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
Ulysses, KS
See all hospitals reporting HCPCS J3030 →Price type
Commonspirit Kansas, Inc.’s median price of $262 is 270% above the median hospital's median price ($71), higher than 85% 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: 6 payers, 13 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 | Bcbs Ks commercial ppo/hmo fee schedule · outpatient | $89 | $89 | — | — | — | $89 – $89 |
| 2 | Aetna managed medicare percent of total billed charges · outpatientfrom % of charges | $120 | $192 | $161 | 84% | — | $53 – $550 |
| 3 | Humana managed medicare percent of total billed charges · outpatientfrom % of charges | $120 | $192 | $161 | 84% | — | $53 – $550 |
| 4 | Medicare medicare percent of total billed charges · outpatientfrom % of charges | $120 | $192 | $161 | 84% | — | $53 – $550 |
| 5 | UnitedHealthcare managed medicare percent of total billed charges · outpatientfrom % of charges | $120 | $192 | $161 | 84% | — | $53 – $550 |
| 6 | Aetna commercial percent of total billed charges · inpatientfrom % of charges | $300 | $480 | $402 | 84% | — | $132 – $1.4k |
| 7 | Aetna commercial percent of total billed charges · outpatientfrom % of charges | $300 | $480 | $402 | 84% | — | $132 – $1.4k |
| 8 | UnitedHealthcare commercial ppo/pos/hmo/epo percent of total billed charges · inpatientfrom % of charges | $313 | $501 | $419 | 84% | — | $138 – $1.4k |
| 9 | UnitedHealthcare commercial ppo/pos/hmo/epo percent of total billed charges · outpatientfrom % of charges | $313 | $501 | $419 | 84% | — | $138 – $1.4k |
| 10 | MultiPlan commercial primary percent of total billed charges · inpatientfrom % of charges | $338 | $540 | $453 | 84% | — | $149 – $1.5k |
| 11 | MultiPlan commercial primary percent of total billed charges · outpatientfrom % of charges | $338 | $540 | $453 | 84% | — | $149 – $1.5k |
| 12 | MultiPlan commercial complementary percent of total billed charges · inpatientfrom % of charges | $349 | $558 | $468 | 84% | — | $153 – $1.6k |
| 13 | MultiPlan commercial complementary percent of total billed charges · outpatientfrom % of charges | $349 | $558 | $468 | 84% | — | $153 – $1.6k |
Last updated: Feb 3, 2026
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