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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.

HospitalCommercial insurance rates (lowest – highest)Cash priceList price (before discounts)
Capital Medical CenterOlympiaFile dated 2026-08-27$40.49 – $43.032 plans$20.25 – $20.26$50.62 – $50.63
Cascade Medical CenterLeavenworth$7.98 – $73.60at least 2 plans$54.00 – $93.91$67.50 – $117
Cascade Valley HospitalArlington$5.51 – $6688 plans$51.84$64.80
Deaconess Medical CenterSpokaneFile dated 2026-08-27$52.26 – $99.682 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
Highline Medical CenterBurienFile dated 2026-02-28$71.38 – $1,4936 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—$34.61 – $71.51$49.44 – $102
Mary Bridge Children's HospitalTacomaFile dated 2026-08-27$38.90 – $81.486 plans$23.80 – $40.74$59.48 – $102
MultiCare Auburn Medical CenterAuburnFile dated 2026-08-27$18.56 – $64.073 plans$12.58 – $35.11$31.45 – $87.77
MultiCare Covington Medical CenterCovingtonFile dated 2026-08-27$29.84 – $64.023 plans$20.24 – $35.08$50.58 – $87.70
MultiCare Good Samaritan HospitalPuyallupFile dated 2026-08-27$18.56 – $64.063 plans$12.59 – $35.11$31.47 – $87.76
MultiCare Valley HospitalSpokane ValleyFile dated 2026-08-27$41.09 – $98.352 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
Prov Sacred HRT Med Ctr & Childs Hosp.SpokaneFile dated 2026-04-01—$70.66 – $299$101 – $427
Providence Centralia HospitalCentraliaFile dated 2026-04-01—$46.70 – $54.34$89.80 – $105
Providence Holy Family HospitalSpokaneFile dated 2026-04-01—$70.66 – $299$101 – $427
Providence Mount Carmel HospitalColvilleFile dated 2026-04-01—$70.66 – $293$101 – $419
Providence St Joseph HospitalChewelahFile dated 2026-04-01—$70.66 – $194$101 – $277
Providence St Mary Medical CenterWalla WallaFile dated 2026-04-01—$30.00 – $107$42.86 – $153
Providence St Peter HospitalOlympiaFile dated 2026-04-01—$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$91.30 – $1,2454 plans$50.49 – $505$166 – $1,659
St Clare HospitalLakewoodFile dated 2026-02-28$91.30 – $1,2454 plans$47.85 – $478$166 – $1,659
St Elizabeth HospitalEnumclawFile dated 2026-02-28$59.76 – $1,4939 plans$58.66 – $586$166 – $1,659
St Francis Community HospitalFederal WayFile dated 2026-02-28$91.30 – $1,2454 plans$52.10 – $521$166 – $1,659
St Joseph Medical CenterTacomaFile dated 2026-02-28$91.30 – $1,2454 plans$54.98 – $550$166 – $1,659
St Michael Medical CenterSilverdaleFile dated 2026-02-28$105 – $1,49310 plans$73.27 – $732$166 – $1,659
Swedish Edmonds HospitalEdmondsFile dated 2026-04-01—$36.04 – $74.57$75.08 – $155
Swedish IssaquahIssaquahFile dated 2026-04-01—$36.04 – $74.57$75.08 – $155
Swedish Medical CenterSeattleFile dated 2026-04-01—$36.04 – $74.57$75.08 – $155
Swedish Medical Center / Cherry HillSeattleFile dated 2026-04-01—$36.04 – $74.57$75.08 – $155
Tacoma General Allenmore HospitalTacomaFile dated 2026-08-27$13.06 – $64.093 plans$8.86 – $35.12$22.14 – $87.80
Virginia Mason Medical CenterSeattle$13.45 – $20.944 plans$10.71 – $13.35$21.00 – $26.17
Yakima Valley MemorialYakimaFile dated 2026-08-27$20.71 – $38.251 plan$14.80 – $27.32$36.98 – $68.30

Lowest and highest amounts each hospital lists for this code during a hospital stay, 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.