CareNavIQ

Every billing code / Treatments and drugs / Injections and Infusions (nononcologic)

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

Medicaid managed care: Rate for an Apple Health managed-care plan. Applies only to members of that plan.

HospitalMedicaid managed care rates (lowest – highest)Cash priceList price (before discounts)
Capital Medical CenterOlympiaFile dated 2026-08-27—$20.25 – $20.26$50.62 – $50.63
Cascade Medical CenterLeavenworth$37.55 – $98.14at least 4 plans$54.00 – $93.91$67.50 – $117
Cascade Valley HospitalArlington$64.801 plan$51.84$64.80
Deaconess Medical CenterSpokaneFile dated 2026-08-27—$29.44 – $54.62$73.60 – $137
EvergreenHealth Medical CenterKirkland—$41.60 – $101$52.00 – $126
EvergreenHealth MonroeMonroe—$64.80$81.00
Highline Medical CenterBurienFile dated 2026-02-28—$50.69 – $507$166 – $1,659
Island HospitalAnacortes$26.001 plan$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—$23.80 – $40.74$59.48 – $102
MultiCare Auburn Medical CenterAuburnFile dated 2026-08-27—$12.58 – $35.11$31.45 – $87.77
MultiCare Covington Medical CenterCovingtonFile dated 2026-08-27—$20.24 – $35.08$50.58 – $87.70
MultiCare Good Samaritan HospitalPuyallupFile dated 2026-08-27—$12.59 – $35.11$31.47 – $87.76
MultiCare Valley HospitalSpokane ValleyFile dated 2026-08-27—$22.83 – $54.64$57.07 – $137
Olympic Medical CenterPort AngelesFile dated 2026-06-24—$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$22.88 – $28.9312 plans$89.00$89.00
Skagit Valley HospitalMount Vernon—$51.84$64.80
St Anthony HospitalGig HarborFile dated 2026-02-28—$50.49 – $505$166 – $1,659
St Clare HospitalLakewoodFile dated 2026-02-28—$47.85 – $478$166 – $1,659
St Elizabeth HospitalEnumclawFile dated 2026-02-28$46.48 – $5505 plans$58.66 – $586$166 – $1,659
St Francis Community HospitalFederal WayFile dated 2026-02-28—$52.10 – $521$166 – $1,659
St Joseph Medical CenterTacomaFile dated 2026-02-28—$54.98 – $550$166 – $1,659
St Michael Medical CenterSilverdaleFile dated 2026-02-28—$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—$8.86 – $35.12$22.14 – $87.80
Virginia Mason Medical CenterSeattle—$10.71 – $13.35$21.00 – $26.17
Yakima Valley MemorialYakimaFile dated 2026-08-27—$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.