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 (Imitrex) injection 6 mg
Beeville, TX
See all hospitals reporting HCPCS J3030 →Price type
Spohn Hospital Beeville’s median price of $75 is 6% above the median hospital's median price ($71), higher than 53% 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: 11 payers, 30 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 | UnitedHealthcare chip km percent of total billed charges · outpatientfrom % of charges | $15 | $15 | — | — | — | $15 – $15 |
| 2 | UnitedHealthcare star kids km percent of total billed charges · outpatientfrom % of charges | $15 | $15 | — | — | — | $15 – $15 |
| 3 | UnitedHealthcare star km percent of total billed charges · outpatientfrom % of charges | $15 | $15 | — | — | — | $15 – $15 |
| 4 | UnitedHealthcare star plus km percent of total billed charges · outpatientfrom % of charges | $15 | $15 | — | — | — | $15 – $15 |
| 5 | Bcbs Tx star chip km percent of total billed charges · outpatientfrom % of charges | $26 | $26 | — | — | — | $26 – $26 |
| 6 | Aetna mm percent of total billed charges · outpatientfrom % of charges | $42 | $42 | — | — | — | $42 – $42 |
| 7 | Molina chip km percent of total billed charges · outpatientfrom % of charges | $55 | $55 | — | — | — | $55 – $55 |
| 8 | Molina star km percent of total billed charges · outpatientfrom % of charges | $55 | $55 | — | — | — | $55 – $55 |
| 9 | Molina star plus km percent of total billed charges · outpatientfrom % of charges | $55 | $55 | — | — | — | $55 – $55 |
| 10 | UnitedHealthcare all payer percent of total billed charges · outpatientfrom % of charges | $55 | $55 | — | — | — | $55 – $55 |
| 11 | UnitedHealthcare hix percent of total billed charges · outpatientfrom % of charges | $55 | $55 | — | — | — | $55 – $55 |
| 12 | Bcbs Tx blue advantage hmo fee schedule · outpatient | $72 | $72 | — | — | — | $72 – $72 |
| 13 | Cigna new business percent of total billed charges · outpatientfrom % of charges | $73 | $73 | — | — | — | $73 – $73 |
| 14 | Bcbs Tx hmo fee schedule · outpatient | $77 | $77 | — | — | — | $77 – $77 |
| 15 | Healthcare Highways ppo percent of total billed charges · outpatientfrom % of charges | $82 | $82 | — | — | — | $82 – $82 |
| 16 | Bcbs Tx heb fee schedule · outpatient | $83 | $83 | — | — | — | $83 – $83 |
| 17 | Bcbs Tx ppo fee schedule · outpatient | $87 | $87 | — | — | — | $87 – $87 |
| 18 | Devoted mm percent of total billed charges · outpatientfrom % of charges | $91 | $91 | — | — | — | $91 – $91 |
| 19 | Bcbs Tx traditional fee schedule · outpatient | $92 | $92 | — | — | — | $92 – $92 |
| 20 | Cigna ppo percent of total billed charges · outpatientfrom % of charges | $107 | $107 | $1 | 1% | — | $106 – $108 |
| 21 | Aetna new business percent of total billed charges · outpatientfrom % of charges | $113 | $113 | — | — | — | $113 – $113 |
| 22 | Humana choicecare fee schedule · outpatient | $119 | $119 | — | — | — | $119 – $119 |
| 23 | First Health ppo percent of total billed charges · outpatientfrom % of charges | $119 | $119 | — | — | — | $119 – $119 |
| 24 | Aetna hmo percent of total billed charges · outpatientfrom % of charges | $126 | $126 | — | — | — | $126 – $126 |
| 25 | Aetna pos percent of total billed charges · outpatientfrom % of charges | $126 | $126 | — | — | — | $126 – $126 |
Last updated: Jan 13, 2026
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