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
PR Sumatriptan Succinate Injection 6 Mg
Troy, NY
See all hospitals reporting HCPCS J3030 →Price type
Samaritan Hospital’s median price of $27 is 62% below the median hospital's median price ($71), higher than 14% 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: 34 payers, 93 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 | Aetna aetna medicare advantage facility · percent of total billed charges · bothfrom % of charges | $3 | $3 | — | — | — | $3 – $3 |
| 2 | Anthem empire bcbs blue access facility · percent of total billed charges · bothfrom % of charges | $8 | $8 | — | — | — | $8 – $8 |
| 3 | WellCare wellcare ep 1&2 medicaid facility · percent of total billed charges · bothfrom % of charges | $8 | $8 | — | — | — | $8 – $8 |
| 4 | First Health first health facility · percent of total billed charges · bothfrom % of charges | $8 | $8 | — | — | — | $8 – $8 |
| 5 | Humana tricare professional · percent of total billed charges · inpatientfrom % of charges | $8 | $8 | — | — | — | $8 – $8 |
| 6 | Tricare tricare professional · percent of total billed charges · inpatientfrom % of charges | $8 | $8 | — | — | — | $8 – $8 |
| 7 | Cigna cigna facility · percent of total billed charges · bothfrom % of charges | $9 | $9 | — | — | — | $9 – $9 |
| 8 | MultiPlan beech street facility · percent of total billed charges · bothfrom % of charges | $10 | $10 | — | — | — | $10 – $10 |
| 9 | MultiPlan multiplan facility · percent of total billed charges · bothfrom % of charges | $10 | $10 | — | — | — | $10 – $10 |
| 10 | Phcs multiplan facility · percent of total billed charges · bothfrom % of charges | $10 | $10 | — | — | — | $10 – $10 |
| 11 | Aetna pb xr 100% default professional · percent of total billed charges · inpatientfrom % of charges | $11 | $11 | — | — | — | $11 – $11 |
| 12 | Ambetter pb xr 100% default professional · percent of total billed charges · inpatientfrom % of charges | $11 | $11 | — | — | — | $11 – $11 |
| 13 | Amerihealth Caritas pb xr 100% default professional · percent of total billed charges · inpatientfrom % of charges | $11 | $11 | — | — | — | $11 – $11 |
| 14 | Anthem pb xr 100% default professional · percent of total billed charges · inpatientfrom % of charges | $11 | $11 | — | — | — | $11 – $11 |
| 15 | Blue Cross Blue Shield pb xr 100% default professional · percent of total billed charges · inpatientfrom % of charges | $11 | $11 | — | — | — | $11 – $11 |
| 16 | Carefirst pb xr 100% default professional · percent of total billed charges · inpatientfrom % of charges | $11 | $11 | — | — | — | $11 – $11 |
| 17 | Caresource pb xr 100% default professional · percent of total billed charges · inpatientfrom % of charges | $11 | $11 | — | — | — | $11 – $11 |
| 18 | Cigna pb xr 100% default professional · percent of total billed charges · inpatientfrom % of charges | $11 | $11 | — | — | — | $11 – $11 |
| 19 | Clover pb xr 100% default professional · percent of total billed charges · inpatientfrom % of charges | $11 | $11 | — | — | — | $11 – $11 |
| 20 | Devoted pb xr 100% default professional · percent of total billed charges · inpatientfrom % of charges | $11 | $11 | — | — | — | $11 – $11 |
| 21 | Excellus pb xr 100% default professional · percent of total billed charges · inpatientfrom % of charges | $11 | $11 | — | — | — | $11 – $11 |
| 22 | First Health pb xr 100% default professional · percent of total billed charges · inpatientfrom % of charges | $11 | $11 | — | — | — | $11 – $11 |
| 23 | Highmark pb xr 100% default professional · percent of total billed charges · inpatientfrom % of charges | $11 | $11 | — | — | — | $11 – $11 |
| 24 | Humana pb xr 100% default professional · percent of total billed charges · inpatientfrom % of charges | $11 | $11 | — | — | — | $11 – $11 |
| 25 | Kaiser pb xr 100% default professional · percent of total billed charges · inpatientfrom % of charges | $11 | $11 | — | — | — | $11 – $11 |
Last updated: Mar 31, 2026
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