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
HC Sumatriptan Succinate 6 Mg (Imitrex)
Falls, MT
See all hospitals reporting HCPCS J3030 →Price type
Benefis Hospitals Inc’s median price of $84 is 19% above the median hospital's median price ($71), higher than 59% of the 2,150 hospitals reporting HCPCS J3030. 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, 26 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 bhs hb bcbs employee health plan fee schedule · outpatient | $22 | $22 | — | — | — | $22 – $22 |
| 2 | Blue Cross Blue Shield bhs hb bcbs blue options fee schedule · outpatient | $29 | $29 | — | — | — | $29 – $29 |
| 3 | Blue Cross Blue Shield bhs hb bcbs blue options percent of total billed charges · outpatientfrom % of charges | $41 | $41 | — | — | — | $41 – $41 |
| 4 | Blue Cross Blue Shield bhs hb bcbs employee health plan percent of total billed charges · bothfrom % of charges | $45 | $45 | — | — | — | $45 – $45 |
| 5 | Cigna bhs hb allegiance percent of total billed charges · bothfrom % of charges | $54 | $54 | — | — | — | $54 – $54 |
| 6 | Healthpartners bhs hb allegiance percent of total billed charges · bothfrom % of charges | $54 | $54 | — | — | — | $54 – $54 |
| 7 | Kaiser bhs hb allegiance percent of total billed charges · bothfrom % of charges | $54 | $54 | — | — | — | $54 – $54 |
| 8 | Medical Mutual bhs hb allegiance percent of total billed charges · bothfrom % of charges | $54 | $54 | — | — | — | $54 – $54 |
| 9 | Blue Cross Blue Shield bhs hb bcbs blue focus percent of total billed charges · outpatientfrom % of charges | $59 | $59 | $20 | 34% | — | $39 – $79 |
| 10 | Blue Cross Blue Shield bhs hb bcbs blue focus percent of total billed charges · inpatientfrom % of charges | $72 | $72 | $24 | 34% | — | $48 – $97 |
| 11 | Blue Cross Blue Shield bhs hb bcbs blue options percent of total billed charges · inpatientfrom % of charges | $74 | $74 | $25 | 34% | — | $49 – $98 |
| 12 | Blue Cross Blue Shield bhs hb bcbs federal percent of total billed charges · bothfrom % of charges | $77 | $77 | $26 | 34% | — | $51 – $103 |
| 13 | Blue Cross Blue Shield bhs hb bcbs healthy montana kids percent of total billed charges · bothfrom % of charges | $77 | $77 | $26 | 34% | — | $51 – $103 |
| 14 | Blue Cross Blue Shield bhs hb bcbs healthlink ppo percent of total billed charges · bothfrom % of charges | $78 | $78 | $26 | 34% | — | $52 – $104 |
| 15 | Aetna bhs hb first choice health percent of total billed charges · bothfrom % of charges | $83 | $83 | $28 | 34% | — | $55 – $111 |
| 16 | First Health bhs hb first choice health percent of total billed charges · bothfrom % of charges | $83 | $83 | $28 | 34% | — | $55 – $111 |
| 17 | Cigna bhs hb allegiance fee schedule · outpatient | $84 | $84 | — | — | — | $84 – $84 |
| 18 | Healthpartners bhs hb allegiance fee schedule · outpatient | $84 | $84 | — | — | — | $84 – $84 |
| 19 | Kaiser bhs hb allegiance fee schedule · outpatient | $84 | $84 | — | — | — | $84 – $84 |
| 20 | Medical Mutual bhs hb allegiance fee schedule · outpatient | $84 | $84 | — | — | — | $84 – $84 |
| 21 | UnitedHealthcare bhs hb united healthcare percent of total billed charges · bothfrom % of charges | $86 | $86 | $29 | 34% | — | $57 – $115 |
| 22 | Blue Cross Blue Shield bhs hb bcbs employee health plan percent of total billed charges · inpatientfrom % of charges | $91 | $91 | — | — | — | $91 – $91 |
| 23 | Cigna bhs hb allegiance percent of total billed charges · inpatientfrom % of charges | $109 | $109 | — | — | — | $109 – $109 |
| 24 | Healthpartners bhs hb allegiance percent of total billed charges · inpatientfrom % of charges | $109 | $109 | — | — | — | $109 – $109 |
| 25 | Kaiser bhs hb allegiance percent of total billed charges · inpatientfrom % of charges | $109 | $109 | — | — | — | $109 – $109 |
Last updated: Mar 26, 2026
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