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
$7
Average
$917
Median
$69
High
$14.9k
Each hospital's average Tricare rate, under the methodology and billing class chosen below.
133 hospitals; the 90th percentile is 47.1× 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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140 hospital rates
iThe hospitals that file a Tricare 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 | Saint Alphonsus Regional Medical Center - Boise Boise, ID professional · percent of total billed charges · outpatientfrom % of charges | 1 | $71 | $71 | — | — | 1–10 | $71 – $71 |
| 2 | Affinity Hospital LLC Birmingham, AL facility · fee schedule · outpatient | 1 | $223 | $223 | — | — | — | $223 – $223 |
| 3 | Anderson Hospital Maryville, IL facility · fee schedule · outpatient | 1 | $324 | $324 | — | — | — | $324 – $324 |
| 4 | Armstrong County Memorial Hospital Kittanning, PA facility · fee schedule · outpatient | 1 | $53 | $53 | — | — | — | $53 – $53 |
| 5 | Aspen Valley Hospital District Aspen, CO facility · percent of total billed charges · bothfrom % of charges | 4 | $10 | $12 | $4 | 30% | — | $10 – $18 |
| 6 | Baptist Medical Center-Attala Kosciusko, MS facility · percent of total billed charges · outpatientfrom % of charges | 1 | $14 | $18 | $15 | 85% | — | $7 – $58 |
| 7 | Baptist Medical Center-Yazoo Yazoo City, MS facility · percent of total billed charges · outpatientfrom % of charges | 1 | $13 | $18 | $15 | 85% | — | $7 – $56 |
| 8 | Baptist Memorial Hospital - Leake Carthage, MS facility · percent of total billed charges · outpatientfrom % of charges | 1 | $13 | $18 | $15 | 85% | — | $7 – $56 |
| 9 | Baptist Memorial Hospital-Calhoun Calhoun City, MS facility · percent of total billed charges · outpatientfrom % of charges | 1 | $17 | $22 | $19 | 85% | — | $9 – $71 |
| 10 | Bullhead City Hospital Corporation City, AZ facility · fee schedule · outpatient | 1 | $972 | $972 | $933 | 96% | — | $39 – $1.9k |
| 11 | CORNING HOSPITAL Corning, NY facility · other · outpatient | 1 | $37 | $37 | — | — | — | $37 – $37 |
| 12 | Calhoun Liberty Hospital Association Inc Blountstown, FL percent of total billed charges · bothfrom % of charges | 1 | $7 | $7 | $6 | 81% | — | $1 – $13 |
| 13 | Campbell County HMA, LLC LaFollette, TN facility · fee schedule · outpatient | 1 | $60 | $60 | — | — | — | $60 – $60 |
| 14 | Carlsbad Medical Center LLC Carlsbad, NM facility · fee schedule · outpatient | 1 | $112 | $112 | — | — | — | $112 – $112 |
| 15 | CentraState Medical Center Freehold Township, NJ other · outpatient | 2 | $14.9k | $14.9k | — | — | — | $14.9k – $14.9k |
| 16 | Charleston Area Medical Center Charleston, WV percent of total billed charges · bothfrom % of charges | 1 | $17 | $17 | — | — | — | $17 – $17 |
| 17 | Chilton Medical Center Pompton Plains, NJ other · outpatient | 2 | $14.9k | $14.9k | — | — | — | $14.9k – $14.9k |
| 18 | Cocke County HMA, LLC Newport, TN facility · fee schedule · outpatient | 1 | $60 | $60 | — | — | — | $60 – $60 |
| 19 | Columbia Lutheran Charities Astoria, OR facility · percent of total billed charges · bothfrom % of charges | 1 | $45 | $45 | $17 | 39% | — | $28 – $62 |
| 20 | Conway Regional Medical Center Conway, AR facility · fee schedule · outpatient | 1 | $866 | $866 | $21 | 2% | — | $845 – $887 |
| 21 | Coulee Medical Center Grand Coulee, WA facility · percent of total billed charges · outpatientfrom % of charges | 1 | $26 | $59 | $48 | 81% | — | $24 – $126 |
| 22 | Crestview Hospital Corporation Crestview, FL facility · fee schedule · outpatient | 1 | $730 | $730 | — | — | — | $730 – $730 |
| 23 | East Georgia Regional Medical Center LLC Statesboro, GA facility · fee schedule · outpatient | 1 | $426 | $426 | — | — | — | $426 – $426 |
| 24 | Ellis Hospital NY 12308; 2210 Troy Schenectady Road Niskayuna, NY facility · fee schedule · outpatient | 1 | $35 | $35 | — | — | — | $35 – $35 |
| 25 | Fisher-Titus Medical Center Norwalk, OH facility · percent of total billed charges · inpatientfrom % of charges | 1 | $268 | $267 | $178 | 66% | — | $42 – $721 |
← Payers reporting HCPCS J3030 · Snapshot 20261111T120946Z-9134e7f7