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 SUCCINATE 6 MG/0.5ML SC SOLN
Maple Grove, MN
See all hospitals reporting HCPCS J3030 →Price type
Fairview Maple Grove Surgery Center’s median price of $52 is 26% below the median hospital's median price ($71), higher than 35% 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 | Ucare ifp percent of total billed charges · outpatientfrom % of charges | $30 | $44 | $36 | 82% | — | $22 – $125 |
| 2 | Ucare ifp with fairview percent of total billed charges · outpatientfrom % of charges | $30 | $44 | $36 | 82% | — | $22 – $125 |
| 3 | Ucare mhcp fee schedule · both | $50 | $50 | — | — | — | $50 – $50 |
| 4 | Ucare ifp with fairview fee schedule · both | $50 | $50 | — | — | — | $50 – $50 |
| 5 | Medica accessability fee schedule · both | $52 | $52 | — | — | — | $52 – $52 |
| 6 | Medica medicaid fee schedule · both | $52 | $52 | — | — | — | $52 – $52 |
| 7 | Medica ma non-snp fee schedule · both | $52 | $52 | — | — | — | $52 – $52 |
| 8 | Medica ma snp fee schedule · both | $52 | $52 | — | — | — | $52 – $52 |
| 9 | Medica prime solution fee schedule · both | $52 | $52 | — | — | — | $52 – $52 |
| 10 | Medica vantage fee schedule · both | $52 | $52 | — | — | — | $52 – $52 |
| 11 | Blue Cross Blue Shield federal fee schedule · outpatient | $52 | $52 | — | — | — | $52 – $52 |
| 12 | Ucare ifp fee schedule · both | $53 | $53 | — | — | — | $53 – $53 |
| 13 | Blue Cross Blue Shield commercial fee schedule · outpatient | $53 | $53 | — | — | — | $53 – $53 |
| 14 | Blue Cross Blue Shield medicaid fee schedule · outpatient | $53 | $53 | — | — | — | $53 – $53 |
| 15 | Medicaid medicaid fee schedule · both | $55 | $55 | — | — | — | $55 – $55 |
| 16 | Blue Cross Blue Shield medicaid fee schedule · both | $57 | $57 | — | — | — | $57 – $57 |
| 17 | Cigna commercial fee schedule · both | $63 | $63 | $6 | 9% | — | $58 – $69 |
| 18 | Blue Cross Blue Shield federal fee schedule · both | $72 | $72 | — | — | — | $72 – $72 |
| 19 | First Health commercial percent of total billed charges · outpatientfrom % of charges | $49 | $72 | $59 | 82% | — | $36 – $204 |
| 20 | Blue Cross Blue Shield commercial fee schedule · both | $74 | $74 | — | — | — | $74 – $74 |
| 21 | MultiPlan commercial percent of total billed charges · outpatientfrom % of charges | $50 | $75 | $61 | 82% | — | $37 – $212 |
| 22 | UnitedHealthcare commercial fee schedule · both | $114 | $114 | — | — | — | $114 – $114 |
| 23 | Medica bold fee schedule · both | $118 | $118 | — | — | — | $118 – $118 |
| 24 | Medica choice without / elect fee schedule · both | $131 | $131 | — | — | — | $131 – $131 |
| 25 | Medica city of st paul / essential uplan fee schedule · both | $131 | $131 | — | — | — | $131 – $131 |
Last updated: May 18, 2026
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