HCPCS J0694

Injection, cefoxitin sodium, 1 gm

Current code47 hospitals with prices

Description from CMS's HCPCS Level II code file.

What Washington hospitals publish for this code

Commercial insurance: Rate negotiated with a private insurer or employer plan, including exchange and public-option plans.

Prices for HCPCS J0694 by hospital
HospitalCommercial insurance rates (lowest – highest)Cash priceList price (before discounts)
Capital Medical CenterOlympiaFile dated 2026-08-27$36.95 – $43.032 plans$20.25 – $20.26$50.62 – $50.63
Cascade Medical CenterLeavenworth$7.98 – $42.332 plans$54.00$67.50
Cascade Valley HospitalArlington$5.51 – $6688 plans$51.84$64.80
Deaconess Medical CenterSpokaneFile dated 2026-08-27$27.34 – $99.685 plans$29.44 – $54.62$73.60 – $137
EvergreenHealth Medical CenterKirkland$4.88 – $1177 plans$41.60 – $101$52.00 – $126
EvergreenHealth MonroeMonroe$51.03 – $75.3312 plans$64.80$81.00
Harborview Medical CenterSeattleFile dated 2026-04-01$5.611 plan——
Highline Medical CenterBurienFile dated 2026-02-28$71.38 – $1,4935 plans$50.69 – $507$166 – $1,659
Island HospitalAnacortes$4.74 – $49.4013 plans$52.00$52.00
Kadlec Regional Medical CenterRichlandFile dated 2026-04-01$5.53 – $16.914 plans$34.61 – $71.51$49.44 – $102
Legacy Salmon Creek Medical CenterVancouverFile dated 2026-04-01$7.53 – $11.474 plans——
Mary Bridge Children's HospitalTacomaFile dated 2026-08-27$38.42 – $82.916 plans$23.80 – $40.74$59.48 – $102
MultiCare Auburn Medical CenterAuburnFile dated 2026-08-27$22.96 – $64.072 plans$12.58 – $35.11$31.45 – $87.77
MultiCare Covington Medical CenterCovingtonFile dated 2026-08-27$36.92 – $64.022 plans$20.24 – $35.08$50.58 – $87.70
MultiCare Good Samaritan HospitalPuyallupFile dated 2026-08-27$22.97 – $64.062 plans$12.59 – $35.11$31.47 – $87.76
MultiCare Valley HospitalSpokane ValleyFile dated 2026-08-27$21.20 – $98.355 plans$22.83 – $54.64$57.07 – $137
Olympic Medical CenterPort AngelesFile dated 2026-06-24$32.60 – $81.926 plans$46.66 – $65.54$58.33 – $81.92
Overlake Hospital Medical Center & ClinicsBellevueFile dated 2026-04-01$8.28 – $8.813 plans——
PeaceHealth Peace Island Medical CenterFriday Harbor—$118 – $131$181 – $202
PeaceHealth Southwest Medical CenteVancouver$7.351 plan$118 – $131$181 – $202
PeaceHealth St John Medical CenterLongview$8.251 plan$118 – $131$181 – $202
PeaceHealth St Joseph Medical CenterBellingham$8.211 plan$118 – $131$181 – $202
PeaceHealth United General Medical CenterSedro Woolley—$118 – $131$181 – $202
Prov Sacred HRT Med Ctr & Childs Hosp.SpokaneFile dated 2026-04-01$5.50 – $9.803 plans$70.66 – $299$101 – $427
Providence Centralia HospitalCentraliaFile dated 2026-04-01$12.35 – $32.164 plans$46.70 – $54.34$89.80 – $105
Providence Holy Family HospitalSpokaneFile dated 2026-04-01$5.50 – $9.803 plans$70.66 – $299$101 – $427
Providence Mount Carmel HospitalColvilleFile dated 2026-04-01—$70.66 – $293$101 – $419
Providence Regional Medical Center EverettEverettFile dated 2026-04-01$5.50 – $9.804 plans——
Providence St Joseph HospitalChewelahFile dated 2026-04-01—$70.66 – $194$101 – $277
Providence St Mary Medical CenterWalla WallaFile dated 2026-04-01$9.80 – $27.732 plans$30.00 – $107$42.86 – $153
Providence St Peter HospitalOlympiaFile dated 2026-04-01$9.27 – $10.192 plans$49.30 – $162$94.80 – $311
Seattle Children's HospitalSeattle$48.06 – $85.4498 plans$89.00$89.00
Skagit Valley HospitalMount Vernon$9.35 – $61.567 plans$51.84$64.80
St Anthony HospitalGig HarborFile dated 2026-02-28$83.00 – $1,2453 plans$50.49 – $505$166 – $1,659
St Clare HospitalLakewoodFile dated 2026-02-28$83.00 – $1,2453 plans$47.85 – $478$166 – $1,659
St Elizabeth HospitalEnumclawFile dated 2026-02-28$5.75 – $1,4938 plans$58.66 – $586$166 – $1,659
St Francis Community HospitalFederal WayFile dated 2026-02-28$83.00 – $1,2453 plans$52.10 – $521$166 – $1,659
St Joseph Medical CenterTacomaFile dated 2026-02-28$83.00 – $1,2453 plans$54.98 – $550$166 – $1,659
St Michael Medical CenterSilverdaleFile dated 2026-02-28$8.97 – $1,49310 plans$73.27 – $732$166 – $1,659
Swedish Edmonds HospitalEdmondsFile dated 2026-04-01$5.50 – $10.274 plans$36.04 – $74.57$75.08 – $155
Swedish IssaquahIssaquahFile dated 2026-04-01$5.50 – $10.273 plans$36.04 – $74.57$75.08 – $155
Swedish Medical CenterSeattleFile dated 2026-04-01$5.50 – $9.272 plans$36.04 – $74.57$75.08 – $155
Swedish Medical Center / Cherry HillSeattleFile dated 2026-04-01$5.50 – $9.272 plans$36.04 – $74.57$75.08 – $155
Tacoma General Allenmore HospitalTacomaFile dated 2026-08-27$16.16 – $64.092 plans$8.86 – $35.12$22.14 – $87.80
University of Washington Medical CtrSeattleFile dated 2026-04-01$5.611 plan——
Virginia Mason Medical CenterSeattle$12.60 – $20.949 plans$10.71 – $13.35$21.00 – $26.17
Yakima Valley MemorialYakimaFile dated 2026-08-27$10.24 – $58.537 plans$14.80 – $27.32$36.98 – $68.30

Lowest and highest amounts each hospital lists for this code as an outpatient, including lines it lists for both settings or without saying which. A doctor’s fee is shown separately when the hospital lists one with the code. “At least” means plans were counted in more than one group and some may be the same plan. This is one line of a bill; most care brings several.

Medicare (traditional) reference

CMS publishes no national amount for this code.