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
PHYTONADIONE (VITAMIN K1) 1 MG/0.5 ML INJECTION SYRG [25752]
Arlington, TX
See all hospitals reporting HCPCS J3430 →Price type
AMH Cath Labs LLC’s median price of $22 is about the same as the median hospital's median price ($22), higher than 50% of the 2,293 hospitals reporting HCPCS J3430. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 8 payers, 25 plan rates. A facility fee, a professional fee, a per diem and a case rate are different bills, so each is listed on its own. Open a payer to see it across hospitals.
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| # | |||||||
|---|---|---|---|---|---|---|---|
| 1 | Blue Cross Blue Shield managed medicaid percent of total billed charges · outpatientfrom % of charges | $4 | $4 | $1 | 42% | — | $1 – $5 |
| 2 | UnitedHealthcare managed medicaid percent of total billed charges · outpatientfrom % of charges | $4 | $4 | $1 | 42% | — | $1 – $5 |
| 3 | WellCare managed medicaid percent of total billed charges · outpatientfrom % of charges | $4 | $4 | $2 | 42% | — | $1 – $5 |
| 4 | Molina managed medicaid percent of total billed charges · outpatientfrom % of charges | $5 | $4 | $2 | 42% | — | $1 – $5 |
| 5 | Aetna managed medicaid percent of total billed charges · outpatientfrom % of charges | $5 | $4 | $2 | 42% | — | $1 – $5 |
| 6 | Blue Cross Blue Shield hmo fee schedule · outpatient | $6 | $6 | — | — | — | $6 – $6 |
| 7 | Blue Cross Blue Shield exchange fee schedule · outpatient | $7 | $7 | — | — | — | $7 – $7 |
| 8 | Blue Cross Blue Shield ppo fee schedule · outpatient | $7 | $7 | — | — | — | $7 – $7 |
| 9 | Aetna whole health percent of total billed charges · inpatientfrom % of charges | $17 | $14 | $6 | 42% | — | $4 – $18 |
| 10 | Aetna whole health percent of total billed charges · outpatientfrom % of charges | $20 | $16 | $7 | 42% | — | $4 – $21 |
| 11 | Aetna commercial percent of total billed charges · inpatientfrom % of charges | $22 | $18 | $8 | 42% | — | $5 – $24 |
| 12 | UnitedHealthcare all payer percent of total billed charges · outpatientfrom % of charges | $25 | $20 | $9 | 42% | — | $6 – $27 |
| 13 | Aetna commercial percent of total billed charges · outpatientfrom % of charges | $26 | $22 | $9 | 42% | — | $6 – $28 |
| 14 | UnitedHealthcare ppo percent of total billed charges · outpatientfrom % of charges | $26 | $22 | $9 | 42% | — | $6 – $28 |
| 15 | Cigna oap/hmo percent of total billed charges · outpatientfrom % of charges | $26 | $22 | $9 | 42% | — | $6 – $29 |
| 16 | Phcs ppo percent of total billed charges · outpatientfrom % of charges | $33 | $27 | $12 | 42% | — | $8 – $36 |
| 17 | Cigna ppo percent of total billed charges · outpatientfrom % of charges | $33 | $28 | $12 | 42% | — | $8 – $36 |
| 18 | Aetna asa percent of total billed charges · outpatientfrom % of charges | $33 | $28 | $12 | 42% | — | $8 – $36 |
| 19 | Aetna coventry percent of total billed charges · outpatientfrom % of charges | $33 | $28 | $12 | 42% | — | $8 – $36 |
| 20 | Blue Cross Blue Shield traditional fee schedule · outpatient | $29 | $29 | — | — | — | $29 – $29 |
| 21 | Phcs ppo percent of total billed charges · inpatientfrom % of charges | $36 | $29 | $12 | 42% | — | $8 – $39 |
| 22 | MultiPlan commercial percent of total billed charges · inpatientfrom % of charges | $42 | $34 | $15 | 42% | — | $9 – $45 |
| 23 | MultiPlan commercial percent of total billed charges · outpatientfrom % of charges | $42 | $34 | $15 | 42% | — | $9 – $45 |
| 24 | Cigna indemnity percent of total billed charges · inpatientfrom % of charges | $45 | $37 | $16 | 42% | — | $10 – $49 |
| 25 | Cigna indemnity percent of total billed charges · outpatientfrom % of charges | $45 | $37 | $16 | 42% | — | $10 – $49 |
Last updated: Apr 21, 2026
See Vitamin K (phytonadione) injection, 10 mg/mL pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.