $6 | — | — | — | $6 – $6 |
| 11 | Central Community Hospital Elkader, IA facility · percent of total billed charges · bothfrom % of charges | 1 | $13 | $13 | — | — | — | $13 – $13 |
| 12 | Columbus Regional Hospital Columbus, IN percent of total billed charges · bothfrom % of charges | 1 | $246 | $246 | — | — | — | $246 – $246 |
| 13 | Cookeville Regional Medical Center Cookeville, TN facility · percent of total billed charges · inpatientfrom % of charges | 1 | $16 | $16 | — | — | — | $16 – $16 |
| 14 | Cookeville Regional Medical Center Cookeville, TN facility · percent of total billed charges · outpatientfrom % of charges | 1 | $16 | $16 | — | — | — | $16 – $16 |
| 15 | Diley Ridge Medical Center Canal Winchester, OH facility · percent of total billed charges · bothfrom % of charges | 1 | $8 | $8 | — | — | — | $8 – $8 |
| 16 | Fisher-Titus Medical Center Norwalk, OH facility · percent of total billed charges · inpatientfrom % of charges | 1 | $195 | $194 | $129 | 66% | — | $31 – $524 |
| 17 | Fisher-Titus Medical Center Norwalk, OH facility · percent of total billed charges · outpatientfrom % of charges | 1 | $132 | $132 | $88 | 66% | — | $21 – $355 |
| 18 | Greenfield Area Medical Center Greenfield, OH facility · percent of total billed charges · inpatientfrom % of charges | 2 | $586 | $586 | — | — | — | $586 – $586 |
| 19 | Greenfield Area Medical Center Greenfield, OH facility · percent of total billed charges · outpatientfrom % of charges | 2 | $586 | $586 | — | — | — | $586 – $586 |
| 20 | Mayo Clinic Rochester, MN facility · percent of total billed charges · bothfrom % of charges | 2 | $265 | $265 | $218 | 82% | — | $48 – $483 |
| 21 | Mayo Clinic Arizona Phoenix, AZ facility · percent of total billed charges · bothfrom % of charges | 4 | $41 | $41 | $5 | 13% | — | $35 – $48 |
| 22 | Mayo Clinic Florida Jacksonville, FL facility · percent of total billed charges · bothfrom % of charges | 5 | $42 | $40 | $7 | 18% | — | $31 – $49 |
| 23 | Mayo Clinic Health System Mankato 56001-4752 facility · percent of total billed charges · bothfrom % of charges | 1 | $48 | $48 | — | — | — | $48 – $48 |
| 24 | Mayo Clinic Health System Lake City 55041-1143 facility · percent of total billed charges · bothfrom % of charges | 1 | $48 | $48 | — | — | — | $48 – $48 |
| 25 | Mayo Clinic Health System Saint James 56081-5550 facility · percent of total billed charges · bothfrom % of charges | 1 | $57 | $57 | — | — | — | $57 – $57 |
← Payers reporting HCPCS J3030 · Snapshot 20261111T120946Z-9134e7f7